HomeMy WebLinkAboutPermit Electrical 2000-10-17 (2)
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'I Job# 00-01552-01
Page 1 of 2
TRANS#:01-0003506
DATE:OCT 17 2000
AMT RECD:l $ 20.00
CHANGE:$ 3.50
CASHIER: 059
0#
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01552-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1012 Centennial Blvd Spr
Assessors Map#: 17032644
Lot: Block: Addition:
Tax Lot #: 10000
Subdivision:
Owner:
Address:
Jaime Perpinan
1012 Centennial Blvd
Phone Number: 541-746-8025
Scope Of Work: Electrical Only
New circuit to dryer and water heater
City/State/Zip:
Alte~ation
Springfield, OR 97477
Value: $0
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
, Range:
_NOTICE: "
I HIS PERM/'"
, 'A" ,I SHALL r:-
UTHORIZE C.XPfFif IF
, ' COMME D UNDER THIS Pi: THE WORk
ANI./" 1 NCEDC#jCDj BUildirig~MIT1SNO'r
I 80D,A "ul-\bAf\Jnn~I"'_ . ,I
1'"\ Y PEf:/,c(J8pancY\Gro,uP~OA '
Heat 'Source:
Sq. Footage:
Final Electrical
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested;aft~r~7:00 a,m. will be made the following
k' d ' 1;'"" , .~ '~' I tt...Jl\{ (,;l",Q.."
wor Ing ay. "lI/0Vi'rli' c, ','....('(, 8' , '
", 'f' ,,8, :laom \i1 9quire'
R . - n'm::>..,,,. ,-- ,eo hi. ,... _ ~ .In" "
equlred I~~e~~~~s:--I:jn.ref rho' "'C ~regon Uti ' ,
I Elect/li~1 v;,';'.~~u~J1-001 0 thr~~ rUles are Set :~r~,
-When all electrical work is comPlet~?qth~dYobtaincOPiJhOAR952_od,;"
q,; ':1be; 'Or ~~=nter. (Note: t~~: the rUles bl'
" - Oregon Ut'" e/ephane-
'r.: , p Illy Not 'I'
, ,'i:"I.~~", ., II/Cation
'" ~" ,,34.4),
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
, -Area (Sq. Feet)
Main: '
# Of Stories:
Current Units:
Census Code: Does hot apply
Height (feet):
Proposed Units:
Accessory:
Total:
Fee
Paid On Receipt#
Electrical
10/17/2000 3505
10/17/2000 3505
10/17/2000 3505
Value/Quantity
,Fee Amount
Branch Circuits WIO Feeder o~ Service '
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
2
$37,00
$2.59
$1,11
$40.70
"
Fee
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing ~ ')
?:z
~ature
\
,~"~.
{/
Job# 00-01552-01
Paid On Receipt#
Plumbing
10/17/2000 3506
, 10/17/2000 3506 .
10/17/2000 ' 3506
..,
Page'2 of 2
Value/Quantity' Fee Amount
I
$15,00
$1.05
$.45
$16.50
$57.20
Date /O~/7- 00