HomeMy WebLinkAboutPermit Electrical 2001-5-4
..
,.
-~'...
SPRINGFIELD
, '
The following prolec Ii . . . -
zoning, and does not require speCIfic land use
approval.
Zoning
Date
225 FIFTH STREETA.Jlthorizad Signature
SPRINGFIELD, OREbON 9747/
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
l-\) (L
5~ 't- ~
ELECTRICAL PERKITAPPLICATION
. .
City Job Number 0/ ~D009 s:.. - 0
3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION OF :I;NSTALLATION
9'-( I.-( G..~ +e--v, t/1 ( ;4- (
~/(/cl
LEGAL DESCRIPTION
170.3. 2-Lf'1 Z D') '70 (
JOB DESCRIPTl;ON , _I
Fr (2 V ,) frvvc/lr-c;-7 _ w rf-DLV f./.--,,~
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contracto~rr')L-0 ()n. OODU
Address \ \ l~. (') lX'fJ _O-Yl ~1 '-:. .
. -
Ci ty ~ lltJ ILD_..-Vt /J Phone L:9~')3 ~gZj13
Supervisor License Number 4::rL))_,~
Expiration Date Ity.... 01
A.
Ne~ Residential-Single or
Multi-Family per d~ellini unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
ModularD~elling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
(
$ 85.00
6<)
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number ctSql b
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiratio,: Date \ 7_-b1
(
Signature/of Supervising Electrician
/;v; tl -.: ~ A-:r . /1
O~ners Name f. 1.. IS...., ~
-,I. I "
Address 5"'c..:::> tV' =CA L~ cf
I
CitYJ-:?7~ r..-,-A/r::! Phone hf/7 ~ r;-t/ 7
I
OVNER INSTALLATION
The installation is being made on
property I .o~n whi~h is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
o SO 16 (
:::>1 'b I _
D~
DATE:
RECEIPT #:
RECEIVED BY:
13~
200 amp~.or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
Ne~, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL. OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
,.
$ 2.00
not included)
D
$ 40.~ -4
$ 40. OQ., ~ 5s
$ 20.Q~rritR
$ ~:f:i. (fa' .:':;:. :;
~') /"..;) ::D 0
(.i) -< J-L
::c .e:8- I
I-< n ,-) 0
p, ::c 1'..) -f." 0
:-.n n r .1 0
.. :z: '..0 /"".) U1
,....., ,...". ,......, f-L
~rrn'd 0 co
~~..J r-J-J. }-J.
.. City Of Springfield
Development Services
Community Services Division
Building Safety
I Job# 01-00095-01
Location Of Proposed Site: 944 .Centennial Blvd Spr
Assessors Map#: 17032442
Lot: Block: Addition:
Owner:
Address:
Cindy Byford
50 Knop Lane
Scope Of Work: Fire Damage
Tax Lot #: 03901
Subdivision:
Phone Number: 541-689-5819
City/State/Zip: Eugene, OR 97404
New Value: $12,000
Fee
Front wall damaged by propane explosion
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Grand Total
Scheduled
Date
Ceiling Insulation
Framing
Wall Insulation
Drywall
Fire Damage
Fire Damage
02/06/2001
Rough Electrical
Electrical Service
Fire Damage
Final Electrical
Paid On Receipt#
Building
05/07/2001 5181 ..
05/07/2001 5181
05/07/2001 5181
Value/Quantity
12,000
Electrical
05/07/2001 5181
05/07/2001 5181
05/07/2001 5181
Plumbing I.
05/07/2001 5181
05/07/2001 5181 4
05/07/2001 5181 .. .
05/07/2001 AT$'iE8\1TION:Oregon law reqUires you, ~o
foll~~ rules adopted by the Oregon Utility
i 1.,..'~'M+;^n re>ntp.r. Those rules are set fo!~h
i~vOAR952-001-001 0 through OAR ~b~-UVbM
o 90 You may obtain copies of the rules y
Required Inspec~<t'A~ling tile cem~l. \i~u~"". ~:-.'::' ~:~':'ph""'~O
f the Oreoon Utility Notification
. Inspection Inspect&iJmber or Result'l ;"", 1"44)
Date I Center chhPM'elft~"'. ~.l" . .
Building
02/06/2001
1
Pending '.
Pending
Pending
. HOTICE: Pending RK
. . 'fHI~ Pt.~Mf1eD~tAQL EXPIRE IF THE WO
Tom Marx AUfHORIZ~I!~le>fcRGailf3EPJi~M'T 18 NOT
Electrical -~dMMtt~CED OR IS ABANDONED FOR
P.er.l\ dililgf"':D
f\i'J'( H30 DA 1 - '7t.. V' '
- . Pending
Pending
Pending
Page 1 of 2
Fee Amount
$92.50
$6.48
$2.78
$101.76
$85.00
$5.95
$2.55
$93.50
$.00
$40.00
$2.80
$1.20
$44.00
$239.26
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing /
Grand Toto/'
.~-/ --~
Signature
r .
Job# 01-00095-01
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
\
Total:
Paid On Receipt#
Building
05/07/2001 5181
05/07/2001 5181
05/07/2001 5181
Page 2 of 2
Value/Quantity
Electrical
05/07/2001 5181
05/07/2001 5181 .
05/07/2001 5181
Plumbing
05/07/2001 5181
05/07/2001 5181
05/07/2001 5181
05/07/2001 5181
-----.-
Fee Amount
12,000
$92.50
$6.48
$2.78
$101.76
. 1
$85.00
$5.95
$2.55
$93.50
$.00
$40.00
$2.80
$1.20
$44.00
__ .J $239.26
:Y7'~1
O'te /
4