HomeMy WebLinkAboutPermit Electrical 2001-2-1
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'. Job# 01-00091-01
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TRAN3#:01-0004359
. DATE: FEB 01 2001
AMT RECD:2 $ 95.70
CHANGE:
CASHIER:059
SPRINGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services DIvIsion
BUilding Safety
Job Number 01,00091,01
225 North Fifth Street
Springfield, OR 97477
Office 726,3759
Inspection Line 726,3769
Location Of Proposed Site 1431 Centennial Blvd Spr
Assessors Map# 17032533
Lot Block Addition
Tax Lot # 11200
SubdivIsion
Owner
Judith Franklin
1431 Centennial Blvd
Phone Number 541,726,0640
Address
Scope Of Work Electrical Only
City/State/Zip
New
Springfield, OR 97477
Value $0
supply fan forced heaters
Contractor Type
Electrical Contr
'110 .
Registration # J:'ExPJratlon Date
17/8 -IJ......
C & SElectric Inc 3849 .4,' I}, ,o~9~1j2000
- , Ii, "VI/l'
Po Box 1482, Springfield. OR 97477.0189 C', Of)>L'> Sft/'
'JI ,_ <"f::'", "1/ J
l/~ ....../1'......... - ulVl' -,:.r.o
Office Use 'leu ""Do,.:; vl;:'f)>l'J.J 1,<;>1;:'1,1:-
Land Use 0,,!- fOot;,# OtBUlldlhgS, l'ftl;:"A.
~,~ 'vA,.. c,o,. vV0n
ZOning Code Occ.!lpancYI~~OUP "/S VitI(
Bedrooms Heat Source ~Df:"a 1\10/
Range , Sq Footage 19
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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'after 7 00 a m Will be made the follOWing
working day (". ' ,
t;:.t', 'OJ
Requlred,lnspectlons ,
"J, ( J
Electric1ii- T -:-1 . >1
Contractor
Phone
541,741,2236
Quad Area
# Of Units
Constr Type
Water Heater
Rough Electncal
Final Electncal
,Prior to cover "',
,When all electrical work IS complete
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Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
[Area (Sq Feet)
Main Accessory
.
J',
-/I
'I. l . 'I _ ~ ~
J'u'-,.JJ -~tJ
'III. vJ.}...3 ~
'""J ~,ft>>.,
I
# Of Stones
Current Units
Census Code Does not apply
Height (feet)
Proposed Units
Total
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11111.!i!tf'&. )
bmltted has the followmg
The folloWlOg project as SU eClflc land use
zoning and does not require sp
approval
ZOning
1..- I .......-(;>
\:J.,J
!J...:h(L
225 FIFTH STREI:T Date
SPRINGFIELD, ORFGONA~~6tfLed Signature
INSPECTION RI:OUI:ST: 726-3769
OFFICI: 726-3759
1.
LOCATION OF INSTALLATION
11../ 31 C!:;NrDVII/IJ--L RLv.\..
LEGAL DESCRIPTION
/703 25 3~
1/20-0
JOB DESCRIPTION
SIA ",('10 ~~ ~"-C-.l.. H&,,*h-I2--'s
I I
PermIts are non-transferable and expIre
If work IS not started wIthIn 180 days
of Issuance Ol If work IS suspended for
180 days
2 CONTRACTOR INSTALLATION ONLY
Elec tncal Con tlac tort,,;,<S t: ledYIc.. ;+1\C
~dd ress p, D \~Of. \ l\ S 2-
CI ty~~\ \'\~ht'lcJ Phone Ii( 1-)2310
llo~IS
\0 c'\-Ol
3'S'LjQ
()-OI-02.
SupelVlsnr LIcense Number
ExplI.-atlon Date
Constr Contl
Numbel
Expl ra t1 on Da te
SI~ su~ectrlclan
own/ls Name '"3' '-^ ch.+",- '0-.4.-, L/,:""
Address 14 3/ L-!-",=,>^~.;"I 1?/vd
CI ty ~r,~<+:""fJ Phone 72b' 66<tO
OVNER INSTALLATION
The InstallatIon IS beIng made on
property I own whIch IS not Intended
for sale, lease or ren t
Owners SIgnature
DATE'
R.t,l,;t..l ~'i Ii.
RECEIVr:o BY,
GFIELO
ELECTRICAL PERMIT APFLICATION
City Job Number 0 {- DOC? q / - 01
3. COMPLETE FEE SCBEDULI: BI:LO~
A.
New ResIdentIal-SIngle or
MultI-FamIly per dwellIng unIt
ServIce Included
Items Cos t
Sum
1000 sq ft or less
Each addItIonal 500
sq ft or portIon
thereof
Each Manuf'd Home or
Modular DwellIng
ServIce or Feeder
$ 85 00
$ 15 00
$ 40 00
B
ServIces or Feeders
InstallatIon, AlteratIons
or RelocatIon
200 amps Ol less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50 00
$ 60 00
$100 00
$130 00
$300 00
$ 40 00
,
C
TemporalY ServIces or Feedels
InstallatIon, Altelatlon or RelocatIon
200 amps 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40 00
$ 55 00
$ 80 00
see "B" above
D
Blanch CHCUI ts
New, Altelatlon or ExtenSIon Per Panel
One CUCUlt
I:ach Add I t1 onal
CILCUlt or WIth ServIce
or Feeder PermIt /
$ 35 00 :s S
$ 2 00 ?
E. MIscellaneous (ServIce/feeder not Included)
-Each InstallatIon
Pump or IrrIgatIon $ 40.00
SIgn/OutlIne LIghtIng $ 40 00
LImIted Energy/Res $ 20 00
LImIted Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '57
7% State Surcharge Z ~~
3% AdmInIstratIve Fee I"
TOTAL LfO 70