HomeMy WebLinkAboutPermit Electrical 2000-12-4
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SPRINGFIELD
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I Job# 00-01749-01 I
Page 1 of2
TRANS~:01-0003961
DATE:DEC 04 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Commumty Services DIvIsion
BUilding Safety
Job Number 00-01749-01
Office 726-3759
Inspection Line 726-3769
Location Of Proposed Site 2870 Chateau PI Spr
Assessors Map# 17032332
Lot Block Addition
Tax Lot # 03200
SubdivIsion
Owner
Address
Wayne HII
2870 Chateau Place
Phone Number
City/State/Zip Springfield, OR
Scope Of Work Electrical Only
Alteration
Value $0
Contractor Type
Electrical Contr
Contractor
Philips Electric Inc
1298 Bethel Dr, Eugene, OR 97402-2003
Registration #
54438
Expiration Date
9/19/01
Phone
541-688-6121
Office Use
Land Use # Of BUildings
Zoning Code NOTICE: Occupancy Group
Bedrooms THIS PERMITI-},eat Source
Range AUTHOPI?r::,,~4')FooJ:ag'!, IE IFTI-lr::...__
COM^ 'r::, ,;':- V"Ut.H THIS pr::"" -.. """
To request an inspection call the 24 hour recording at 726-3769 All inspections re-quested,before 7 001ITISNO'
a m Will be made the same working day, inspections requested after'7'bOla'>mJ.IYJII/-be nj)lde-'tt\'e'ft'OilowwgOR '
working day CKIOO
Quad Area
# Of Units
Constr Type
Water Heater
Rough Electrical
Final Electrical
ReqUired Inspections
Electrical
- Prior to cover
,
-When all electrical work IS comRlete _ ' "c
, JUO\fl /'118" J ' ':'/.. -: ~ "':')~
/ltICbflOr " ClOOt1;r, DI; thE' Oreo~ ,')'"
UAfi 95 .enr" rh()S& r _ - On eif" ,
'",q(J Yn 2-007-0010throu9UhleO~alf?Se,'"
"11 may obt AFl95
cal/trlo thr . / am caPle_ at th 2-00,
r ,,-8n Cl. 1'l ... e (ul
# Of Stories n," '0,., '0' rhf Helgliti(feet)., tele h es b:
, JrHf1(V i I Pone
Current Umts Proposedl Units tltlC t
' v a Ion
Census Code Does not apply , -'.' I '
Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
,Area (Sq Feet)
I Main Accessory
Total
,
Fee
Branch CirCUits W/O Feeder or Service
State Surcharge - Electncal
Administrative Fee - Electrical
Totat Electrical
Grand Total
Signature
Job# 00-01749-01
Paid On Recelpt#
I Electrical
12104/2000 3961
12104/2000 3961
12/04/2000 3961
Page 2 of 2
Value/Quantity
1
Date
Fee Amount
$35 00
$245
$105
$38 50
$38 50
The followlno prrw"'.rt '::l" CII~mltted has the following
zoning anc~avL_ Ilvllequlre specific land use
approval
Zonmg
14.'
c1;\? ~ 10 \ ;JODi
97477
711Ge3769
U'>~
l~ -C11)
Y
3. COMPLETE FEE SCHEDULE BELOll
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorized Signature
1.
LOCATION OF I~ST.ALLATIO~I
:;}.)51 0 ~ -r -ftl.-iN f/I~
LEGAL DESCRIPTION
I 7-0 3;;;:(33:l. 03d-.()<2J
,(\ JOB DESCRIPTION 1".1 I j.
i'-t111.bltS<.tLJ.u.r p/)?)~/V..'tl-:JIW. WI II
Perm1ts are non-transferable and expIre
1f work 1S not started w1th1n 180 days
of 1ssuance Ol 1f work 1S suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY
Electr1cal Contractor_PhlllDS ElectrIc
Address
1 ?qR ]lpthc>l
Ilr"TP
C1 ty EU2:ene
Phone(S~11 hRR-hl?l
Supervl~nr L1cense Number
?71q"
Exp1rat10n Date 10/01/01
Constr Contr
Number
26-34C
Expna non Da te
10-01-01
OllNER INSTALLATION
The 1nstallatIon 1S be1ng made on
property I own Wh1Ch IS not Intended
for sale, lease or rent
Owners SIgnature'
---------------------------------------
DATE:
RECEIPT 11
RECEIVED BY:
.3"16/
c,lty Job Number
ELECTRICAL PERMIT APPLICATION
00-0; r-4 q-O;'
A.
New Res1dent1al-S1ngle or
Mult1-Famlly per dwell1ng un1t
Serv1ce Included
1000 sq ft or less
Each add1tIonal 500
sq ft or portlon
thereof
Each Manuf ',d Home or
Modular Dwell1ng
Serv1ce or Feeder
B. SerV1ces or Feeders
Installatlon, Alteratlons
or Reloca non
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% AdmIn1strat1ve Fee
TOTAL
200 amps or less
201 amps to 400 amps
401 amp~of~ 600 amps
601 amp'~ tOC~90 amps
Over t009~amps/volts
/fl. -.0
Reconn_e,~n'}.~f8H".
'hi1-" ~,,''''fl.l.~
C. Temporar~~Servlces or~Eeeders
,...Iu./ "'VI ..~ ~lJ~"" '1'"1#.: '-
Ins taiLla t10n DIAl tera',1;J-,2n"- or1'1Relocat lon
vUO,.q v'iIS '1'\Jp, ''7c/it1
'y Pi:: 484 ~ik OR.--
200 amps 'or l'e's':UD "'Dn._ 'f$/~4,P.OO
201 amps to 400 amps '~UF?I~55~00
~Slgnature of superVI~ ~trIcian Over 401 to 600 amps $~80,OO
Over 600 amps or 1000 volts see "B" above
. /.,4I;B,_
Nathan PhlllpS ^, 1N1oWlranch, CHCUl ts
O N I 1,. '/ II .vO~/< rO!.e ,~ -.
wners ame k/' '1 "-,,,-r I II) "c.~t. ~ 3'" "c-
", '1---- j'v 00 04f:t~'}.~wG'e~!t~k'f!. t,l'On _o,r ?~tensIon
Address "2-Yl--O u~ 'I '90 y~lJi.fvI/>It~ldYc.,,",,~
C<i!.ZI lOne, b;',;;CUI/C'SE, _( VIf.", '~.~ $
I) IIf" 'C/ 10 .(". "/:l
C1 ty Phone 011)6 ""Ead; Add1ocona:!: " ,
Gr;orcl1"cui't? '0 rJr'WuI'7t'nA S'erVl ce
'"' 'n!':t. -, /-11 J..Ic-'" ,
V8nt, or (Fj~ei:lerePeriin;~< I $ 2 00
"'rl.$ 7 n '{JO" I't I(I/e !.el ", .
"l~I'" V'I,~ Q,.., 1 d d)
E. Mlsce ('aneous1\<Serv1ce/feeder not Inc u e
-Each Ins't~J'J!.{l"e;t~n3fl('
Pump or lrrlga~lon
Slgn/Outl1ne L1ghtlng
Llm1ted Energy/Res
Llm1ted Energy/Comm
Items Cost
Sum
$ 85 00
$ 15 00
$ 40 00
$ 50 00
$ 60 00
$100 00
$130 00
$300 00
$ 40 00
Per Panel rJr:l
35 00 35 ---
$
$
$
$ 36.00
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40 00
40 00
20 00