HomeMy WebLinkAboutPermit Electrical 2000-12-4 (2)
J SPRINGFIE&.D
~-
225 North Fifth Street
Springfield, OR 97477
I Job# 00-01749-01 I
Page 1 of 2
TRANS~:01-0003962
DATE:DEC 04 2000
AMT RECD:2 $ 26.50
CHANGE'
CASHIER: 059
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
Owner
Address
Tax Lot # 03200
SubdivIsion
Wayne HII
2870 Chateau Place
Phone Number
City/State/Zip Springfield, OR
Scope Of Work Electrical Only
Alteration
Value $0
Land Use # Of BUildings
Zoning Code Occupancy Group
Bedrooms Heat Source
Range r~nEj\:TIOI\l 8ieg" ,al\ Sq lFootage
fnllrnAl rlllo.C' "'lo""^.....$..... _' l~ ~I_ ,.,.
~ --I'" ........ >.J~" ..IlL .....'O,yVII VlllH
1\l"tlfu'\q+IO~ """:11'\-01 .....h.... I
To request an inspection call the 24 hour recording at ~26)3~9 .:;'IlI'lnsRectlons'fequestedfbeforeI7 00
a m will be made the same working day, inspections rb~b1fste1f'afte\Vo7i oo')~tmr.wllII:p'elmaae)tl;I~{PJlowlng
working day U090 YoU may obtain copies of the rules by
calhngthecanter (Note theteleohonl'!
ReqUlredllI1l\Bll.ct'9.n.sI6 uregon Utility No!ifJcatlon
Electrical L;emerl:s 1'800-3~2-2344)
Contractor Type
Electrical Contr
Mechanical Contr
Quad Area
# Of Umts
Constr Type
Water Heater
Rough Electrical
Fmal Electrical
Rough Gas
Rough Mechamcal
Gas Service
Final Gas
Final Mechanical
Contractor NOT~iiJ~tratlon # Expiration Date Phone
Philips ElectriC fnc THISP5;Rl38;SHALLEX~me~9hHEWORK 541-688-6121
1298 Bethel Dr, Eugene, OR 97402-,2Q03iORIZED UNDER THIS PERMIT IS NOT
Ambassador Piping Inc COMMi12,1316il OR ISABf~!fJL9.~EDFOR 541-465-4737
Po Box 70737, Eugene, OR 97401 ANY 180 DAY PERIOD
Office Use
- Prior to cover
- When all electrical work IS complete
Mechamcal
- Prior to cover
-After line IS Installed and line has been connected to a minimum of one appliance Pressure te'
- When all gas work IS complete
- When all mechanical work IS complete
I Job# 00-01749-01 I
Page 2 of 2
,
Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? D
,Area (Sq Feet)
I Main Accessory
# Of Stories
Current Units
Census Code Does not apply
Height (feet)
Proposed Units
Total
Fee
Paid On Recelpt#
Electrlcal-
1 LIU4Tzoi)C "961
12/04/2000 3961
12/04/2000 3961
Value/Quantity
Fee Amount
Branch CirCUits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrlcal- -----------
--1-_-
-- --~~ 1 $35 00
----- .--J $245
~105
$38 50
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechamcal
Mechamcal
12/04/2000 3962
12/04/2000 3962
12/04/2000 3962
12/04/2000 3962
12104/2000 3962
12/04/2000 3962
1 $200
$700
$ 45
1 $600
$10 00
$105
$26 50
$65 00
Date
Grand TJ}!' / / / ~
J74~ ~.-v/
Signature
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