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HomeMy WebLinkAboutPermit Electrical 2000-11-20 '-- I Job# 00-01695-01 I SPRINGFIELD ~aJ Page 1 of2 TRANS~:01-00038J5 DA TE : NOV 20 2000 AMT RECD:2 $ 57 20 CHANGE' CASHIER.059 ~),"';It.'[~;I'::(~ RESIDENTIAL PERMIT City Of Springfield Community Services DIvIsion BUilding Safety Job Number 00-01695-01 225 North Fifth Street Spnngfield, OR 97477 Office 726-3759 Inspection Line 726-3769 Location Of Proposed Site 3745 Cherokee Dr Spr Assessors Map# 18020612 Lot Block Addition Tax Lot # 03800 SubdivIsion Owner Address Lupe Gonzalez 3745 Cherokee Dr Phone Number City/State/Zip Spnngfield, OR Alteration Value $0 Scope Of Work Electrical Only 200 amp service Contractor Type Electncal Contr Contractor BUilders Cleaning & Demolition Ser. Po Box 231074, Tlgard, OR 97281 Registration # 130451 Expiration Date 7/17/00 Phone 503-670-8234 Office Use Land Use # Of BUildings Zoning Code Occupancy Group Bedrooms Heat Source Range Sq Footage ~QTJbtl-i _ _ _.' ="",,,,,.MM'lI/. To request an Inspection call the 24 hour recor~lll!h,a.l1~RiN~l1,~6~l!.'1~pec_tronslrequested before 7 00 a m Will be made the same working day, Inspections regueste.9.ilfter"7.-0PJa'rp~I'fJlllb~ made the follOWing \ ","~""""'\\;/\~~l'"1I'&r=~"" working day 1',},I\'iI':;'"I\!:l-"<< _ "J""""'lEtJI'OR r' ,~t.~~~~AiA'r""v" ReqUlreCllnspectlons .f .. J:JJ:: ~I iI.\'Y lh'\Pi""UU, r ' Elect1,~al I Quad Area # Of Umts Constr Type Water Heater Rough Electrical Electrical Service Final Electrical - Prior to cover -Must be approved to obtain permanent power -When all electrical work IS complete ConstructIon Types Occupancy Groups # Of BUIldings # Of Bedrooms Handicap Access? D [Area (Sq Feet) _ Main Accessory ATTENTION Oreer" ~ , followrule~ adooteCl D~ 'h~ "C'll' C ler ThOS!: rule" '" Notification en , 'lor i4 q.w #1Qf)Stor,eS' 001-0010tnroUgHel~ht (feet) , ~~n "'" may obtain cople~ v' . - - , COlTent Units t (Note (p,~oPQ!jed)Unlts ~"'I,~,,+he(.en er f t r Census Code Does.nohappIY"lity Notl Ica 10 ' ""lI~,,",hGrrOilll~\JIQ~"'J .. A - lll' . ro~ ~"? r,,, .,4) Centens'- t._,,~--,-~ Total , Fee Permanent 200 Amps or Less Branch CirCUits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature Job# 00-01695-01 I Page 2 of 2 Paid On Recelpt# Value/Quantity Electrrcal I 11/20/2000 3835 1 11/20/2000 3835 1 11/20/2000 3835 11/20/2000 3835 Date Fee Amount $50 00 $200 $364 $156 $57 20 $57 20 The following project as submitted has the fo!lowtn zoning, and does not requIre specific land use approval pi.. f<.. ZOning 7) 1/- 2b - tYf> cf)t<J 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE' 726-3759 Dato 97477 726l'3'7'8""od Slgnalure 1. LOCATION 9f INSTALLATION ~-::;7-.4~ ('J0-Pv-nk'f'P nr LEGAL DESCRIPTION JOB DESCRIPTtQN ')..m 81Ylo ~(\II...c..p I I r(t1f.uI~ Perm1ts are non-transferable and exp1re 1f vork 1S not started v1th1n 180 days of 1ssuance 01 1f vork 1S suspended for 180 days SupelV1<or L1cense Number ?J'2 qO -S Eypuatlon Date)O-/-() I Constr Conti Numbel 4-Zq(p EXp1lat1on Date 12-(OrO~ s,gnatur~perv's.'ng ElectrICIan (J~~/ /' --- Ovners Name Ll ) P (J C; 0 VJ 2 Qj) f:( Address :s ?4C, 0}1 f vo/l..f'f' DV e1 ty ~r;ILY'(Jf) {Jr;d Phone OYNER INSTALLATION The Installation 1S be1ng made on property I ovn vh1ch 1S not 1ntended for sale, lease or rent Owners Slgnature. --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERMIT APPLICATION r, +:' Job Number fJ(j-O/ (; 9 S ~()I 3. COMPLETE FEE SCHEDULE BE LOll A. Nev Res1dent1al-S1ngle or Mult1-Fam1ly per dvell1ng un1t SerV1ce Included It ems Sum Cost 1000 sq ft 01 less Each add1t1onal 500 sq ft or port1on thereof Each Manuf'd Home or Modular Dvell1ng Serv1ce or Feeder $ 85 00 $ 15.00 $ 40 00 $ 50 00 $ 60 00 $100 00 $130.00 $300 00 $ 40 00 ~OrCij C. TemporalY SerV1ces 01 Feedels Installat1on, Alterat10n or Relocat1on 200 amps 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40 00 $ 55.00 $ 80 00 see liB" above volts D. Branch C1rcu1ts Nev, Alterat10n or Extens10n Per Panel One CIrCUIt Each Add1 tlonal C1rcu1t 01 v1th SelV1ce or Feeder Perm1t $ 35 00 $ 2 00 ? -nO E. M1scellaneous (Selv1ce/feeder not 1ncluded) -Each 1nstallat1on Pump or 1rrIgat1on $ 40.00 Slgn/Outl1ne L1ght1ng $ 40 00 L1m1ted Energy/Res $ 20 00 L1m1ted Energy/Comm $ 36 00 5. SUBTOTAL OF ABOVE 5?-OO 7% State Surcharge -~, 6'''/ 3% AdffilnI<;trat1ve Fee I J-. TOTAL 57, ~o