HomeMy WebLinkAboutPermit Electrical 2000-11-20
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I Job# 00-01695-01 I
SPRINGFIELD
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Page 1 of2
TRANS~:01-00038J5
DA TE : NOV 20 2000
AMT RECD:2 $ 57 20
CHANGE'
CASHIER.059
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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