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HomeMy WebLinkAboutPermit Electrical 2000-4-19 .: --~ I Job# 00-00588-01 I Page 1 of 2 TRANS#:01-0001289 DATE:APR 19 2000 AMT RECD:2 $ 55.00 CHANGE: CASHIER:059 . CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services DIvIsion BUilding Safety Job Number 00-00588-01 225 North Fifth Street Springfield, OR 97477 Office 726-3759 Inspection Line 726-3769 Location Of Proposed Site 3572 Cherokee Dr Spr Assessors Map# 18020621 Lot Block Addition Tax Lot # 05400 SubdivIsion Owner Edmund Christofferson 3572 Cherokee Dr Phone Number 541-747-6540 Address City/State/Zip Alteration Springfield, OR 97478 Value $0 Scope Of Work Electrical Only Quad Area # Of Units Constr Type Water Heater Office Use Land Use Zoning Code Bedrooms Range # Of BUildings Occupancy Group Heat Source Sq Footage __.J To request an Inspection call the 24 hour recordlnfl1~tl2S637.o9~ ~\OO'Pjlctl~~~uested before 7 00 a m Will be made the same working day, InspectIMu~~~rJ 0Q,,iJlm1WllPbe)made the following working day UOI\l!:lldll ~\ ~L\\ aWN) la o~ew (10" Q60l auOL\ al aldo:l u\1!lQo (\-7,96 \:1';/0 II< Aq "'d~~lfiUrlRt~6l'B~tlpnlll-' "0 ~Ol\"'~'t":' - ~00::Z9~~J~QtnC3'fOl.\rH3lpp~ sal(11 MOllol =o~ a1"l lIU.\JoJdQ~ ~ I \' , Electrical Service -Must be apprOIl~l:i'TO~ollll'.I\!l.l@f#1'8~:",'),I,P9wer ,~" ,. - Final Electrical - When all electrd:l\ rk I~ cdrrfple'te ,,\0 J\"'~ Construction Types Occupancy Groups # Of BUildings # Of Bedrooms Handicap Access? D [Area (Sq Feet) _ Main Accessory Fee # Of Stories Height (feet) K curr~!&-E: LL E)(p~lfiis~a W2fsiT Cens~FIM>IJ~ agl?N\-IIS PERM\T IS NO /l.,\JTHui\;;:r.r 'JtjlD1S ABANDONED FOR T9-V\lAMENCED qR . .\"n - , ~r,\v ........-,.....'\.. A~~JCicei~' ,. Recelpt# Value/Quantity Electrical 04/19/2000 1289 04/19/2000 1289 Fee Amount Permanent 200 Amps or Less State Surcharge For Electrical Permit $50 00 $350 , Job# 00-00588-01 Fee Paid On Recelpt# Electncal 04/19/2000 1289 Electric Administrative Fee Total Electncal Grand Total Signature Page 2 of2 Value/Quantity Fee Amount $150 $55 00 $55 00 Date , "". SPFUJ..GFIELD The following project dS submitted has the foJlowm zoning and does not require specIfic land use approval Zoning ()-, (l...-- Date l.f -/ '7 :"'0-/)\ 974711uthonzed Slgnalure C/QJ...J 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION 35 I;) (.'/-ff:R()!<pE' i:'lR \ v f' /'g2fclB~SI?N {)Sqt/ 0~ JOB DESCRIPTION '17rAlf::L rtt+l4tl1c, p ouT I Perm1ts are non-transferable and exp1re 1f ~ork 1S not started ~lth1n 180 days of 1ssuance Ot 1f ~ork 1S suspended for 180 days 2. CONTRACTOR INSTALLATION ONLY Electr1cal Contractor / / / Address C1ty Phone EXpIratIon Date SuperVl<nr L1cense ~T~~CAL PERMIT APPLICATION I.;lty Job Number 00 -06- 58"3- Of 3. COMPLETE FEE SCHEDULE BELOll A. Ne~ Res1dent1al-S1ngle or Mult1-Fam1ly per d~ell1ng un1t Serv1ce Included: Items Cost Sum 1000 sq ft or less Each add1t1onal 500 sq ft or port1on thereof Each Manuf'd Home or Modular D~ell1ng Serv1ce or Feeder $ 85 00 $ 15 00 $ 40.00 B. Serv1ces or Feeders Installat1on, Alterat10ns or Relocat1on 200 amps or 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. Temporary Serv1ces or Feeders Constr Gontt Installat1on, Alterat10n or Relocat1on Expnat10n 200 amps 'or less $ 40.00 201 amps to 400 amps $ 55 00 Superv1s1ng Electr1c1an Over 401 to 600 amps $ 80 00 Over 600 amps or 1000 volts see "B" above D. O~ners NameF--trlV1tMd rl--l>.el<'7n~ Address3f\i':< r' flt";:-ec>>Kf"Q i)~\J'(" (,1 ty "'::,.p I rJ, Phon~ 7V7-t,5 YO OllNER INSTALLATION The 1nstallat1on 1S be1ng made on property I o~n ~h1ch 1S not 1ntended for sale, lease or rent Owners Slgnature: ~/_ 0 (j/1A7;1f~ -------------------~~----------------- DATE: ( """".lyi If: RECEIVED BY. Branch C1rcu1ts New, Alterat10n or Extens10n Per Panel One Cncu1 t Each Add1t1onal Glrcu1t or ~lth SerVlce or Feeder Perm1t $ 35.00 $ 2 00 E. M1scellaneous (Serv1ce/feeder not 1ncluded) -Each 1nstallat1on Pump or 1rr1gat1on $ 40 00 Slgn/Outl1ne L1ght1ng $ 40 00 L1m1ted Energy/Res $ 20 00 L1m1ted Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Adm1n1strat1ve Fee TOTAL