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