HomeMy WebLinkAboutPermit Electrical 2000-3-28
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I Job# 00-00474-01 I
Page 1 of 2
TRANS#:01-0001066
DATE:MAR 28 2000
AMT RECD:2 $ 111.10
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00474-01
Office: 726-3759.
Inspection Line:. 726-3769
Location Of Proposed Site: 580 City View Blvd Spr
Assessors Map#: 17033414
Lot: Block: Addition:
Tax Lot #: 05800
Subdivision:
Owner: Bill Beaty
Address: 580 City View
Scope Of Work: Electrical Only
Contractor Type
EleCtrical Contr
Phone Number: 541-431-0063
City/State/Zip: Springfield, OR
Alteration
Value: $0.
Contractor Registration #
Stuck Electric Inc 2368
147 W Main St, Sheridan, OR 97378-1849
Expiration Date
4/19/03
Phone
000-843-2322
Office Use ~-
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: NOTICE: Sq. Footage:
.. 71 ;j3 Ft:HMITSHAlL EXPI .
To request an inspection call the 24 hour recording at 7~tJlfjfj~RfiI~f\~~~fI)9,Qs r<:~~!fil~!fEWrr!RMO
a.m. will be made the same working day, inspections reWM~lieri:\1(J'YIffl1~I$,e'IimM~dtpwing
working day. . . CEO OR IS ABANDONED FOR
.. . ANY180DAYPFI'llnn
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- WhenlaU.eleclr~9aJiW!?rk is, complete.o
tollow -......~"'I.....v~ 1C;"ilJ,ljt:::~ yOu i~,
Notif;ca(;~~~:~:t~~~~~hr~!~~e~r~nS~:~~~I. .
m OAR 952-001-001 ~ through OAR 952-001-
00901.lyou may obtam copies of the rules b', .
ca rng the center,;\Note. th t J
numberforthl#; ef~8fiU;i!it';Nelet.fPho~e Height (feet):
C t-" t U.t ' 0 I Icat/on P .
,Gn ".:;luren .'0 . m .s;?'M4\ . roposed Umts:
Census Code: Does'rlOt apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Acce~s? D
iArea (Sq. Feet)
I Main: Accessory:
Total:
.'
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Job# 00-00474-01
Page 2 of 2
Fee
Paid On Receipt# Value/Quantity
Electrical l
03/28/2000 1066 1
03/28/2000 1066 6
03/28/2000 1066
03/28/2000 1066
Fee Amount
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
$50.00
$12.00
$4:34
$1.86
$68.20
$68.20
Grand Total
Signature .
Date
~
ThE. to.110~"~;K' ~""'" "., .., . 1,0, ... ' .' . _, ,. ~,'o.. ~ II '
, ,'. _ " .' ~, 'lwlng
zOI'lIng and aoe~ nOt reyulIt: ~"'Ioi\,ai".. IdollQ lJ::ie.
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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D -:2. ~ ""6-1l"1l
97477 atp --:> '-' -"
726-ii~t6I*'Z.d Slgnate,. ~
r;u;ffl'RICAL PERMIT APPLICATION
City Job Number 00 ~ (J()I-rfl-( - O!
1. LOCATION OF INSTALLATION
"'> '8' cJ Ci f<.- 1.1/ -u.J (if lid.
,
3. COMPLETE FEE SCHEDULE BELO\l
.,
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
12e6fck-ce I:;-037qlj..(~a 5~O(]
JOB DESCRIPTION ($rov..lt c/<d..h>:
Cl^'-_ I itl1'*-, Wd-.I..&.. J
1~.JlLLflw;t G:erlV'c.e "a~ne1\ --<w.-ke,-/J::--,~
.....J ,-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feede~
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor ~~~ ~~/cce. or Relocation:
Address /11/. &l< Zs-tff 2.. .$'V
Ci ty ecy~ _. 97t/Oz. Phone '#;'S--1?8~S-
Supervisor License Number ~o/J~ ~
Expiration Date )If/ol
Constr Contr. Number 2'3'6&
Expiration Date ~/c.f
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
$ 85.00
$ 15.00
.$ 40.00
$ 50.00 ~./'C.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
. S:l!:; fIng Electrician
. v- ~ .......-
Owners Name flnl Ifeaf-.;
/
Address SPo CI'f U=> .6>/l/d"
City.<)t1Nq",Ae!d Phone ~.]I-CJC/G
v
O\INER INSTALLATION
The installation is being made on
property I ~wn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
'~-;)..<{,~(Jl)
Iblo(.
\.i)"
200 amps. 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
D.
Branch Circuits
above
..
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit h
E.
Miscellaneous (Servic~/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 /Z.--c"
not induded)
$ 40.00
$ 40.00
$ 20.0.Q
$ 36.00
42 "c-c-
- iA.34
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