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Home My WebLink AboutPermit Electrical 2000-8-9 ~ i I .' . .-'"' \ SPRINGFIELD ~ I Job# 00-01238-01 I .. Page 1 of 1 TRANS#:01-0002885 DATE:AUG 09 2000 AMT RECD:l $ 44,00 CHANGE: CASHIER:059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01238-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1050 Darlene Ave Spr Assessors Map#: 17032722 Lot: Block: Addition: Tax Lot #: 01200 Subdivision: Owner: Ruth E. Fraser 1020 Darlene Ave Phone Number: City/State/Zip: Springfield, OR Alteration Value: $0 Address: Scope Of Work: Electrical Only MH Service Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: NOTICE: Occupancy Group: QRK Constr. Type: Bedrooms: IS PERM\lH~~l!,t.'S_Oiir'ce8E IFTHE W Water Heater: Range: ~~'Tl-lnl=l17E~~ift.9.?liIg~:3PERMI~I~~QT ..- .. C:Nri=nnRISABANUU'~t:urv,' To request an inspection call the 24 hour recording at 726-3769. All ins~pectl~ns requestea before 7:00 a.m. will be made the same working day, inspections requested after 7:gPJ'iI.rmlWill\l:ie"maH~llhe following working day. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ["'Area (Sq. Feet) I Main: Accessory: Required Inspections l Electrical ~",,'Il:l~lyou II "rlE:I'i "v...V'~"-' - Ore on Utilit, follow rules adopted by the les ~re set forti 'lotification Center. ThOse r~h OAR 952-001 . .q OAR 952-00'-O~~?~~~~es of the rules by \l090. You may 0 t . the telephone calling the center. (No ~tility Notification numbrl~~mt.@~~~~~3:?<,?,44). Height (feet): CurreriI' Units: Proposed Units: Census Code: Does not apply MH Service .......~.- Total: Fee Paid On Receipt# I Electrical 08/10/2000 2885 08/10/2000 2885 08/10/2000 2885 Value/Quantity Fee Amount Manufactured Home Service\Feeder State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total 1 $40.00 $2.80 $1.20 $44.00 $44.00 I I , .. . 7 u ( ~ 1.1. ends the 10110.,.109 - t li'IeCI es 6lIb'"'fe3>"Alc laod use 'Tt\e 10\\0....,ln; P not require spec and does zon,og, ~ 225 FIFTH STREET epprovel. )-1'/ SPRINGFIELD, OREGON 97477 zooing- <{., - '1 - ~ " INSPECTION REQUEST: 01~~J~b9 ~ OFFICE: 726-3759 'zeO SlgnalUre .-,- AUtnon ELECTRICAL PERMIT APPLICATION . ~i ty Job Number 00.,l) I d30 -D J 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION IO:lO ~I...V\.... ~"l'\.. LEGAL DESCRIPTION R....g:..Lv..M._ JOB DESCRIPTION I 1000 sq.ft, or less I>'\...,~_ t:J\....~_",...'lC ~ :4n "':!lh-\ d Each addi tional 500 fI...Q4l<><C\Iloc.c,HC>\o..~d;...a.d-~...fllW~~~sq, ft or portion Permits are non-transferable and expir~ thereof. if vork is not started vi thin 180 days Each Manuf'd Home. or of issuance or if vork is suspended for Modular'Dvelling 180 days. Service or Feeder A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name f:::, u"1.- t:" ;z.1'L/..Al}-' _ D. Address ; u:::J.. ~ 'T1\ vI tl...., .4 {;..L CitySf".'r\)~l.l.Jhone IUn . tP~ OVNER INSTALLATION The installation is being made on property I.ovn vhiCh is not intended for sale, lease or rent. ovn~ ~.atC: +~~ --------------------------------------- DATE:_ '1-10- ~()(j RECEIPT 1I: RECEIVED BY: .B. Services or Feede~ Installation, Alterations or Relocation: 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 Items Cos t Sum $ 85.00 $ 15.00 . $ 40.00 $ 50.00 $ 60.00 $100,00 $130,00 $300.00 $ 40,00 C. Temporary Services or-Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ tlG 40,00 40,00 20.00 36,00 - '-1"'1, ":'""