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HomeMy WebLinkAboutPermit Electrical 2000-6-1 " . I Job# 00-00856.01 I . Page 1 of 2 TRAN8#:01-0001984 DATE:JUN 01 2000 AMT RECD:2 $ 57.14 1 $ 0.10 CHANGE:$ 0,04 CA8HIER:059 .- ~ CITY OF SPRINGFIELD~ OREGON PUBLIC PERMIT City Of Springfield Community Services Division Building Safety , Job Number: 00-00856.01 225 North Fifth Street Springfield, OR 97477 Office: 726.3759 Inspection Line: 726.3769 Location Of Proposed Site: 908 Darlene Ave Spr Assessors Map#: 17032721 Lot: Block: Addition: Tax Lot #: 00400 Subdivision: Owner: Wi llama lane Park and Recreation Address: 200 South Mill Street Phone Number: 541.726-4335 . City/State/Zip: Springfield, OR 97477 Alteration . Value: ."...~. jJ~ CIlia,^, rules adoof8C' nIl ihc-' Oreoor Utilil ' ...t.f;...."..,....,.... . ..,.~ ,',.,,;;". ,AI. .~ \:IT {," , OP,~:~!S~~IH. -.,d' ~",}l ~l,dt-;i=i~~!J2~Ul. . PUBLIC PERMIT )90. yr" m<," 0hlilln GOIllElS 0(;"11" ,lJles b City Of Springfield callir;l,',,' ~"n'~' (~;ot: I~e,' !~phone Community Services Divl"mlw 'Of ,h:> .k;6'Niimiie'r:' 00'00856,01 Building Safety , ,.,'" Scope Of Work: Electrical Only New ballfield Service 225 North Fifth Street Springfield, OR 97477 Office: 726.3759 Inspection Line: 726-3769 Location Of Proposed Site: 908 Assessors Map#: 17032721 Lot: Block: Darlene Ave Spr Owner: Address: Willamalane Park and Rec 908 Darlene Street Tax Lot #: 00400 Additio~OTICE: Subdivision: 'n,.:> n:HIViI I ::iHA" I:.)(OIF.l~ ''"THE WORK Phone Number: 541.746-0822 flU I fiUHILI::O UNDER THIS PERMIT Ie: ~IOT CiMState/Zi~: Springfield OR97477 V="""L.' ""dJ OR I':> AtrAI\JUONED FOR ' AlterationBO DAY PERIOD,value: $0 Scope Of Work: Electrical Only New ballfield Service Contractor Type Electrical Contr Contractor Wi llama lane Park and Recreation 200 South Mill Street, Springfield, OR 97477 Registration # Expiration Date Phone 541.726-4335 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: .. . ~ Quad Area: # Of Units: Constr. Type: Water,Heater: I Job# 00-00856-01 Office Use Land Use: Zoning Code: Bedrooms: Range: - Page 2 of2 # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following working day. Rough Electrical Electrical Service Final Electrical Required Inspections 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? 0 rArea (Sq, Feet) Main: Accessory: 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 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# I Electrical 06/01/2000 1984 06/01/2000 1984 06/01/2000 1984 06/01/2000 1984 Value/Quantity 1 1 Date Fee Amount $50,00 $2,00 $3,64 $1,56 $57.20 $57,20 ~ . .' 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 89t:> f)ARlE/VE; 3r' LEGAL DESCRIPTION JOB DESCRIPTION tv"',." 'SPRllI,.-.., Hooe P.Allf:/!;!-[) ucHrS Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number 402.3 5 Expiration Date ID-(-O( Constr Contr, Number Expiration Date Signature of Supervising Electrician ,/G/J}~ D~/' Owners Name'/'n:((aNVJ(AfI," F?:r,f( 1:\/Sf' Address 7/YO> <:;,,,,,',(f <1". Ci ty-s.PP-1 ~ ~f) Phone ~-"t'(')/b OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number 06 - 00'3 56 _0 \ 3. .COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder .B. Services or Feeders 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 Cost Sum $ 85.00 $ 15.00 ' ,$ 40.00 $ 50,00 50 $ 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 voits D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Z- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36,00 5. SUBTOTAL OF ABOVE -.?S 2 ,00 7% State Surcharge 3.(..'1 3% Administrative Fee I _s6 TOTAL ,c:,7~ / <f