HomeMy WebLinkAboutPermit Electrical 2001-1-26
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I Job# 01-00072-01 I
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Page 1 of 2
TRANS#:01-0004319
DATE:JAN 26 2001
AI1T RECD:2 $ 61.60
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00072-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 233 S D St Spr
Assessors Map#: 17033533
Lot: Block: Addition:
Tax Lot #: 03100
Subdivision:
Owner:
Address:
Kevin Hanna
Phone Number: 541-991-0593
City/State/Zip: Springfield, OR
Alteration Value: $0
233 S. D Street
Scope Of Work: Electrical Only
security
Contractor Type
Electrical Contr
Contractor
Sonitrol Security
P.O, Box 21009, Eugene, OR
Registration #, E,~piration Date
. . f ~~, I, I .
. . .... ~"'.
Phone
541-461-5678
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Office Use ". .,' ~~:', )i::::';; f'..!lJ3 OJ
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use: , ..
Zoning Code:
Bedrooms:
Range:
, 'n;' . .'f\i'~"~
.:,;!L..", ".j"~.#,,j - :.....I~.... # Of Buildings:
"J' 'il'mon
. , " ' " . W Occupancy Group:
. .,~l).
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.
Low Voltage
f(1RnA"\c'~tf'>drr.:I' t"
l'l, equlre ' nspec Ions
I HI::; I-El'ecti'ic'aliALL t=}\'I'IR~ IF=THF \j\fOP~(
AUTHORIZED UNDER THIS PERMIT IS NO"I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
01/26/2001 4319
Value/Quantity
I
Fee Amount
Limited Energy - Residential
1
$20.00
...
;,-'"
Fee'
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
Signature
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Job# 01-00072-01 I
Paid On Receipt#
Electrical
01/26/2001 4319
01/26/2001 4319
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Page 2 of 2
Value/Quantity Fee Amount
I
$1.40
$.60
$22.00
$22.00
Date
~. '5!J,;/:1.
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Th(' l0110wing project as submitted hes the following
." <;,'Il, Uv"'~ He;, H:;'1""IIo ;",;"l:lll\, 1,,,;,0 ;.ISELECTRICAL PERMIT APPLICATION
225 FIFTH STREET . ",vii::>' L-tllL-'
SPRINGFIELD, OREGON 97477 .. ~ f A ^07''''' 011
INSPECTION REQUEST: 726_3769LOtl,n9 \ _ ^<- -0 \ Ci ty Job Number () -. ( j( ) ; ~ - I
OFFICE: 726-3759 Gme J'
S t ~ 3.
1. LOCATION OF INSTALililfBWeo igna ure
233 S,D s+
COMPLE~FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
LEGAL DESCRIPTION
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D J, l OflJ
,JOB DESCRIPTION
I flStt{1 I :;e(uxi t~
I
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
S 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Soni trol Secur i ty or Relocation:
Ci ty Euuene
Phone 461 - 5678
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
S100.00
$130.00
$300.00
S 40.00
Address P.O. Box 21009
Supervisor License Number l(o~ r<E T
Expiration Date lD-o/-oZ
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
Expiration Date
6-28-00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
S 55.00
$ 80.00
see "B" above
Si~ature of Supervising Electrician
~/~~r --
Ovners Name KeVi VI #ah \'\0\
..;dd ress 1- ~:2 S. ~ C;;-\.
Ci ty. ~,rr (t"\SPCeJcLphone tfq 1- 0593
OVNER INSTALLATION
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
The installation is being made on
propert:i I ovn vhich is not intended
for sale. lease or rent.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included:
Ovners Signature:
l
S 40.00
$ 40.00
S 20.00
S 36.00
;:J.hGO
DATE:
RECEI PT ~:
RECEIVED BY:
~
S. SUBTOTAL OF ABOVE
,% State Surcharge
3% Administrative Fee
TOTAL
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::J.;:)....O"D
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