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Home My WebLink AboutPermit Electrical 2000-4-14 '\ 225 North Fifth Street Springfield, OR 97477 . . I Job# 00-00575-01 I Page 1 of2 TRANS#:01-0001257 DATE:APR 14 2000 AMT RECD:2 $ 110.00 CHANGE: CASHIER:059 CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00575-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4501 FRANKLIN Blvd Spr Assessors Map#: 17033444 Lot: Block: Addition: Owner: Tax Lot #: 00200 Subdivision: Opal Counts 3095 Stapp Drive Phone Number: 541-688-8841 City/State/Zip: Eugene, OR Alteration Value: $0 Address: Scope Of Work: Electrical Only Contractor Type Electrical Contr Contractor Philips Electric Inc 1298 Bethel Dr, Eugene, OR 97402-2003 Registration # 54438 Expiration Date 9/19/99 Phone 541-688-6121 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Water Heater: Range:.. , Sq. Footage: f",,_ ........'H "uvv rut - \Iot,.~. as.Rrl ~~... . To request an inspection call the 24 hour recording at 726-3769 AWlitsp.lilE!lonS/feq!l~~ted be,fo,~e, 7:00 a,m, will be made the same working day, inspections requestJ8gtfer:"'.!I1Q&a%'.rWillll?ltm~'Ire~9BIIOWing working day, 90, I-'ou rn ()7-007U Ih Sf 'Ules ar n Ut,lli . _ ca,lIino /I.,~ ~y ObtaIn n~Ough OAr;;, ~~~t fo r~ ReqUired Inspect19gUorr -u"le,. (lVor:"'~ 01 the ~u,,-uu Electrical ~ .I,,~~e OregOn ue" the (e/eph utes t -Prior to cover. . '.. ,,~IJ~'IVOtificaol1€ - Must be approved to obtain permanent power. " ." tlrh - When all electrical work is cO"l!l~~3d ^ VO DB ~ AN'it l:lO:l 03NOONV8V SIl:lO 030N3V\1V\100 lON SIIIWl:l3d SIHll:130Nn 03ZIl:lOHlnv >fl:lOM 3Hl:l13l:lldX31lVHS IIV\ll:l3d SIHl # Of Stories: :30&J~'h't (feet): Current Units: Proposed Units: Census Code: Does not apply Total: ~ Rough Electrical Electrical Service Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Area (Sq. Feet) I Main: Accessory: - \,' . . Job# 00-00575-01 I Paid On Receipt# Electrical 04/14/2000 1257 04/14/2000 1257 04/14/2000 1257 . Fee Permanent: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature . Page 2 of 2 Value/Quantity 1 Date Fee Amount $50,00 $3,50 $1,50 $55.00 $55.00 .~ . , submitted has the !allOwin9 The.follOWin9 prOJa~~~~equire specifiC land use lOnlng. and does ./1 ~ app<oval H b r ~ 225 FIFTH STREET Zoning - 0 SPRINGFIELD, OREGON 97477 if-fIf -~O/. ) INSPECTION REQUEST1ateT.f6-3769 ~ OFFICE: 726-3759 MtnOnzeo Signature 3. 1. LOCATION OF INSTAL~ON Jjbfpt}~.'L~4Ji;;.Je~~;jP'&-"6'A LEGAL DES PTION ' , /9-0"?J~ L( O:? a.oo ' ' JOB DESCRI~~~ .....J.. f 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 contractorBll'I,'"",,- Elpcfn'c I .' AddressM9R ~1"1l/e... City~(\P Phonej,RJ'-?,rA Supervisor License Number ".;;,71 q.s Expiration Date /(]/o/!O/ Constr Contr. Number _7.n -I ?9 c... Expiration Date/O/Ol/OO , Signature of Supervising Electrician c: /-: ' - - Owners Name /JiJ/J j' (l/Y//J l.:s '=-( , Address 3095 ::5-f~? /)r/V~ Ci ty W4~e.. Phone .GPR-SP~ I O\INER ' INSTALLATION ELECTRICAL PERMIT APPLICATION , , City Job Number OO~00575-0/ , COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd ~ome, or Modular 'Dwelling Service or Feeder ,B. Services or Feeders Installation, Alterations J~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 Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $0,00 ' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT .: RECEIVED BY: 200 amps"(l'r less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ,. New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $20.00 $ 36.00 5cJ 00 , , -J:1C ..55:- ~ ~