HomeMy WebLinkAboutPermit Electrical 2001-2-22
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I Job# 01-00152-01 I
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Page 1 of 2 '
TRANS#:Ol-0004515
DATE:FEB 22 2001
AMT RECD:1 $ 40.00
CHANGE:$ 1.50
CASHIER:004
SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00152-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3743 DOUGLAS Dr Spr
Assessors Map#: 18020612
Lot: Block: Addition:
Tax Lot #: 04309
Subdivision:
Owner:
Mark Luedecke
Phone Number: 541-726-5013
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Address: 3743 Douglas Dr.
Scope Of Work: Electrical Only
Electrical circuit for hot tub
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
- Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# 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,
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. r, d)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
02/22/2001 0004515
02/22/2001 0004515
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
1
$35,00
$2.45
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Fee
Administrative Fee - Electrical
Total Electrical
Grand Total
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Signature
Job# 01-00152-01 .
Paid On Receipt#
Electrical
02/22/2001 0004515
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Page 2 of 2
Value/Quantity
Fee Amount
$1,05
$38.50
$38.50
z:2.. ~ () \
Date
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DEVELOPMENT SERVICES DEPARTMENT
fho tOlloWln '
lCning anl prOject as sUbmitted
(]~Pruval does not require spe h~s the tOllowing
ChIC land Use
225 FIFTH STREET ZOnlng_ J..'PIZ-
SPRINGFIELD, ORmoN-..!PIo 77 2- Z. ~
INSPECTION REQUE/i,'J;~i1l\d7~6-37b~ - 2 .L.
OFFICE: 726-3759 IQnalure _ ~
1. LOCATION OpF. INSTALLATION 7---1...
~'7L/"".:? ~b'",::;../AZ--~ ./...........~ ~
- - . -- /. -'" .
LEGAL DESCRIPTION I.
11n....ov 12- lJoI/fJD'f
JOB DESCRI~ION .J/ ^---.
'Z::;r~p~('~~~.0t'7/ /L-'b:
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
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name mAR.K lA)F.tJE!.CJ<!{ ~
Address 3lL\3 000L..-LAS iJR
Ci ty SPR,\l.Jb- f/ aD Phone 7Z(C) - SOl3
01lNER INSTALLATION
The installalion is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:. n
"tY\ruJh 9l.lQ~_,
---------------------------------------
DATE: 7_2-::::<'6 I
RECEIPT II: .cJaoH5'/~
RECEIVED BY: /' ~~~ -
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City Job Number ~/~~/~? -~/
3 _ COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit .
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$ 35.00 y. c9D
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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