HomeMy WebLinkAboutPermit Electrical 2000-6-19
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I Job# 00-00966-01 I
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Page 1 of 2
TRANS#:01-0002227
DATE:JUN 19 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00966-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: '726-3769
Location Of Proposed Site: 807 W Fairview Dr Spr
Assessors Map#: 17032742
Lot: Block: Addition:
Tax Lot #: 00800
Subdivision:
Owner:
Helen Jennings
807 W Fairview Dr
Phone Number: 541-747-7075
City/StatelZip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
single branch circuit for hvac
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 W 11Th #18, Eugene, OR 97402
Registration # Expiration Date
104929 3/14/2004
Phone
541-687-5770
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 7:0~la:rinw.i1Ebe made the following
working day. THIS PERMIT SHALL EXPIRE IF THE WORK
Rough Electrical
Final Electrical
R . dl t' ______.....................'..,.,....,C'r."...ITIC"I\.If"'\T
equlre nspec Ions /"'\u, rlvr ll'-L..V...,' .....-.. , .. ....... _... ... . . - '
Electrical I COMMENCED OR IS ABANDONED FOR
- Prior to cover. ANY 180 DAY PERIOD.
-When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories: " I Height'(feilt):'" ... ."..,,'d., iV"..
. rollov' ',,'oc "rl"':I'P~ hy the Ompon Utili,.
Current Units: .. Proposl1d Unlts:r, 'tlle~ ,. ,-01 fro
In1Iflf;~t1n\ \..811:P'1 I r" ';:'I.. ~..~ ,....
Census Code: Does not aP8~h tJt,2-0lJH10h ,- ,:, ~'" ~M;" ::';:-Ul.
'09U Y()Ul1'.lV obtain cople~ ot ti1' ,ules l'
Total: callirtJ 'he- ~'lnt8" (~Jot~'lh~ (';'..:'10:18
. _ . "..... "'_.:1.:_......:....
'lI'UUt.H IUI lIh_ \J'....~...... .......... . .-....---.
.... ~. ,... , "'\.'" ,~. ' ....
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Job# 00-00966-01
Paid On Receipt#
Electrical
06/19/2000 2227
06/19/2000 2227
06/19/2000 2227
Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Page 2 of 2
Value/Quantity
1
Date
Fee Amount
$35.00
$2.45
$1.05
$38.50
$38.50
TRANS#:Ol-0002227
DATE:JUN 19 2000
'alBa AMT RECD:2 $ 38.50
(U)~~.I~IIJ CHANGE:
225 FIFTH STREET "'1.,A1'"J I 6U1uoz ,ELECTRICAL PERMIT APPLICATI~SHIER: 061
SPRINGFIELD OREGON 97477 'IB^OJddB '
INSPECfION REQUEST: 726~-'31/\lllp!l!oadS a,!nba, IOU saop pUB '6u!UO~i ty Job Number 00 ~O 9bb -0 I
o FFI CE : 726 _ 3 7 59 6u!M01I01 a41 sa4 pall!wqns sa loa!Old 6U!MO!lOI a41'
3. COMPLETE FEE SCHEDULE BELOll
("';t
aJnleUD!S peZ!JOlnn\1
1. LOCATION OF INSTALLATION
~ IN. J::'a :..--11 .. '" ,-</
1703 Z 7'f 2.
LEG"3 DESr::~:O~h C>C~o
JOB D~S,cRIPTION
J.-f 1/ A- C
A. Ney Residential-Single or
Multi-Family ,per dyelling unit.
Service Included:
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is susp~ded for
180 days. uO-34;;J..
2, CONTRACfOR INSTALLATION ONLY
,I
Electrical Contractor -If.<. J/1!'Cofrt'". ~C.
.:...Address 1-1I";,c; W-} {:i:h.;I-J y ,
City fr/r Phone_,cx/r;',70
/
Expiration Date
-Z;~~<
(%y{,
Supervisor License Number
Constr Contro Number ;;;7<;'x--7C.
Expiration Date (O/IJ1ho
SignatureJr~~ician
oynersNfme f-.!...t-J~Y\ ~V1...:I'I""<
-
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Modular'Oyelling
Service or Feeder
B,
Services or Feeders
Installation, Alterations
or Reloca t ion:
$ 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
One (Circui t i
Each Addi tional
Citcuit or yith Service
or Feeder Permit
E,
5.
SUBTOTAL OF ABOVE
1% State Surcharge
% Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
401 amps to'600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnec t ' Only
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "BI! above
O. Branch Circuits ,
Ne\i, Alteration or Extension Per Panel
Address
<hlVVI.;D
Ci ty S"" """ ~ Phone,U, 7 tJ 7...C::
OllNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
,for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED B'y:
i
Mis~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
""/,, -
$ 35.00 -,.,
$ 2.00
no t included)
$ 40.00
-
$ 40.00
$ 20.00 _
$ 36.00 _
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