HomeMy WebLinkAboutPermit Electrical 2000-5-2
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I Job# 00-00635-01 I
SPRINGFIELD
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Page 1 of 2
TRANS#:01-0001443
DATE:MAY 02 2000
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield,
Community Services Division
Building Safety
Job Number: 00-00635-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 305 fairview Dr Spr
Assessors Map#: 17032741
Lot: Block: Addition:
Tax Lot #: 00101
Subdivision:
Owner:
Address:
Lane County Housing Authority
300 West Fairview Dr
Phone Number: 541-682-2573
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor Re~istration #
LR Brabram Inc. I'd3d ,,"Va O\l~)\ '<J
68 W Q St, Springfield, OR'10 "0 C3'::lN3V'lV'l0'::l
,......."... -, \In'>l
C3NOU1'lV-', ..r.r.\':\LloJ' -' .
'cI0:! S\I-\.l.@.!fice use 'cI3d '6\\'Ii.
.\..ON SI .L\V'l'cl3t~ltO,,\!.!e:1'<JI-\S .L\~:l~\lO'"
;,'cI0f\f\31-\.\.:!zoning Code: .
Bedrooms:
Range:
Expiration Date Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# 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. ,. ,,,.~,.J 'Uj(W
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# Of Stories:
Current Units:
Census Code: Does not apply
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
I Electrical I
05/02/2000 1443 1
Reconnect Only
Fee Amount
$40.00
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Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00635-01
Paid On Receipt#
Electrical
05/02/2000 1443
05/02/2000 1443
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Page 2 Df2
Value/Quantity Fee Amount
$2.80
$1,20
$44.00
$44.00
Date
..
. . . I
'.oOWing .
Zontng, and d~roJect as SUbmitte .
I;pproval es not reqUire d h~s the fOlloW1
, speelflC land Us ng
Zoning --.A1 't)fL., e
. O.'e_ ~'~IllG
225 FIFTII STREET """,unzea 5' J
SPRINGFIELD, OREGON 97477 Ignature_m
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
~y Job NWDber-OQ:.(ill6? S-Ol
COHPLETE FEE SCUEDULE BELOV
3.
1. LOCATION OF !/.ST~TION b f
~~S +31::2, I I fl..1/1Ja1! /,e1lJe:'" .A.
LEGAL DE~PTION lDUp..l~'f..)
~~~;rI{I- QorOI
~N~ ,
JOB SCRIPTION 1000 sq, ft. or less
r:~nr Ne:w ~ Vleh GIlITlf/fAJI!-C {!tt6/E. Each addi tional 500
. --fnJ)(jAJ/~ . sq. ft or portion
Permi ts are non-transferable ana expi?~ . thereof
if york is not started vi thin 180 days Each Hanuf'd Home. or
of issuance or if york is suspended for Hodular'Dvelling
180 days. Service or Feeder
Jf I zj.,Z-
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorL.R;.Brabham, Inc.
Address 68 West "Q" Street
Ci ty Springfield
Phone 747 -6638
Supervisor License Number 14735'.
.
Expiration Date
10/01/01
08699
Constr Contr. Number
Expiration Date
12/18/00
Si~a~e of Supervising Electrician
;;2.. .,' A!5" /L
OYnel"S ~.l:.JJ.N€' i!tJU/Jry 110115/11/6 AtJ1;.
Address 300 WesT rll-l~Vlevv ~ .
Ci ty Spl'( / N6Ft e! (JPhone {PJ;., l, 57-3
6aJ~&C
OVNER INSTALLATION
The installation is being made on
property I oyr. yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT .:
RECEIVED DY:
Hey Residential-Single or
Hulti-Family per dyelling unit.
Service Included:
Items
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 --1--
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
S100.00
$130.00
$300.00
$ 40.00 ~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous ,(Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
711% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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