HomeMy WebLinkAboutPermit Electrical 2001-5-31
05/30/01 WED 09:05 FAX 5417263689
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CITY OF SPRINGFIELD
1lI002
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 126-3769.
OFPICE, 726-3759
'I. ).OCATIOll O~ IN~LA;rION . )
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LEGAL DESCRIPTION
1.2 () 2, ";)"i-!:t,f 1) n L1:),J
.lOB DESCRIPTION
Permits are non-transferable and expire
if work is not 'started within 180 days
of issuance or if work is suspended for
180 days.
Expil-ation Date
Signatur~upervising Electrician
t~~~
Owner~ Na:e' fJOi/S~ AJ/Jor:f1/ D.
Addres~n Q_ G&/ /
CitY<.'):oI.~L {vtPhone 7!;I).8'JJ.tJ
, OIINER ~ALLATION
The installation is being made on
prope~ty I OWn which is no[ intended
for sale, lease or rent.
Owners Signature:
---------------------7----------------
DATE: 06 dD /Q
RECEIPT'll : ,L:.~....., 'i. I
RECEIVED BYjJ. ri01hCi_I/t.J
ELECTRICAL PERHlT APPLICATION
Ci ty Job Number () /' IJ ns5 I n /
3. COIlPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each addi'tional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular'Dwelling
Service or Feeder
C.
Items Cost
Sum
S 85.00
$ 15.00
,$ 40.00
S 50.00
$ 60.00
S100.00
S130.00
$300.00
$ 1,0.00
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 55.00 -
S 80.00 -
see IIBU aE'O'Ve'",
"
Branch Circuits
Nev, Alteration O~ Extension Per Panel
$ 35.00
'6S.00
2.00
s2JLoo
2. CONTRACTOR INSTA~ION ONLY B. Services or Feeders
(' r, Installation, Alterations
Electdcal Contractor {)C,p, .or~Cl't\Oi'\or Relocation:
Add,'ess ~qq t-t to \ (.. I l () Y'\ P 200 amps or less
P 201 amps to 400 amps
CitY_Il a.. , OV\l' Phonelo'?,(o-OQ05 401 amI'S t0600 amps
601 amps to 1000 amps
Supervis>:>r License Numbe," IS (p ~ '3 Ove,' 1000 amps/volts
I 0 , Reconnec t Only
Expiration Date ..\-0
Constr Contr. Number ~O~'S"6 (' >
\ b- \ - 0 I
200 amps"oT less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 1000 VOlts
One Chcui t
Each Additional
Circuit or yith Service
or Feeder Permi t I 0 $
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5'5.00
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I Job# 01-00551-01 I
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Page 1 of2
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00551-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 300 W Fairveiw Dr Spr
Assessors Map#: 17032741
lot: Block: Addition:
Tax lot #: 00101
Subdivision:
Owner:
Address:
Housing Authority of Lane County
300 West Fairview Dr
Phone Number: 541-682-4090
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Electrical Only
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
[""Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
05/30/2001 5581
05/30/2001 5581
Value/Quantity
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
11
$55.00
$3.85
.......,..,..
.-
,
.
Fee
Administrative Fee - Electrical
Total Electrical
~Total.. Q' ~
. S, ~J-.~~
S'g WN ') \ '
Job# 01-00551-01
Paid On Receipt#
Electrical
05/30/2001 5581
.
Page 2 of2
Value/Quantity Fee Amount
$1.65
$60.50
$60.50
Date