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HomeMy WebLinkAboutPermit Electrical 2001-10-2 ~ ...... Job# 01-01054-01 .- Page 1 of2 TRANS#:01-0006885 DATE:OCT 02 2001 AMT RECD:1 $ 52.00 CHANGE:$ 0.25 CASHIER: 032 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01054-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5150 Forsy1hia St Spr Assessors Map#: 18020421 Lot: Block: Addition: Tax Lot #: 01 E;OO Subdivision: Owner: Joe Quesada Phone Number: 541-741-2495 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: 5150 Forsy1hia St Scope Of Work: Electrical Only 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? D ,Area (Sq, Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# I Electrical 10/02/2001 6885 10/02/2001 6885 10/02/2001 6885 Value/C;juantity Fee Amount Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service State Surcharge - Electrical 1 $2.00 $43.00 $3.15 "-<. . L Job# 01.01054.01 Paid On Receipt# Electrical 10102/2001 6885 Fee Administrative Fee - Electrical Total Electrical bGCS:: ~ ~9nature . Page 2 of2 Value/Quantity Fee Amount $3.60 $51,75 / $51.75 r.... ~-<_O( Date .' .;. . '-::225 FIFTH STREET ~~'\ F'-'1 "" ;. -,.i :iSPRINGFffir!D, OREGON 97477 i .Jjl : ";\ l[NS~Eci[QN REQUrS1\ 726=H6f--; I \,' '11. OFFICE: 726-37,?9:',d ' Ii I' <\li [;':"1 \i ,J'-' t. r, Ilq::\" \ )1'('-' \,.~) i:h LbCt\Ti~9N:(lF"INSTALLA+ION ,j '-. ,/ ,--, 61"50" 'F6~+N :t..:::. u ~j LEGAL DESCRIPTION 1'6' 02. ()Y.' 2/ . 0 I ("cD ~n", i 'i ; "" \ EL"RlCAL PERlVfiT APPLICATION .1 , " , I C': i l,-,' !. 01- C> IDcz,Y,..O I , ~'! l,f\Y.~Oh ~umber "C, ;3.LcQ~LbE F~E SCrtEDULE BELO\V ',IIIi~ i' I ',' . . ::.:...:J 1: It:. r/ 1 . . ' .~ --' i\:' New'ResidentiillcSingle or'- -.. ,.~ .. ---,- .. Multi-Family per dwelling unit. Sen'ice Included: " , Items Cost SU'~l' '. fi~: ."~~ i' '. JOB DESCRIPTION 1000 sq,ft. or less i ,': 10u...J &v ~ L. - Each additional 500 I'" I , " t sq. ft or portion I. Permits are non-transferable and expire thereof L~, ,~.I if work is not'started within 180 davs Each ManuI'd Home or / "1:,:'2.." of issuancc ib()f work is suspendect'for .. ,~~ ",,: \ )1:' '". [ylodular Dwelling l ' " ,,-,, 180 days, ;",) "', ,,' " . Service or Feeder / ".,.,,', -=-- $50.00 t-." . , ,;, '"J '. . " .". .~' u' ;. ...' ,. " " ,,< ,. J'.. 2. CONTAACTO~'~~TALLATIONONLY' '-', B: S~';{~~/~;Feeders / I" I -,' , . - I ~ '- PI~' "..j'~ -' . I '\ ,. ~. J' \ I~'~" r'o' I ,',. ~ .._',~ ,"_ ,Installation, Alterations Olr '. ',.i\ ;,':{"' Electrical'Cont?act~tj..:,\ ',-,' ..!,' ..; ';,"j"l~\ R~location: /." ," d~, ~~~.~\:~ l.:>r'\!~~i ~'Ul,.._..' " ~ ::. oj ?_- A~:..' f ~~I~,' i;;\~;~ ., ..",:,,~<' \'" "",:,::\~ ( ',"'i Addrcss [, i.;" f)\ C:,,, , I I'~~:~,....,'J")' 200ampsorles.s,'.i".,.,'.'"'..",.,, :;('.-':'$63'00\"'" "1 P", "l ~~' ",', "-.-~:_:',> ' ."~'! U~:'j Cit\, k~~';}hone /{~l0~~~:1:t"]'~,_ ~~: ~~:~: :;~~~~~~:i ",i<;':li~'.~)6 ' i ~, " J Sup~rvi.LLic~~~el\~~;,!b~r ,/";:r,;,~\~~;r,..;,';:Z:~~;~~riiJ~~~~v::~r' ' ~~~;:~~ I, " i ". .1,'. ,~~.~' :V*~~>>~~, ',,' ';~\ -N-:;,~~connec"t ?~lit?]~~, ". ',_",:,/,y$)S.Q'?I~ ., ExplIatIonDate ~ ~ '" ~ < ' :, ,'" 'J7_':"";,, :: \"':>'!;<;;-':"}"'" _.\_~' .,fl 4" '" l.",~,";&~:~( "~.:wtr~:,~ 1 " cmporarv Services or Fcellen, , \~}),;&;'iir'(;~r:t( .; ,~;, .' . IJ:;,..,~, ' ~, 4' 1~: . '" 'M~~K ~ ,1 ::"';"';;i\'>t:":r/;:,;;. 'I:" y.' Constr.J;ontr: NUIIJber ~ _.' i1'<:'....--~ ,Rj f- hl~ioll, AlteFation or Rclol~.ition ,:,:i,i;,:~:,~',.:'.,'~:~.',>I~,;~'~::~:,'::,y,.:'" ; ,.;.J',:'~ , , ~~' " '".... .~n',,;6' '~'i:~l-"''''O'''' ,,'.. ,~. ,'iIi....;~.,... ".- ... ".. .. - -. i.tj'"',tj.c" ~tp.t WJ. \'Xq.:t1\1 It. K ,~ '$ ~ '. " " -' '.IIt' ',.,..' , .- r', . >Expiration Date 'Il I:"":j;. iEulll~~ I:~~ l '. ,.: . ,. ., "200 amp~' ~r1es" '..... I . d., ,.'},')i:$50.'OO ".. :...~~: ~ ". "eL\,. ,::::D~~~~.:2o'i\,!,psto.400a~ps.,. '" '~:;$69.00_ 'Slgnatnre ~f~upen'lsmg Electl'l~l,any PER\on ~Oy.!!:.~O 1 to~OQ~.mp~ ". ----.::i $1 OO.QO~' "i.';',. :;c:C,~' ANY 181. . p;, . - Over 600ampsor.l.'l20 vo~ts see, '~,O)~;';"", ~ ','_',';;:',,}.<::o-+;,.H liB" above ---"~~"_'" ", :',~;Y~:i(^_.::~:..c::",;;.'.;i',\"" .::rf''o~'-',iF~';''l /".. 1'," ",..t;,-,.:";';.<7";'V::'I,'. " ,'I"", \~' -'~\~', ";:," '" ",.,Jt.,..,,:, "'" " '.,',' ,>,\~:",>. ",',' ,- '>::~":>'i_,:; ,~I'" .. ..\~<:{;i.,~~~~':.\+i;.~~-~A".__~: . D" Branch Circuits . . J.i ~k',l,:e ,:~, <. trv ::)o~;"W~~Crs N~~~*i~:"'Y~i~~~ N?;ter~ti\norl'tensionp?:p~.~71 '~ ~ \;. .,' j :.I;,.,i:~1Ks~~r,es~f:'.:ir;~~'~rs~.~ oltl~cuit :\) J !\.~r~oo~T 'C:'~'?"::;/O,iwt;;N'~EDR' rIN.~~S'T~A..~L"'fJ!dL.::Aj~T'IPo' hN' ~ile' '1.;:1- ~ 1:ta~~~~f~~~Fi5~:~~0: with s~.:r'~~.~~ ' :;'<'''',::-_t'<-/-,'', ..'...... 1 .:~ t:', ".II':-'/'~-:-,v"", \^,"', . \."',. ";j'he installation, is'being made on, ' E, Miscellaneous (Service/feede~ not included)' ,j:~;,.;:.:piopertyI oivn -"vl~~h;s.not ill-Eachinst~llatibh'!~. \'; .'- " '. :~"~ ,~, , ~. '~;::;'::forsale,. iease orrhii~"~;~~': ,:..- ~ ~urnp'6~.f(sri~atlpb "': <t~; j: ..~ ...._~~O:OO ~"~~ ;~:.::r,:.>;:.:~::t~t:;.'j-0j<..(\.._,,;:, '< "\:~'{~~_1~:~~~~~:,~L~.:. '. ~ ~~g~8litli~e_Lci.~~q~gL.;;i J _ \$~O.OO ~'.~ \.~~:.;~..:.l'~,,;-~;~:O'v.ncr1rSignature.:":.,:_~~..~, _' ?i LJmJteg ~ner~0-f~' :'} ,'!/ _ $2,5~OO~::' ?,,:.e ",:~> "",.:~;tE~:;. i{ ;.-,Ll,'u,litedEn.ergy/Co. mm,':' $45.00, ' " ,~"f5~' {~t~'-~~~::~', .,4,'.,..... " . ,s.:";:,"" .".. Minimi~: E{!;:;;'i;P~1J;j~~ction Fee is 545.00 + Sui'charges i': if/.:-; \ . 11.'.' ,'I .. \ .,' ~>, (.: ,7" 4. SUB't6:f~LOF A~O~E:;: ,. . C ~~ ';'>:". ", 70/0 S'tal~:Str~ha~ge\ /,~;::..: I -J~ '.~- ',>,,; ." . ' . 8% Admjnistrative Fie,:' 3. (,,~ " ','\, - . ' ;!"" j ;. .t c:-- 'L..' 'P .c:.1. 7~ .', "" .. $106.00 ~ " , , ' $ 19.00 ',i:~ -. , , "~ TOTAL '.~ ~'.'o-::_~ . ---.--- -" ~'-'--'""" . --~- --. -.;.-_.~