HomeMy WebLinkAboutPermit Electrical 2000-5-2
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I Job# 00-00625-02 I
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Page 1 of2
TRANS#:01-0001445
DATE:MAY 02 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER:059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00625-02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2150 Laura St Spr
Assessors Map#: 17032710
Lot: Block: Addition:
Tax Lot #: 00400 .
Subdivision:
Owner:
Creta Simmons
2150 Laura St #117
Phone Number:
Scope Of Work: Electrical Only
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
This is a copy with a new Sequence Number
Contractor Type.
Electrical Contr
Contractor
Ks Electric & Consultants Inc
Po Box 24933, Eugene, OR 97402-0444
Registration #
70889
Expiration Date
12/30/2000
Phone
541-686-6236
Quad Area:
# Of Units:
Constr: Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
.._. 'OO/j..j:J..J '.\__,
, -~... U:1IVUONV'8 . .. ~ va. ANV'
....VlV :i/l/W!:l3d SIH' !V'~!!:I~ O.3QN3WWOQ
>I!:IOM 3HJ.:i1 .# ()f(BU!lg~OH
3!:1/dYOccunr>ncy. Groun~nV'
. '..,.v....WtI;:J "
. Heat Sour~e: d 8/Hl
Sq, Footag'i;OllON
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
HandicapAcc~ss? 0
,Area (Sq: Feet)
I Main: Accessory:
Required Inspections
"P) .
Electrical. .~. '1110". -'i1/'ln . 1008J'0 'I./'l'~ .J
, " Q lOA l€Jq
-Prior to cover. " "., I,. -;101\;1 .81lJS- J WI."
-When all electrical work is complete.. : ". ,I. ;8100;) 'llelQ0 /1'" <I. 'l;)!/Ieo
. t ~h'(J'jhnllJ4"II' ~ IlllJrlOI\ ()6r.f'
.' . 1./.' .}n-?"~.u'r!
""r-:Il'l"'iOLJ '. ....rJ:-r 0
'I un. I 1"":',dd~1 10
' ~Jr I 4'1' AQ ~ 1J~::JIJllu
. '- ',' tJ8JOOO....... /'.
, " . '8m) '11\0/10)
Rough Electrical
Final Electrical
. .
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00625-02
Paid On Receipt#
I Electrical
05/02/2000 1445
05/02/2000 1445
05/02/2000 1445
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Page 2 012
Value/Quantity Fee Amount
1
$35.00
$2.45
$1.05
$38.50
$38.50
Date
. ,
fhe tol/OWlng pro'e I
lonino; and doe~ ~o~~esu~mltted ha.. the fOllowing
aPProval. qu re specIfIC land use
225 FIFTH STREET ZOning /.1i)f?-- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9741-..".'.. _ <;.:? - ~
~~~i~~IO~2~~~~T: 72~~1l Signalure ~
3.
1. LOCATION/~F INSTALLATION
d(/.5'V ~ -b-//7 A.
.
_ !J:GAI.. DESj;lqPTION .
'M*_ ~(}tj')-: ~ (J r~..o ~ -::J.=n 0
' JOB DESCRWION 00</00
Jb:rr/0..-~
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contracto~ ~ ~rl/IJt".
Address{JO.~o>c ::1.-P'rJ3
eCi ty 9fL';~ Phone...k?-,r-/",C/V
Supervl$or License Number :.? Y'9:;; S
Expiration Date Ii>/ dl In I
<.~ L.V Job Number
00 ,tt;J S -OL
00...
COMPLETE FEE SCHEDULE BELOV
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. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
200 amps' 'or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 100u volts
D. ,Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
B. Services or Feeders
/' 4/ Installation, Alterations
9<..PH&.t'+,~ or Reloca t ion:
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
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---------------------------------------
DATE:
Rr.,<''''.l;:t H:
RECEIVED BY:
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
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
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Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
.3% Administrative Fee
TOTAL
Constr Contr. Number 70,F~<j
Expiration Date /.L-/.J~/O()
Signature of Supervising Electrician
--.:( IA-- ~ /J 01{ ___ .
ow:J;s NamJ'k~ LLI_(/fM~
Address ~/J?) ~ ~// 7
Ci ty Sj C/O Phone 70c 7b 7J
OVNER INSTALLATION
-L
$ 35.00
$ 2.00
not included)
$ 40.00
S 40.00
S 20.00
S 36.~
'\ '5.
I,
'1 t, ~D-
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I Job# 00-00846-01 I
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Page 1 of2
TRANS#:01-0001967
DATE:MAY 31 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
.
BPRI~!lFlIlLD
~
CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00846-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2150 Laura St Spr
Assessons Map#: 17032710
Lot: Block: Addition:
Tax Lot #: 04400
Subdivision:
Owner:
Jean Poulston
2150 Laura St #220
Phone Number: 541-988-9323
City/State/Zip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type'
Mechanical Contr
Contractor
Comlort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration # Expiration Date
460 6/27/99
Phone
541-726-0100
Office Use .. . ,;\'C'\';~~lao.ll)\\\>
.. ;,,'" aU\1 "'\11\'",-0
Quad Area: Land Use: ,,, v :.."~ :,oneIQ "" al\\ 1I . #"Of,Buildings:
. ,'IV'" ,nu "\p~ O}. "v
# Of Units: Zoning Code:.. f,\\\\" \'o"i)" 1110"0 ':ell) (\ ,Qccupancy Group:
.,.."I\\V''l ~''1. I" ,~" g6.>"-
Constr. Type: Bedroomsa')\a\ a~ 'I~Q'J uWh. 1;\,\,\\\\"1; 1\!:!eatrSource:
Water Heater: RangEi~~~1 31\\ \~ ~~\\o,,\~ ~ :~~Ib~~q'~otage:
'" ~(\.7,G6 ~':: ';:",\(1, '\;>~b.\\\.~. .:;':'\ \~.,
To req~est an inspection call the .24 hour recordi~,Q:~t'126~~1,.\3~~\~~;ltl~I?~~tl~?5:recjuested before 7:0~
a.m. Will be made the same working day, Inspectlon~ r\lqueste,Q!after'7;:QG.a'.m. Will be made the lollowlng
working day. - \\~.\\ I ~~l>."\\.", "\~
. ~l\' .\#.~W.
Required Inspections
Mechanical I
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
~'()i\CE: , FjCP\RElfi\1EWOfl,~
# Of Stories: 'I' "ERM\1 S\-\/l.IHelilht\(~,,~);.Mli IS \'l0
.' ", " r ~'ti"'p. [\'\ ;:) -0'"
Current Um~: fI-\ORIZEOlh. ProJlos~eClQ~:' n
Census Code: Does.I\ot'1l!''p1y.R IS /l.Sp.:
. " ,\I'J\t.I'lV 00
.,\ll\b/l.'1PE.RI .
Total: -' I'
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Job# 00-00846-01 I
Paid On Receipt#
Mechanical
05/31/2000 1967
05/31/2000 1967
05/31/2000 1967
05/31/2000 1967
05/31/2000 1967
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fee
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Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
:fi~l A!WP
Si ,nature : r
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Page 2 012
Value/Quantity
1
Fee Amount
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
<:/~JI ~50
-. ., -
Date