HomeMy WebLinkAboutPermit Electrical 2001-2-27 (2)
.
I Job# 01-00174-01 I
.
Page 1 of 2
"
SPRINGPIBLD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00174.01
225 North Fifth Street
Springfield. OR 97477
Office: 726.3759
Inspection Line: 726.3769
Location Of Proposed Site: 1041 LOCHAVEN St Spr
Assessors Map#: 17032722
Lot: Block: Addition:
Tax Lot #: 07526
Subdivision:
Owner:
Glen Gross
1041 Lochaven
Phone Number:
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Electrical Only
Alarm System
Contractor Type
Electrical Contr
Contractor
Pacific Security
P,O, Box 3451, Salem, OR
Registration # Expiration Date
Phone
503.391-9706
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
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
02/27/2001 0004559
Value/Quantity
Fee Amount
Limited Energy - Residential
1
$20,00
i:-
.
Fee
State Surcharge. Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
Signature
Job# 01-00174-01
.
Page 2 of2
Paid On Receipt# Value/Quantity
Electrical I
02/27/2001 0004559
02/27/2001 0004559
Date
Fee Amount
$1.40
$,60
$22.00
$22.00