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HomeMy WebLinkAboutPermit Electrical 2000-3-10 r The following project as submitted has the following zoning, and does not require specific land use approval. I..,., 225 FIFTH STREET Zoning LTJ :>LECTRICAL PER!UT APPLICATION SPRINGFIELD, OREGON 97r'Ml '?-IO - ~ Il(} '00 .A 011 INSPECIION REQUEST: 726-3769 -0-...J Ci ty J~~ Number U - ? ;?~~ 1 OFFICE: 726-3759 Authorized Signature 3. COMPLETE FEE SCHEDULE BELOV ~ 1. LOCATION OF INSTALLATION IOJ/'/ c-C,","'Mld AvF ,A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: LEGAL DESCRIPTION / 4/,.",,,,,, /A<;-r"'1<<IU""q -' JOB DESCRIPTION ~ I =i--O '3':2$ 1 ;:;v 00500; Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT Security Address 1501 Pearl St, City Eugene, OR Phone541-342-1111 Supervisor License Number 853JLS Expiration Date 10/02 Constr Contr. Number 26209CLE 10/01/00 , ,7' Expiration Date Signature of supervi7in lectrician - '" r-I~~' ; ____ D, Owners Name L-"< ..J. /1'JAI1V E /It'./J r"!U'~ Addres:; / '1/4 / rI""'<JLlr/ AIL;:; City..:s,/lf';",~;,/d Phone <>'11- '71ft.1-~/Ob OVNER INSTALLATION The installation is being made on property I ,own which is not intended for sale, lease or rent, Owners Signature: ----------------~---------------------- DATE: RECEIPT I: RECEIVED BY: -:;-.o-crv 4,4..l. lfuJ Items Cost Sum 1000 sq.ft, or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15,00 Each Hanuf'd Home, or Hodular'Dwelling , . $ 40,00 Service or Feeder - ,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 $ 50,00 $ 60,00 $100,00 $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 .' New, 'Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2,00 not included) Hiscellaneous (Service/feeder -Each installation ,Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. qfBTOTAL OF ABOVE State Surcharge X Administrative Fee TOTAL $ 40,00, $ 40,00 $ 20,00 $ 36,00 ;;"'D Q.(') >( ,~ I ., . ./ . I Job# 00-00380-011 ~ . Page 1 of fRANS#: 01-0000886 DATE:MAR 10 2000 ANT RECD:2 $ 21,60 1 $ 1.00 CHANGE:$ 0,60 CASHIER:059 CITY OF SPRINGFIELD, OREGON Job Number: 00-00380-01 ~O<?-~~ffice: 726-3759 ~pe~n Line: 726-3769 ~:~ $:- O<?- ~v f<,,<?l r< Lomond Ave Spr <vi?- :fP <? ~<v() " ~,?-vv ((,,<?-A,:'?l ~Lot #: 00500 _~~<&l~!1'?~ \)~<J_ ,'" ~'?lSUbdivision: Les and Mary Ellen Spence ~V~"'<?~~~'r' 541-744-3180 '<\ ,?-\)-<"~~~'te~iP: Springfield, OR 97477 df~~n Value: $0 '?l RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1914 Assessors Map#: 17032512 Lot: Block: Owner: Address: 1914 Lomond Ave Scope Of Work: Electrical Only Contractor Type Electrical Contr Contractor Adt Security Services Inc 1501 Pearl St, Eugene, OR Registration # Expiration Date Office Use Land Use: # Of Buildil!g~: & .::J Zoning Code: Occupan<& ~~I!:> ff "" .... (2)~. :z::...... 0 Bedrooms: Heat So!:!!cQ; ~ ::0 if' ~ .1 '-:n,~ ~Qj~':' Range: Sq. F9~l!}l:..... /j.J e;:" f) t ::;:. _ _oJ ~ ...... C'" ... .,'.... &<;;:,r:rn 0-_- To request an inspection call the 24 hour recording at 726-3769. All inspections requeste~.Bt~ -rOll' :; s: a.m. will be made the same working day, inspections requested after 7:00 a.m, will be m~e~~Q!!O:o&i~, ,~ working day, :} 3 ~ $' <:; ,.... ~ s: .<J(::-~ns;;t~(c" u........ ",...0 """ 1':' ""<..... g s~~ w~iC~:- A "iifTljTQ" Sil' ~'~ii; Q o""~ 0 ; ~iif~4/l0tb fs-?S iif::o 4J ii1 t? ~g-"roii1~;; is';j~~~3f! ~01J~!!!.(::-'d ..Q- c:s Cl' ~ r::: '.......,,~.- '3t,1""; Quad Area: # Of Units: Constr. Type: Water Heater: Required Inspections Electrical Low Voltage Construction Types: 'Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 IArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Total: Fee Paid On Receipt# Electrical 03/10/2000 886 03/10/2000 886 Limited Energy - Residential State Surcharge For Electrical Permit Phone 541-342-1313 Height (feet): Proposed Units: ValuelQuantity Fee Amount 1 $20,00 $1.40 ,-'I 11 , " ./ Fee Electric Administrative Fee Total Electrical Grand Total 5-/. ~ Signature . "' Job# 00-00380-01 I Paid On Receipt# Electrical 03/10/2000 886 . Page 2 of2 Value/Quantity Fee Amount $,60 $22.00 $22.00 ')-(O-Oc Date