HomeMy WebLinkAboutPermit Electrical 2000-3-10
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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
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____ 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
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I Job# 00-00380-011
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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
,
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Fee
Electric Administrative Fee
Total Electrical
Grand Total
5-/. ~
Signature
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Job# 00-00380-01 I
Paid On Receipt#
Electrical
03/10/2000 886
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Page 2 of2
Value/Quantity Fee Amount
$,60
$22.00
$22.00
')-(O-Oc
Date