HomeMy WebLinkAboutPermit Mechanical 2000-4-19
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I Job# 00-00595-01 I
Page 1 of 2
TRANS#:01-0001303
DATE:APR 19 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 059
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00595-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5020 Highbanks Rd Spr
Assessors Map#: 17022800
Lot: Block: Addition:
Scope Of Work: Wood or Pellet Stove o';,i$' 0<:- Alteration
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Contractor J .,1$' \~) >:-0 ~ '" il,-0 ,~
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Able Elect~i8),-c-0""~O-:<s-0~-S-~<::::-r~~'
5511 Main>Street~ Springfield/OR 97478
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,. o~ ",0 {,t: ~!> c'P <b Land Use:
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,,' ~,,-<, -'.C<~ .~ r:-'-" "Zoning Code:
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':J >1>'" .if 'ri; ( Bedrooms:
" ,,'Ii /"-<:) Range:
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To request an inspection call the 24 hour recording at 726-37W-<<! &t~~ctions requested before 7:00
a,m, will be made the same working day, inspections ~equ~-te'~e~oo a,m, will be made the following
working day, ,.~...t;;:. ;1 ~~'
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-Must be approved to obtain P\lnn~[Ient power,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Are,a (Sq, r, d)
_ Mam: Accessory:
Permanent: 200 Amps or Less
Owner:
Address:
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Electrical Service
Fee
Tax Lot #: 00600
Subdivision:
Chris Hudson
5020 Highbanks Rd
Phone Number: 541-744,3711
City/State/Zip:
Springfield, OR
Value: $0
Registration #
92506
Expiration Date
7/16/2003
Phone
541-726-6701
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Electrical
04/19/2000 1303
Value/Quantity
Fee Amount
1
$50.00
.
Job# 00-00595-01 I
Paid On Receipt#
Electrical
04/19/2000 1303
04/19/2000 1303
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,
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Page 2 of 2
Value/Quantity Fee Amount
I
$3,50
$1,50
$55,00
$55,00
Date
>
The following project es submiNed has the followin
zoning. and does not require specific land use
approval.
Zoninr L.- I) (L.
Date J.f - I 7 - 0<) \
9~i~~I\fJ'6'~zed Signature C:X".,)
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
54 2.. t) #/'iN O"'-""fl"f
. LEGAL DESCRIPTION r,...m
~':7-0;J,":::I.. ~..Q() O()O~
JOB DESCRIPTION
C ~h" c; r .r7 e<'r~/'- s' OC'/( p: r
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 .B.
Electrical ContractorAL1LE EiL"'c
Address /~f' // /'-7/J //1/ -
City :?~/c,p Phone 7~t' ~70/
Supervisor License Number ] (J.z-.) J
Expiration Date / (J // / t) /
Constr Cont.. Number :1.-<:7.J G" ;2. C
Expiration Date /0/'/ /0/
Signature of Supervising Electrician
A 0""Y7 :5- --~
Owners Name C /,/~/j- /7 q'o,fc>",""
Address 5' 11;J.. 0 ,.,:-7/7"..L/ -'.!A>,IV/(f
City "Jr/o
Phone 7""~ .17//
OVNER INSTALLATION
~LR~CAL PERMIT APPLICATION
\;lty Job Number OO.dO:7Q 5-ci
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Sum
Items Cos t
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
$ 85,00
$ 15.00
,$ 40,00
$ 50.00 f'If. 0 0
$ 60,00
$100,00
$130.00
$300.00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55,00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Add i ti onal
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
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DATE:
""'''''.ll'l If:
RECEIVED BY:
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
5' ~ Of)
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J j'.d 0