HomeMy WebLinkAboutPermit Electrical 2001-7-3
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The following project as submitted ~~.s the following
z.onlng, and does'not require specifiC land use
approval .
225 FIFTH STREET Zoning 1;oIL.
SPRINGFIELD, OREGOtt,:{7477 .-,- 3-C? / I
INSPECTION REOUEST:' 726-3769 ~
OFFICE: 726-3759 ""d,unzed Signalure
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1. LOCATION OF INST~~TION
'1510 No U......
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~GAL DESCRIPTION ,~
IX: D'd- oS' /d- n7i.fOu
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Expiration Da te
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
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Ovne.s Signatu.e:
~;~E~-(5~~25J-~a-7-----------------~
RECEIPT #: In O'--t '7
RECEIVED BY: iL ), ?:n dr' 'ha f7/,()
ELECTRICAL PERKIT APPLICATION
City Job Number 0 i 00 (P(PCj 0/.
3. COKPLETE FEE SCHEDULE BELO\l
A.
New Residential-Single o.
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
JO~pESCRIPTI~ 1000 sQ. ft. o. less
H/'A1"" f/Ur't"lj:J Each additional 500
sq. ft or portion
Permits a.e non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of. issuance\_or ~iflownork"is ltsuspended for Modular'Dwelling
180 fM~~ i"'I~~ a~o:)\~d '.l~til;'~r~';~~~'i;Ii{Y Se.vice or Feeder
2. NcoNtRAcfoR1\INSTAtLATION1r6Nfyforlh .B. Services or Feeders
i" GAR 852-001-0010 \l1rcugn UAM 952-001- Ins talla t ion Al te.a t ions
Ele^c't:r-iC'i'lJ rC6iifF~~~rtor,h("l.lf~/1?('i<r fJ0wrv!f or Reloca.td-o~::
callip,: +he cenir" (i~u~G: llie u:m;jpflun~. ' I>JV! ."'...
AddresstWt!)rGp. o7?>J.o/'.UZ!i'~f.c11!13'iltion 200 amps'Eor::l-l!e'ss3HALL i=YPIPl: IF$;fi>0~,Q\l4K
() Cerh~.-i3i-8UO-33:Z-2344)' 201 amp'srH'ioR~.oo\ l'Iml!S S 60.00
city../" fA J"'~ Phone.1J..!' -tL 'It 401 aml'~ t?: Mlb a'Mp~H 1m" r'EF$,l!OO~OO)T
601 ampsMtQ~~tO_Q.Ooa.11]P''fIPHI/"'\I)N~:l:3J).RO
Supervi.sor License Number S Y97.s .Over 10001 amp.sy/vpolts $300).00
- Recon;:re~'t 'Oh'l'y tRiOr). $ 40.00
/u!//fJ/
Constr Contr. Numper 7 () r6-9
Expiration Date .. /'J-;/3 ()/o V
Signature of Supervising Elect.ician
..~ ~ ._ Ar J/J_
,~~~ D Branch Circuits
Owners NameBD RJ~", I". CltlUr('-rCJV\...! .
Address Lf'S'fO tI-o//U
(}
City Sj L-.o Phone 7ll7",f'cJ J 3
OYNER INSTALLATION
$ 85.00
$ 15.00
.$ 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
$ 40.00
$ 55.00
$ 80.00
see ItB" above
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New, Alteration or Extension Per
-L
Panel
$ 35.00 35.r:J"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Addi tional
Circuit or with Se.vice
or Feeder Permit
E.
5.
SUJ:i'lO'lhlo OJ? hilOVB
7% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
not included)
$ 40.00
$ 40.00
$ 20,,00 -
. $ 36 ;:b~b::o
D_
.35 .~ ~
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orn(JlO~
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I Job# 01-00669-01 I
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Page 1 of2
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00669-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4590 Holly St Spr
Assessors Map#: 18020512
Lot: Block: Addition:
Tax Lot#: 07400
Subdivision:
Owner:
Harlese Christison
4590 Holly Street
Phone Number: 541-747-8033
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
Heat pump
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co.
1951 Don Street, Springfield" OR
97477-1993
Registration #
460
Expiration Date
6/27/03
Phone
541-726-0100
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
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
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I Job# 01-00669-01 I
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Page 2 of2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r. ,I)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
07/03/2001
07/03/2001
07/03/2001
Value/Quantity
I
Fee Amount
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
1
$35.00
$2.45
$1.05
$38.50
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Mechanical
06/29/2001 6026
06/29/2001 6026
06/29/2001' 6026
06/29/2001 6026
06/29/2001 6026
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$65.00
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
re~ed at the prop~e and that the project address is readable from the street.
I Aj.A.A~ 1l~/7 :/- 3- Z00!
Signature {/ V Date