HomeMy WebLinkAboutPermit Electrical 2000-3-28
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I Job# 00-00471-01 I
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Page 1 of2
TRANS#:01-0001060
DATE:MAR 28 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00471-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2378 Groverdale Dr Spr
Assessors Map#: 17032622
Lot: Block: Addition:
Tax Lot #: 00218
Subdivision:
Owner:
Joann Raincrow-Gains
2378 Groverdale Drive
Phone Number: 541-747-7495
City/State/Zip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Adt Security Services Inc
1501 Pearl St, Eugene, OR
Registration # Expiration Date
Phone
541-342-1313
Office Use
Land Use: . 'nCE: # Of B~i1~~n!l!!:n-\E.WORI<.
Zoning Code: NO oE.RtoJ\\IS\l?,Q!tupa~,~l~E~~~t\SNOl
Bedrooms: 1\1\5- II;t~-!'91~ource: rOR
Range: P-Lll\10R\IEO q. F:~~elONE.O
. 'rr-f" R\'O
OM\\IICI'v--
To request an inspection call the 24 hour recording at 726-3769. All ~sl?.!!c\!,~n]{l:eq!fe~I~lPoefore 7:00
a.m. will be made the same working day, inspections requested after 7:'00 ~.m. will be made the following
working day.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Required Inspections
Electrical
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,[Ar~a (Sq. Feet)
_ Main: Accessory:
Fee
# Of Stories: Height (feet):, ::, 1uc.'-'
Current Units:. PrOPOl>ed'UnW~:'n Ll\i\l\~",
"\!"'" Ule\llv \\0"
Census Code: Does ~o\ appl~\ \eO o'i \\"Ie \es aJe SEI \)\)1'
~ \ \ t:'- ' \eS aOO? i"\"IOSe ,\l p..R 952-
to\lO'/olI~ cen\el- 10\l9\"10 1\lleSO)
Total: "nti\ica'i~~_(W\1-0\)1\)~\"I~noies O'.~~o\lone
..-..._~.~_ .............. ._.n."-,'- .._....~.....
Paid O~~O. '(cR$1lSlP-i#.e', \\~N~!ieJ.q\,{~Wi~ Fee Amount
EI~lciil\lnl\\"I~.V:~~~f'.n~':'-' --
03/28/2000\\)11IU'1 Q6()'\t<' , .' 1 $20.00
l\
Limited Energy - Residential
,
.
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
l\
Job# 00-00471-01
Paid On Receipt#
r Electrical
03/28/2000 1060
03/28/2000 1060
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Page 2 of 2
Value/Quantity Fee Amount
1
Date
$1.40 '
$.60
$22.00
$22.00
The following project es submitted has the following
zonmg. and does not require specific land use
approval.
225 FIPTH' STREET Zoning U:>fl---'
SPRINGFIELD, OREGON ollii-.H7 '"3 ? H -D't>
INSPECTION REQUEST: 7l6-3769
OFFICE: 726-3759 Authorized Signature <K...,)
1. LOCATION OF INSTALL4;'IO,N
.1. ') 'I X ;; /Lo r/", c;f,...{,.
j)/l..,'v-(
LEGAL
I~J
JOB DESCRIPTION
)"Lln";o{~- 5vr ~
;
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT Security
Address 1501 Pearl St.
Ci ty Eugene. OR
Phone541-342-1313
Supervisor License Number 853J18
Expiration Date 10/02
Constr Contr. Number 26209CLE
I'
Expiration Date
10/01/00
Signature of Supervising Electrician
/Zr~ ~
Owners Name .Jo...,........ R,.,.'", ec..~- (AJA--)
Addres:;..:L 1 n (,:1l.4.,-< e/~ t .ih.W-<
Ci ty -.5ft?a~~ f), rf Phone lit; - 7 L(1)
OVNER INSTALLATION
The installation is being made on
property I.own which is not intended
for sale, lease or rent.
Owners Signature:
,
---------------------------------------
DATE:
RECEIPT f:
RECEIVED BY:
"")- )-~ -OIl
IOv.O
Uft
ELECTRICAL PERMIT APPLICATION
City J~~ Number OG.:OO1.?l...,(J f
3. COMPLETE FEE SCHEDULE BELOll
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder ' .$ 40.00
,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
D.
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
E. Miscellaneous (Service/feeder not included)
-Each installation
. Pump or irrigation $ 40.00,
Sign/Outline Lightin~ $ 40.00
Limi ted Energy/Res $ 20.00 2.0
Limited Energy/Comm $ 36.00
5. qfBTOTAL OF ABOVE
State Surcharge
% Administrative Fee
TOTAL
1~
.G
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