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HomeMy WebLinkAboutPermit Electrical 2000-3-28 . I Job# 00-00471-01 I .. 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 . 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. # 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 :l. '2..':;----