HomeMy WebLinkAboutPermit Electrical 2002-5-15
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Job# 00-00734-01
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Page 1 of 2
TRANS#:01-0001723
DATE:NAY 15 2000
ANT RECD:1 $ 80.00
CHANGE: $ 1. 90
CASHIER: 059
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CITY OF SPRINGFIELD? OREGON
225 North Fifth Street
Springfield, OR 97477
PUBLIC PERMIT
City Of Springfield
Community Services Division .'1'" Job,Number: 00-00734-01
BI;l[I,d,ing;Safety)'o;;'", ."~~~Vor~go~ Utilit:-. '
follow rules adoPte~h~se 'u'les are s_eOffi~il: 726-3759
\lotilicatlon CoJ~~~g~1 0 thIDu9'lnspii'c'tio'l1rc1'rie: 726-3769
" OAR 952- , ies olthe rules 0:
,y,o.11 YOII mav obtalO cop. ths tel:;phone
Hayden Bndgel~d1e .5!p.net. (Note., N t'I'cat'Ior
caul\ ,," utillt" 0 I I
numberforthe,o:e~~,~ o,,!!,.x,'+ot.#: 03300
~-...~...."..:, ,.",.
Addition': . Subdivision:
Location Of Proposed Site: 1300
Assessors Map#: 17021900
Lot: Block:'
Owner:
Springfield School District 19
1890 42nd Street
Phone Number: 541-744-6375
City/State/Zip: Springfield, OR 97478
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
l'lull~~. , ORK '
THIS PERMIT SHALL EXPIRE IF THE W
Office.Use l.J - -. -lIS PERMIT IS NOT
At 11 HOHICt:LJ I~Ut:n"
Land. Use'i1ENCED OR IS ABANDONED F~Of Buildings:
! l1\'1!lV .
ZOnl~~,,9f~eOAY PERIOD. Occupancy Group:
Bedrooms:O , Heat Source:
Range: 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
Low Voltage
Final Electrical
- Prior to cover.
-When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
05/15/2000 1723
05/15/2000 1723
05/15/2000 1723
ValuelQuantity
Fee Amount
Branch Circuits WIO Feeder or Service
Restricted Energy
State Surcharge For Electrical Permit
1
1
$35,00
$36,00
$4,97
.'Fee
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Job# 00-00734-01 I
Paid On Receipt#
Electrical
05/15/2000 1723
,
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Page 2 of 2
Value/Quantity Fee Amount
I
Date
$2,13
$78.10
$78.10
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SP.t!lFIELD
, bmltted has the following
The following project as su 're specifiC land use
loning. and does not requl
~pproval. VL-O
Zoning
225 FIFTH STREET 1{1 -/5' -c;,'\ ,lfLECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97fl'f , re jV.A)
INSPECTION REQUEST: 726J!!3''lfilj Slgnatu City Job Number OO-o:J?3 L/~ ()(
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
\ 300 -\-\1\~U€.0 &f,.;&q~ (0.4"<:> ,A. Ne;r Residential-Single or
/7-0 Q.(qoo 0' '3 Multi-Family per d;relling
LEGAL DESCRIPTION - '~Service Included:
pA~{>, E\t>M€",5T'A-Il...'1 ~c..",-"t>L Items
'JOB DESCRIPTION 1000 sq.ft. or less
k\\2:L,.' t=='e..,. A-\ARM ~I.l'::>~_ Each additional 500
\ sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'D;relling
Service or Feeder
Permits are non-transferable and expire
if ;rork is not started ;rithin 180 days
of issuance or if ;rork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number I[)~~S
Expiration Date_ \O/Dl1/OI .
Constr Contr. Number
Expiration Date
Signature of fuperViSing Electrician
rJ\r, ,,t =-"\ (,} U\ I JAIJ-J..~
~s Na~:..S.pl\:A\i~~\" ~d..
Address \ ~;q(J A). <41. ~
CitY-'S9~~AI,~Ii!:~ Phone~" &,375
OYNER INSTALLATION
The installation is being made on
property I o;rn ;rhich is not intended
for sale, lease or rent.
~vner Signarrre:
,,~~ '
D--~:--~~--------------------------
RECEIPT #: '
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOY
,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
uni t.
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 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
"
Ne;r, Alteration or Extension Per Panel
One Circuit \
Each Add it ional
Circuit or ;rith Service
or Feeder Permit
$ 35.00 35~
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
$
$
$
$ 36,00
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