HomeMy WebLinkAboutPermit Electrical 2000-4-19
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I Job# 00.00596.01 I
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Page 1 of2
TRANS#:01-0001301
DATE:APR 19 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON I
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00596-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2970 Hayden Bridge Rd Spr
Assessors Map#: 17021900
Lot: Block: Addition:
Tax Lot #: 01000
Subdivision:
Owner:
Darrin Thompson
Phone Number: 541-746-5241
Address: 3049 Hayden Bridge Rd City/State/Zip: Springfield, OR
Scope Of Work: Electrical Only u'le::.~!t~ration Value: $0
, v'''\JU\ "aw req n Utilit\
,I,-_I'.\,...,JI.... . -l"",..thP.orego .1__"
tollOW fU\e~~~~~;~r\"lose fU\e~~~ 952-00',.
"n\illcaIlOn , 0010 (\"Iroug\) les n,
Contractor Type Contract6r"001- '^opies 0\ t\"l610 Registration # Expiration Date Phone
1 v.... . ;...~ , may obtain" , 'he telephone
Electrical Contr t.blel~!~;t~~A centel, tNot~;\" Nntiticatic92506 7/16/2003 541-726-6701
55 ~:~~;~~t~N!l~~,@Pri~~~~~IPt9.I3j,97,~ 78
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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 inspecti\\1\:9'l'\l!lf?4 hour recording at 726-3?(l~....A1I inspections requested before 7:00
a,m, will be made the ~a~e worntlw g\lYA~r;!.lffi"~mI6liSrr~~led'a'iter 7:00 a,m, will be made the following
working day, THISPEH DERTHISPERM\T IS NOT
AUTHORIZED UN r: :DR
MENCED UH '" ,,~eqill'rElll[j\fspections
COM. I
" IV 180 DAY PERIOD. Electrical
Rough Electrical ' "! - Prior to cover.
Final Electrical -When all electrical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. r, ,t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
,-
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Fee
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00596-01
Paid On Receipt#
Electrical
04/19/2000 1301
04/19/2000 1301
04/19/2000 1301
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Page 2 of2
Value/Quantity Fee Amount
I
1 $50,00
$3,50
$1,50
$55.00
$55.00
Date
bmitted has the following
The following prajee\ 05 :qU une specifiC land use
'ng and doe~ 1,0\ I
zonl .
approval., LD ~ -
Zoning - c. -tJ7> I i:LECTRICAL PERMIT APPLICATION
U-l=-J. -
97A.IJ, -- .::6vJ
11'6-3769 ' '
Authorizeo ~.glla\uft;
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
.).., q? () /-/.a,"?PJ('/V /'3/1./-,
~ity J~bNumber OO-oC>5q~~O \
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LEGAL D~S~PTION
I "::}-();)"l '1 00 () lQif)
JOB DESCRIPTION
/i' 6"'/,L..L./ />7/7("fi, 5C><://(?'l'.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance o~ if work is suspended for
180 days,
2. CONTR:ACTOR INSTALLATION ONLY ,B.
Electrical ContractorAL1LE' EL~
Address ,.::r./" / / r-f /J /,n/
Ci ty ~ /"./ CoP Phone, .7...2. t' ~7 0/
Supervisor License Number ] O.z...J J
Expiration Date /~///o/
Constr Cont~. Number ::l-cJ.J G';z. c
Expiration Date /0///0/
Signature of Supervising Electrician
A~.?
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Owners Name -?'''-'''A'';:'' ~ "r7/"f':?/'-'"'
Address Y (7 ~ ?
City"'-// ..ra
~?t!P<'P 6;a/'9J;'
Phone? y( $" A jt/
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELO\l
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
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$"40/1
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 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 Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
fo.o"
35"
; (>0
5.5/0