HomeMy WebLinkAboutPermit Electrical 2000-09-28SPRINGF!ELD
Job# 00-01465-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-01465-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 10004
Subdivision:
THANSS:01-0001i27
I}ATE:SEP 28 TOOO
Al'1T RE[n:? $ 40.?0
THANGE:
nn l-1t lTrn, l.rrn
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1408 Mohawk Blvd Spr
AssessorsMap#: 17032533
Lot: Block: Addition
ctTY oF sPRtntGFtELq OREGON
Owner: Tom Hammomb
Address: 1408 Mohawk Blvd
Scope Of Work: ElectricalOnly
2 circuits
Phone Number:
City/State/Zip:
New
541-746-4611
Springfield, OR
Value: $O
Contractor Type
Electrical Contr
Contractor
Able Electric
Expiration Date
7116103
Phone
541-726-6701
Registration #
92506
5511 Main Street, Springfield, OR 97478#l-f€AJDC^,.,,
'4.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
So foi
)o.
00
itr
To request an inspection call the 24 hour recording a1726-3769. All inspections
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made
working day.
Required lnspections
ng
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:Accessory:
eLeciitU0fi,._ l
-When all electrical work is coffie.' vC:
- ",*",ffiflffi
'::, {[,:
current Units: iioposeo unitsl-4.'
Census Code:Does not aPply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
2Branch Circuits WO Feeder or Service 0912812000 3327 $37.00
Office 'e9nt
Land Use:
Zoning Gode:
Bedrooms:
Range:
3qu
Job# 00-01465-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
State Surcharge For Electrical Permit
Electric Ad ministrative Fee
Total Electrical
0912812000
09t28t2000
3327
3327
$2.59
$1.11
$40.70
Grand Total $40.70
Signature Date
,.l
tt\-elrt or OREGOil
s,PRTHGFIELO
225 FIFTE STREBT
SPRINGFIELD OREGON 97 477 Zoninq
CAL PERHIT APPLTCATION
Ci ty Job Nwober 00 -0lttc ,01
COHPLETE FEE SCEEDUi;E BELOS
Nev Residen*'ial-single or
MuIt:.-FarniIy per dvelling unit'
service rncruded, ,a"*s cost
{ollowing
l! usg
4 {.
W,iffilflo'C c, t*"2a54 tml
INSPECTION REQUEST : 72$-,f769 *'*"'
OFFICE
1. LO
: 726-3759
Authonzec Stgnaturc 3.
OP INSTALLATI
A
OB DESCRI ON /.-ou)
c
D
E
Electrical Contractor A /lF E/ lc
Address 5/,/z fr ,/J /,n/
Ci ty 97,r2^a Phone 7)/ 170/
Supervisor License Nunber os-J 5J
Expiration Date 7o o/
Constr Contr' Number 2-d )62c
Expiration Date ./O
Signature of Supervising Electrician
0vners l',lane a?2 zt oD
Address ,//a*4e./.<ztK 6l't'Q
Ci ty ,.rF ,q 7,n7,trpL?Phooe 2r.6 Y6/./
OIINER INSTALLATION
The ins talLat ion is being ::'ade on
proP"tt)' I ovn vhich is nci intended
for sale, lease or rent'
0wners Signature:
DATE:
i-000 sq. f t. or less
. Each additional 500
n; se. f t or Portion
thereo f
Eaeh Manuf'd Home' or
Moduiar Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAI.
200 amps or less
2C1 amps to 400 amPs
-
401 amps to 600 amps
-
501 amps to 1000 amPs-
Over 1000 amPs/volts
--Reconnect 0nly
Ten:,porary Services or Feeders -i""lirriiio", A]teration or Re]ocation
200 amps''or less q
ioi ;;; io aoo amPs
-
i
Over 401 to 600 amPs
-
D
Over 600 anPs oL- 1000 volts s
Branch Circuits
Sum
Permits are non-transferable and expire
ii-rorf. is not staited vith:'n 18C days
;; ;;;;";i" ot if uork is susPended for
180 days.
2. COIITBACTOR INSTALLATION ONLY
s 8s.00
$ ls.00
$ 40.00
$ 50.
$ 60.
s100.
$130.
00
00
00
00
$300.00
$ 40.00
Nev, Alteration or Extension Per Panel
one circuit / g 35.00 )5'"0
Each Additional
Cireui t or vi th Service 'z- oC
Miscellaneous (Service/feeder not incJuded)
-Each insta]lation
Pump or irrigation
Sign/Outline Lighting--
Lirni ted EnergY/Bes
-
Limited EnergY/Comm
40.00
55.00
80 ,00
ee rrBr a56F
.00
.00
.00
$
$
$
$
00
3 ?-oo
40
40
20
JO
5
RECEIVED BY:4a^o0