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HomeMy WebLinkAboutPermit Electrical 2001-05-01SPFINGFIELD Job# 01-00445-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page '1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1428 Olympic St Spr AssessorsMap#: 17032532 Lot: Block: Addition: Job Number: 01-00445-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 09500 Subdivision: crTY oF SPRTNGFiELD, OREGOTV Owner: CAROL JAMES Address: 1428 OLYMPIC STREET Scope Of Work: Electrical Only Phone Number: City/State/Zip: Addition 541-746-7400 SPRINGFIELD, OR 97477 Value: $0 Contractor Type ElectricalContr Contractor Jb Electric lnc 4065 W 1 1Th #18, Eugene, OR 97402 Registration # 104929 Expiration Date 311412004 Phone 541-687-5770 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 inspection callthe 24 hour recording at726-3769. 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 !nspections Electrical Rough Electrical Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: - Prior to cover. -When all electrical work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not aPPIY Accessory:Total: Job# 01-00445-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical nature 0510112001 0510112001 05t01t2001 5118 5118 51 1B 2 $37.00 $2.59 $1.11 $40.70 $40.70 { ^, Date 1 OF LEGAI I JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAILATION ONLY Electricaf Contractor eaaress4 A tn +# Ci ty Supervi License Numbe 3?,}S Expiration Date Constr Contr. Number Expiration Date Signature ing Electrician aaaress / ELBCTRICAL PERI{IT APPLICATION City Job Nunber COHPLBTE FEE SCEEDTILE BBLOIJ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B.Services or Feeders fnstallation, Alterations or Relocation:)rrY 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts _ Reconnect 0n1y C DEVELO P M E NT S ER VI C E S D E PARTM EI'IT OFFICE: 726-3759 SFFlINGFIELD D. Branch Circuits E 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-s753 FAX (541) 726-3689 z Sum $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.0 201 amps to 400 amps - $ 55.0 over 4b1 to 600 amps -- $ 80.0 0ver 600 amps or 1O0O voTTs see rtB 0 0 Ci ty Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: Nev, Alteration or Extension Per Panel ,5O - one circuit ( $ 3s.oo { Each Additional - ' *0--Circuit or vith ServiPe A %- or Feeder Permit I $ 2.00 /r Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ SignZoutline Lightitg- q Limited Energy/Res $ 0 " aE6iE- not included) 40.00 40. o0 20. oo RECEIVED BY: 5.SUBTOTAL OF ABOVE . 7% State Surcharge \.n 32 Administrative feeiD"D TOTA.L I vhon4Js157il 225 FIFTH STRXET SPRTNGFIELD,477 INSPECTION 0vners Name