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