HomeMy WebLinkAboutPermit Electrical 2000-05-31SPR!NGFIELD
Job# 00-00841-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
TRftNS*:01-0001?3?
DAIE:l'tAy tl t000
AHT RE[D:? $ I?.OO
[Hfti.JEE:
IASHIER:0S9
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3622 Oregon Ave Spr
AssessorsMap#: 17023142
Lot: Block: Addition
Job Number: 00-00841 -01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 05604
Subdivision:
ctTY oF sPRtNcFrELD, OREGOTV
Owner: Lyle Glenny
Address: 3622 Oregon Ave
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
541-744-1693
Springfield, OR
so
@OoContractor Type
ElectricalContr
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
Contractor
Adt Security Services lnc
1501 PearlSt, Eugene, OR
Registration #
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Phone
541-342-1313aua
#OfBu
Occu
Heat So (nSq
To request an inspection callthe 24hour recording a1726-3769. 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 lnspections
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
1Limited Energy - Residential 05/31/2000 1957 $20.00
Electrical
I
Job# 00-00841-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrica!
State Surcharge For Electrical Permit
Electric Admin istrative Fee
Total Electrical
05131t2000
0st31t2000
1957
1957
$1.40
$.60
$22.00
Grand Total $22.00
Signature Date
C'TY OF SPR OREGO'U
225 BTYIE SltsEET
SPRINGTTEU), oRBGoN 97 417
rxCpgcrrou nnoussrz 726-3769
OPPICE: 726'3759
S IGFIELO
BI.ECIRICAL PERITIT APPIJC,ATION
City Job Nunber 0-BLI I a/
3. COT{PI.ETE TEE SCEEDI'IJ BELOS
1 OF INSTALI.ATION
JOB DESCRTPTION
e
Electri cal Contractor ADT Security
tr661s5s 1501 Pearl St.
Ci ty Eugene, OR Phone 541-342-1313
Supervisor License Number 853JLE
ExP iration Date L0/02
Constr Contr. Number 26209CLE
Exp iration Date I 0/0r /00
Signa ture of SuPervising Blectrician
Ovners Name
Address 962L fir
Phone / Q q-lK q7
c.Temporary Services or Feeders -iliJGiion, Alteration or Relocation
New Residential-Sing1e or
HuIti-FamilY Per dvelling
Service Included, ,a"r"
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home' or
Hodular 'DveIIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnIY
200 amps'"or less $,oi ffi; io aoo amps
- t
over 401 to 600 amPs
-
$
0ver 600 amPs or 1000 volts s
Branch Circuits
A.uni t.
Cos t
$ 85.00
Sum
Permits are non-transferable and expire
ii-r;ri is not staited vithin 180 davs
;i i;;;;"" ot if vork is susPended for
180 days.
2. CO}TTRACTOR INSTALI.ATION OI{LY
$ 15.00
$ 40.00
"e
uBu a56E
$ 3s.00
B
D.
$ 50.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
40.00
5s.00
80.00
Nev, Alteration or Extension Per Pane}
Ci ty
0mers Signature:
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited EnergY/Res +
ABToTAL 0F ABoVE
W iffiH'ltlltiiE"'""
TOTAL
OIJNER INSTALI.ATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
$ 2.00
E Miscellaneous (Service/feeder not included)
$ 40.00
s 40.00
$ 20;00
$ 35.00 -
eo
DATEI o
RECEIVED BI:
5