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Home My WebLink AboutPermit Electrical 2002-02-19225 Fifth Street Springfield, OR974T7 Location Of Proposed Site: 3160 pheasant Blvd Spr AssessorsMap#: 17032213 Lot: Btock: Addition: Page 1 of 2 Job Number: 02-00100-01 Office: 726-3759 lnspection Line: 726-37 69 S; *l-*ilr:*Srllr :FEE ;? ?,LTJ$;l g ,3i.2, [H*l'JtiL. flf;,qHi[ft;i']l!RES'DENTIAL PERMIT City Of Springfietd Community Services Division Building Safety Tax Lot #: 04000 Subdivision: 1 Job# ct7y oF OREGOAf Owner: Scott Williams Address: 3160 Pheasant Blvd Scope Of Work: ElectricalOnly Gas Furnace Service change Phone Number: City/State/Zip: Alteration 541-521-2110 Springfield, OR 97478 Value: $O Gontractor Type Electrical Contr MechanicalContr Contractor DMH Electric PO Box 4BB, Lowell, OR 97452 Dean Heating and Air 4301 Main, Springfield, OR 97478 Registration # 116021 Expiration Date 7t25t03 Phone 541-937-3721 541-767-06261 33733 2123t03 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: Required Inspections Electrical Rough Electrical Electrical Service Fina! Electrical - Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Mechanical Rough Mechanical - Prior to cover. Final Gas -When all gas work is complete. Final Mechanical -When all mechanicalwork is complete IIIGTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAYPERIOD' # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour 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. Construction lypes; Occupancy Groups: # Of Buitdings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: Fee # Of Stories; Current Units: Census Code: Does not apply Total: Paid On Receipt# Height (feet): Proposed Units: Page 2 of 2 Accessory 1 Minimum Electrical permit Fee lvlinimum Electrical permit Fee Permanent: 200 Amps or Less Branch Circuits WO Feeder or Service State Surcharge - Electrical State Surcharge - Electrical B% Admin Fee - Electrical B% Admin Fee - Electrical Total Electrical 01t29t2002 02t05t2002 01t29t2002 02t05t2002 01t29t2002 02t05t2002 01t29t2002 02105t2002 7893 7941 7893 7941 7893 7941 7893 7941 Value/Quantity Fee Amount $.00 $.00 $63.00 $58.00 $4.41 $4.06 $5.04 $4.64 $139.15 1 6 Electrical Mechanical Minimum Mechanical Permit B% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Jt/echanical Total Mechanical 8077 8077 8077 8077 8077 $33.00 $3.60 $12.00 $10.00 $3.15 $61.7s 02t19t2002 02119t2002 02t19t2002 0211912002 0211912002 1 Grand Signatu $200.90 7--( Date u -o LEGAL D ESCRIP JOB DESCRIPTION Permits are -transferable if work is of issuance MuIri-Family per rlrrelling unit. Service fncludetl: aPProval. and expirgonq6g aoo *ztt o L?R Horne or $ 19.00 Items Cost $106.00 $ 50.00 180 days. Date Sup en ising Electrician sq. ft or Over ,'B" a D. Branch r,vithin 180 days t -&-04 if rvork is susperWS terrrf?:,.. Authorized Signature Service or Feeder ALLATION ONLY B. Ser-vices or tr'eeders Installation, Relocation: 200 anrps or 201 arnps to 401 2.C Electrical' Address _ $2s tion Fee is 545.00 + TOTAL 77 ..: d.ai o Sum Over 401 to 600 aqps :' amps or I00O volts NervAlteral,ion or Extension Per Each OI E^^L-LdLlt Pump or irngation Sign/Outline Lighting Limited Energy,G.es Limited Energv/Comm NurnberLicense C. a' $100.00 E.not included) Lt{ 't 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ELL IlICAL PERMIT APPLICATION Citv Job or per drvelling unit. s 1. LOCATION F INS 'oz LEGAL DESCRIPTION Aurhonzed Sisnatureila \=zt< octo<:c JOB DESCRIPTIONrt\fi 6 <t c<---i a-s Permits are non-transferable and expire if rvork is not started within 180 days ofissuance or iflvork is suspended for 180 days. ,t i:. 2. CONTRACTOR INSTALLATION ONLY Serryice 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Drvelling Service or Feeder $106.00 -- Items Cost Sum Electrical Contrtrctor l.!a Address Expiration Date of Super-visin g Electrician *ll,".: not inclu FTHEW .00 FOE- $z5.oo : t:g,yt7v"f ?,,{One ,t* r-72c-/( C) O'tvners Signature luinirAi'lX 4, SUBTOTALOFABOVE 7%o State Surchlrge 87o Atlministrative Fee spection Fee is S45'00 * Surcharges TOTAL L6"9 Supen'isor License.Nurnber <q q4, - Constr Contr. Expiration Orvners N BELOW s 19.00 _ and B. Serrrices or Feeders Installittion, Alterations or Rclocation: 200 amPs or less 201 amPs to 400 amPs -+() t tnlps to 600 amPs 6ol lrrnPs to 1000 arnPs Over 1000 amPs/volts ' Reconnect OnlY $ 63,00 $ 125.00 --$I63.00 -_$375.00 - - $ 5o.oo - Instlllatir.rn, Alteration or Relocation s50.00 $69.00 .- $100.00 $43.00 J_a OWNER INSTALLATION The installation is being made on properB* I olvn lvhich is not intended Per Panel E. Nliscelllneous (Ser-viceifceder cp €u,--t6r-