HomeMy WebLinkAboutPermit Electrical 2000-02-28IEPRINGFIELD
Pase I of ftAi'igr, o1-oooo?4?
DATE:FEE 2E 2OOO
AHT RECD:! $ 110.00
IHANGE:
IASHIER:059
RESIDENTIAL PERMIT
City Of Springfield
Community Seruices Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Job Number; 00-00326-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03440
Subdivision:
clTY oF SPRINGFTELD, OREGOI'
Owner: Cozy Homes
Address: P.O. Box 237
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
New
541-747-8704
Springfield, OR97477
Value: $0
Gontractor Type
ElectricalContr
Contractor
Bills Electric
3170 West 1'tth Avenue, Eugene, OR
97402
Registration #
21351
Expiration Date
4t28t2000
Phone
541-341-8426
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. utiitt be made'the same working day, inspectiohs requested after 7:00 a.m. will be made the following
working day.
Rough Electrical
Electrical Service
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Required lnspections
Electrical
-Prior to cover.
-Must be approved to obtain permanent power
-\A/hen all electricalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main:Accessory Tota!:
Location Of Proposed Site: 6757 Simeon Dr Spr
AssessonsMap#: 17023411
Lot: Block: Addition:
tr
Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Tota! Electrical
v47
747
747
747
1
1
$85.00
$15.00
$7.00
$3.00
$110.00
02t28t2000
02t28t2000
0212812000
Grand Total $110.00
2-Zg -oo
Date
-Job# 00-0032E,47
--
.- --)
OF SPR,,VG FIELD,OFEGOfV
OT INSTALLAUON Nev Residential-Slng1e or
Hulti-FamilY Per dvelling
Service Included, ,,"rn=
200 amps or lessioi ffi; to 4oo amps -l
401 amps to 600 amps
-
601 anps to 1000 amps-
over 1000 amPs/r'olts
-
Reconnect 0n1Y
3,p6. ;IELE)
PEBI{IT APPLICATION
ob Nunber
FEE SCEEDIIIA BEI,OY
unit.
Cos t
s 85.00
$ 1s.00
s 40.00
g9
225 FI8TB STREEI
ignnrcrrul,D, oRBGoN 97477 -insrsc[roN nsougsrt 726-37
0PPI@: 726-3759
amps
ampsr 1000
s40
$55
$80
6*
.
a66G-
1 A.
IJGAL DESCRIPTION 4 )^o
.JOB
h] a,,,
2. CoI{TBACIoR INSTATI.ATION ONLY
Permits are non-transferable and expire
ii-vortc is not started vithin 180 days
;; i;;;";"" ot lf r,rork is susPended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
lnstaIlation, Alterations
or Relocatlon:(t(t
Sum
E5
t4
Electrical Contract I .s L C
€€
Address
cit It pno"e3{ 8/ZL
Supervi r License Number
Expiration Date */70
constr contr. Number
Expiration Date 7 DO f)
Signa ture of SuPe Eleetriclan
0uners Name.
Addr
Ci
INST ON
I;3uiill' :;:'ii::,li'Xi"3i'i"1o.' t ion
$ so.oo
s 60.00
s100.00
$130" 00
s300.00s 40.00
c
200 amps"or
201 amps to
0ver 401 to
0ver 600 amP l6Jts see
ess1,
\t
$r
rS
.00
.00
.00
flBrl
00
00
o
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circui t
Each AdditionalCircuit or vith Service
or Feeder Permit --
$ 35.00
$ 2.00
E.iliscellaneous (Service/feeder not included)
The installation is being made on
piop"tty I ovn vhich is not intendeC
ior-sale, lease or rent'
omers SiSnature:
-8ach installation
Pump or irrigation
sisn/Outl ine Lighting-
liilited EnergY/Res
-
Limited EnergY/Comm
s 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Admlnistrative Fee
TOTAI
5
DATE:
RBCETVED B
/oc
OITY
PffY TO THE ORDER t]F
EPRiNEFIELD BRANIH
UE NRIiINAL BANI( OF OREEI]N
Ft]R DEPOEIT []NLY 1 5]6 0145 25OB
IITY OF 8PRINEFIELD
DEUELOP|*,iENT SERUICES DEFAiTHENT
FEB 2E 2000/110.00/01-0000?47
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