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HomeMy WebLinkAboutPermit Electrical 2000-03-09SPRINGFIELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Pase 1 ot?*R^tst, ol-ooooE?o DATE:l{ffR 09 2000 At{T RE[D:? $ 2]..60I $ ?1.60I $ 1.00 IHANEE:$ 0.?0 IASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 162 Woodlane Dr Spr AssessorsMap#: 17032622 Lot: Block: Addition Job Number: 00-00280-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00206 Subdivision: .k ctTY oF SPR|NGFIELD, OREGON Owner: Euster Brock Address: 34356 Deerwood Dr Scope Of Work: Electrical Only Phone Number: City/State/Zip: Alteration 541-746-6962 Eugene, OR 97405 Value: $0 Contractor Type ElectricalContr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Adt Security 1501 PearlSt, Expiration Date # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Phone 541-342-1313 Land Use: Zoning Code: Bedrooms: Range: "n-ue4.d\ To request an inspection call the 24 hour recording at 726-3769. 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. Low Voltage Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (sq. Main: Required lnspections THISPERMIT THEWORK AJTHORIZED UNDER THISPERI/IITISNOT COMMENCED OR IS ABANDONED FOH ANY 180 DAY PERIOD. # Of Stories: Gurrent Units: Gensus Gode: Does not apply Tota! Height (feet): Proposed Units: Accessory Fee Paid On Receipt# Value/Quantity Fee Amount Limited Energy - Residential State Surcharge For Electrical Permit 03/09/2000 03/09/2000 870 870 $20.00 $1.40 Job# 00-00260-01 1 7, Job# 00-00280-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electric Administrative Fee Total Electrical 03/09/2000 870 $.60 $22.00 Grand $22.00 ?- "- oc2 Date Electrical il'[,,h q-1D sr ,cFlELo the tollowing land use BIACIRICEt CitY Job' Linited EnergY/Conn SUBTOTAL OF ABOVE 5Z State Surcharge?7 6,lminiclt.2tivp Fee (\" {\ \ N & tA N-t-- ea \qa aa l:;,1?1"};l'JJ:1";:ffi :,[':?ffi i" qfr, apPloval Date rt-L Zoning lJ llfplnorrzeci Signature 726-3769 OT INSTALIATION CoI{PI.ETE PEE SCEEDT'I'E BEIOS Neu Resldential-Single.or , r;iliri:Filily per dvelling unrt' Service Included, ,,"* Cost 1333:ftfli"il,'!33 -Sg. ft or Portionthereof - Each l{anuf 'd Hone' or Hodular 'DueIIing Servlces or Peeders initirution, Alterations or Relocation: 200 amPs or less - 201 anis to 400 arPs - '401 anps to.600 aDPs - 501 an-ds to 1000 SnPs- over t0OO amPs/volts - ff3t:iifl , ff :'ii::,3i' Ii"3i'i'lo"" t ion PBRI{IT APPIJCATTON' 0 '0ae B 0-0 t s 85.00 s 15.00 s 40.00 v-1- aa_ 225 FI,rm sItEEf, SP&INGPIEI.D' OREGON INSPECTION REOIIEST: orrtCet 726-3759 q</D 3 I b )IN OOD €?7qzz A. SumI.EGAte ci Phone lL2-l ?l? Supervisor License Number q3I Explration Date 0 Constr Contr. Number 599 Expiration Date-E signa of Supervising Electrician Ovners €/ Address 3?zsa DeeT uod Dn ci ?ub* bQbt OI'NEB INSTATIATTON L{85- s35t 201 an-ps to 400 anPs - Over 401 to 500 ilP! ., Over 600 amPs or 1000 votts Branch Circults -Eacn iastdlatJoa Puno or irrigation sisir/Outline Lighti t iili ted EnergT/Res Ner, Alteration or Extension Per Panel One CircuitiIIn aiiiiionar Circuit or vith Service or Feeder Pernit -l{iscellaneous (Servlce/feeder not lncluded) .8. c. E, s 50.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 see iBr above $ 35.00 $ 2.00 The lnstallation is being made on irooertv I om uhich is iot iateadd hor'sa1l, leasE or rent' Omers Signature: 10,@ l'o -t ,L-.; r 60DATE:7 -l-o,o u)5 0 5 JOB DESCRTPTION Permi'ts are non-transferabl: "ll expire i;-;;;k ii not siiitea vithin 180 daYs of issuance or ti-noik is suspended for 180 daYs. 2, COI{ITACTOR INSTATIATION ONLY Electrical Contractor ADT S6cur{ty : Address l50l Peart st 1 q-\D L li} ..I\IGFIELO qfr,FEE 1? 2000 225 EI,YTr STREEf, SPRINGFIEI.D' OREGON 974 INSPECTION REOI ESaz 72 OFPICE: 726-3759 1 approval Zoning A\Jthoilzeci Signature 77 The following proiect as submitted has the following ,oninS, .nOloei not require specific land use {L PBRr{rr APPrrcArrrn u*?[[TEEu Job 'Nuober ea#'0_t-l- AHT R Items Cost s 85.00 $ 40.00 00 ? $ n.&0 ? $ 3B.BB 2 $ 62.72 I.OCATION I t",s l OF INSTALIATTON ?7qtz € 9 ,'61 enC u ,1 o32€,a- oolsA IJGAT DESCRIPTION JOB DESCRIPTION A1a Ins ta11a {an 3.CO!{PI^ TE FEE SCEEDT'I.E BELOV Neu Residential-S HuIti-FamiIY'Per Service Included: ingle or dvelling unit.yv ooAL*t\/{Pr. .B c. E Sum Permi'ts are non-transferable a1! expire ii-rorft is not started vithin 180 days ;; i;;;";".'oi if work is susPended for 180 days. 2. COTTRAffOB INSTALI.ATION ONLY Electrical Contractor ADT Secur{ty , Address 15 0l Pea r1 Sr Ci tY ne Phone 342-t1t I Services or Feeders fnstallation, Alterations or Relocation: 200 amPs or less S ;oi ;;; io aoo amPs - i 401 amps to. 600 amPs - i 601 amfs to 1000 SmPs- : Over 1000 amPs/volts - : Reconnect OnlY ) 201 amps to 400 amPs - 0ver 401 to 600 amPs . Over 600 amPs or 1000 volts Branch Circuits 1000 sq.ft. or Iess each additional 500 sq. ft or Portion thereof Eaeh l{anuf 'd Home' or Hodular 'DvelIing Sertice or Feeder -Each installation Pumo or irrigation Sigir/OutIine Light Limited EnergY/Res 50.00 60.00 100.00 130.00 300.00 40.00 40 55 80 s s $ Supe rvisor License Number FCJ -rr't ExP iration Date 0 2 '/) Constr Contr. Number 59 944 Expiration Date- Sigpat of Supervising Blectrician 0rne rs NameZ / Address 3l?s a Deer ^loil D-/1 ci 5 phon"1t(o * bqbL OSNER INSTATIATION L{85- s35t I;3UIi:t' ff :'ii::.3[' fi"lirie]oca t i on Nev, Alteration or Extension Per Pane1 One Circuit Each Additional Circuit or vith Service or Feeder Permit -HiscelLaneouS (Service/feeder not included) .00ilBx abovesee $ 35.00 $ 2.00 s 40.00 20. The installation is being made on iior.itv I ovn vhich is not intended hor'sa1l, IeasE or rent' Omers Signature: qo o Limited EnergY/Comm SUBTOTAL OF ABOVB 5Z State Surcharge 17 Administrative FeeDATE:2 6o 6 hd. .4. s 15.00- - I5.