HomeMy WebLinkAboutPermit Electrical 2000-05-31SPRINGFIELD
Job# 00-00840-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 ot2
TRANSS:01-0001956
DATE:||AY 31 2000
Al'lT RE[D:2 $ 22.00
IHANEE:
IASHIER:059
h,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2155 Yolanda St Spr
AssessorsMap#: 17032443
Lot: Block: Addition:
Job Number: 00-00840-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02400
Subdivision:
\
ctTY oF SPRTNGFTELD, OREGON
Owner: Carolyn Moore
Address: 2155 Yolanda St
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
541-746-1381
Springfield, OR
Value: $O
Contractor Type
ElectricalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Adt Security Services lnc
1501 Pearl St, Eugene, OR
istration # Expiration DateAt'*
Phone
541-342-1313(1a
Land Use:
Zoning
Range:
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections req
working day.
Required lns
Electrical
Low Voltage
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
s requested before 7:00
:00 a.m. will be made the following
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
o
1
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Restricted Energy - Multi Family 05/31/2000 1956 1 $36.00
2-o
2,
Job# 00-00840-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
05/31/2000 1956
0513112000 1956
$2.52
$1.08
$39.60
Grand Total $39.60
Signature Date
JOB
Electrical Contractor ADT Securlty
Address 1501 Pearl St.
ci Eugene, OR Phone 541-342-1313
Supervtsor License Number 853JLE
Expiration Date I0102
constr contr. Number 25209CLB
Expiration Date L1l 0L I 00
Signature of Supervising Electrician
0uners Name
Address
Permits are non-transferable and expire
ii vortc is not started vithin 180 days
oi ii"rrnce or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI,ATTON ONLY
s /TI.GFIELO
EI.ECIRIC.AL PERI{IT APPI.ICATION
City Job Nursber 0O'
3. COI{PL TE FEE SCEEDT'I.E BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
nictr adaitional 500
sq. ft or Portion
thereof
Each Hanuf'd Home' or
Modular 'Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
$ 8s.00
$ 1s.00
$ 40.00
@
9€E*#, // Phon"-2 ?l-Jis!-
225 FI,VTE SIREEf,
SPRINGFTEU), OREGoN 97477
INSPEsfIoN BEQIIESTz 726-3769
OFFICE: 726-3759
o
1. IOCATION OT
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
OOr amis to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnIY
Temporary Services or Feeders
Insta1laiion, Alteration or Relocation
s s0.00
$ 60.00
$100.00
$130. 00
$300.00s 40.00
see
$ 3s.00
$ 2.00
LO
.00
.oo
.oo
'Bu a55F
Sum
Y
c
200 amps'"or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amPs or 1000 volts
$
$
s
40
55
80
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E. Hisceltaneous (Service/feeder not included)
Ci ty
OITNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
0vners Signature:
-Each installation
Pump or irrigation
Sign/0utIine Light ing-
Limited EnergY/Res J-
Limited EnergY/Comm
ABTOTAL OF ABOVE
(Zfl State Surcharge
5Z edministrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20;00
$ 36.00
Ld.lD
DATB:
ATY OF OREGON
RECEIVED
5
27 da