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HomeMy WebLinkAboutPermit Electrical 2000-07-28Job# 00-01167-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of ? SPR!NGFIELD TRnlle+ . fl 1 -nnnrJT''lrlI l\nl\Lrtt ' UI UUUL { Ul DflTE:JUL ?E :0fi$ AHT RE[D:1 S 1OC.CO CHANGE:$ 45.ilO IASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3095 Yolanda Ave Spr AssessorsMap#: 17021933 Lot: Block: Addition: Job Number: 00-01 1 67-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01201 Subdivision: ctTY oF SPRfiNGFfiEL4 OREGON Owner: Address: Scope Of Work: Electrical Only Pump sub panel Phone Number: City/State/Zip: Demolish Value: $0 NOTICE: office use _TH|S pERtVilT SHALL EXptBE TFTHE WORK Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Range: AUrHoRlzEr* wBlfi djdbupEHM tr ts NUl" cotui tui ENC Eooft l&ne$i@6uFD FoF ANY 180 DA\ttt&tffirrce: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. 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 Electrical rutes aclopted by the Oregon Utiliti Center Those rules ar€ set fot: Rough Electrical Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main - Prior to cover. -When allelectrical Accessory: work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: oAF 952-001 -001 0 through oAB 952-00r 't)90, You may obtain copies of the rulos b calling the c€fltet. (Not6: the tel€phone ,, , rmber lor the Orcgon Lltili$ Nofrllcatio" '':-l^' ;.- ' 'l^^. ?n?.t!a4A\ Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Permanent: 200 Amps or Less State Surcharge For Electrical Permit 07t2812000 07t28t2000 $50.00 $3.502702 1 Job# 00-01167-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Electric Administrative Fee Tota! Electrical 07t28t2000 2702 $1.50 $55.00 Grand Total $55.00 Signature Date CITY OF SPR"VGFIELD, OREGO'V SPFT. -iFIELC, Th_e loilowing pro1ect as submittect has the followinozonrng ano does nol regurre specrrrt'ianj,ule,,,yapproval Zoning L- 225 FIFTE STREET DAIE 7-z?- n SPRINGFIELD, OREGON 976il,lnzeo Srsnarure INSPECTION REQUESTz 726-3769 - OFFICE: 726-3759 1. IOCATION INST EIJCTRTCAL PERHIT APPLICATION ty Job Nunbe. aO'6f 3. COHPI,ETE PBE SCEEDTILE BBLOS A. Nev Residential-Sing1e or Multi-Family per dvelling unit. service rncluded t aa"rns cost 1000 sq.ft. or less $ 85.00 gach additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or -Hodular Dvelling Sertice or Feeder . S 40.00 B. Services or Feeders Installation, Alterations or Relocation: _ol ot r-o 1 DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CO}ITRACTOR INSTALI.AIIION ONLY E1 rical Contractor Address Ci ty one Supervisor Li Number Expiration e Cons t r tr. Number tion Date ture of Supervising Electrician Ovners Name Address Ci ty Phone gA OVNER INSTALI,,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps'"or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voIT 200 amps or less I 201 amps to 400 amPs _401 amps to 600 amps _ 601 amps to 1000 amPs_ Over 1000 amps/volts Reconnect 0n1y SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL IJGAL {7r> DESCRIPIION 2-\q,v3 $s0 S60 s100 s130 s300 s40 Sum aSove- 00 00 00 00 00 00 s 40.00 s ss.00 s 80.00 s[')5A- - c. D. Branch Circui ts . .- Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) s see ItBr' -Each installation Pump or irrigation S sign/outline Lighting- $ t iilitea Energy/Res - $ 40.00 40.00 20.00 36.00 oO 5 RECEIVED BY:6- ,i()