HomeMy WebLinkAboutPermit Electrical 2000-05-10SPRINGFIELD
Job# 00-00684-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 ot2
TRA|JSfi:01-0001641
DATE:HAY 10 ?OOO
AltT REID:I $ 42.90
IHANGE:
CASHIER;059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 149 00005th St Spr
AssessorsMap#: 17033531
Lot: Block: Addition:
Job Number: 00-00684-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 05000
Subdivision:
ctTY oF sPRtAtGFtELq OREGOTV
Owner: Sherry Hiatte
Address: 663 Ridge Dr
Scope Of Work: Electrical Only
Phone Number: 541-746-4078
City/StatelZip: Springfield,OR
Alteration Value: $O
Contractor Type
ElectricalContr
Contractor
Able Electric
5511 Main Street, Springfield, OR 97478
Registration # Expiration Date
92506 7116103
Phone
541-726-6701
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working day, i
working day.
Rough Electrica!
FinalElectrica!
EODAY
# Of Buildings:
Group:
\F urce:
EXP\BE
uested before 7:00
a.m. willbe made the following
Required lnspections
Electrical
-Prior to cover.
-When all electricalwork is complete
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
il\ov
Office Use
-
Land Use:
Zoning Code:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
;Area (Sq.
I u"in,
Feetl
Accessory: Total:
I
Job# 00-00684-01 Page 2 of 2
Fee Paid On Receipt#Value/Quantity Fee Amount
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
05/1 0/2000
05/1 0/2000
05t10t2000
1641
1641
1641
3 $39.00
$2.73
$1 .17
$42.90
Grand Total $42.90
Signature Date
OFEGOA'
SPRINGFIELD, OREGON [],,hll*a Siqnature
INSPECTTON REQTIEST I,'726_3769
oFFICE: 726'3759
1. LOCATION OF INST ALI,A,II9NI /z-/, Kq
IJGAL DESCRIPTION
4 PTION5,./4P57 7Z1 f .r/ri</Ef
\ INGFIELO
Nev, Alteration
One Circuit
Each Additional
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOIAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAI
The following proiect as submittecl h3: tl'"-loll:.i'
);;ffii?;"ao"t not tequite speciric land u:'.'
apProval
Zoningq-lo -
l1.,/t-
225 FIFTH STREET Date
Electrical. Con tracrot A /Zr E/ lc
Addr
Ci ty
Supe
-r/,// ,4 .,rJ ztz
l7.rzz Yhone ?)/ l?o/
rvisor License Number )o.L) 5
Expiration Date o o
Constr Contr. Number 2-d )62c
Expi ra t i on Date ./ O
Signature of SuPervising Elec
. ELE TRICAI PERHIT APPTICATION
City Job Nunber L)0" 0 06 K -e)
3. COHPI,ETE FEE SCEEDT'LE BELOV
Nev Residential-Single or
MuIti-FamiIy Per dvelling unit'
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DveIIing
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
C. TemporarY Services or Feeders
Installaiion, Alteration or Relocation
NOTICE:200 amps"or less s 40.00
amPs s ss.00
amDsr 1000 volts
$ 80.00
see "Btt aE6vf
A
Sum
JOB DESCRI
F,.,oZ,a <,<
$ 8s.00
$ 1s.00
$ 40.00
$ 40.00
s 40.00
$ 20.00
$ 36.00
3 7 'o
Permits are non-transferable and expire
if vork is not started vithin 180 days
of i"tu"nce or if uork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
ess $ s0.00
s 60.00
s100.00
$130.00
$300.00s 40.00
Ovners Name )l/nr<rz
Address
or Extension Per Panel
/ s3s.oo )foo
Circui t or vi th Service ,z a. .-)or Feeder Permit 2 S 2'00 7'tt v
l'liscellaneous (Service/feeder not included)
2 F'
Ci ty J r,/2 Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent'
0vners Signature:
DATE:
#*wvTF
E
RBCEIYED
5
- l7j-'./:-.
*2.q9.-
CITY OF
s$rr+eRtzED UNDEB
OR,S
o' 600
i ts
BY: