HomeMy WebLinkAboutPermit Electrical 2000-08-04SPR!f,GFIELD
Job# 00-01206-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
TRAI'ISS:01-000I8?2
DftTE:AUE 04 200C
A|,iT HE[D:? $ 59.40
CHANGE:
IASHIiR:05?
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 928 00005th St Spr
AssessorsMap#: 17033521
Lot: Block: Addition:
Job Number: 00-01 206-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 07000
Subdivision:
ctTY oF SPRINGFfiEL4 OREGON
Owner: Anna Lawrence
Address: 928 5th St
Scope Of Work: Electrical Only
New Service and 2 circuits
Phone Number:
City/State/Zip:
Alteration
541-736-0052
Springfield, OR97477
Value: $O
Contractor Type
ElectricalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Builders Electric lnc
195 Madison St, Eug
Ivo r/ce
,earq O,g/S
'loD
Bedrooms
Range:
Registration #
4296
Expiration Date
12110103
Phone
541485-0922
IF
IHIS
To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made the same
working day.
uested after 7:00 a.m. will be made the following
,090.You
Electrical Service
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
M
'r,ri
t'rio I
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Code: Does not apply
Area (Sq.
Main:Accessory:Total:
*
Buildings:
Heat Source:
Sq. Footage:
Group:FOR
Job# 00-01206-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
0810712000
08t0712000
0B/07/2000
08t07t2000
2822
2822
2822
2822
1
2
$50.00
$4.00
$3.78
$1.62
$s9.40
Grand Total $59.40
Signature Date
fl TY OF OREGO'U
SP liFIELIf
1.-- LOCATTON _0F,INSTALLATTONqk N Rfh Authorized t'nlY:
225 FIFTE STREET
SPRTNGFTELD, OREGON 97 477
fNSPECTfON REQUEST2 726-3769
OFFICE: 726-3759
Date
I..EGAI DESCRTPTION
JOB ON ec C Ur
Permi ts are non-trans ferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
LBO days.
2. COIITRACTOR INSTALI..ATION ONLY B.
Electrical contr""to. B,Oi lc\efS 6bctriC
Address e n€ 0e g?toZ 2oo amps
ber
LETE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
InstalIation, Alterations
or ReLocation:
PERHIT APPLICATION
mps/voI t s
nly
0D-cr-106-o
s 3s.00
s 2.00 4-cc:
not included)
40.00
40. oo
20.00
Sum
Ci ty Phone 4r5-
Supervisor License Number 3290-3
Expiration Date
Constr Contr Number +Zq U
Exp iration Dare lZ' lO' O3
s of Supervising Electrician
20L amps
401 amps
601 amps
Over 1000
Reconnec t
less
400 amps
600 amps
1,000 amps
s s0.00
s 60.00
s100. 00
s130.00
s300.00
s 40.00
or
to
to
to
al
0t
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or Iess $ 40.00
201 amps to 400 amps
-
g 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTts see rrBrr a56tt
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Ovners Name
Address 3t 5
Ci ty Phone V3b'0D53
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature: '
DATE:
(
C
E
One Circuit
Each Addi tional
Circui t or vi th Servi"e.
or Feeder Permi I )-
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/outline Lighting- $
Limi ted Energy/Res
-
$
Limited Energy/Comm $
5 SUBTOTAL OF ABOVE
7% State surcharge
32 Administrative Fee
TOTALRECEIVED BY:
qil+ oc
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I
tufi
evaen€
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KEVELTL *