HomeMy WebLinkAboutPermit Electrical 2000-01-18SPRINGFIELD
Job# 00-00066-01 Page 1 of 2
Job Number: 00-00066-01
Office: 726-3759
!nspection Line: 726-3769
Tax Lot #: 1 1600
Subdivision:
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 727 N 00008th St Spr
AssessorsMap#: 17033512
Lot: Block: Addition:
ctTY oF SPR7NGFIELD, OREGON
Owner: Steve Houser
Address: x
Scope Of Work: ElectricalOnly
Gontractor Type
ElectricalContr
Contractor
Glen Neal Electric
4715 Fox Hollow Road, Eugene, OR
97403
Registration #
93953
Expiration Date
9t2112000
Phone
541-485-2472
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. All insp_ections requested before 7:00
a.m. vtiill be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Rough Electrical
Electrical Service
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Electrical
-Prior to cover.
-Must be approved to obtain permanent power,
-When all electrical work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Code: Does not apply
(sq.
Main:Accessory:Total:
Phone Number: 541-747-8034
City/State/Zip: x, OR
Alteration Value: $0
Job# 00-00066-01 Page 2 ol 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
01t18t2000
01t18t2000
01t18t2000
01t18t2000
1
15
$50.00
$30.00
$5.60
$2.40
$88.00
$88.00
/-ts -zo
Date
a OREGO'VCITY OF
225 FTYTE STREET
SPRTNGFTELD, OREGON
INSPECTION REQIIEST: .q
OFBICE: 726-3759
1
I,EGAL DESC?,IPTION 0-1>
DESCRI
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
Address A
Ci ty Phone 4S f -eL{7 z
Constr Contr. Number 9s?E3
Expi ration Date ld -D C
Signature Supervising EIect r CIEIN
City Job Nunber 0O " 000 65.. O t
FEE SCEEDT'LE BELOIT
A. Nev idential-Single or
Hulti-Family per dvelling unit.
SPr jFIELE,
Serviee Included:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
200 amps or less |
20L amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
200 amps''or less
201 amps to 400 amps _Over 401 to 600 amps
0ver 600 amps or 1000-tofT
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t LA
Srgnature
iHjty'srrcrRrca,, p'Rltrr App,,rcArroN
$
$
$ss
3
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ 40.00
s 40.00
$ 20.00
$ 36.00
40.00
55.00
80.00
ee rBr a6Ove-
Sum
2. COITIRACTOR INSTALTATI0N ONLY B. Services or Feeders
Elec triear contrac to, G I e,^ f) . *l E( ",4 . ::';:ll::t?:;, A1 terat ions
Supervisor License Number ffi3st-6s
Expiration Date /n -t
s so.oo
s 60.00
$100.00
$130.00
$300.00
$ 40.00
?
-c
D
Temporary Services or Feeders
Installation, Alteration or Relocation
0vners Name
Address
9l ,,2 ,l/u"s.<r
ci ty- Ynone 7'r 7 ^ ?DV L/
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
Nev, Alteration or Extension Per Panel
$ 3s.00
s 2.00 3a
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Outline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
aQ
RBCETVED BY:
5
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