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Home My WebLink AboutPermit Electrical 2000-12-18SPRINGF!ELD Job# 00-01806-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1112 0001Oth St Spr AssessorsMap#: 17032643 Lot: BIock: Addition: Job Number: 00-01 806-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 14600 Subdivision: GITY OF SPRINGFIELD, OREGON Owner: Bonnie Martinson Address: 1112 10lh Street Scope Of Work: Electrical Only New Service Phone Number: City/State/Zip: Alteration 541-747-7931 Springfield, OR Value: $O Contractor Type Electrical Contr Contractor Registration # C & S Electric lnc 3849 Po Box 1482, Springfield, OR 97477-0189 Expiration Date 9t1t2000 Phone 541-741-2236 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Electrical Rough Electrical Electrical Service Final Electrica! Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Accessory Total ft EVnrn. Job# 00-01806-01 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 - Electrical Administrative Fee - Electrical Total Electrical 12t18t2000 1211812000 1211812000 12t18t2000 4067 4067 4067 4067 1 2 $50.00 $4.00 $3.78 $1.62 $59.40 Grand Total $59.40 Signature Date apptaval Zoning tate l,) 225 IImB STREET .- .,\irrironzeo Signature SPRINGFTELD, oREGON 97477 INSPECITION REQI.TEST i IZO-II69 . OFPICE: 726-3759 s;P ;FIELO City Job Number o-o 3. COHPLETE FEE SCEEDI.ILE BELOV A. Nev Residential-Single orMulti-Family per dwetling unit.Service Included: I tems Cos t - lE-o-o rt) 1.. LOCATION OP INSTALLATIONiltl- lo-t'tt Y I 7o JqB DESCRIPTION +en/ui4t -r C Permits are non-transferable and expireif vork is not started vithin 1B0 daysof issuance or if vorlc is suspended for 180 days. I.;EGAt PTION 2. CONTRACTOR INSTALI.NTTON ONLY Sum 1000 s Each a q. ft. or less ddi tional 500 t or portion of anuf'd Home. or - ar Dvelling ce or Feeder s 8s.00 $ 1s.00 s 40.00 60. 100. 130. 300. 40. sq. t t here Each M Modul Serv i B Services or FeedersInstallation, Alterationsor Relocation:Electrical Contracto lr,:iyr Address 0.0. i3rX 200 amps or 1ess )201 amps to 400 amps 401 amps to 600 amps -601 amps to J.000 amps 0ver 1000 amps/volts -Reconnect On1y I L\1 2- Ci pno".1L{l)2 3b Supervisor License Number JbIIS Expiration Date lD ol-ct Constr Contr. Number 3Yq q Expiration Date c1- c,l- a 2- si tu of VIS EIec tri cian ers . Name Add ress )6-.'e- OVNER INSTALI-ATION The installation is being made on l property I ovn vhich is not intended for saIe, lease or rent. 0vners Signature: DATE| / ), / 8, aa Temporary Services or Feedersfnstallation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -0ver 40L to 600 amps Over 600 amps or 1000 voTts see " Branch Ci rcui ts ; Nev, Alteration or Extension Per Panel $ s $ s $ s G50.00 00 00 00 00 00 C 00 00 00 B" a56iE- $40$ss $eo D. Ot.-. One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permi I 2- S 2.00 E.Miscel']aneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% state Surcharge 3Z Admini.strative Fee TOTAI 3_ $ $ $ s 40.00 40.00 20.00 36.00 , (r-.*RECEIVED B 5 S+ ELECTRTCAI PERHTT APPLICATTON o r-- n,.:- i )lL- 6