The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2000-10-05SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Job# 00-01494-01 RES!DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANES:01-00011?6 DATE:UCT 05 2000 A}{T RECD:Z $ 40.?O IHANGE: CASHIER: O]2 Location Of Proposed Site: 1616 0001Oth St Spr AssessorsMap#: 17032640 Lot: Block: Addition: Job Number: 00-01494-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 4904 Subdivision: JLzq clTY oF sPRilvGFtEL4 OREGON Owner: John Brumbeck Address: 4065 W 11th Ave Scope Of Work: Electrical OnlY Contractor TYPe Electrical Contr Phone Number: City/State/ZiP: New 541-687-5770 Eugene,, OR 97404 Value: $O Contractor Jb Electric lnc 4065 W 11Th #'lB, Eugene, OR 97402 Registration # 104929 Expiration Date 3114104 Phone 541-687-5770 To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working Oay, insfeciio'ni requested after Z:00 a'm' will be made the following Quad Area: # Of Units: Constr. TyPe: Water Heater: Rough Electrical Final Electrical Construction TYPes: OccupancY GrouPs: # Of Buildings: # Of Bedrooms: Handicap Access? Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy GrouP Heat Source: Sq. Footage: working daY Electrical THIS PERMIT SHALL EXPIHE IFTHE WOR AUTHORIZED UI'IDER THIS PEBMIT lS NO C0t\,'itulENCED OR lS ABANDONED FOB ANY 180 DAY PERICD. I -Prior to cover. -When all electricalwork is complete # Of Stories; Height (feet): Current Units: ProPosed Units: Census Code: Does not aPPIY ,eOreoon UtilArea (Sq. Feet) Main: o01u (rl(ougn by rllc thr >l the rules telephone Accessory Total: lotilicatio NIOTICI aresettor rtr952-(Dples You rnaY <lt rr. (Note:theJO9U Job# 00-01494-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrica! Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 1 0/05/2000 1 0/05/2000 10/05/2000 3396 3396 3396 2 $37.00 $2.59 $1.11 $40.70 Grand Total $40.70 Signature Date Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days O0 a}fl 225 FTFTE SPRTNGTTELD,9 INSPECTION REQIIEST: OFFICE: 726-3759ate 726- Signature 1 OF ALLATION I,EGAL DESCRIPTTON 2. CONTRACTOR INSTAITATION ONLY Electrical Contracto Address U|tr 5tr\. ll r! *t* Ci ty Supervisor Licens e lJumber, Expiration Date Corrstr Contr. I'lrrmber Expir:ation Date Signat pe rvising Electrician An+.nt Bl^tr<Eeetz-- The following proiect AS submitted has the toliowing and does not require specilic land use 69 v-3 A SP. GFIELD Nev Residential-Single or Multi-Family per dwelling unit Service fncluded: I tems ELECTRICAL PERHIT APPLICATION City Job N*b", FD - OI4QU -Ol FEE SCBEDULE BELOIJ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modul-ar Dwelling Service or Feeder B. Services or Feedert Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPS .- 401 amps to 600 amps -_-601 amps to 1000 amPS- Over i-000 amPs/vo1ts -.-_ Reconnect 0n1Y Cos t $ Bs.oo s 1s.00 $ 40.00 $ s0.00 $ 60.00 $100. 00 s130.00 s300.00 $ 40.00 00 Sum Eove Ti,lt.. .S C D Temporary Services of-Feeders inri.iiuiion, Alteration or Relocation 200 amPs''or less 201, an Over 4 p 0 s to 400 amPs - 1 to 600 amPs 0ver 600 amPs or 1000 c $ $ 40 55 BO 00 00 f.-ioTTs see I'8, a cir J 6,ifl4ru gffinature: 000tr E0 lXD: ltu0 r000-T0: DATE: Branch Circuits Nev, Alteration or Extension Per Panel ' r. oo 3s" oo oneCircuit I S3: Each Addi- tional Circuit or vith servicu ,.OO I 0Dor Feeder Permit I $ : Misceflaneous (Service/feeder not included) -Each installation pump or irrigation - sien/outline Lighting.- t iili ted EnergY/Res ---- Limited EnergY/Comm Owners Address tl fr ?2 Phone a67^;710 OIINER INSTALI.,ATION The installation is being made on DroDerty I ovn r"hiih is not intended f58-Hil$'frsfi sare' ]ease or rent' E $ $ $ $ 40.00 0I'0? $ 40 20 36 .00 .00 .00 5 SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAI 96tt RXCEIVED BY: ? -aD Phone 'U8-7 - 5?) C o4to/ JOB DESCRTPTION J-i i r Ad, D