HomeMy WebLinkAboutPermit 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:
?
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Phone 'U8-7 - 5?) C
o4to/
JOB DESCRTPTION
J-i i r Ad,
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