HomeMy WebLinkAboutPermit Electrical 2000-08-23SPNNCFIELD
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A!1T REED:? $ 40,7fi
CHffNGE:* A "AE
[ftSHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1954 00016th St Spr
AssessorsMap#: 17032524
Lot: Block: Addition
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Job Number: 00-01287-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00901
Subdivision:
Job#00-0
oF sPRllyoFlEL4 Ot?EGotvc/7r,
Owner: Rufus Haskins
Address: 1954 16th St
Scope Of Work: Electrical OnlY
Heat pumP wiring
Phone Number:
City/State/Zip:
Alteration
Springfield, OR97477
Value: $O
Contractor Type
etectrififigt6t.
Contractor
Jb Electric lnc
4065W11Th#18,Eugene, OR 97402
Registration #
104929
Expiration Date
3t14t04
Phone
541-687-5770
AtJT"HoRtzED UNEEH Ttjts pEpyms6?trice Use
QuadOffiftflEI\JCED OR IS ABANpgryEgPgff Use:
# Of |,,(tiilp:t6g DAy pEFitOD Zoning Code:
Constr. Type: Bedrooms:
Water Heater: Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. 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.
"alling rt',. 6qt6f.[llt #ieili'rt'lot!.,, OreqonUtilltytrrotrtrc,,,
ConstructionTypes:'i' '1qR?'2344).
Occupancy Groups
# Of Buitdings:
# Of Bedrooms:
Handicap Access?
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Area (Sq. Feet)
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
2Branch Circuits WO Feeder or Service 08123t2000 2999 $37.00
-________
.-________-
lnspections
AF !|52"{r{
Final Electric{1 /i1,. ,r,:
)r "t
v complete.
Job# 00-01287-01 Page 2 of 2
Fee Paid On ReceiPt#Value/Quantity Fee Amount
State Surcharge For Electrical Permit
Electric Ad ministrative Fee
Total Electrical
0812312000
0812312000
2999
2999
$2.59
$1.11
$40.70
Grand Total $40.70
Signature Date
CITY OF
approval
Zoning
The lollowing proiect as submitted has the lollowing
zoning. and does nol require specilic land Use
.{n(L
fhte A'77 -eo
S VGFIELO
201 amps to 400 amps _-
401 amps to 600 amPs --601 amps to 1000 amps-
Over 1000 amPs/vo1ts --Reconnect 0n1Y
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Admini.s trative Fee
TOTAL
ELECTRICAL PERHIT APPLICATION
Job Nu-nber o"0 t 0
3. COHPIJTE FEE SCMDULE BELOV
A. Nev Residential-Single or
MuLti-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
B Services or Feedelt
Installation, Alterations
or Relocation:
SPRTNGFTELD, OREG0N 974i'.Zrronzeo
INSPECTION REQUESTz 126-3769
OFFICE: 726-3759
225 FIYTH STREET
1
Ci ty
Expir:ation Date
Constr Contr. N
ON OF INS ALTATION
signature
YJ -0m0 I Sum
s 40.00
$s0
$60
s100
s130. 00
$300.00
s 40.00
s see ttBtt aEove
00
00
00
00
if vork is not started vithin 180 days
of i""u"nce or if vork is suspen{"9 !X
180 days . @-\DLY
2. COI\ITRACTOR INSTALI.,ATTON OM,Y
SCRIPTION
Permi ts are non-transferable a expi re
Electrical Contractor
Address
pnone (1Y?-5V70
00
00
00
Supervisor License Number
/)
umber
Temporary Services of-Feeders
Instal]aiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-Over 401 to 600 amPs
Over 600 amps or 1000 voTE
Branch Circuits
Nev, Alteration or Extension Per Pane1
one circuit -L $ ss.oo 35CD
iach Additional
Circuit or vith Servicg a1 A7\or Feeder Permi t | $ 2.00 !J- -Ltw'
MisceLlaneous (Service/feeder not included)
Ci tv Phone
OITNER INSTALT,ATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
0mers Signature:
DATE:
RECE
Expi ra t
Signatu
Ovners
Date I
C
D
$ 40.00
s ss.oo
$ 80.00rrvising Electrician
Address ;vt?
E
$
$
$
s
40
40.
20.
36.
RECEIYED BY:
5 1 '00
*rY
3t+; s
6\c
SPRIi'GFIELD
Job# 00-01287-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-01 287-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00901
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1954 00016th St Spr
AssessorsMap#: 17032524
Lot: Block: Addition:
crTY oF SPRTNGFIELD, OREGOTV
Owner: Rufus Haskins
Address: 1954 16th St
Scope Of Work: Electrical Only
Heat PumP wiring
Phone Number:
City/State/Zip:
Alteration
Springfield, OR97477
Value: $O
Contractor Type
ElectricalContr
MechanicalContr
Contractor
Jb Electric lnc
4065 W 1 1Th #18, Eugene, OR 97402
Associated Heating and Air Cond
PO Box 412, Eugene, OR 97440
Registration #
104929
Expiration Date
3t1412004
Phone
541-687-5770
541-683-2590
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
To request an inspection call the 24 hour recording at 726-3769. All i
a.m. will be made the same working day, inspections requested after 7:0
working day.
Required !nspections
Electrical
Final Electrical -When all electricalwork is complete.
Mechanicai
Rough Gas
Rough Mechanical
Fina! Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
Footage
pfffiregonUtility
aresetfortl
inOAB952-001 l0through 952-001-
0090. You may obtain c,opies CIf the ruhs by
catflng mBoorilEr. (NUIE: rrlerslo[ilqla
number forthe mgpn tltility i,lotiflcation
gspfgr is r -Rnn-m?-2944).
NOTICE:
THIS PERIVIIT SHALL EXPIRE IF THE WOBK
ATJTHORIZED UNDER THIS PEBMIT IS NOl'
COMI'ENCED OR IS ABANDONED FOR
ANY 180 DAYPERIOD.
Job# 00-01287-01
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Gensus Code: Does not apply
Total:
Page 2 of 2
Area (Sq. Feet)
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
08t2312000
08t2312000
08t2312000
2999
2999
2999
2 $37.00
$2.59
$1.11
$40.70
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand
0812912000
0812912000
0812912000
08t2912000
0812912000
0812912000
3057
3057
3057
3057
3057
3057
1
2
$2.00
$1.00
$.45
$12.00
$10.00
$1.05
$26.s0
$67.20
,Q)l-o
S Date
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [