HomeMy WebLinkAboutPermit Electrical 2001-04-11Job# 01-00353-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 385 00024th St Spr
AssessorsMap#: 17033614
Lot: Block: Addition:
Job Number: 01 -00353-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 10600
Subdivision:
ctTY oF SPRfiNGFfiELq OREGON
Owner: Joe Colburn
Address: 385 24th Street
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
New
Springfield, OR97477
Value: $O
Contractor Type
Electrical Contr
Contractor Registration #
Able Electric 92506
1300 Anderson Ln, Springfield, OR 97478
Expiration Date
7116103
Phone
541-726-6701
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 a|726-3769. 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 Electrical
Gonstruction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq'
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Main:Accessory:Total
I
Job# 01-00353-01 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 Electrica!
041't112001
04t1112001
0411112001
0411112001
4899
4899
4899
4899
1
4
$50.00
$8.00
$4.06
$1.74
$63.80
T $63.80
Lt- r/ -o (
Date
SPFiIXGFTELO
,
c
lStilxIE,-il*tffi.'*
tffi#"T,H8E8','
97 477
tze;5?Job tlrrPb
3 COHPI^ETE FEE SCEEDUI.E BETOTI
A Nev Resioential-S ingle or
dvelling unrt '
\ oo3 ,a,n,ilUTf l:r. flnl(ffit6=1t-:'i-
Cos t
$ 85.00
Sur.
TFi*t'jffi : *l- - fi *tl4 E_!T
nriTt : ftF F: 11 :ririi
RHT fr[[n:i $ 6i.,til
oN t ilijirill:CAT ?gR}tIT APPLICATI
per
uded:
I tems
$ 15.03
$ 4C.00
,\r.ltrlOrtZeCl
Signature
1 *ult i-FanilY
Service Incl,
Permits are non-transferable anc expire
if uorlt is not "iuit"c vithin 180 davs
of issuance or ii-""iy' :s susPe:ie<i for
180 daYs '
7. COTMRAC,TOB INSTALT'ATION OT&Y
DESCRIPTION
o
JOE
Electrical Coniractor
Addr..ess
Ci ty
1000 sq.ft. or-less
e."ir .dOi tional .500sq. ft or Portlon
thereoi
Each Hanuf'd Home' or
Hodular'Dvelling
Services or Feeders
ii"tiir.tion' Alterations
or Relocation:
200 amPs o: less \
201 a;rPs to 400 amps --401 am-Ps to 600 amPS
-
60i amPs to 10C0 ?mps.-
over tbOC amPs/volts .-
Reconnec'- OnlY
200 amps''o: less $ 10';o; ;;;; to 4oo anPs T I :5'o;;'-45i io 6oo amPs l-l- $ Bo.:
Over 5C0 amPS or 1C00 volts see '
B.
C-
Lvl
Phone lol
$ 5C.00
s 60.00
s100, c0
$130. 00
$300.00
^ rn nnD {+V ' V\j
5o
Supervisnr Li'cense lium'oer )4'23t
Expiratioi': Date U
Constr Contt' Number C-L/TemoorarY Services or Feeders -iilIlii;iionl erterarion or Relocatioe
Expiratior Date o
Signature of Supervisi'ng Electrician
0'*ners i'lane
Address
C.
D. B:anch Circuits
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Ariministrative Fee
TOTAl,
Nev, .4lteration or Extenston Per PaneL
one cireuit $ 35'cc
Eaeh Additional
::';:::":":*1.'"'"tQ $ z.oo {
Hiscellaneous (service/feeder not incl':C
-Each installation
Punp or irrigation E 1q'gq
iif;iticEnersy/Res - S?9'99
/00
aE?fr
00
B*
*"44 ff
ci ry SplzL_
-
?\on*-?L/Ll' 31ry
OIINER INST&LLATIOI'{
The installation is bei'ng maCe on
pioput ty I or*n r*hich is not inie;rded
for sale, lease or rent'
Ovners Signature:
E
DATEQ -ll?
RECEIVED
:
B
o 5
t