HomeMy WebLinkAboutPermit Electrical 2000-02-29Job# 00-00329-01
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SPRINGFIELD U1
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2763 00033rd St
AssessorsMap#: 17021931
Lot: Block:
Owner: BillWiehke
Address: 2763 33rd
Scope Of Work: Electrical Only
Job Number: 00-00329-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00302
Subdivision:
Phone Number:
City/State/Zip: springfield, OR97477
Alteration Value: $0
crrY oF SPRINGFIELD, OREGOTV
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Dixon Electric lnc
33736 Martin Rd, Creswell, OR
97426-9756
Registration #
66894
Expiration Date
7/18/1999
Phone
541-895-2440
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 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.
Rough Electrical
Final Electrical
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
Required lnspections
Electrical
- Prior to cover.
-When all electrical work is complete.
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
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Job# 00-00329-01 Page 2 ol 2
Fee Paid On Receipt# Value/Quantity Fee Amount
@l
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
02t29t2000
02t29t2000
02t29t2000
773
773
773
2 $37 00
$2.59
$1.11
$40.70
Grand Total $40.70
Signature Date
CiFI[:LD
zoning, and does not
Zoning
project as submitted has the '&tu,
approval
Date
1. LOCATION OP ALLATION
33ilXIXIf, tiSHItt N s 111ii'!oazed
sisnature
ii{F;Aiorr nsounst z 726'376e
Ofrlcet 726'3759
require specific
L> l'Z-
' )a- oz CAL PBRHIT AIPLICATION
-J
ob Nunber 00-
land use
o
Sum
3. COHPIJTE FEE SCTiEDULE BELOV
A. Nev Residential-Single. aro' ii"i,i-ririlv per dvelling unit'
service rncruded, ,,.r" cost
,il
JOB DESCRIPTION { fr- t,P
Permits are non-transferable an<i expire
ii-ro.f. is not started vithin 180 days
of issuance or rf vork is suspended for
180 daYs.
2. CONTRA(XOR INSTALI.ATION ONLY
Electrical Contrat:tor [}i:IO$- EtF' .
Add ress
city f WSWgjt- Phone- &?,i'Zltlo
I tuPervisor License lrumber .J/lL41
Expiratioit Date
Constr C':ntr. Number /,L g'1Ll
Expiration Date -?- l8^ol
ture of SuPervi E1 trician
0vne aille
r,
0
1000 sq'ft. or less
iact, adaitionar 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
SerVice or Feeder
Services or Peeders
Installation, Alterations
or Relocation:
Reconnect OnlY
2C0 amps 'o::
20L amps to
0ver 401 to
0ver 600 amp
TemporarY Services or Feeders
lnsiallaiion, Alteration or Relocation
Iess $ 40.00
600 amps S 80.00
s or lbOOToTfs see "8" affive-
$ 85.00
$ 1:.00
$ 40.0t)
B
C
D.
E
$ s0.00
s 50.00
$100.00
s130.00
s300.00
$ 40.00
200 amps or less,oi il;; to 4oo amps l-
401 amps to 600 amps
-
501 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Address &l 3 )1 a3/d
Branch Circui ts
New, Alteration or Extension Per Panel
oneCircuit I $35.OO
Each Addi tional
Circuit or vith Service
or Feeder Permit "J $ 2.00
Ci ty Phone -'76t&,*5a5a,
OIINER INSTALI.ATION
The lnstallation is being made on
property I oun vhich is not intended
f or sale, Iease or rell t .
0nners Signature:
DATE:
Miscel laneous (Service/feeder
-Each ii:stallation
Pump or iirigation S
Sign/Outline Lightit E-- q
Limited Energy /Res $
Limited Energy/Crmm
-
$
not inc
40.00
Iuded )
40.00
20.00
36.00
5. SUBTOTAL OT ABOVE
-7-5KState Surcharge
3% Administrative Fee
TOTAL
C'TY OF
RECEIVED BY:
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