HomeMy WebLinkAboutPermit Electrical 2002-04-16Job# 02-00440-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00440-01
Office:726-3759
!nspection Line: 726-3769
.,03701
SPRINGFIELD
€n,
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 525 S 00035th St Spr
AssessorsMap#: 17023143
Lot: Block: Addition:
Owner: Travis Stewart
Address: 525 S. 35th Street
Scope Of Work: Electrical Only
Moving service
ATTENI I the Ore gon uti lir/
torin
{6t0r8<,8gn OAB
rules bthe
'i$uy Notitication
v
is1
ctTY oF SPRTNGFIELD, OREGON
Contractor Type
Electrical Contr
Contractor
Chinook Electric
PO Box 42016, Eugene, OR
Registration #
138121
Expiration Date
't0t1912003
Phone
541-461-2590
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms: 1
Range: I
# Of Buildings:
) ' 'li't '
gqFflpTnqy.Orggprr-rFtrr^6'
Heat Soqr-cq:.
Sq. Footage:
;)
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
working day.
Required lnspections
Electrical
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Rough Electrical
Electrical Service
Final Electrical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
-Prior to cover.
-Must be approved to obtain permanent power
-When all electrical work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Gode: Does not apply
r:.|.,
LI
Main:Accessory:Total:
Alteration
Job# 02-00440-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Minimum Electrical Permit Fee
Permanent: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
0411612002
04t16t2002
04t16t2002
0411612002
8622
8622
8622
8622
1
$.00
$63.00
$4.41
$5.04
$72.45
Grand
sig re
.45
Ll ([6
Date
CITY OF
INSPEgTION REQT'EST 7 26-376
OFFICE: 7 26-37s9
SP SFIELO
ELECTRICAL PERT{IT APPLICATION
CitY Job Number cp -btlq cc
COHPI.,EIE FEE SCffiDtII^E BELOV
unit.
Cos t
$ 8s.00
.,rg
o
225 FIrtfl STREET
SPRINGFIEI^D OREGON
I
,
u.*Ouo 3
A1.
I,EGAL DESCRIPTION o
JOB DESCRIPTION
2. CONTRACTOR INSTALI.-ATION ONLY
,'l 1 j
ON<{Nev Residential-Sittglg .
ot
ilii,i-r"*iIY Per dvelling
Service Includedt ,a.*"
OF INSTALLATI
Sum
Permits are non-transferable and expire
if vork is not =itit"a vithin 180 days
of issuance oni-"oirt is suspended for
180 daYs.
1000 sq.ft. or less
r..t, "dal tional .500sq. ft or Portlon
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s r.s.00
$ 40.00
Electrical Contractor
Address
Phone 41, /D
Supervisor License Number %4503 s
Expiration Date
Constr Contr. Number 8
Expiration Date
si ture of SuPervising Electrician
Services or Feedert
initattat:.on, Alterations
or Relocation:
200 amps or less I i
201 amPs to 400 amPS
-
:
40L amPs to 600 amPs -- i
601- amPs to l'000 ?mps- I
over 1b00 amPs/vo1ts
-
i
Reconnect 0n1Y )
B
1I @50.00
60.00
100.00
130.00
300.00
40. 00
TemporarY Services of-Feeders -in"i.tt"iion, Alteration or Relocation
200 amps"or less $ 19'99ioi ;;; to 4oo amPs
-
t :l'99or"r-abr to 600 amPs -l $ 80'00
or"r OOO u*p" or-ibOO *Tt" see ,B* a5ovil
Nev, Alteration or Extension Per Panel0vners Name 1 1 4<,u *
Address 1? S I
Ci ty C Phone '-7 L//-7 8{ 8
OVNER ALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0mers Signa
C.
D.
4L.J\isrq
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res
--Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
s
$
s
5
DATE:
RECETYED BI:
ture:
3 \
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-