HomeMy WebLinkAboutPermit Electrical 2000-06-19SPNINGFIELD
Job# 00-00956-01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Location Of Proposed Site: 3737 virginia Ave Spr
AssessorsMap#: 17023143
Lot: BIock: Addition:
Job Number: 00-00956-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04300
Subdivision:
ctTY oF SPRTNGFTELD, OREGOI'
Owner: mrs tourtillott
Address: 3737 virginia av
Scope Of Work: Electrical Only
service change
Phone Number:
City/State/Zip:
Alteration
541-746-9069
springfield, OR 97478
Value: $O
Gontractor Type
ElectricalContr
Contractor
Cannon Electric
88396 little dearhorn rd, springfield, OR
97477
Registration # Expiration Date
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 inspecti on call lhe 24 hour recording a1726-37 69. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after Z:OO qglltLE made the fo llowing
working day.
THISPERMIT SHALLEXPIREIF THEWORK
Required lnspections
ABANDONEDFOREtectricalCOMNNENCEDORISl
Rough Electrical
Final Electrical
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
-When all electricalwork is complete ANY lEODAYPERIOD
# Of Stories:
Current Units:
Census Gode: Does not aPPIY
Height (feet):
Proposed Units:
Area (Sq. Feet)
Main:Accessory:Total
225 North Fifth Street
Springfield, OR97477
Phone
541-747-0959
€i )OU t
oon utilit
,lotilica'l
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m90 Y
trrmtler itjl
Job# 00-00956-01 Page 2 of 2
Fee Paid On Receip# Value/Quantity Fee Amount
Electrical
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
06/19/2000
06/1 9/2000
06/1 9/2000
2208
2208
2208
I $50.00
$3.50
$1.50
$55.00
Grand Total $55.00
Signature Date
SPRINGFIELl)
1. LOCATION3" 3-t OP. TNSTALLATION
\l irzGrrvrA ft/€ .A
225 FTYIE STREET
SPRINGFIELD OREGON 974
INSPECTION REQUEST: 72
OFPICE: 726-3759 Authorized Signature
PERHIT APPLICATION
ty Job Number@-OOffL A1
3. COUPLETE FEE SCffiDtILE BELOV
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
thereof
Each Hanuf'd Home. or
-Modular Dvelling
Service or Feeder
$ 85.00
$ 1s.00
$ 40.00
I^EGALtao L DESCRIPTIONz/q3 oq300 Sum
Permits are non-trans able and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
InstalIation, Alterations
or Relocation:
)
200 amps or less I
201 amps to 400 amps
-401- amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts _Reconnect Only
5. SUBTOTAL OF ABOVE
7fi1?State Surcharge
3Z Administrative Fee
TOTAL
Electrical Contractor &- *^-?\rffi..
S ),6{ phone
".{-1b151
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
5b.c:oAddress
Ci ty
Supe
Expi
Z1-tL\rvisor License Number
ration Date I O aO
Constr Contr. Number t*o
Expiration Date o L
Signature of Supervising Electrician
Ovners Name
Address rto'; , A
0 I
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting_
Limi ted Energy/Res
Limited Energy/Comm
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1OOO voTts see [Brr aEilil
Ci ty Phone
OgNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
$ 40.00
$ 40.00
s 20.00
s 36.00
RECETVED BY:
AHT REID:E $ 55.00
IHANEE:- IASHIIR:061
JOB DESCRIPTION
3-u,,.i.o a Cll.n*o o-