HomeMy WebLinkAboutPermit Electrical 2000-06-07Job# 00-00894-01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-00894-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00900
Subdivision:
TRANS*:01-0002064
DATE:JUN 07 TOOO
AHT RE[D:? $ 6].g0
IHANEE:
IASHIER:05-cr
SPRINGFIELP
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 424 S 00038th St Spr
AssessorsMap#: 17023143
Lot: Block: Addition:
ctTY oF SPRfiNGFfiELq OREGON
Owner: Norman Fleck
Address: x
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
x, oR
Value: $O
Gontractor Type
ElectricalContr
Contractor
Arc Electric lnc
85783 Hwy 99 South, Eugene, OR 97478
Registration #
1 151 13
Expiration Date
7110100
Phone
541-741-0494
- v/t
br'ot.
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 a1726-3769. All in
a.m. will be made the same working day,uested after7
working day
pections
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories:
Current Units:
Census Code: Does not app
-Prior to
-When all
(feet):
Accessory:Total:
Units:
Area (Sq.
Main:
a.m.made
)^
Job# 00-00894-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
06t07t2000
0610712000
0610712000
06t07t2000
2064
2064
2064
2064
1
4
$s0.00
$8.00
$4.06
$1.74
$63.80
Grand Total $63.80
Signature Date
C'TY OF
SPFITNGF]ELt)
e proJect as submittedzontng, and does not require
has
specific(D rL
-av
the followino
land use
225 FIFTII STRET'T
spRrNGFrELD, onrcon g;t)'io""o Srgnature
INSPECITION REQITEST: 726-3769
OFFICE: 726-3759
approval
Date
Zoning
o&oo
PERHIT APPLICATION
ty Job Number 0O-0O8q +ol
3. COHPLETE FEE SCIIEDTiLE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1
A
LEGAL DESSRIPTIONtlGll
.ft. or less
ditional 500
or portion
reo f
Manuf'd Home. or
Sum
s 8s.00
s ls.00
s 40.00
s so. oo 5o a9
s 60.00
s100.00
s130.00
s300.00s 40.00
$ 3s.00
JOB DESCRIPTION
't*tl,'c^ UrzraCe-
1000
Each
sq.
the
Each
sq
ad
ttJ.L-:
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRASTOR INSTALI.JITTON ONLY
Electrical Contractor
aaaress f,57l-3 D$,4!LS
Hodular DvelIing
Service or Feeder
Services or Feeders
InstaIIation, Alterationsor Relocation:
200 amps or less /
201 amps to 4OO amps +
401 amps to 600 amps
-601 amps to 1000 amps
over l-000 amps/voIts
-Reconnect 0n1y
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s t ra t ive Fee
TOTAL
B
7
Phone
v7
Ci ty {lUaoflL .O
,uo"*.-Zi.".o" ti*nu",lh 7's
Expirarion. Dare /() - O/-cs1
Constr Contr. Number
Expi Da te
ng Electrician
rs Name "lr&Address
Ci ty_ Phone
OVNER INSTALL$TION
Temporary Services or Feeders
Installation, Alteration or Relocation
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
-0ver 600 amps or 1000-TofTs
One'rCircui t
fach' addi tional
Circuit or vith Service ,or Feeder Permi t !/
-Each installation
Pump or irrigation $Sign/outline Lighting- S
Limi tcd Energy/Res
-
$
Limi ted Energy/Comm S
00
00
00
B" a66G-
40.
55.
80.
tlee
$
$
$
s
B
ao$ 2.00
The installation is be
propcrty I ovn vhich ifor sale, lease or ren
0sners Signature:
ing
sn
t.
made on
ot intended
E. Miscellaneous (Service/feeder not included)
40.00
40.00
20.00
36.00
5
DATE;
RECETVED I)Y
turul1rr r fi --s<;ye-