HomeMy WebLinkAboutPermit Electrical 2000-11-22Job# 00-01705-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
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THANE*:01-0001860
TE:NOU ffi TOOO
REID:?-$ 55.00
[HAi.,IEE:
IAEHIER:05?
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2452 00038th St Spr
AssessorsMap#: 17021942
Lot: Block: Addition:
Job Number: 00-01 705-01
Office: 726-3759
!nspection Line: 726-3769
Tax Lot #: 09400
Subdivision:
clTY oF SPRTNGFTELD, OREGOTV
Owner: Susie Jackson
Address: 2452 38th St
Scope Of Work: Electrical Only
replace service
Phone Number:
City/State/Zip:
New
541-726-0725
Springfield, OR97477
Vatue: $O
Contractor Type
Electrical Contr
Contractor Registration #
C & S Electric lnc 3849
Po Box 1482, Springfield, OR 97477-0189
Expiration Date
91112000
Phone
541-741-2236
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 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
Electrical Service -Must be approved to obtain permanent power.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Permanent: 200 Amps or Less 11t22t2000 3860 1 $50.00
Job# 00-01705-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
11t22t2000
11t22t2000
3860
3860
$3.50
$1.50
$55.00
Grand Total $55.00
Signature Date
approval
Zoning
225 FIFTB STREET Date
cit
Supervisor License Number b8l :)
Expiration Date lc"c i-01
Cons tr Con tr. Number 3gq'l
Expiration Date Q- ol- 0 )-
Si tur of Super sing Electrician
ers Name :;s,r T*-V=o,l
zqs L 3sfk =
)-I
SP! JFIELO
The lollowing prolect as submitted has the
zoning and does not require specific land use
I - 72- o-a CAL PBRHIT APPLICATION
Job Nurnber ()O ^ C) I acr{ -Ol
3. COHPLETE FEE SCEEDUI-E BELOV
A. Nev Residential-Sing1e or
spRri\GFTELD, oREGoN 97 477" .1--:-^f
TNSPECTT0N REQd;i^,' iiigygqzed sisnature
0FPICE: 726-3759
1. LOCATION 0P INSTALL TIoN Izqsz 3gf sf
Address P.O $0t- |1112-
4,1
Phone lLl I-D3L
LEGAL DESCRIPTIONt70ztlLIZ o? qoo
JOB DESCRIPTION
Permits irre non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto h'rc.,
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps
0ver 1000 amps/vo1ts
Reconnec t OnlY
B
C
Multi-Famil
Service Inc
-Each i
Pump or
Sign/0u
Limi ted
Limi ted
y per dvelling unit.
luded:
ns taIIa t ion
irrigation
tline Lighting-
Energy/Res _
Energy/Comm
Cos t
s 8s.00
$ 1s.00
s 40.00
$ s0.00
s 60.00
s100. 00
s130. 00
$300.00s 40.00
s 40.00
$ 40.00
$ 20. oo
$ 36.00
5;o
7ou
--T7-
Sum
aEovE-
5:O
,1
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or Iess
201 amps to 400 amPs _
Over 40L to 600 amps
Over 600 amps or 1000-volTs
00
00
00
Btt
s 40.
$ ss.
S eo.
see It
Add ress
Ci ty STF\Phone -726 - OaZS
D Branch Circui ts :
New, Alteration or Extension Per Panel
one Circuit $ 35'00
Each Addi tional
Circuit or vith Service
or Feeder Permi t $ 2.00
E. Miscellaneous (Service/feeder not included)
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
f or saIe, )-ease or ren t.
0sners Signature:
, DATE'
SUBTOTAL OF ABOVE
7% state Surcharge
32 Administrative Fee
TOTAL
5
RECEIVED BY:
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