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Home My WebLink AboutPermit Electrical 2000-11-30Job# 00-01736-0'l RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 TRAI'{3S:01--il003904 DffTE:NIU ]O TOOO At'lT RE[D:? $ ?3.?1] IHAr.iG[: IASHIER: OCl SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 463 S 00040th St Spr AssessorsMap#: 17023144 Lot: Block: Addition: Job Number: 00-01 736-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 01640 Subdivision: GITY OF SPRINGFIELD, OREGOTV Owner: Larry Dilbeck Address: 1 130 S 42nd St Scope Of Work: Electrical Only Phone Number: City/State/Zip: New 541-726-9064 Springfield, OR 97478 Value: $0 6 circuits plus 2 plumbing fixtures Gontractor Type ElectricalContr Plumbing Contr Contractor New Way Electric lnc Po Box 21503, Eugene, OR 97402-0409 McMichael Plumbing x,x,X Registration # 51 OBB Expiration Date 6t27t2001 Phone 541-686-2365 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 a|726-3769. '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 Rough Plumbing Final Plumbing -Prior to cover. -When all electricalwork is complete. Plumbino - Prior to cover. -When all plumbing work is complete. NOTICE: THIS PEHMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDERTHIS PERMITIS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Required Construction Types Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Job# 00-01736-01 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Page 2 ot 2 Accessory Total Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 11t30t2000 11t30t2000 11t30t2000 3904 3904 3904 7 $47.00 $3.29 $1.41 $51.70 Plum Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 11t30t2000 11t30t2000 1113012000 1113012000 3904 3904 3904 3904 2 $.00 $20.00 $1.40 $.60 $22.00 Total Si 3e $73.70 o Date CITY OF OPEGS}W j 225 TIPTE STREET SPRTNGFIEU), OREGON INSPECf,ION REQUEST: OFFICE: 726-3759 34t 1 I^EGAL DESCRIFTTON SPRL.jFIELC' ELECTRTCAL PERHIT APPLICATTON Ci ty Job Number OO O t-t4'o 3. COHPI,ETB TEE SCMDULE BELOS 6A 0 A Nev Residential-Single orMu1ti-Family per dvelling unit.Service Included: I tems 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manufrd Home, or - Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocation: Cos t s 8s.00 $ 1s.00 s 40.00 Sum Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for LBO days. 2. COMRACTOR INSTALTATION ONLY B Electrical Contractor Address Ci ty Supervisr:l i License Number 5 Expiration Date -o -o Constr Contr . nunber;il/LLP Expiration Date _o / o Electrician Ovners Name Address C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less S 40.00 201 amps to 400 amps - $ 55.00over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see ,'Bu aE6vE- D. Branch Circuits Phone /;tr/, *.23 6,J- 200 amps or less 201 amps to 400 amps - 401 arnps to 600 amps --601 amps to 1000 amps-over 1000 amps/voIts - Reconnect Only s s0.00 s 60.00 $100.00 $130.00 s300.00 s 40.00 citvOv4p/a(. Phone' 7:6-?aAy''' -// / OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' 0mers Signature: DATE: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighti"g- Limited EnergY/Res -_ Limited EnergY/Comm Nev, Alteration or Extension per panel one circuit I $ 3s.00 3,LO0Each Additional Circuit or vith ServiceorFeederPermit b S 2.00 /).Al SUBTOTAL OF ABOVE 7% State surcharge f7. lamit ist'rative Fee TOTAL 40 40 20 s $ $ s BRBCBIVED 7 oao 5 I /0