HomeMy WebLinkAboutPermit Electrical 2000-05-02SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 760
AssessorsMap#: 17033412
Lot: Block:
Owner: Gregg and Carol Monroe
Address: 760 Woodcrest Drive
Scope Of Work: Electrical Only
Contractor 6\
Job# 00-00637-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Woodcrest Dr Spr
lnc
Page 1 of2
TRANST:01-0001454
DATE:HAY OI 2OOO
AHT RE[D:? $ 22.00
CHANEE:
CASHIER:059
Job Number: 00-00637-01
Office:726-3759
lnspection Line: 726-3769
r\Tax Lot#: 15500
Subdivision:
mber:
Springfield, OR
Value: $O
Registration # Expiration DateContractor Type
ElectricalContr Adt Secu
Phone
541-342-1313)
crTY oF SPRINGFTELD, OREGO^
1501 Pearl Eugene, OR
Land Use:
Zoning Code:
Office Use {+of e..l
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
ings:
ncy Group:
Source:Bedrooms:
Range:,to'?ilo'Sq. Footage:
To request an inspection call the 24 hour recording a|726-3769.
a.m. will be made the same working day, inspections requested
working day
Required Inspections
Electrica!
Low Voltage
Construction Types:
Occupancy Groups:
All inspections requested before 7:00
after 7:00 a.m. will be made the following
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Area (Sq.
Main:Accessory:Total:
Fee Paid On Receip# Value/Quantity Fee Amount
Electrical
1Limited Energy - Residential 05t02t2000 1454 $20.00
Job# 00-00637-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge For Electrical Permit
Electric Adm inistrative Fee
Total Electrical
Electrical
05t02t2000
05t02t2000
1454
1454
$1.40
$.60
$22.00
Grand Tota!$22.00
Signature Date
CITY OF OPEGO'V
TU q
approval
Zoning ! t>(l-
The lollowing projecl as submitted has the rollowing
zoning, and does not require specific land use
1 ,NGFIELO
EECIS,ICAL PERHIT APPLICATTON
City Job runber /o - OoeS wl
3. COHPIJTE FEE SCEEDUI.E BELOS
Nev Residential-Sing1e or
Multi-Family per dwelling unit.
Service fncluded: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
$ 8s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect 0n1Y
c.
D
-60
225 FIfrE SITEET DAIE
SPRINGFIELD, OREGON flZf,3/r"c Sionalure
INSPECf,ION REQIESTz 726-3769
OFPICE: 726-3759
DATE:
1. LOCATION OP INSTALI,.ATION
JOB DESCRTPTION5<ut t?-tP1 A4'^/\
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. CONIBACTOR INSTALI,ATION ONLY
Electrica r contrac tor ffif SAug4 11
Address I tD IP e-fr-{Lt Sf
Ci ty (e Phone 3 3
Supervisor License Number 6C3 ]/'E
Exp iration Date 'o 2-
Constr Contr. Number ?
Expiration Date
Signat ure of Supervising Electrician
*
Ovners Name on rd/
Address So, rn Q-
Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Omers Signature:
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res ILimited EnergY/Comm
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps"or less $ 40.00
0ver 600 amps or rbOO voTts see rrgrr "ffi
Branch Circui ts : ..
Nev, Alteration or Extension Per Panel
,51{BT0TAL oF ABoVE
(ZS) state Surcharge
YZ admini.strative Fee
TOTAL
A
11€.3
l3c
Sum
$ 1s.00
$ s0.00
s 60.00
s 100. 00
$130. oo
s300.00
s 40.00
$
$
$
$
'r a)
40.00
40.00
20.00
36.00
4c
5
RBCEIYED BX:
20
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