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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 )b n ht) ,/ol2