HomeMy WebLinkAboutPermit Electrical 2000-02-09Job# 00-00230-01 - Page 1 of2
IRANS$:01-00005I?
DATE:FEE 09 TOOO
AHT REID:I $ 44.00
IHANGE:
IASHiER:059
SPRTNGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 511 00040th St Spr
AssessorsMap#: 17023114
Lot: Block: Addition:
Job Number: 00-00230-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 04004
Subdivision:
ctTY oF SPRINGFIELD, OREGON
Owner:Jeff and$xine Volner
Address: 511 40th
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
541-747-3091
springfield, OR97477
Value: $0
Contractor Type
ElectricalContr
Gontractor
Jeff and Maxine Volner
511 40th, springfield, OR97477
Registration # Expiration Date Phone
541-747-3091
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 callthe 24hour recording at726-3769. 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.
Electrical Service
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
Required lnspections
Electrical
-Must be approved to obtain permanent power
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
02t09t2000
02t09t2000
527
527
$40.00
$2.80
1
Job# 00-00230-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electric Administrative Fee
Total Electrical
Total
02t09t2000 527 $1.20
$,14.00
$44.00
J-q- oo
Date
OFEGO'VCITY OF
Sr {GFIELO
225 FIFTE STREET
SPRTNGFTELD, OREGoN 97 477
INSPECf,ION REOUEST:. 726-3769
OFFICE: 726-3759
The following Proiect as submitted has the
zoning and does not require specific land use
approval
Zoning
(L-
Date -fD
Authonzed Signature
3
A
PERHIT APPLICATION
AllI RE[D: ]. $ 44.00
CHANGE:- CASHiER:059
AO0o)Pot
1. LOCATION OP6l I ntk\$$Wlarron
IJGAL DESCRTPAIONI*i1 a", I1z-1- ()41 o04
ci Job Nunber
COUPLETE FBE SCMDUI,E BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201- amps to 400 amps
-40L amps to 600 amps _601 amps to 1"000 amps_
Over l-000 amps/volts
Reconnect Only
D. Branch Circuits
Sum
JOB DESCRTFTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. COMRACTOR INSTALI..ATION ONLY
Electrical Contractor
Address
City_ Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
tUr;e of s BIe'ctrician
Temporary Services or Feeders
Installation, Alteration or Relocation
t'
200 amps"or less ,L S 40.00 J
201 amps to 400 amps
-
$ 55.00
over 40L to 600 amps
-
$ 80.00
Over 600 amps or 1OO0 voT[s see ttgtt "ffif
B
$ s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
C
Ovners N,
Address
c*dlni 0(Phone
| - v-
OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sale, Iease or rent.
Signa(ure:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each ins tal-lat ion
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAL
h\
s
s
$
$
40
40
20
36
00
00
00
00
DATE:
RECETVED
2-^1-
4c)
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