HomeMy WebLinkAboutPermit Electrical 2000-05-02Job# 00-00638-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of2
TRANS*:01-0001455
DffTE:HAY 02 ?OOO
Al{T RECD:2 $ 44.00
IHANEE:
IASHIER:059
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 170 S 00042nd St
AssessorsMap#: 17023232
Lot: Block:
spr
Job Number: 00-00638-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 03100
Subdivision:
ctTY oF SPR7NGFIELD, OREGO^
Owner: Harry Martin
Address: 170 S 42nd St
Scope Of Work: Electrical Only
Contractor Type
ElectricalContr
Gontractor
Kidd& Company
PO Box 1067, Springfield, OR 97478
Phone Number:
City/State/Zip:
Alteration
Springfield, OR 0gl NNV
to#r""
541-726-9303
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occu
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working day,
working day
Electrical
Temporary Power -Approval required prior to SUB energizing pole.
Construction Types:
Occupancy Groups:
Sq.
rce:
06(
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(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
1Temporary: 200 Amps or Less 05t02t2000 1455 $40.00
v\Cl
,"dO$
3H!
,6[OrO
willbe
l$l r\q 0a
Required lnspections
Fee Paid On Receipt#
Page2 of 2
Value/Quantity Fee Amount
State Surcharge For Electrical permit
Electric Administrative Fee
Total Electrical
Grand Total
05t02t2000
05t02t2000
1455
1455
$2.80
$1.20
$,f4.00
$44.00
Signature Date
TY OF SPB,,UGF'E[D, OREGO'V
/7t INSTALLATION,/722t4- -
SPRIrlriFIELO
tted has the
specific land use
PBRHIT APPLICATION
COHPLETE FEE SCMDUI,E BELOS
New Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
Zoning
225 FIFTE STREET
SPRTNGFTELD, OREGoN 9747
INSPECTI0N REQIIESTz 726
OFPICE: 726-3759
Date
ltgg'tr"0 Signature il,Ci ty Job Nunbe r oo-ooe > R-01
1. LOCATION OF
3.
A
B
C
I,EGAL DESCRTPTION cl?o4 f
JOB DESCBIPTION
/<o 6u<
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
201 amps to 400 amPs
-401 amps to 600 amPs
-
601- amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1y !
Sum
IL,
s 8s.00
$ 1s.00
$ 40.00
s s0.00
$ 60.00
s100.00
s130.00
$300.00s 40.00
2 00
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi i""u.nce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor glcc/,r /C
Address 4 lvTt
Ci ty phone 12[ iJt''3
Supervisor License Num ber 2(t
Expiration Date
Constr Contr. Number 9o '/ 7zC
Expiration Date /)
Signat ising Electrician
Ovners Name
Address
Ci tv Phone
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
Ovners Signature:
DATE:
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps"or less *'t $
201 amps to 4OO amps
-
$over 4b1 to 600 amps --l $
Over 600 amps or t0OO-voTEs se
_4_40
55
80
r€
00
00
00rrgr uffiul-
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outtine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
s
s 40.00.$ 40.00
$ 20.00
s 36.00
a t-
RECEIVED BI:
5
-T
,'