HomeMy WebLinkAboutPermit Electrical 2000-06-20Job# 00-00974-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPFINGFIELD TRANS*:01-0001144
DATE:JUN TO 2OOO
AilT RE[D:? $ 40.70
IHANEE:
[A$HIER:061
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 4690 union Ter Spr
Assessors Map#: 17023243
Lot: Block: Addition
Job Number: 00-00974-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 08700
Subdivision:
crTY oF SPRTNGF7ELD, OREGOA'
Owner: david brooks
Address: 4690 union terrace
Scope Of Work: Electrical Only
circuit addition
Phone Number:
City/State/Zip:
New
541-736-8359
springfield, OR97477
Value: $O
Contractor Type
ElectricalContr
Contractor Registration #
Philips Electric lnc 54438
1298 Bethel Dr, Eugene, OR 97402-2003
Expiration Date
9t19t2001
Phone
541-688-6121
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.
working day.
Required lnspections
,hl$ffutgtfle the followins
TIIIS PERIIIII' SHAI-I- EXPIRE IF THE WOBK
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Height (feet):
Proposed Units:
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
-When all electricalwork is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
JtilitY
al {nr
Area (Sq.
Main:
numbei iortlt
Accessory:Total
Electrical I
Job# 00-00974-01 Page 2 o'f 2
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
06t20t2000
0612012000
0612012000
2244
2244
2244
2 $37.00
$2.59
$1.11
$40.70
Grand Total $40.70
Signature Date
qwaF OFEGO'U
SPFIIN/'-TELD
The lollowing project as submitted has the lollowing
zoning, and does not require specific land use
approval
Zoning ELECTRICAL PERHIT APPLICATION225 FITTE STREET
SPRTNGFTELD, OREG0N 97477
INSPECTfON REQUEST: 726-
0FFICE: 726-3759
*ffil
NATE: JUI',I TO TilOO
iil4T REID:I $ 4ri.?C
fiHnfttrr:
-ol
SumI^EGAL DESCRIPTION o 9700t-?oz zzLl3
JOB ci
LO
rmits are non-trans ferabl and expire
if vork is not started vithin 180
of issuance or if vork is susPende
Job Number -()o
COHPLBTE SCBEDTII^E BELOV
Nev Residential-Single or
Multi-Family per dvelJ-ing unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf 'd llome- or
Modular DvelIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
OF
Authorizecj Signature
ALi,ATION
180 days.
2. COI.ITRASTOR INSTALIATION ONLY
Electrical Contractor Philips Electric, fnc.
days
d for
A
C
B
Address Rafho'l1 \70 200 am
201 am
401 am
601 am
or
to
to
to
ps
ps
Ps
ps
less
600 amps
1000 amps
$ so. o0
$ 50.00
$100.00
s130.00
$300.00
$ 40.00
Ci ty Phone(s41) 588-61 21
Supervisor License Number 9s
Expiration Date,10/01 l01
Constr Contr. Number 20-179c
Expiration Date 10/01 /oo
Signature of Electrician
Owners Name
Address
Over 1000 amPs/volts
-
Reconnect 0n1Y
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-
Over 401- to 600 amPs
Over 600 amps or fbOO voEs
Branch Circuits
Nev, Alteration or Extension Per Panel
one circui t t g 3s. oo SSf
Each Additional
Circuit or vith Service, n hoor Feeder Permi t / $ 2.0O d.i-
Misceflaneous (Service/feeder not included)
-Each instaflation
Pump or irrigation
Sign/0utline Lightirg-
Limited EnergY/Res
Limi ted ener[y/comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAI
40.00
55.00
80.00
ee rrBrr aEovil
$
$
$
s
D
Ci ty Phone 7ea83S7
OVNER ALI.,ATION
00
00
00
00
$40
r$ 40
$20
$36
)
DATE:
RBCEIVED
5
oo
4tol o l " ir.. Ter ra cc-
The instal-lation is being made on
property f ovn vhich ls not intended
for sa1e, lease or ren!'
Owners Signature:
DI