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Home My WebLink AboutPermit Electrical 2002-06-23SPRIilGFIELD Job# 02-00295-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 02-00295-01 Office: 726-3759 !nspection Line: 726-3769 Tax Lot#: 02801 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 3238 Virginia St Spr AssessorsMap#: 17023134 Lot: Block: Addition: crTY oF SPRTNGFIELD, OREGON Owner: Alie Williams Address: 3238 Virginia Street Scope Of Work: Electrical Only New Heat Pump Contractor Type ElectricalContr Phone Number: City/State/Zip: New Registration # 541-747-2390 Springfiled,78 Val Buildings: s Contractor Alie Williams 3238 Virginia Street, Springfiled, OR 97478 Alie Williams 3238 Virginia Street, Springfiled, OR 97478 a Phone 541-747-2390 541-747-2390MechanicalContr Quad Area: # Of Units: Gonstr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24 hour 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 Required lnspections Electrical Rough Electrical Final Electrical Rough Mechanical FinalMechanical - Prior to cover. -When all electrical work is complete. Mechanical -Prior to cover. -When all mechanicalwork is complete. :ty o o, Job# 02-00295-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Gode: Does not apply Total: Page 2 ol 2 Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 06t11t2002 06t11t2002 06t11t2002 06t11t2002 9482 9482 9482 9482 1 $2.00 $43.00 $3.15 $3.60 $s1.7s Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanica! Mechanical 06t1112002 06t11t2002 06t1112002 06t11t2002 06t11t2002 951 1 951 1 951 1 951'1 951 1 1 $33.00 $3.60 $12.00 $10.00 $3.15 $61.75 Grand Total Signature $113.50 t/- oz Date A^__,,^lJ z UNA"*_;.- 225 FIFTH STREET SPzuNGFIELD OREGON LEGAL DESCRIPTIONt-7023t3q 97+7 726-3169 AP-- . ELEC..dCAL PERMIT APPLICATION : Citv Jnlr Numlcr 0Z -COZ? S -O I 3. COMPLETE FEE SCHEDULE BELOW A. Nel' Residenti;rl-Single or Multi-Family per dn'elling unit. ed: Items Cost s 106.00 00 rtron JOB D N C Perniits are non-transferable and ifvvork is not started rvithin 180 days of issuzrnce or if rvork is 180 days. + OZ 3\ INSTALLATION ONLY .0 L Signatule _ $ 19.00 _ d Horne or Modular Drvelling Sewice or Feeder B. Serryices or Fecders Relocation: 200 amps or less E. Nliscellaneous (Serrice/feetler -Each installation Purnp or irrigation Sigr/Outline Linrited I\'Iinimum 1. SUBTOTAL 7oh Stirte Surch 87n Administr {5.00 + Surcharges ?{ ?lt 74. $ 50.00 2. CONTRACTOR Electrical' Contractor_ Adclress Tire instaliation is being made on propcrty I orvn rvhich is not intended for sale. lease or rent.$50.00 $50.00 $25.00 $-r5.00 Orvncrs Signature: TOTAL on Fcc iSS 9t ,! Pltone_ Sr-rpen'isor License Nurnber C. Temporary Senices or Feeders Installation, Alteration or 200 amps or less 201 amps to 400 . Over 401 to 600 Over 600 amps dr ,,8" abo\re D. Branch $ 63.00 $ 75.00 $ 163.00 --$375.00 $ 50.00 .00 I $43 00 -11 Expiration Date (*Y Constr Contr . Nnmber Expiralion Signaturc of Supcrvising Electrician orvners N^^" ALlf N ,tl/fur,\ z3 City S -23?O Each ,} =+ or l'ith or Feeder I d