HomeMy WebLinkAboutPermit Electrical 2000-06-06SPRINGFIELD
Job# 00-00884-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRf,h{E*:01-000!t}l$
If;TE:JUN Or: 2OOC
AllT Rt[D: ? $ It. $$
[Hffi"rEt:
TASHIER:0i:i
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2166 yolanda Ave Spr
AssessorsMap#: 17032443
Lot: Block: Addition:
Job Number: 00-00884-01
Office: 726-3759
lnspection Line: 726-3769
clTY oF SPRINGFIELD, OREoON
Owner: ken long
Address: 2166 yolanda ave
Scope Of Work: ElectricalOnly
security system
Phone Number:
City/State/Zip:
New
541-746-9769
springfield, OR97477
Value: $0
Contractor Type
ElectricalContr
Contractor
Adt Security Services lnc
1501 PearlSt, Eugene, OR
Registration # Expiration Date Phone
541-342-1313
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 call the 24 hour recording a1726-3769. 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 followingj
working day.
Required lnspections
Electrical
Low Voltage
n umber for the Oregon Utilitr Notification
n*::le" :. : .t -4,|i -12.?-?j44)"
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Gensus Code:Does not apnlgTlCE:
Area (Sq.
Main:Accessory:Total:THIS PERI\4IT SHALL EXPIRE IF THE WORK
Fee Paid on R&O$6ffiNCEB€frEdBdf,,mpNED H€Xl Amount
Limited Energy - Residential 06/06/2000 2039
PERIOD
1 $20.00
Electrical
Tax Lot#: 00300
Subdivision:
callinr
You may obtain copies of the rules b)
:he center. (Note:the
Job# 00-00884-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
06/06/2000
06/06/2000
2039
2039
$1.40
$.60
$22.00
$22.00
("^b^a"'*"
Date
CITY OF OFEGOAI
SI )GFIELO
OFFICE: 726-3759
0a\o
1 OP
^J
n
I.EGALsQ frY
JOB DESCRIPIION
ExP
Signature of Supervising Electrician
Ovners Name ) loil
Address
Electrical Contracto r ST Security
666r"ss 1501 Pearl St.
Ci ty Eugene, 0R Phone 541 -342-l 1r i
Supervisor License Num ber 853JLE
Expira tion Dare l0/02
constr contr. Number 26209CLB
10/01 /00
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
3
A
EI.ECIRICAL PERTTIT APPIJCATION
COI{PIJTB PEE SCEEDTII.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
Hodular 'DveIIing
Service or Feeder
s 8s.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
*n:
CityJobu-b"t@
- Al{T REID:Z $ !2.00. CHANEE,:
f,n CUTtrE,. n/:lUnrJl lILl\. iJUI
0ATt':JUI'J 06 1000
Sum
Permits are non-transferable and expire
ii vortc is not started vithin 180 days
or iiiu""ce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY B
c
E
$ s0.00
$ 50.00
s100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 5s.00
s 90.00
s see rrgrr uffi
iration Date
city9lUtuftFZD Pr,on
OUNER INSTALT.ATION
Ovners Signature:
D. Branch Circuits
New, Alteration or Extension Per Pane1
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
s 3s.00
s 2.00
Miscellaneous (Service/feeder not included)
Temoorary Services or Feeders
i"iiiit.iion, Alteration or Relocation
200 amps'"or less,oi ;;; to 4oo amps
-Over 401 to 600 amPs
-
0ver 600 amPs or 1000 volt
.SIIBTOTAL OF ABOVE
(ZP state Surcharge
YZ edministrative Fee
TOTAL
d*,btt*ztrf
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'tr-$ 40.00
s 40.00
$ 20;00
$ 35.00
DATE:
RECEIVED BY:
5
7zT
I 70 3 Zq?3 Oo30O
-Each installation
Pump or irrigation
-
Sign/Out1ine LightinS-
Limited EnergY/Res I
Limited EnergY/Comm