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Home My WebLink AboutPermit Electrical 2000-11-13SPRINGFIELEI Job# 00-01658-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 629 00034th St Spr AssessorsMap#: 17023124 Lot: Block: Addition: Job Number: 00-01 658-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 01400 Subdivision: ctTY oF SPRfiNGFfiELq OREGON Owner: Troy L. Fore Sr Address: 629 34th St Scope Of Work: Electrical Only Phone Number: City/State/Zip: Alteration 541-747-0925 Springfield, OR Value: $O Quad Area: # Of Units: Constr. Type: Water Heater: # Of Buildings: 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 E Rough Electrical Electrical Service Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: - Prior to cover. -Must be approved to obtain permanent power -When all electricalwork is complete. Accessory: # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Total Paid On Receipt#Value/Quantity Fee Amount Electrical Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge For Electrical Permit 11113t2000 11113t2000 11t13t2000 3762 3762 3762 1 4 $s0.00 $8.00 $4.06 office use - Land Use: Zoning Code: Bedrooms: Range: or.liAq Paldour Fee Job# 00-01658-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Electric Administrative Fee Total Electrical 1111312000 3762 $1.74 $63.80 Grand Total Signature $63.80 /t Date CITY OF OFEGO'V SP}.- JFIELD 225 FIFTE STREET 'fhe foltowing project as submitted has thezontng, and does not require specific land useapproval Zoning LO{L Date Zfr, SPRINGFIELD, OREGON 97 47 Tatrronzed Signature TNSPECTION REQUESTz 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION h2-a /1' 3u ,<pr", DESCRIPTI3/a{ ON oL+oC) o CAL PERI{IT APPLICATION Job Number OO-C1656-0l 3. COHPI,ETE FEE SCMDULE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost Sum l-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 5-w c A I,EGAL l?oa JOB DESCRIPTIONf?T t nt AIEhI fr REDIfE/4 flo x Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALT.ATION ONLY Electrical Contractor ci 200 amps or less L 201 amps to 400 amps -401- amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only 200 amps''or less 201 amps to 400 amps -0ver 40L to 600 amps 0ver 600 amps or 1000 voITs $ s0.00 $ 60.00 $100.00 s130. 00 $300.00s 40.00 $ 3s.00 $ 2.00 ee trBn a6ove Supe Expi Cons r t r r Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician Ovners Name f/4 o V A, FOne SR,-r Address 6 AE N, 3q Ci ty Phone 2f f-D ?2{ D. Branch Circuits Nev, Alteration or Extension Per Panel $ $ $ s 40.00 5s.00 80.00 .00 .00 .00 .00 oe, One Circuit Each Additional OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: DATE; Circuit or vith Service.or Peeder Permit \ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL s40 $40 $20 $36 5 Phone risor License ion Date RECEIVED BY: x.gcEtn' *: