HomeMy WebLinkAboutPermit Electrical 2000-06-08SPRINGF!ELD
Job# 00-00900-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of2
TRANSfi:01-00010?8
DATE:JUN 0B 2000
ff|{T RECD:? $ 38.50
CHANEE:
IAEHIER:032
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 925 S 00032nd St
AssessorsMap#: 18020621
Lot: Block:
Job Number: 00-00900-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 07700
Subdivision:
ctTY oF sPRtntGFlEL4 OREGON
Owner: Mills
Address: 925 s 32nd
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
New
541-747-3461
Springfield, OR97477
Value: $O
Contractor Type
ElectricalContr
Contractor
J.B. Electric lnc.
4065 w 1 1th #18, eugene, OR 97402
Registration # Expiration Date Phone
541-687-5770
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 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 Inspections
Electrical I
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
-Prior to cover.
-When all electricalwork is complete
# Of Stories: Height (feet):
Gurrent Units: Proposed Units
Census Code: Does not apply
Accessory:Total:
spr
:i
Job# 00-00900-01 Page 2 of 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
06/08/2000
06/08/2000
06/08/2000
2078
2078
2078
1 $35.00
92.45
$1.05
$38.50
$38.50<1 roc
E"
C'TV OF\
225 FIFTE STREET approval
SPRINGFIELD, OREGON 97 477 Zoning
CAI PERHIT APPLICATION
ty Job Number
COMPLETE FEE SCEEDUI,E BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
$ 8s.00
-TFlINGFIELE,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Hanuf'd Home- or
Hodular'DvelIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _601 amps to 1000 amps
0ver l-000 amps/volts _Reconnect 0n1Y
200 amps''or
201 amps to
0ver 401 to
Over 600 amp
afr,
x:l"J"y;l'J#1"::?H3'[',:?*fi
i"'1""T'l,"'T*
INSPECTION REQIIESTz 726
OFFICE: 726-3759 6eI"69 -x -
?
B
E
Authorlzed Signature
1 LOCATION OF INST#LrArI0N A
ob)l-611c)
JOB DESCRIPTION
11. ?.
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuanee or if vork is suspqnded for
180 days . 00rl I
2. CONTRACTOR INSTAII.,ATION ONLY
Electrical Con tractor T. B - fleCtr;rrbf .
Address b
Ci ty Phone
Supervisor License Number ?t-??<
(/
C
Expi r
Signa
ation Date
ising Electrician
0vners ane //t,'l/<
Address 7Z{s, 324
Ci ty Phone,1q7 VL(t I
Sum
f
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
s100.00
$130.00
s300.00
$ 40.00
Expiration Date
Constr Contr. Uunber (tt44?1
Temporary Services or Feeders
Installation, Alteration or Relocation
less $ 40.00
600 amos $ 80.00
s or 1000 volts see rrB" above
OIINER INSTALLATION
The installation is being made on
property I ovn vhiih is not intended
for sale, lease or rent.
0sners Signature:
DATE:
Branch Circui ts ; .-
l
Nev, Alteration or Extension Per Panel
-Each installation
Pump or irrigation
-
Sign/Ou tline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE-flf" state Surcharge
32 Administrative Fee
TOTAL
D
one (circuit L S 3s.oo 35:
sacht edditional .Ciicuit or vith Service
or Feeder Permit $ 2.00)-
MisCeltaneous ('service/feeder not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
RECEIVED
u"T Koz
KEUEIT1 fr
t
I
tJx: