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Home My WebLink AboutPermit Electrical 2001-10-01Job# 01-01049-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 SPRINGFIELD l/,t ; LJil:L 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2715 00003RD St Spr AssessorsMap#: 17032334 Lot: Block: Addition: Job Number: 01-01 049-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: clTY oF sPR lrGFtELD, OREGON Owner: Rick Harden Address: 2715 3rd Street Scope Of Work: Electrical Only Heat pump Phone Number: City/State/Zip: New 541-686-1 040 Springfield, OR97477 Value: $O Contractor Type ElectricalContr MechanicalContr Contractor Oregon Electrical Service P. O. Box 2237,Eugene, OR 97402 Home Comfort Heating 706 Oscar Street, Eugene, OR 97402 Registration # Expiration Date 84164 61112003 Phone 541 -343-1 681 541-345-2838 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: aePlsQuad Area: # Of Units: Constr. Type: Water Heater: \V- To request an inspection call the 24 hour recording All inspections requested before 7:00 requesteda.m. will be made the SA me working day, inspections after 7:00 a.m. will be made the following working day Required lnspections Electrical l Rough Electrical Final Electrical Rough Mechanical FinalMechanical - Prior to cover. -When all electrical work is complete. ical -Prior to cover. -When all mechanicalwork is complete. :L ia. il. Job# 01-01049-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Page2 ot 2 Construction Types Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 09t26t2001 0912612001 0912612001 09t2612001 681 0 681 0 681 0 6810 2 $.00 $46.00 $3.22 $3.68 $s2.90 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical Grand T Signature Mechanical 1010112001 10t0112001 10t01t2001 10t0112001 10t01t2001 6859 6859 6859 6859 6859 1 $33.00 $3.60 $12.00 $10.00 $3.15 $61.7s $114.6s ,/2-/'o/ Date The tou-'{'lng project as submitted has the followingzoninl d doEs not require specific land use 225 FIFTH STREET APPTOV.. Items Cost Sum $ r 9.00 1. LOCATION OF INSTALLATIONl5 LEGAL DES A. Nerv Rc.sitlcntiul-Singlc or Multi-Family per dl,elling unit. Sen'ice Included:o!:tlo-a JOB DESC.RIPTIONuSau-fu -----El \.o.a.[1a_er-, Permits are non-transferable and expire ifrvork is not started lvithin 180 days ofissuance or ifwork is suspended for 180 days. Electrical Contractor til,$Rl( sERVltE Address Date Constr Expiration Date Signrture of Super-v ising Electrician 1000 sq:ft. or less' . Each additional 500 sq. ft or portion thereof Each Manufd Home or Ivlodular Drvelling Service or Feeder Instrllation, Alterations or Rclocation: 2()0 amps or Iess 6 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders 201 amps to 401 amps to 601 amps to Circuit or or Feeder Permit N{inimum c Permit Insp 4. SUBTOTALOFABOVE - $-15.00 -,ection Fee is 545.00 + Surcharges 00.00 s50.00 $25.00 77o State Surch:rrge 8%, Administrative Fec Orvners TOTAL ?) SPzuNGFIELD, OREGON INSPECTION REQLffiEE OFFICE: 726-3759' Authonzed Signature ELEC^ .CAL PERMIT APPLICATION Nr*t,.,' O1-O I C Li 7' FEE SCF{EDULE BELOW $ 63.00 $ 125.00 _ $ 163.00 _ C. Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits ,i:l Nerv Alteration or Extension Per PanelOrvncrs N Supen'isor Nurnber I 3q&5 ^ " {ZoL flu-,[-,,-, 200 anrps or Iess 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 r,olts see "B" ilbove F*t--*, F OWNER INSTALLATION The installation is being made on properq!'l orvn lvltich is not intended lor slle, lease or rent. LfU. 9b*\ E{- -=(G7- b6, Qo