HomeMy WebLinkAboutPermit Electrical 2000-03-06SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 136
AssessorsMap#: 17033531
Lot: Block:
Owner: McNutt Group
Address: 400 Country Club Road
Scope Of Work: ElectricalOnly
Job# 00-00351-01
00004th St Spr
Addition:
follow
Paoe 1 of2- TRftNSS:01-0000828
DATE:HAR 06 2OOC
Al'lT RECD:2 $ 19.60
IHANEE:
IASHiER:05?
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety Job Number: 00-00351-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 05800
Subdivision:
1
ctTY oF SPR|NGF|ELD, OREGON
. ..._,.: ..,o4;il
Registration # Expiration DateContractor Type
ElectricalContr
Contractor
Adt Security Services lnc
1501 PearlSt, Eugene, OR
Phone
541-342-1313
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jss
-
Land Use:
Zoning Code:
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.
Low Voltage
Gonstruction Typesr
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Required !nspections
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# orstories: "'1?,lAt?,S"r,
Current Units: Proposed Units:
Census Code: Does not apply
(Sq. Feet)
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Restricted Energy
State Surcharge For Electrical Permit
03/06/2000
03/06/2000
828
828
I $36.00
$2.52
Job# 00-00351-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electric Administrative Fee
Total Electrical
03/06/2000 828 $1.08
$39.60
Grand Total $39.60
V -6- <z:)
Date
(
225 FIFTE STREET DAtE
SPBJNGFfELD' OREGON 19767z" Stsnature
INSPECf,ION REQUESTz 726-3769
OFPICE: 726-3759
EI.ECIts,ICAL PBRT{IT APPLICATION
City Job Nunb er nO'0c 31 [-o(
3. COHPI.ETE FBE SCEEDTII,E BELOS
A. Nev Residential-Single or
Multi-PamilY Per dvelling unit'
Service Included:
I tems
The tollowing project as submitted has the following
zoning and does nol require specific land use
approval
Zoning
?-tc -co
S IGFIELO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Modular 'Dvelling
Service or Feeder
B. Services or Feeders
InstaIIation, Alterations
or Relocation:
,) 200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect OnIY
c
D
,ON OF INSTALI.^ATION1.
I /,,qr
DESCRTPTION
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI..ATION ONLY
Electrical Contractor 42 7 Src,tti I
Address 0
Ci ty Phone , ?2-( 7/7
?
Cos t
s 85.00
$ 1s.00
$ 40.00
Sum
ffi
s s0.00
$ 60.00
s100.00
s130. 00
$300.00s 40.00Supervisor License Number € €l \ct
Expi ration Date to /r /oz
constr contr. numuer f?9 ?9
Expiration Date ol
rvising Electrician
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps"or less $ 40'00
over 4b1 to 600 ambs
-
S 80.00
0ver 600 "rp, o.-ibOO ,ofts see rB, aEF
Branch Ci rcui ts ; ..
Nev, Alteration or Extension Per Panel
u
Ovners Name fu.,/,.,7T Eo"-f)
Address P" +-A
Ci ty hone {$l- 1q, @
Signaturg of SuPeL
//14 z'L\-
OVNER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent'
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
0vners Signature:
-Each installation
Pump or irrigation $
signZoutline Lighting- tLimited EnergY/Res - $
IIJBTOTAL OF ABOVE
QD st"t" surcharge
YZ edministrative Fee
TOTAL
40.00
40.00
20.00
36.00
5
DATB:
onEGorvCITY OF SPR
RBCEIVED
1 -trn 0
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