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Home My WebLink AboutPermit Electrical 2001-01-16SPFINGFIELD Job# 00-01788-01 PUBLIC PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 725 S 00042ND St Spr AssessorsMap#: 18020521 Lot: Block: Addition Job Number: 00-01788-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 08300 Subdivision: ctTY oF SPRINGFTELD, OREGON Owner: Springfield School Dist Address: 525 MillStreet Scope Of Work: Electrical Only add circuits for washer Phone Number: City/State/Zip: Alteration 541-726-3200 Springfield, OR97477 Value: $O Contractor Type Electrical Contr Plumbing Contr Contractor Jb Electric lnc 4065 W 11Th #18, Eugene, OR 97402 George Phelps Plumbing lnc Po Box 2874,Eugene, OR 97402 Registration # 104929 Expiration Date 3t14t2004 Phone s41-687-5770 541-338-31 B112727721612002 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: School Dist Admin Office # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Range:NOTICE: Heat Source: 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 following working day. Required lnspections Electrical Rough Electrical Final Electrical Rough Plumbing FinalPlumbing - Prior to cover. -When all electrical work is complete. Plum - Prior to cover. -When all plumbing work is complete I lri!itU callll I'lUrl tkr te rulas bl ePhone rtilication Job# 00-01788-01 Page2 of 2 Land Use: School Dist Admin Office Pave Driveway? E Zoning: FloodPlain?Wetlands? Journal numbers 1: Gomments: Planner: Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Overlay District: # of Street Trees: 3 Additional Requirements: Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Tota! Electrical 1211412000 1211412000 1211412000 4033 4033 4033 2 $37.00 $2.59 $1.11 $40.70 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0111612001 0111612001 0111612001 01116t2001 4251 4251 4251 4251 1 $5.00 $10.00 $1.05 $.as $16.50 G Total Date $57.20 0r/6o 7 225 FITTE STREET SPRTNGFTELD, OREGoN 97477 INSPECTION REOUESTT 726-3769 OFFICE: 726-3759 1. LOCATION TALI,ATION JOB DESCRI ON 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 INSTALT.ATION ONLY Electrical Contractor Address pnone (18?-5V?0 Supervisor License Number D umber SpF 'FIELO ELECTRICAI PERHIT APPLICATION Ci ty Job Number COHPLETE FEE SCMDULE BELOS Nev Residential-Single or MuIti-Family per duelling unit' Service IncLuded: Items Cos t $ 8s.00L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder s is.00 $ 40.00 Services or Feede* InstaLlation, Alterations or Refocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPS - 60L amps to 1000 amPs- Over 1000 amps/volts Reconnect OnlY or irrigationfottowillglmP rd use S ign /0utline Lighting TOTAL OF ABOVE State Surcharge 32 Administrative Fee Temporary Services of-Feeders Installaiion, Alteration or Relocation oD- q5j 3 A rY B C Sum luded ) 1a- 09 , Y)u Expiration Date Constr Contr. N Expiration Date I $ s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 6ovt 00 00 00 Btt a 40 55 BO e .09a, rvising Electrician Yno".? Lf7-,4."3/ 200 amps''or less 201 amps to 400 amPs -Over 401 to 600 amPs Over 600 amps or 1000-volTs D. Branch Circui ts '/ot r Nev, Alteration or Extension Per Pane onecircuit t $35'oo Each Additional Circuit or vith Service or Feeder Permit [ $ 2'00 E. Misceflaneous (Service/feeder not inc -Each ins tal-l-ation $ $ $ seSigna 0wne sN Add res s Ci ty The installat ProPertY I ov for sa1e, 1ea Et]O: H]IHgU3 :l$NU0$)ners Signat 0r'0? $ t:0xlu ll"lu DATE: OIINER INST ALT,ATION ion is being made on n r,'hich is not intended e dhe tphltrlg project as submitted has theS ure: ioning, and does not require specific lan ap proval a). ,) Limited EnergY/Reszoning f uv I. ' mi ted Energy/Comm 40.00 40. 00 20.00 36.00 nJ000i RECETVED BY: Date A-t -ao TOTAL s s $ $ OD \{oBt (\gNo.o(- rr( *i,;*o \'Jv ciry € WTE\4J E .32+a =