HomeMy WebLinkAboutPermit Electrical 2000-04-11SPRINGFTELD
Job# 00-00551-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANS*:01-0001t00
DRTE:APR 11 ?000
AHT RE[D:2 $ 38.50
IHANEE:
IASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1475 00005th St Spr
AssessorsMap#: 17032642
Lot: Block: Addition:
Job Number: 00-00551 -01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01201
Subdivision:
clTY oF SPRfiNGFfiELq OREGON
Owner: City Of Springfield
Address: 225 Fifth Street
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
541-726-3700
Springfield, OR97477
Value: $0
Contractor Type
ElectricalContr
Gontractor Registration # Expiration Date
McDiarmid Electric
85579 Hwy 99 South, Eugene, OR 97405
Phone
541-726-1677
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
Ns
To request an inspection call the 24 hour recording a1726-3769
a.m. will be made the same working day, inspections requested
working day.
Required lnspections
Handicap Access? [Census Code: Does not apply
Area (Sq. Feet)
Main:
before 7:00
Ybo
D4
Height (feet):
Proposed Units:
Accessory:Total:
D?rs
Job# 00-00551-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
0411112000
0411112000
0411112000
1200
1200
1200
1 $35.00
$2.45
$1.05
$38.50
Grand Total $38.50
Signature Date
OREGONC'TY OF
225 FIFTE STREET
SPRTNGFIELD, oREGoN 97
INSPECf,ION REQUEST: 7
OFFICE: 726-3759
1. LOCATION O
apProval
Zoning
7
Authorized Signature
SF TGFIELD
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
SerVice or Feeder
lH,i"JiT:'JJ:I";:?Hi'[:"'l:ft i"'H"f 'l'"'T"n
tq
F TNSTALLATION++t-5f
ELECTRICAL PERHIT APPLICATION
ty Job Nurnbe. 0O - O O 551.-O I
3. COHPLETE TEE SCEEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
s 1s.00
$ 40.00
Ca-
r 0-a
{r,)
DESCRTPTION
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address t5sn \1w1 \\S
Ci ty 1*r5 phonJ t{.) 7a b - (bl )
Supe rvisor License Number ZAq s
Expiration Date /O-/-o I
constr contr. Number lltl3
Expiration Date I O
si of Supervising Electrician
Ovners Name
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000-voEs see ttgtt
"ffi
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I g 35.00 33
B. Services or Feeders
Ins tallation, Alterations
N(. or Relocation:
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps-
Over L000 amps/volts
-Reconnect On1y
5. SUBTOTAL OF ABOVE
?tY" state Surcharge- 32 Administrative Fee
TOTAL
Sum
\
$ s0.00
s 60.00
s100.00
s130. 00
$300.00
$ 40.00
Address
Ci ty Phone
oS
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
OVNER INSTALI.,ATION
Orrners Signature:
E
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/0utline Lighting- SLimited Energy/Res
-
SLimited Energy/Comm S
og
40.00
40.00
20.00
36.00
#%-
DATE:
RECETYED BI:
I
I
KtsUEITI S: