HomeMy WebLinkAboutPermit Electrical 2000-03-13L
Job# 00-00388-01 Paoe 1 of2- THANE$:01-ggggrr=
DAIE: t'lAR ]_i lB00
Al{T RECD:? $ 5?.20
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SPRIITIGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1792 00042nd St Spr
AssessorsMap#: 17023000
Lot: BIock: Addition:
Job Number: 00-00388-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 01912
Subdivision:
clTY oF SPRINGFIELD, OREGON
Owner: Rogers Gardens
Address: 1742hayden bridge
Scope Of Work: Electrical Only
Phone Number:
City/State/Zip:
Alteration
. ,^ nqt ANV
541-747-9084
Springfield, OR 97478
Value: $0
Contractor Type
ElectricalContr
ElectricalContr
*##**gI,1.=
Abc ElectricEdQ[tA"
5511 Main St, Springfield, OR 97477
# Expiration Date
7t16t03
Phone
541-726-6701
Office [Jss
-
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:lOt,6S
To request an inspection call the 24 hour
a.m. will be made the same working day
working day
to\\ow
rl
Rough Electrical
Final Electrica!
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
m.f ru\es
ot the
the
is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
re 7:00
following
-\l/hen
Main
(Sq. Feet)
Accessory:Total:
You
Job# 00-00388-01 Page2 of 2
I
Fee Paid On Receipt# Value/Quantity Fee Amount
Permanent: 200 Amps or Less
Branch Circuits \Mth Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrica!
03/13/2000
03/13/2000
03/1 3/2000
03/1 3/2000
913
913
913
913
1
1
$50.00
$2.00
$3.64
$1.56
$57.20
Grand Total4 $57.20
Signature Date
aCITY OF OFEGO'U a
ir'€ lollowing prolect as submitted has the fotlor"ing
;;;';;"d;es not require specific land use
225 FIFTB STREET ,.PIJTOVAI
SPRINGFTEIJ, oREGoN 97477 Zontng
INSPECIION REQITESTz 7&t4
OFFICE: 726-3759 t{ur,i..,;.rzeo srgnature
LOCATION OF
2-
ONaOo c)
JOB DE.SCRTPTION- rt,;A-i Z'/</Vn1.o7 f,//l1F
Pernits a,re non-transferable and expire
lf vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days.
2. COTTXECTOR INSIALI,ATION ONLT
Electrical Contractor ,aR(f/€c
Address f.fff ?'tp/,a./
Ci ty F ,ra Phone 7zd / )' a
Supervtsor License Number )o 7i t
Expiration Date 70't /o/
COT{PLSTE FEE SCBEDTII,E BELOS
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
-
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Bome. or
Hodular.'Dvelling
.8. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less i-
201 amps to 400 anPs
--401 amps to 600 amPs
-
601 anps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
s 8s.00
$ 1s.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
201 amis to 400 anps
-
$ 11.99
over 4b1 to 600 am-ps T $ 8o.oo
0;;; 600 "rp"-ot*i660 *Ie" iee uBu a56F
Branch Circui ts ; .'
Nev, ilteration or Extension Per Panel
$ 3s.00
$ 2.oo L "'
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pumn or irrisation
SldrfOutI ine- Ligh t ing:
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
"1965tate Surcharge
32 Admini.strative Fee
TOTAL
PBRHTT APPLICATION
ty Job Number 0o3BB.ol
(o o0
CS---,-
/ (V- Co
3
A
- oiq/>-,Sum
50
60
100
130
300
40
$
s
$
s
$
s
00
00
00
00
00
00
_____7________7 C
Cons tr Contr. Number -' '6L
Expiration Date /o 0
Signature of Supervising Electrician
D.
0sners Name o t '.b {tt-l
Address ?Y2*2 tz-t
cl tF,rd Phone ?Y7 ?a 8F
OSNER INSTALT,ATION
The lnstallation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orners Signature:
DATE:
Orie Circui t
Each AdditionalCircult or vith Service.
or Feeder Permit /
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECEIVED B
b--6n
5
) 6o