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Home My WebLink AboutPermit Electrical 2000-01-31a- Job# 00-00153-01 Pase 1 otfRnrusr, o1-oooo419 DATE:JAN 3l- 2000 Al{T REID:Z $ 61.60 IHANEE: CASHIER:059 SPRINGFIELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 574 00032ND ST Spr Assessors Map#: 17023124 Lot: Block: Addition: Job Number: 00-00153-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 08200 Subdivision: ctTY oF SPRINGFIELD, OREGON Owner: PATRICK HUTCHINS Address: 797 LAKSONEN LOOP Scope Of Work: Electrical Only Phone Number: City/State/Zip: Remodel 541-7464625 SPRINGFIELD, OR 97477 Value: $0 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Gode: 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. Required lnspections Electrical Rough Electrica! Electrical Service Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. Accessory Total # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Fee Paid On Receipt# Value/Quantity Fee Amount Permanent: 200 Amps or Less Branch Circuits With Feeder or Service Branch Circuits \Mth Feeder or Service State Surcharge For Electrical Permit 01131t2000 01/31/2000 01t31t2000 01/31/2000 418 418 419 418 1 2 1 $50.00 $4.00 $2.00 $3.78 \;r/ Job# 00-00153-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 01131t2000 01131t2000 01t31t2000 419 418 419 $.14 $1.62 $.06 $61.60 Grand ota! Signature roq $61.60 a*,looc) Date ) j. C,ITY OF OREGON SPFI FIELI, The tollowing proiect as submilted has the following zoning and does not require specific land use 1 225 FTT.M STREET approval Zoning SPRINGFIELD' OREGON 974t)&e' IHiE:T")'::3ffi" 7zfr-alf?'d srsnature OF INSTALLATIONonl,j 3a hrJ rL CAL PERHIT APPLICATION Ci ty Job Nunber @ o -00 153-ol 3. COHPI,ETE FEE SCEEDT'LE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder $ 8s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: A I.,EGALt2-o DESCRIPTIa3 la.a{'9*o Baoo Sum JOB PTION Permits are non-transferable and expire if vork is not started vithin 1"80 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAIT,ATTON ONLY Electrical Contract or G r e\rlrr (, $ r.s.00 s s0.00 s 60.00 s100.00 $130. 00 s300.00s 40.00 $ 3s.00 Ci ty Phone 5 -311-s010 Supervisor License Number ,J-JT 5 Expira tion Date O"t )oc'X. Constr Co ntr. Number 78[41 Expiration Date oo Signature of Supervising Electrician 4*-(1 0vners Name ?Crr.L H Jlclrt^ ( Address Lo.Ksor,,en L Ci ty etJ Phone 54t- 14(- 'lbxs OTINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: l-t- oo 200 amps or less \ 201 amps to 400 amPs _40L amps to 600 amPs _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts - Reconnect OnIY il 5oAddress C D Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4bL to 600 amps - $ 80.00 Over 600 amps or lbOO voTTs see rrBrt aEm- Branch Circui ts . .- Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuil eg@ or Feeder Permit _t_ Service ./!,2 $2.oo I E. Miscel-Ianeous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting-- Limited Energy/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL s40 s40 $20 $so .00 .00 .00 .00 5 RECEIVED : t^r5 4 8Ir0000-T0/A+t'68l000e It NUI 1N3l.t1UUd30 EIXIAUSE lN3^ld0t3nl0 flI]IJSNIHdS JO ,\IIX 80Ee g?I0 9tg I A1N0 ll$0dlfl H0J NO5]Efl IO )INUH ]UNOIIUN SN H3NHUfl CII]IJ5NIUds Jt] ,T]flUCI 3HI t]I AU,J