HomeMy WebLinkAboutPermit Electrical 2000-03-29SPEINGFIELD
Job# 00-00484-0'l
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRffNSil:01-0001080
DATE:HAR 29 2000
At{T RECD:Z $ 55.00
IHANGE:
IASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 136 00006TH ST S Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Job Number: 00-00484-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 1 1 100
Subdivision:
ctTY oF SPRINGFIELq OREGON
Owner: Peter Kryl
Address: 2185 West 29th Street
Scope Of Work: ElectricalOnly
Phone Number:
City/State/Zip:
Alteration
Eugene, OR
Value: $0
Contractor Type
Electrical Contr
Contractor
Jb Electric lnc
4065 West 11th Avenue, #18, Eugene,
oR 97402
Registration #
104929
Expiration Date
3114100
Phone
541-687-5770
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
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.
Required lnspections
Electrical
Rough Electrical
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 electrical work is complete.
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
Aufnghtltr0hlorn rrr i s PER I'/ilr I s Nor
ABANDONEDFOR
Accessory:Total:
180 DAY PERIOD
Job# 00-00484-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administratlve Fee
Total Electrical
03t29t2000
03t29t2000
03t29t2000
1 080
1 080
1 080
1 $50 00
$3.50
$1.50
$5s.00
Grand Total $55.00
Signature Date
Electrical
C'TY OF
approval
Zoning CO-
The tollowing project as submlttcd has the tollowing
zoning, and does not require specific land use
?INGFIELO
ELEGTRICAL PERHTT APPLICATION
COHPI,ETE PEE SCEEDUI^E BELOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
-Modular Dvelling
SerVice or Feeder
s 8s.00
s 1s.00
$ 40.00
225 FIFTE STRXET
SPBJNGFIELD, OREGON
INSPECf,ION REQTIEST:
OFFICE: 726-3759 "Z?.6r,1tr€9sn,,,,"
1703353t
Ci ty Job Nnnbe, OA- O Oq 'ill- O (
1. LOCATION O ALI.ATION
3
A
llro.o Sum
ee ,,B'' a5-o6
JOB PTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended- for
180 days . Ob 17 t
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address L.loL4 V,/.ll +b.*t*
Ci ty Phone ( qa rt?O
Supervi.sor License Number 7 "Ze <
Expiration Date I 0
Constr Contr. Number I 0q qeq
Expiration Date
Signa o sing Electrician
0uners
Address )t*4 V/.q
ci Phone 4 tl ltq ^
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
Services or Feeders
Installation, Alterations
or Relocation:
,
200 amps or less L
20L amps to 4OO amps
-40L amps to 600 amps _601 amps to L000 amps_
Over 1000 amps/volts
Reconnect OnIy
200 amps"or less
201 amps to 400 amps _0ver 401 to 600 amps
Over 600 amps or fbOO voEs
Temporary Services or Feeders
Installation, Alteration or Relocation
B
I
I
$ s0.00
s 60.00
s100.00
$130.00
$300.00s 40.00
40.00
5s.00
80.00
$
s
$
s
-o
ame
C
E.
D. Branch Circuits : ..
:
Nev, Alteration or Extension Per Pane1
onetcircuit $ 35.00i""r,teaJiiionat .CiLcuit or vith Service
or Feeder Permit $ 2.OO--)----
MisCellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
?Z State Surcharge
32 Administrative Fee
TOTAL
$ 40.00
s 40.00
$ 20.00
$ 36.00
5 --\n qe2_--' -c-ll------1---r-{ERECEIVED BY:77
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