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HomeMy WebLinkAboutPermit Building 2000-02-25Job# 99-00704-01 Paoe 1 ol2- TRANSS:01-0000?21 DATE:FEE 25 2OOCI At{T RE[D:2 $ ?6.?5 EHANGE: CASHIER:059 lsPFIiI(iFIELD GOMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1345 00011th St Spr AssessorsMap#: 17032644 Lot: Block: Addition Job Number: 99-00704-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 05100 Subdivision: ctrY oF SPR|NGF|ELD, OREGON Owner: Nick Roehl Address: 3205 Western Drive Scope Of Work: Apartment Phone Number: City/State/Zip: Remodel 541-344-0183 Eugene, OR Value: $O Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW 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 at 726-3769. 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 Transfered Records Rough Electrical Progressive Final Electrical Gonstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (sq. Main: -Prior to cover, -\A/hen all electrical work is complete. # Of Stories: Height (feet): Gurrent Units: Proposed Units: Census Code: Does not apply Accessory Total: Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Permit Total Transfered Records $53.00 $53.00 05t24t1999 34159 53 Job# 99-00704-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Renew Permit - Electrical State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 02t25t200a 02t25t2000 42t25t2004 721 721 721 27 $26.75 $.00 $.00 $26.75 Grand Total $79"75 rAu Date a -t IC'TY OF SPR SPFUTDIGFIELE tile lanO use r less One Circuit Each Additional -Each installation Pump or irrigation - Sign/Outline Lighting- Limited EnergY/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI q q 0?0LlDate 225 FIFTE STREET SPRINGFTELD, oREGoN 97 4',lythorized INSPECf,I0N REQUESTz 726-3769 OFPfCE: 726-3759 1.ON OF *",fi #',:'JJTj itift ,:#;: JOB 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 INSTALI..ATTON ONLY Ovners Name Address 0 Ci (,rcnt- P hone 34y''o/F3T- INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0rners Signature: DATE: qq PERI{IT APPLICATION Ci ty Job Number 3. COI{PI,ETE PEE SCMDTILE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost Sum $ 8s.00 lou Servi Services or Feed in"t.tt"tion, A1 or Relocation: terat ions Zoning fl, signature ffiwve B Electrical Contractor Address E Ci ty Pnone b Supervisor License Number (.7 3-s 0ver Expiration Date l0-/-Dl C constr contr. Number I O..1 (t lo Ll Expiration Date rvices or F A1 terat ion t ion D. Branch Circuits Nev, Alteration or Extension Per Panel 00 00 50 60 200 20 40 $ s s/ru $ 3s.oo 'LA)g 2.oo lfua SigpEture of Supervising Electrician II d)-..h'^,n-' f, --/'r^--='-Li 200 amps"or ]ess $ 40.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or fbOO vofts see uBu a6ive- OVNER 72- 39b/Circuit or vith Servicq or Feeder Permi t Ll E. Miscellaneous (Service/feeder not included) $ 40.00 s 40.00 $ 20.00 $ 36.00 5 RBCBTVED Reconnec t f-ro 9t, s