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Home My WebLink AboutPermit Electrical 2000-06-14SPRIIIIGFIELD Job# 00-00936-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANE$:01-000?140 DATE:JUN 14 2OOO AHT RE[D:2 $ ??.60 IHANGE: IAEHIER:061 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 454 00021st St Spr Assessors Map#: 17033613 Lot: Block: Addition: Job Number: 00-00936-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 07400 Subdivision: ctTY oF SPR7NGFIELD, OREGOTV Owner: Ruby and Jack Gorter Address: 454 21st St Scope Of Work: Electrical Only Phone Number: City/State/Zip: Alteration 541-746-4299 Springfield, OR Value: $0 Contractor Type ElectricalContr Contractor Registration # C & S Electric lnc 3849 Po Box 1482, Springfield, OR 97477-0189 Expiration Date 911t2000 Phone 541-741-2236 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. :l$STte H: Rough Electrical Electrical Service Final Electricat Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ Required lnspections Electricat - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Tr-.t rs PtrFrt\/[T sl-] a I EXPIREIFTHEWOBK AUTHORIZED UNDERTHIS PERMITIS NOT COI\4MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. # Of Stories: Current Units: Gensus Gode: Does not apply ht (feet): Area (Sq Main:Accessory:Total Job# 00-00936-01 Page 2 o'f 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 06t14t2000 0611412000 06t14t2000 06t14t2000 2140 2140 2140 2140 1 B $50.00 $16.00 $4.62 $1.e8 $72.60 Grand Total $72.60 Signature Date 225 FIFTS SIREI,T SPRTNGFTELD, OREGON 97 INSPECIION REQUEST: 7 OFPICE z 726-3159 Date 1 Authorized LOCATTON OF INSTALT,ATION INGFIELD CAL PERHIT APPLICATION itv Job Number trO' YO q3G-o / COHPLETI1 FEE SCTIEDUI,E BELOV Nev Residential-Single or l'tuI t i-Fami 1y per dr,relling uni t Service Incl"uded: Items 45 Lt Jr:l- I.EGAL DESCRIPTIONlloZvbrT 01qo--a JOB DESCRIPTION (.A-v./\-,J A-eJ- Permi ts are non-transferabl,e and expire if vork is not started vithin 180 days of issrrance or if r^rork is suspended for 180 days. 2. CONTRACTOR INSTALITTION ONLY Signature A Srrpervisor License Number lu,q l5 Expiratiorr Dare l0 C\: C.}_L Constr Contr. N'-rmlrer 3(, l.t Expir:ation Date (Li Services or Feeders Installation, Alterations -. or ReIoca t ion: 200 amps or less t 2O1 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnec t 0nIy Temporary Serviees or Feeders Installatiolr, Alteration or Relocation 1000 sq.ft. or lesS Each additional 500 sq. ft or portion thereo f anuf 'd llome or ar DweIling ce or Feeder SUBTOTAL OF ABOVE 7% state Surcharge 3Z Admini.strative Fee TOTAI, (\..'j f,\cc:l r tc ,JtAc Cos t s 8s.00 s 1s.00 s 40.00 not 40. 40. 20. 36. Sum 6o.- aEove lb. - included ) Each M Hod rr I SerVi D Electrical Cotrtractor naaress 'PL) iIX 11 lg 2 s s0.00 s 60.00 $100.00 s130.00 $3oo. o0 s 40.00 Ci ty phone -ir{l -7)1;b C Si ture of Supervising lllectrician 200 amps"or: Iess $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - S 80.00 Over 600 amps or 1000 voTts see I'8" l- ( 0 D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional -Circuit or vith Service or Feeder Permit ( S 2.00OIINER INSTALI.ATION Tlre installation is being made on property I or,rrr r-'hich is trot intended for saIe, lease or rettt. Ovners Sigrra ture: DATE: RECEIPT #: RIiCEIVED B e rs Nanre nrldress 4SLI &t:r Ci ty -*vL--Phon e E 5 Miscellaneous (Service/feeder -Eactt installation Punrp or irrigation S sign/outline Lighting- $ Limi ted Errergy/Res -- $ Limi ted Energy/Comm $ 00 00 00 00 -7A, Gd (ft