HomeMy WebLinkAboutPermit Electrical 1995-05-01sr.illN(;FrGLO
/44 -/eB 0ao77l-'L T;erffirczonrng, and d
0.,q66&B*",
oes-hot requirr. sper
%
has PSRHIT APPLI,CATION
ZZ5 EI.YT,I SlBEEf,i1i0
approva!,
INSPECTION REQIiEST z 726-3769 zoninsL,DL<,- ci tv Job Nunber ?fip.fO>SPRINGTIEIJ ,ORSGON 97477
OFFICE: 726-3759 Dale.* l-q5
COHPT.ATE FEE SCEEDULE BELOStl
1 OF A. Nev Res ent a1-S ingle or
dvelling un1 l 'a N.Hulri-FamiIY Per
Service Included:Sum
1000 sq.ft' or less
e".h, .dai r ional .500sq. ft or Port'1on
thereo f
Each Hanuf'd Home or
Hodular DveIIing
Service or Feeder
Services or Feeders
inrt"ff"tion, Alterations or
Relocation:
LEGAL DESCRTPTION
Address JI 70 Meadow lane
Ci. ty Eugene Phone
oo CJ
688-6121
1qs
200 amPs or less
20L amPs ro 400 amPs
401 asrps to 6oo amPs
-
601 amps to 1000 amPS-
over 1b00 amPs/volts
Reconnecr OnIY
I lems
orie Ci rcui I I
Each Addi tional
Ci.rcui t, or vi th Service
or Feeder Permit
-
B.
s 50.00
s 60.00
s100.00
s130.00
$300 .00
s 40.00
Cos t
s Bs.oo
s 15.00
$ 40.00
s 35.00
Supervisor License Nrirnber
ExP iralion Date
Constr Contr. Num ber 20-779C
Expirati.on Date t0/y3
Signa ture of SuPervising Electrician
Lt-
TemporarY Services or Feeders -irrl"ir"ii"rl, Alteration or Relocation
200 amps or less $ i0'99
or"r-+br to 5oo amPs
--
S 8o'oo
Over 600 amPs or fbOOGTts see t'B" above
Branch Circui ts
Nev, Alteration or Extension Per Panel
6-'oo
70/ e3
c
ps D
E
Ovners Name
Address 53 N
Ci ty Phone "l Ll-l *1qa>
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
$ 2.00
Miscellaneous (Servi.celfeeder not included)
-Each ins tallation
Prlmp or irrigation
Sign/0utIine Lighcing-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm
STIBTOTAL OF ABOVS
5f Stare Surcharge
TOTAL
(>/1
s
s
S
s
35,otc
1.15Tb-K-
00
00
00
00
40
40
20
36
Ia
I ;
RECEIIE'D BY:
5
3% 0& E,r^cr\r^r\cp37 15
JOB DESCRITTION
Permils are non-transferable and expire
if vork is not-sittt"d vithin 180 days
of issuance or ii-'ottt is suspended for
180 daYs.
Z. CONTRACf,OR INSTALI*ITION ONLY
Elect:ical contractor Palmer/PhiliPs
SPTIINGFIELD
Address: 2753 32ND ST
Description:CIRGUIT
Urban Growth Boundary: U
Owner; ROGER WILSON
2753 N 23RD ST
SPRINGFIELD, OR 97477
Owner Phone: 747-7922
Contractor Phone:
General Contractor:
Plumbing Contrac{or
Elec{ricalContractor: PALMER/PHILIPS
Mechanical Contractor
Design Contractor:
CITY OF SPRINGFIELD
BUILDING DIVISION JOB # 950552
1 7021 93't 00510
Lot:
Divisio
Tax Lot
Heat'l
Water:
Range:
lnsulatio
n Path:
Block: Value: $0.00
Addition:
Started: 51211995 Finaled: 5/19/1995
Heat 2: Zone'.
Bldg: Flood Plain: No
Stories: Occ Group
Bedrooms:
Units:
Category: NEW
Type: RESIDENTIAL
Land Use: SINGLE FAMILY DWELLING
Status: Finaled
Quad Area: 3RNC
5/1 /1 995 17193 500$35.00 $1.754ELECTRICAL
VALUEFEE
1
SURCHARGE DATE RECEIPT CATEGORYSEQ TYPE REQUIRED PERMITS
ROUGH ELECTRIC
FINAL ELECTRICAL
42
49
EXP DATECOMMENTS ACT DATE
5/1 9/1 995
5/19/'t995
SEQ TYPE MINIMUM INSPECTIONS
1
2
5/'19/1995
5/1 9/1 995
OK
OK
49
42
FINAL ELECTRICAL
ROUGH ELECTRIC
COMMENTS
2
1
INSP DATE RESULT INSPECTORSEQ TYPE INSPECTIONS
DAVE GADOMSKI
DAVE GADOMSKI
11/10/2009 7:28:03 AM
Page 1 of 1
I FTNALEoI