HomeMy WebLinkAboutPermit Electrical 2000-03-06stPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 310 S
AssessorsMap#: 17023134
Lot: Block:
Owner: Pat Tallerday
Address: 310 S. 35th Street
Scope Of Work: Electrical Only
Job# 00-00354-01
RESIDENTIAL PERMIT
Page 1 of2
TRANS*:01-0000836
DATE:HAR 06 2000
AI,IT REED:? $ 5?.20
IHANEE:
IASHIER:059
Com
Alteration
541-726-2801
Springfield, OR
Value: $0
ctTY oF SPRINGF|ELD, OREGON
Contractor Type
ElectricalContr
Contractor
Jb Electric lnc
4065 West 11th Avenue, #18, Eugene,
oR 97402
Registration #
104929
Expiration Date
3t14tO0
Phone
541-687-5770
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jsg
-
Land Use:
Zoning Code:
Bedrooms:
Range:
Aili
# Of Buildings:
Occupancy Group:
Source:
before 7:00
the following
s'
To request an inspection call the 24 hour recording at726-3769
a.m. will be made the same working day, inspections requested
working day.
Required lns
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
- Prior to cover.
-When all electrical work is
# Of Stories: Height (feet):
Current Units: Proposed Units
Gensus Code: Does not apply
Main:Accessory Total
in
00-00354-01
726-3759
726-3769
Job# 00-00354-01 Page 2 ol 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrica!
836
836
836
836
1
1
$50.00
$2.00
$3.64
$1.56
$57.20
03/06/2000
03/06/2000
03/06/2000
Grand
Signature
$57.204Ao
date'
CITV OF
apProvat
225 FIFTE STREET
SPRINGFIEI.,D, OREGON 974
INSPECTI0N REQIESTz 72
OFFICE: 726-3759
Zoning
Signature
1. LOCATION OF
DESCRT
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin LBO days
of issuance or if vork is suspended for
180 days . oo^ 139
2. COMRACTOR INSTALI..ATION ONLY
Electrical Contractor
Address ttO66 t,;,Lt*+l*
Ci ty 9,ro-Phone CqliT'Z 6
Supervtsor License Number 3t<t >A
Expiration Date
Constr Contr. Number 31- ,21 C
Expi ration Date lo
f.sing Electrician
Ovne Name
S-''IINGFIELE,
PERHIT APPLICATION
ty Job Nunbe.C0 - ()()3rtl-O
COHPLETE FEE SCBEDTIIJ BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dve1ling
Sertice or Feeder
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less J-201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps
over 1000 amps/voIts
-Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
B
c
D. Branch Circuits
SUBTOTAL OF ABOVE
JZ State Surcharge
3Z Administrative Fee
TOTAL
3
A
Sum
c
200 amps"or less
201 amps to 4oO amps
-Over 401 to 600 amps _
Over 600 amps or 1000 volts
40.00
55.00
80.00
ee trBn aE66
s s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
$
$
$
s
$40
$40
$20
$so
LA
Address 1 ,,^,
ci ty-Phone-7JL:j4o),
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0rners Signature:
DATE:
Nev, Alteration or Extension Per Panel
one(Circuit $ 35.00
Each Additional
Cifcuit or vith Servicg z,-
HisCellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lightine_
Limited Energy/Res
Limited Energy/Comm
fz-_4ff_-7L
E.
.00
.00
.00
.00
5
7tRBCEIVED
-rD
r^.wl
t
I
.