HomeMy WebLinkAboutPermit Electrical 2000-04-11Job# 00-00553-01 Page 1 of2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site:
AssessorsMap#: 17023134
Lot: Block:
Owner: Adam Walt
Address: 3BB S 35th St
Scope Of Work: Electrical Only
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726-3759
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Contractor Type
Electrical Contr
Contractor Registration #
Builders Electric lnc 4296
195 Madison St, Eugene, OR 97402-5030
Expiration Date
1211011999
Phone
541-485-0922
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.
Required lnspections
Electrical
Electrical Service -Must be approved to obtain permanent power
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Main:Total:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
Reconnect Only
Accessory:
0411112000 1204 $40.00
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
1
Value:
Job# 00-00553-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
0411112000
0411112000
1204
1204
$2.80
$1.20
$44.00
Grand Total $44.00
Signature Date
CITY OFi OREGON
SF GFIELE,
approval
Zoning Lt-tr - A-a
zz5 FrYtfl STREET Date
SPRINGFf ELD, OREGOIAu?[67ciB Sisnature
INSPECTION REQUEST:. 726-3769
OFPICE: 726-3759
The lollowing proiect as sui')n ifr' - "'' - i' I tollowing
i""i"S,-""0 ,ioei not require svn''!"riL rand use
ALLATION+n
BLECTRICAL PERilIT APPLICATION
3. COHPLETE FEE SCEEDULE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
city Job *r u", OO- OOe 57 -0J
3 OF INSTVq)A
1
I,EGAL DESCRIPTION
0 o
JOB DESCRI
Permits are non-transferable and expire
if vork is not started vi thin 1'80 days
of issuance or if vork is suspended for
180 days.
2. CONTRAC"TOR INSTALI.,ATION ONLY B.
Electrical Contractor il e c
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401- amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
Sum
Address I ene 0e g?toz
$ 8s.00
s 15.00
$ 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300.00s 40.00 4-eg
Ci ty
Supervisor License Number 4 -S
Expiration Date
Cons tr contr. Nr:mber +2qb
iration Date 17'lO'03
C. Temporary Services or Feeders
InstalIation, Alteration or Relocation
Exp
Signa of Supervi ing Electrician
Ovners Name
Address S +h
Ci ty Phone
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature: '
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
200 amps''or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000-7oTEs
-Each installation
Pump or irrigation _ $
Sign/Outline Lighting S
Limi ted Energy/Res
-
$
Limi ted Energy/Comm S
ilrrB
40
55
BO
ee
s
$
s
s
00
00
00
Eovea
40.00
40.00
20.00
36.00
RECETYED
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