HomeMy WebLinkAboutPermit Electrical 2000-05-31SPRINGFIELD
Job# 00-00839-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
spr
Addition:
Page 1 of2
TRf,NS*:01-0001951
DATE:HAY 31 2OOO
AHT RECD:Z $ 6].80
IHANEE:
IASHiER:059
225 North Fifth Street
Springfleld, OR97477
Location Of Proposed Site: 404 S 00037th Pl
AssessorsMap#: 17023143
Lot: Block:
Job Number: 00-00839-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00701
Subdivision:
ctTY oF SPRfiNGFfiELq ORECON
Owner: Pete Furlong
Address: 404 S 37th Pl
Scope Of Work: ElectricalOnly
Phone Number:
City/State/Zip:
Alteration
541-726-5253
Springfield, OR 97478
Value: $O
Contractor Type
Electrical Contr
Contractor
Mckenzie River Electric lnc
Po Box 111, Walterville, OR 97489-0111
Registration #
65005
Expiration Date
3/1 3/00
Phone
541-746-4048
Office Use
-
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code
Bedrooms:
Range:
NO
IHIS
IICE;
PER[//r
Dn YPERIOD
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
FOB
To request an inspection call the 24 hour recording at726-3
a.m. will be made the same working day, inspections requestq$
working day.
Required lnspections
Electrical
Rough Electrical
Final Electrical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
- Prior to cover.
-When all electricalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
(sq.
Main:Accessory:Total:
Job# 00-00839-01 Page 2 of 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
05/31/2000
05/31/2000
05t31t2000
05/31/2000
1 951
1 951
1 951
1 951
1
4
$50.00
$8.00
$4.06
$1.74
$63.80
Grand Total $63.80
Signature Date
CITY OF SPRINGFIELD, OREGO'V
225 PTYTfl STREET
SPRTNGFTEL,D, OREGoN 97 477
INSPECTION REQUEST3 726-3769
OFFICE: 726-3759
SF..INGFIELO
BLECTRICAL PBRHTT APPLICATION
3. COHPT,ETE FEE SCffiDT'I,E BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
SerVice or Feeder
s 8s.00
s 1s.00
$ 40.00
city Job *,*o", 0O-COEZat-)1
1. LOCATION OP INST
./So?-rTt,-<.
ONI,EGAL Sum
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. COMRACTOR INSTALI.'ATION ONLY
JOB DE ON
Electrical Contracto
Address zt/6P /(/
Ci Phone 74.$
Supervisor License Number 3 sfL.s
Expiration Date br-o,
Constr Contr. Number 6ia" f
Exp iration Date O 7-
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -l-20L amps to 400 amPs
-
401 amps to 600 amps
-
601- amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnec t On)-Y
SUBTOTAL OF ABOVE
7% State Surcharge
32 Admini.strative Fee
TOTAL
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps"or less $ 40'00
over 4b1 to 600 amps
-
$ 80.00
0ver 600 .rp" or-iboO ,oTIs see rrBt' a6ove-
Nev, Alteration or Extension Per Panel
One Circuit
Each AdditionaL
Circuit or vith Service ,or Feeder Permit 4
c
s 3s.00
$ 2.00 z_>
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation --Sign/Outline Light ing-
Limited EnergY/Res
--
Limited EnergY/Comm
B
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
{#
s:
Signaturq of Supervising Electricianfud"H
.o0.6==-
.00q P.@frtr-
GE<=
r.J -< F
D
Ovners Name <-
Address
Ci ty
Ovners Signature:
,1
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent'40
40
20
36
r::-:r
ffi5
s
s
$
$
DATB:,o
RECEIVED B I:
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