HomeMy WebLinkAboutPermit Electrical 1996-09-091. LOCATION OF ON
42 q5q
LEGAI DE
2
JOB DESCRIPTION
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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. CONTRACTOR INSTALI,ATION OI{LY
Electrical Contractor
Address
Ci tv Phone
Supervisor License Number
Exoiration Date
Constr Contr. Number
Exoiration Date
Signature of Supervising Electrician
0vners Name
Address *
fllA Z.o.rn--Phone,7r'T
OIJN# INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
rs Signature:
SPFlIt\!GI-.TELO
CAL PERUIT APPLICATION
Ci ty Job Nuuber
3. COHPTETE FEE SCffiDIILE BELOV
A Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Incl-uded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
acpr+val.
,,*-.4'\2.'4 U
225 FIFTH STREET ,.',;;I';:i;,;"7
SPRINGFIET^D, OREGON 97 477
INSPECTION REQTEST: 726-3169
oFFICE: 726-3759
ON
Sum
200 amps
201 amps
401- amps
601 amps
Over 1000
Reconnec t
$ sb.oo
s 60.00
$ 100. 00
$130.00
s300.00
s 40.00
or
to
to
to
a
0
less
400 amps
600 amps
1000 amps
mns /voI ts1-nry Y
Temporary Services or Feeders
Installation, Alteration or Refocation
over 4bL to 600 amps
-
$ 80.00
0ver 600 amps or fbOO voTts see rrgtt
"[[!l-
Nev, Alteration or Extension Per Panel
WIO
c.
D.
.t
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
Ci ty
$
$
$
$
40.
40.
20.
36.
00
00
00
00
5 OD
DATE:
RECEIVED B t{520
lf o2b2 b\o\q0 I
EOUSING ON
BUILDING DT\ISTONCITY OF SPRINGFIELD
DATE:JOB NUMBER:?fl -=r
ADDRESS OF INSPECTION: 3) T '/ < -.1
OI.INER ' S ADDRESS:
APPLICANT:B,'rl M,^kl,r
PHoNE NUMBER: 716-7 7B+
APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: % /-qq / q
A $IS.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATIOI\I FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE
INSPECTED.
(
FOR OFFICE USE ONLY
DATE PAID:
DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
{
ovNER: fi*au e t-r.-flt<-"r.....
I
7^?7-€
iv/
/oTbzb\c\q0l EOUSING PEC-TION CA
CITY OF SPRINGFTELD BIIJI.DING DT\TISION
ADDRESS oF INSPECTIoN: 3) f
JOB NUMBER:?fr27{
-/ <..1
OVNER:Ao c- Q t-^rl-Lco,-..7E
OI{NER' S ADDRESS:
APPLICANT:B,'rl M,^l</o
+
APPLICANT'S ADDRESS:
l.
FoR ACCESS To PRoPERTY - TELEPHoNE NUMBER, ?l /-q.q / q
A S35. OO INSPECTION FEE IS REQUIRED AT THE TIHE OF APPLICATION
THIS APPLICAT]OIq FORM MUST BE SIGNED BY THE OUNER OF THE PROPERTY TO BE
INSPECTED.
(
FOR OFPICE USE ONLI
DATE PAID:z
DATE OF ]NSPECTION:
DATE OF CERTIFTCATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
DArE: fe l" 2 1 I ??{
PHoNE NUMBER: 74(-*7q
CITY OF SPRINGFIELD
Development Servlces
225 North 5th Street
Building SafetY
Date
j t5Job No.
JOP'DDRESS.t- 3S.\S ^rg .\,r TO
t
-l
t
FOR REINSPECTION INSPECTOR
'''.CALLFoR:_INSPECT|oN726.3769_lNFoRMATloN:726.3759-...
(
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-ADDRESS-325 S 43RD ST
DESCR:HSG INSP/SERVICE
-OWNER_
TRACY WILSON
3595SAST-
SPRTNGFTELD, OR 97478
-INFO-
NEW
l_1-11_
BUILDING DIVISION JOB# 0235
-LEGAL-LOT BLOCK
ACTIVE
-VALUE-
0
L7 02 3 2 31- 01_ 9 01_eso228 / 960826
_ENERGY- _STATS-
746-7978 HEATI- 2- BLDG ZONE
H2O- STORIES FLOODPLAIN
RANGE- BEDRM OCC GRP
44-t7 /)a<> HU'li"I , .z-z/ ' CONST TYPE
1 ,t) -CONTRACTORS-
fPu' GENL-
CONTRACTOR PHONE-
PLMB-
ELECT-
MECH-
DESGN-
SEQ-REQUIRED PERMITS- --FEE-SURCHARGE-DATE-RECETPT-REPT CAT------VALUE---
oo1-024-HOUSTNG rNSP APP 35.00 0.00 950227 t6429 $ O
oo2-oo4-ELECTRTCAL 40.00 2 .00 960909 23L21- 500 $ O
SEQ-MTNTMUM TNSPECTIONS + REQUIREMENTS-- --EXP DATE---ACT DATE-
OO1.-O6O_HOUSING FOR ACCESS 46L_45L9
OO2_0 A-ELECTRIC SERVICE
SEQ--INSPECTIONS-------COMMENTS- -DATE--RESULT--INSPECTOR
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ool_-060-HousrNc No/CN-MAY DEMOLTSH/REMODEL? 950302 10 s9002-060-HousrNG 950302 rO 28
003-044-ELECTRTC SERVTCE C/N 960826 NOTOK6L
OO4_o44-ELECTRIC SERVICE 96]-002 ???
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City of Springlield / Development Services
Building Safety
225 North Fifth Street
Job Number
Job Address
3Prra(lFtfLo
Date 7a
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Call for reinspection Inspector*************** Call for inspection 726-3769 ***** Questions 726-3759t *********
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