HomeMy WebLinkAboutPermit Miscellaneous 2000-6-21
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I Job# 00-00989-01 I
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Page 1 of 2
TRANS#:01-0002275
DATE: JUN 21 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 061
8PRINGPIBLD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00989-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: . 444 mansfield st Spr
Assessors Map#: 17032334
Lot: Block: Addition:
Tax Lot #: 05800
Subdivision:
Owner:
Address:
ken certoski
444 mansfield st
Phone Number:
City/State/Zip: springfield, OR 97478
New Value: $0
Scope Of Work: Electrical Only
security system
Contractor Type
Electrical Contr
Contractor
Adt Security Services Inc
1501 Pearl St, Eugene, OR
Registration # Expiration Date
Phone
541-342-1313
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 at 726-3769. All inspections requested b.efore 7:bb''''c JVu. ~c.
a.m. :-viii be made the same working day, inspections requested after 7:(j~'€::mro~np~e'l~T8ettt\e !oTIoiil~g~n UtlfiltY h
. working day. Int.t...~l,() "en181. I hos, r~les ~J.. ,_at ort
., Okh ::ib~-l'lJH)OI 0 1!i(Ollg,l 01-\;-1. .032-001-
Required Inspections.Jv~v, 1'..,1,.1 ;.,""')' V~~""':I' .......,.,:\.1.......: :;, . ....:~.:.:..~
I CaBinr, :h& center./,Not:): ihet~'LjJhone
Electrical "
number ior the Oregon Utility Notification
Low Voltage
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories: Height (feet):
Current Units: PrQP.osed Units:
Census Code: Does not applyl\JO liCE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
Total: AUTHORIZED UNDER THIS PERMIT IS NOT
Fee
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Paid On Rec~p',tp111n 1"I,,\(a!~~gl:!l!ntity Fee Amount
I Electrical
06/21/2000 2275 1 $20.00
Limited Energy - Residential
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Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Gr~~ . f2~
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S1Qnature t. . ~ ~_.
Job# 00-00989-01
Paid On Receipt#
Electrical
06/21/2000 2275
06/21/2000 2275
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Page 2 of2
Value/Quantity Fee Amount
$1.40
$.60
$22.00
$22.00
6-27- 00
Date
. ubmitlad has the following
The following protect ~s :qUire specific lancl use
zoning, and does no ,
approval. [ntz,
Zoning - -
225 FIFTH STREET {n ~~~ ~
SPRINGFIELD, OREGORa!f7477d..Si Ill'tura -,.,
INSPECTION REQUESTi'U\rn~";;J/gy
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
J..IlJLf m Cln sf; ei d..
.:::t DESCRIPTION
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JOB DESCRIPTION I _
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT Security
Address 1501 Pearl St.
Ci ty Eugene, OR
Phone541-342-1111
Supervisor License Number 8533LS
Expiration Date 10/02
Constr Contr. Number 26209CLE
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Expiration Date
10/01/00
Signature of Supervising Electrician
Owners
Name (erfnc:,~i I Lj
. . r -
I1L/L( ffil1v\s-sI'.I<l
Addres:;
City Phone
OllNER INSTALLATION
The installation is being made on
property I.own which is not intended
for sale, lease or rent.
Owners Signature:
----------------~----------------------
DATE:
RECEIPT I:
RECEIVED BY:
~~
DATE.: JUN 21 2000
AMT.RECD:2 $ 22.00
CHANGE:
CASHIER: 061
ELECTRICAL PERKIT APPLICATION
'" . .
City J~b NUIIlber 00 -00 q-K<=r -0 I'
3. COMPLETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
.$ 85.00
$ 15.00
. $ 4b.OO
.B.
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 Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
,"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
. Pump or irrigation $ 40.00.
Sign/Outline Lighting $ 40.QO -----
Limited Energy/Res r-20,00)
Limited Energy/Comm ~ ~o.uV-
5. ~BTOTAL OF ABOVE
State Surcharge
r. Administrative Fee
TOTAL
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