HomeMy WebLinkAboutPermit Electrical 2000-4-10
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I Job# 00-00545-01 I
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00545-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 4370 main St Spr
Assessors Map#: 17023231
lot: Block: Addition:
Owner:
mike ward
Address:
4370 Main Street
Scope Of Work: Electrical Only
reconnecting power only
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Tax lot #: 01915
Subdivision:
Phone Number: 541-726-8797
City/State/Zip: Springfiled, OR 97478
Repair Value: $0
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 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 Inspections
I Electrical I
- Must be approved to obtain permanent power.
Electrical Service
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
jArea (Sq. Feet)
I Main: Accessory:
Fee
Reconnect Only
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Electrical
04/10/2000 1186
04/10/2000 1186
04/10/2000 1186
Value/Quantity
1!
.
Fee Amount
$40.00
$2.80
$1.20
$44.00
$44.00
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The following project as submitted has th
zoning, and does not require specific Ian
approval. . C!.....-
Zoning U
Date './-(0 -n!)
97477 Authorized Signature ~.
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE, 726-3759
1. LOCATION OF INSTALLATION
I/"? 7 D ;?1 d-uJ A.
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LEGAL DESCRIPTION
(clk- //,..--f;J /7/77. ~ 2 ~/ tfJ /9/,S'
J9Il 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
Address
/
/'
City Phone
Supervisor License Numb/
Expiration Date /
Constr contr~er
Expiration Date
Signature of Supervising Electrician
Owners Name ffi I f::.e- 1A4-~"<[
Address <7370 A/JA-"NJ
Ci ty ("' /1H Phone 7.?-6/,/)7';7
-,- -
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for . ~ lease or ren t.
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Owed: :Signa ture:
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DAT~~~~~-~~7::~Ci-~~~------------
RECEIPT- II: / I ~ th A .
RECEIVED BY: ...(//~
- ,
86
00
AMT RECD:l $ 50.00
CHANGE:$ 6.00
CASHIER:003
", "CTlU('AJ. PERMIT APPLICATION
City .JOD Number /J/)~~:;;t:/J -0 I
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COMPLETE FEE SCHEDULE BELOV
3.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder .$ 40.00
.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
1/ $ 40.00 ~Od
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 100U volts
D.
Branch Circuits
New, Alteration 0, Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B" above
,"
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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