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HomeMy WebLinkAboutPermit Electrical 2001-8-24 The, following project as submitted has the tollowing zOning, and does not require specific land use approval. ZoningL.- D~ Dale '61J.~' 01 9~~~~.,~Signature ~ L.- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION 01' IN!,;TAJ.LATION _ (;,e:;n rV~ol~:O-r. LEGAL DESCRIPTION i'7o scZ I Z C;;r 320 JOB D,ESCRIPTION 1/ II r-. l&cuvh r:- rc..u~"'- ,;:U1=V, ~ . f Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~~~~) L- Address ~-$-d ~Ilfl' ~ . City~ Phone Supervisor License Number ~"A3 f Date 18/t) / Expiration Constr Contr. Number ~ c:((;:;?C Expiration Date ZO"Q~ Signature of Supervising Electrician A~ ,f ' --- Owners Name~...[u.OU ~~ Address b") C::> !firL 1/1- c:, 'b, r. City ~PP,~ Phone ~ O'JNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 41: RECEIVED BY: (1)gz.ao ( r: v{ It; ~iI - ELECTRICAL PERMIT APPLICATION SHy J~b Number C:J/-C0706 rOt 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 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 Sum 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 liB" above D. Branch Circuits " New, Alteration or Extension Per Panel 1/3 y-s.oo \ * One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm . " "'". ,,[.- SUBTOTAL OF ABOVE 7% State Surcharge 57. Administrative Fee TOTAL not included) 5. $ 40.00 $ 40:1>00 $ 20~,g,-< $ 36;;bb~ ~ .~~~QC r to "..)ti1~ t-q:''';! w ~ Q ::o~,--:o '~~~l,~ ~ SphlNGFIELD ~ 225 North Fifth Street Springfield, OR 97477 . . I Job# 01.00900.01 I Page 1 of2 TRANS#:01-0006515 DATE:AUG 23 2001 AMT RECD:2 $ 61.75 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00900-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 650 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Tax Lot #: 01320 Subdivision: Owner: Address: Julie Beckett 650 Nicholas Dr Phone Number: 541-741-4124 City/State/Zip: Springfield. OR 97477 New Value: $0 Scope Of Work: Electrical Only 1 branch circuit Contractor Type Mechanical Contr Contractor James Heating 115 Lawrence St. Eugene, OR 97401 Registration # Expiration Date Phone J . I" ,. ..1 \,.." .' '-' .\.'- , ~. \ 'c\."J~~ '. ':"1'(',;\ . ,\)1.1.'..... _ ',\ ~ '\' .i . I ..\u "'\.:.1 -. '"'0 Land Use: 'il' .,<' #.Of BUililings:,'2-'" . , "~\'. ~.....,,) ,.., ~S 1'-. (""I.~\\.'" ,\r>Sv';i Zoning Code: :' \. '1IS\:' , :,;. \ O,ccup.ancy q,roup,: \\u\.: \ c.c\'\-- ,.....\\\'-' _'" r\\ \, . ~O\\e Bedrooms: '\a...c":'~~ . a\.a0 ~!i,e~!,So~gt'.;\:::'~. ",\\ol\ Range: ,,'" \ ",s::2.'\; ~ I o'o\'Sq,'l1oo~ge.:\o\l'\C "'. ,I . ...,,,\';)'~ ...."1 1\.'" . 'H'\l_~ ., ." ....0(\. "(u.......\~ ce\'~"ct\:)l':: "..,?:ytr To request an inspection call the 24 hour recording at 726-3769~'AII inspections,requested:before 7:00 a.m. will be made the same working day. inspections requested aftef:ti90:a~n\;~iII,be'm-ade the following working day. {I G6 Quad Area: # Of Units: Constr. Type: Water Heater: Rough Electrical Final Electrical Rough Mechanical Final Mechanical Office Use Required Inspections Electrical - Prior to cover, - When all electrical work is complete. ~Of(..'f.. I Mechanical I ~ \1' \\'I~ '0 ~O\ - Prior to cover. ('~'. \. ~i-~\rr. ~f(..~\'i '\ 9- - When all mechanical work ls;tbniplete. S\'lfl.\; a -<\'1\'0 ~ .,e\) 1'0 ,~- "'>\\ I C'" \ 0'''' \ ?~~\' \:;~\J"" ~\J' \\'1\'0 \'IOf(..\t~\J Of(.. \'0 fl.~~ . fl.\:;\ . :~CS\J ,~C';. COlJ~" \)fl.-{ y':' ,-{ \~CJ # Of Stories: fl.~' Height (feet): Current Units: Proposed Units: Census Code: Does not apply Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) I Main: Accessory: Total: . Job# 01-00900-01 Paid On Receipt# Electrical 08/20/2001 6476 08/20/2001 6476 08/20/2001 6476 08/20/2001 6476 .^' Fee Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surc/large - Mechanical Total Mechanical Mechanical 08/23/2001 6515 08/23/2001 6515 08/23/2001 6515 08/23/2001 6515 08/23/2001 6515 Grand Total r-~ d\\~ Signature . Page 2 of2 Value/Quantity Fee Amount I 1 $2,00 $43.00 $3,15 $3.60 $51.75 $33.00 $3,60 1 $12,00 $10,00 $3,15 $61.75 $113.50 A - -z.,3--a \. Date