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
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'~~~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