HomeMy WebLinkAboutPermit Electrical 2000-3-30
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TRANS#:01-0001095
DATE:MAR 30 2000
AMT RECD:2 $ 66.00
CHANGE:
CASHIER:059
I Job# 00-00490-01 I
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00490-01
Office: 726-3759
Inspection Line: 726-3769
Location Of. Proposed Site: 790 Old Orchard Ln Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 00000
Subdivision:
Home Builders Association
Phone Number: 541-484-5352
City/State/Zip: Springfield, OR
Alteration, Value: $0
Scope Of Work: Electrical Only
1255 Pearl Street Suite 100
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor Registration # Expiration Date
Diversified Electric NOTIr.E' 98145 4/1/00
Po Box 40548, Eugene, OT~~ ~~~~IT "HALL EXPIRE IFTHE WORK
, Offjce'Uw"~~~=D,HISPERMIlI~I\IUI
",lJ ,\'1-. ..-. - FOR
LandJtl!!lMENCED OR IS ABANDONED # Of Buildings:
Zoni?-~~<(~l!e:DAY PERIOD. Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
Phone
541-484-9078
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.
Low Voltage
Required Inspections
I' - - EhlctricaJ -, I
Construction ;r.ypesi f H.....,.....v. ....~....d d....!\' "'YI.lII"'_ jl,.._
Occupancy G9~PP'S::JleSadOpted by the Oregon Util.. .
# Of Buildin~Q,t.lfICatlon Center. ThOSE: rUlf# O(StoriEls: Height (feet):
TOAR 952-001-001 0 through OAR Q"" n' .
# Of Bedrooms" y,tikay obta',n c . Cur!ent'Units,: Proposed Units:
. vVi3v. ople~ "11"e ru'"s '
Handicap Accg.!Ii?i~ e center. (Note: th~~J1~~~u9gde: Does not apply
,Area (Sq. Feg/l,;"", iVl '"" urt;gon UlIIl,l: I'JOlltlcalic I
I Main: rAcCessory:v' "~., ':'~, A, Total:
Fee
Paid On Receipt# Value/Quantity
r Electrical I
03/30/2000 1095 1
Fee Amount
Limited Ener9Y - Residential
$20.00
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Job# 00-00490-01
Paid On Receipt#
Electrical
03/30/2000 1095
03/30/2000 1095
Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Value/Quantity
I
Date
Fee Amount
$1.40
$.60
$22.00
$22.00
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, bmitted has the tollowin
The following prolect ~s :~uire specilic land use
zoning, and does no r
approval , I "j) (0
225 FIFTH STREET Zoning --=
SPRINGFIELD, OREGON 97477 ,?_?:1\l-<nl \
INSPECTION REQUEST: 726-~'169"' ". ~
OFFICE: 726-3759 AUthorized Signature
L LOCATION OF INSTALLATION ,,~r
1QO Old Or(1jLorcL h.O/lL-
LEGAL DESCRIFTION
j'O- O~?--:> L-\"') oQQOI
JOB DESCRIFTION
/ j m,.f.Jd t',1trq,( l'5n.uri':;'<i X7(1flz.n-v
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
Date
Si
11 D_
Owners Name fino" 1fJ,,;/dus. A'''<;f)f'I~O~'-'
Address /UiS PUlL/ ftJ.. Sd;h ItJO
City ~'''1't11 Phone_<l'll/~5352.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
~-1t2 -a-V
Wi <)
iJJS
DATE:
RECEIPT II:
RECEIVED BY:
ELFCrRICAL PERMIT APPLICATION
~; .~ J~b Number DC!). () oq qe-O I
3 _ COIIPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
Electrical contracto{);'Nr~';;;/~d ?,t !fin:rn,'u
Address fJ. o. /!;ox '105<1 'l'
Ci ty ~ /.I'9"n/J. Phone 51//"4'8'4'- 907-<6
Supervisor License Number 333/ J I-.E
Expiration Date "I Oz.
Constr Contr. Number Cf'i?/t./5
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
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see nB" above
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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 $ 40.00
Limited Energy/Res ~ $ 20.00 Xli. PO
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
'1..0.00
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