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HomeMy WebLinkAboutPermit Electrical 2000-3-30 . , ; , . .' . . Page 1 of 2 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 . . - # I. , .f' 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 . Page 2 of 2 Value/Quantity I Date Fee Amount $1.40 $.60 $22.00 $22.00 . . " , 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 " 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 /. </0 . (R U 'L'L, 00