HomeMy WebLinkAboutPermit Electrical 2000-6-20
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I Job# 00-00973-01 I
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Page 1 of 1
TRANS#:01-0002243
DATE:JUN 20 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00973-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 821 Olympic Ave Spr
Assessors Map#: 17032642
Lot: Block: Addition:
Tax Lot #: 04200
Subdivision:
Owner: Glen & June Ropp
Address: 821 olympic ave
Scope Of Work: Electrical Only
Phone Number: 541-747-2224
City/State/Zip: springfield, OR 97477
Alteration Value: $0
replace electrical stand pipe
Quad Area:
# Of Units:
Constr. Type:
Water He!lter:
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
Required Inspections
I ~Iectrical NOTICE:
- Must be approved to obtain permanent pOTe~is PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Height (feet):
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Electrical Service
Total:
,I 1:-,":. n.,;\;, _'..1'.;0.' .\ .. _~:u.lt...: j~.~..'.~
Fee
T(\I'n\~' 'I ,-t-.:O:: =',.......-. ~ . .., .
Paid On R!l!;!l!~t#., .,,eVall!e/Quantity:'.. '-Fee At"ount
r- Electrical'"'\()t-.l-_:-':,)~ljl':-l"I'" -;j"d..-',1 ..~~~~vb
06/20/2000 2243 O. Yrti 118Y a'-,trin cO~lf1 n, ":. -, $50.00
-...."" ,...., .. ""\1'" 1, a'IB
06/20/2000 2243;a\l:r"_, 'k. ~'~"'::'.. ., . ,.:.,' . I . ,:;" tlor$3.50
06/20/2000 2243 mber lorths O:3f'onl1ol.l'" ~ O.1IICa $1.50
~ -....~.:,.. ,j ~"t\."';"::::- .'J'M.I1)
, " .'" $55.00
$55.00
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
.. - -' '"
'-'- 3
DATE:JUN 20 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 061
PERMIT APPLICATION
The following projecf as submitted has the following
lonmg. and does not require specific land use
approval.
&_fjJ!rflo" .
'" 1"~RICAL
Zoning
225 FIITH STREET
SPRINGFIELD, ,OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
t, - ;.?',C) co'v-D
tlv//l-J
97w1M,
726-3769
1-\...Hllonzed Signaturf"
city J~b NumberOO-OD 773-0/
3. COMPLETE FEE SCHEDULE BELOY
LOCATION OF INSTALLATION
62\ ("')\~'1yY\.\,,) C
1.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
.LEGAL DESCRIPTION
170:$ "2 bY Z. 04200
JOB DESCRIPTION'
Sum
It ems Cos t
$ 85.00
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 15.00
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
. $ 40.00
.B. Services or Feeders
Il1sta11ation, Alterations
or Relocation:
";/
/
/
$ 50.00 ~0
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
City ~ Phone
Supervisor Lice~~,~
Expiration Date ~
~
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr.
ate' ~
Supervising Electrician ~
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps' '0'1' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circui ts
D.
"
Owners Name~\.p ~ ci.")\lV\.Q. ~rw
Address3>2l n\ \.\ 'N\. 17" C
Ci to-\')~).rl. Phol1e ,l..Jl-J)",,! ~
OYNER INSTALLATION
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tiol1al
Circuit or with Service
or Feeder Permit
$ 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
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
() . . -9-0.. i::f!L-
~------------ - -----------------
DATE:
RECEIPT 1I:
RECEIVED BY:
S. ~OTAL OF ABOVE
U%--'State Surcharge
3% Administrative Fee
TOTAL
55~