HomeMy WebLinkAboutPermit Electrical 2000-6-8
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I Job# 00-00901-01 I
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JUN 08 2000/2:04 PM/$ 1.11
ACCT#:100-00000-426605
PT#:Ol-0002079/J.B. ELECTRIC
JOB#:00-00901-01
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00901-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 515 Pinedale Ave Spr
Assessors Map#: 17032242
Lot: Block: Addition:
Tax Lot#: 06217
Subdivision:
Owner:
Jeff Heriot
515 Pinedale
Phone Number: 541-741-3853
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
J.B. Electric Inc.
4065 w 11th #18, eugene, OR 97402
Registration # Expiration Date
Phone
541-687-5770
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
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.
. Required Inspections
, Electrical I
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Toni!:
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Fee
Branch Circuits W/O Feeder or Service
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Gra~ TO~I <
t'1~
Signature
Job# 00-00901-01 I
Paid On Receipt#
Electrical
06/08/2000 2079
06/08/2000 2079
06/08/2000 2079
06/08/2000 2079
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Page 2 of 2
Value/Quantity Fee Amount
l
1 $35.00
1 $2.00
$2.59
$1.11
$40.70
$40.70
(;-;?~OG
Date
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225 FIITH STREET \"~~\l. ,,1I0 (J'f)' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOr1:09l':<ifl7119 ~_%'
INSPECTION REQUEST:" 7Z6-3-~~9 . . Ci ty Job Number
OFFICE: 726-3759
tl,,\e ~5\9'\"\\J'e 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INS~AfM'(j1f '/.
t:;"'5 ~/1nP-, ''1''AA L" A. Ne'J Residential-Single or
Multi-Family.per d'Jelling unit.
LE~~ DE~~~:.I1;)N Service Included:
} L,~~... b ~";lJllo:V~77~ Items Cost Sum
JO~.DESCR}:PTION 170' 2.-21.f?_61o;}'~000 sq.ft. or less $ 85.00
H-. J ., In Each addi tional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if 'Jork is not started 'Jithin 180 days Each Manuf'd Home. or
of issuance or if 'Jork is suspended for Modular .Dyelling
180 days. OCl:J'f'1 Service or Feeder . $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
.B.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor :::J.~ fl(c+r,'fJ.I'fIlC.
1.01/. II b ... ( X--
$ 50.00
$ 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
Ov~r 1000 amps/volts
Reconnec t. Only
Address. 40bt;
Ci ty. [v..
.1
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Phone b <j'7~-r70
Supel'vlsor License Number -::;:<;(7;:;" <;
Expiration Date 'V.0"
Constr Contr. Number (Or.{q:::l q
Expiration Date ~~~4
Signatu~ ~u~rvising Electrician
,- ~ J~
Oyners riJme
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
200 amps"or less $ 40.00
201 amps to .400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D. Branch Circuits .
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~,...P..c f-J.....n-'."J+
p/;V6. dA IE
Ci ty Sf11!,,;.s;.>'tdd Phone "74-( 3~ ~
O\INER INSTALLATION
Ney, Alteration or Extension Per Panel
"
Address .51<;
One (Circui t i- $ 35.00 3.L.
Each Additional
C~tcuit or yith serv~ ~~
or,Feeder Permit $ 2.00 :;...... .
,
Mis~ellaneous (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 E.
property I O'Jn 'Jhich is not intended
for sale, lease or rent.
Ovners Signature:
~ 7 -;:.
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i.:J:. _
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5. SUBTOTAL OF ABOVE
'1% State Surcharge
~% Administrative Fee
TOTAL
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DATE:
RECEIPT #:
RECEIVED BY: