HomeMy WebLinkAboutPermit Electrical 2000-2-4 (2)
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I Job# 00-00198-01 I
Page 1 of 2
TRANS#:Ol-0000474
DATE:FEB 04 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00198-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 4816 Daisy St Spr
Assessors Map#: 17023244
Lot: Block: Addition:
Tax lot #: 04500
Subdivision:
Owner:
Shane Carver
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Address: 4816 Daisy St
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Farmers Electric Refrigeration
97863 Alvadore Rd, Junction City, OR
Registration # Expiration Date
Phone
541-998-6772
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,
Final Electrical
Required Inspections
I Electrical
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
02/04/2000 474
02/04/2000 474
Value/Quantity
Fee Amount
Branch Circuits WIO Feeder or Service
State Surcharge For Electrical Permit
1
$35.00
$2.45
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Fee
.
Electric Administrative Fee
Total Electrical
Total
rt:4-
nature
Job# 00-00198-01 I
Paid On Receipt#
Electrical
02/04/2000 474
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Page 2 of 2
Value/Quantity Fee Amount
$1.05
$38.50
$38.50
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Date
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S.NGFIELD
zoning, and does not require specific land use
approval. (l...;
Zoning l-D
'L -4 -0"1),
eM
Date
225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF I~STALLATION S'Pr J Y\ f P, e I~'
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LEGAL DESCRIPTIOJi '
l-:r O;A:3, ~ i.{ L{ OL1 Sq)
JOB DESCRIPTION
l1eiJ.) t:'-,~ 5u~ PL-\\h.~
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 ONLLn i ,B.
fO r h1 ~ t' \ S' t::l.c2 <.1 'A j c ~ @IW' Vr'e tol (>p
Electrical Contractor cf- H Vlt-L .
Address 72'863 {J. ( vo r;9 DrtP !R J..
Ci ty..JlJ. h c.. -\ ~ c)y)r€ I ~hone ,.qg6l??"
Supervisor License Number ,1 Cf U --.s
Expiration Date lQ.)...O J
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Constr Contn: NU!l1bet tr;6C(~e;..t.
Expiration Date
3 - 2-.4 -:- Of
Signature of Supervising' Electrician
(j~.1) ~J.
Owners Name -0. ~ /J. ,V\ ~. e Ui Ve tf'
Address Lf'f3 I ~ bu is ~ $f-.
Ci t~ rlYl '-' ~"'O fJ Phone .
V U
OVNER INSTALLATION
The install~tion'is bei~g made on
property I .ownwhich is not intended
for sale,' lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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ELECTRICAL PERHITAPPLICATION
City J~b Number 00 OC>lq 8 Ol
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
.ModularDwelling
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
..
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
One Circuit --J-- $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit S 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00