HomeMy WebLinkAboutPermit Electrical 2001-1-11
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Job# 01-00036~01
Page 1 of 1
'- TRANS#:Ol-0004235
DATE:JAN 11 2001
AMT RECD:l $ 55.00
CHANGE:
CASHIER:059
SPRINGFIELD
~*'.
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00036-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 70, Shady Lp Spr
Assessors Map#: 17032623
Lot: Block: Addition:
Tax Lot #: 20040
Subdivision:
Owner:
Address:
Charles Foster
70 Shady Loop
Phone Number: 541-741-0288
City/State/Zip: Springfield, OR
Alteration Value: $0
Scope Of Work: Electrical Only
Replace Panel
Office Use
Quad Area: Land Use: ! u ......c. '#oQf.Buildings:
. ., ... \\\JIO~\I'O.9C1rn aw ~'8q 11'0':>:" u 1,\J
# Of Units: ZonmQlCoae':' 'd' t"",.\', th""Or~oorP,Jlt.'Apancy Group:
~QIl""tHulesa Op e..., DY. <;', W'e '-S' .
Constr. Type: Bedro0!l1s.. C ;'y,. -I 'nose rule!:: af'11;t~at, puree.
W. R ""~~Iflcatlon ....em~;H ,. ~.. S, '= t .
ater Heater. an~e-hbt:(Q!:',?_001-001uWI'fOllghOAM '.....q;.l]oo age.
0'090 )It'll) mFlV obtain copie~: ')1 tn~ I'll::;i':'
To req~est an inspection call the ,24 hour ~ecorcH~~ fttr~fPri~~~~iit41I,I~p,,~~c!l9L1~J:.~ql,lJe.sted before 7:0~
a.m. Will be made the same working day, Inspectl1()~sblre9uesteaafter..1.:,o0,a,m. ,wI lI'jl:Jg;made the follOWing
. ' num enormeUlul:lud ,,.,w'" c,..~.'
working day. . ,..,...' "'. ...
Csntt,n."'.", '. ,'"
Required Inspections
I Electrical I
-Must be approved to obtain permanent power.
Electrical Service
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
NOTICE:
fi=\i~ j3~RM\T ~i=lAbb ~X~I~~ IFii=U~ WO~lf
# Of ,,~.tor:ies,';j, En' \'NnE8 Tbl',glift ei-g't:l:tr(feet,){);
tA':J IAYl;'ilbcit:J \.::J t:Jcn In e "'",.....,.-:. .
C u rf!~tl~~'MN'GmQ GR i$.A.ffiANrf0PJ2..cts,eSflll mts:
censtr~, 9.oCfe: Doe~RlJoot apply
l\t\IV1lRODAYPE I U.
Total:
Fee
Permanent: 200 Amps or Less,
State Surcharge - Electrical
Administrative Fee - Electrical,
Total Electrical
Grand Total
Paid On Receipt#
Electrical
01/11/2001 4235
01/11/2001 4235
01/11/2001 4235
Value/Quantity
Fee Amount
$50.00
$3.50
$1.50
$55.00
$55.00
;;.
The following project as submitted ha.s the following
lonlOg, and does not require specific land use
approval.
Zoning
L-?;>IZ-
1-- l,-O I
974)176 ' L =KLJ
726!rg>'?m Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
}. ,LOC~TION 9J1 INSTALLATION IJ/d
,7() C;~ad;' "t:o&,JO ,C)jOrJ< '
LEGAL DESCRIPTION
I Tn:<, Q/\Q'3 ()OL! () G
, , JOB DESCRIPf'ION (,
C4.I.4t~ ("> n-rL+ P vw f\ KJCJl /J..e-
i7 v /
~ Permits ~re 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
~ctrical Contractor /
Add~
City ~Phone~
Supervisor Lice~mb~
Expiration Date ^
Constr Contr. N~~r ~
Expiration D~ ~
, Signatur~ Supervising Electrician
Owners Namea~~.s. yo t';s/e,-...
. , f \
Address '7 (J C;4 ~ .1/\n-d /J
Ci ty c'L? (lei' /Ph~n~ :?f(I-(J2...<?<i.
// ".
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Ovners Signar9
;;..~~ '
~A~~---tf---------------------~-------
RECEIPT #:
RECEIVED BY:
~~CTRICAL PERHITAPPLICATION
(}l-OO ()3~-O(
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
, Items' Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder .$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps t~ 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50. 00 ~ 0>
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
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
Limited Energy/Comm $ 36.00
5. ,SUBTOTAL OF ABOVE sO
7% State Surcharge 3 SO
3% Administrative Fee i.59)
TOTAL SL; _ t>-