HomeMy WebLinkAboutPermit Electrical 2000-8-9 (2)
~
i
I
.'
.
.--'"
\
SPRINGFIELD
~
I Job# 00-01238-01 I
..
Page 1 of 1
TRANS#:01-0002885
DATE:AUG 09 2000
AMT RECD:l $ 44.00
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01238-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1050 Darlene Ave Spr
Assessors Map#: 17032722
Lot: Block: Addition:
Tax Lot #: 01200
Subdivision:
Owner:
Ruth E. Fraser
1020 Darlene Ave
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
MH Service
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: NOTICE: Occupancy Group: QRK
Constr. Type: Bedrooms: IS PERM\lH~~l!,t.'S_Oiir'ce8E IFTHE W
Water Heater: Range: ~~'TUnl'l17E~~ift.9.?liIg~:3PERMI~I~~QT
"0 .. C:Nri=nnRISABANUU'~t:urv,'
To request an inspection call the 24 hour recording at 726-3769. All ins~pectl~ns requestea before 7:00
a.m. will be made the same working day, inspections requested after 7:gPJ'iI.rmlWill\l:ie"'maH~llhe following
working day.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Required Inspections
l Electrical ~",,'Il:l~lyolJ II
"rlE:I'i llV"'V'~"-- - Ore on Utilit,
follow rules adopted by the les ~re set forti
'lotification Center. ThOse r~h OAR 952-001 .
.q OAR 952-001-0~~?~~~~es of the rules by
\l090. You may 0 t . the telephone
calling the center. (No ~tility Notification
numbrl~~mt.@~~~~~3:?<,?,44). Height (feet):
CurreriI' Units: Proposed Units:
Census Code: Does not apply
MH Service
.......~.-
Total:
Fee
Paid On Receipt#
I' Electrical
08/10/2000 2885
08/10/2000 2885
08/10/2000 2885
Value/Quantity
Fee Amount
Manufactured Home Service\Feeder
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
1
$40.00
$2.80
$1.20
$44.00
$44.00
I
I
,
..
.
7 u ( ~ I J. ends the 10110.,.109
- t li'IecI es 6lIb'"'fe3>"Alc laod use
'Tt\e 10\\0....,ln; P not require spec
and does
zonIng, ~
225 FIFTH STREET epprovel. )-1'/
SPRINGFIELD, OREGON 97477 Zoning- <{., - '1 - ~ "
INSPECTION REQUEST: 01~~J~b9 ~
OFFICE: 726-3759 'zeO Slgnelure ..,..
AUtnon
ELECTRICAL PERMIT APPLICATION .
~i ty Job Number 00.,l) I d30 -D J
3.
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
IO:lO ~,.._V\.... ~""\_.
LEGAL DESCRIPTION
R....g:..Lv..M._
JOB DESCRIPTION I 1000 sq.ft. or less
I>'\...,~_ tJ\....~_",...'lC ~ :4n "':!lh-\ d Each addi tional 500
fI...Q4l<><C\Iloc.c,HC>\o..~d;...a.d-~...fllW~~~sq. ft or portion
Permits are non-transferable and expir~ thereof.
if vork is not started vi thin 180 days Each Manuf'd Home. or
of issuance or if vork is suspended for Modular'Dvelling
180 days, Service or Feeder
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name f:::, u'"1.- t:" ;h1L/..A).}-, _ D,
Address ; u:::J.. ~ 'T1\ vI tl..., .4 {;..L
CitySf",'r\)~l.l_Jhone IUn . tP~
OVNER INSTALLATION
The installation is being made on
property I.ovn vhiCh is not intended
for sale, lease or rent.
ovn~ ~.atC: +~~
---------------------------------------
DATE:_ '1-10- ~()(j
RECEIPT 1I:
RECEIVED BY:
.B.
Services or Feede~
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
Items Cos t
Sum
$ 85,00
$ 15.00
. $ 40.00
$ 50,00
$ 60,00
$100,00
$130,00
$300,00
$ 40,00
C.
Temporary Services oi-Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40,00
$ 55.00
$ 80,00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35,00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5,
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
t.lG
40,00
40.00
20.00
36.00
-
'-1"'1. '-:--