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Home My WebLink AboutPermit Electrical 2000-4-24 " - .~ 225 North Fifth Street Springfield, OR 97477 ~ . , Page 1 of 2 TRANS#:01-0001341 DATE:APR 24 2000 AMT RECD:2 $ 40.70 CHANGE: CASHIER:059 I Job# 00-00598-02 I CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00598-02 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1482 Delrose Ave Spr Assessors Map#: 17032432 Lot: Block: Addition: Tax Lot #: 01500 Subdivision: Owner: Address: Marc Anderson 1482 Delrose Ave Phone Number: 541-747-6204 City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Scope Of Work: Mechanical This is a copy with a new Sequence Number Contractor Type Electrical Contr Contractor Oregon Electric Service Po Box 2237, Eugene, OR 97402-0070 Reg istration # 38001 Expiration Date 9/14/2000 Phone 541-343-1681 IIJOTICE: THIS PEFi#IOf'BUildi~S: AUTHOR/~Bi~~ ~~b?J'P{FTHEWORK COMMEN~c'Bbl?~w;e;H/S PERMIT IS NOT ANY 180 0 Sg. FC5"otagIlANDONED "'O~ .tl v Dr::,...!C'.r rI M -. "Vu. 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. Quad Area: # Of Units: Constr. Type: Water Heater: Rough Electrical Final Electrical Office Use Land Use: Zoning Code: Bedrooms: Range: Required Inspections 1- '~Electrical . - 'I - Prior to cover. -When all electrical work is complete. Q~r 'J' . , ,rulPc ,or>l]ted 'rJy !flE vr'). , I.,. llO\ . hC~c Lllo"':tf c ~.... r- r"\" '.:..>1 I ~" ....... t.t;'.<1.t\' If. , ,0 . , O'..\h Yb2-L' , . 'J'''.:lll'U'''roUg.. . ')"~'" -It)l'.\ " I "l( r!!lac. . ~ ~ ~ COOle~ "" I' l- ,\,,0"- t.'\ -Irll rfl~\' 'Jotalt I , -h "'1' t, r'1\~ Ie' \!\IOtE'l ( ,~~,' - -. "'f" .(., '::Bn .. I t'ol.' ....t;, '~.:. ,,; ~.Of:Storlesflr> Utllll', ~ Q,,,IC.:. Height (feet): Current Units: Proposed Units: Census Code: Does not apply Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D [Ar~a (Sq. Feet) _ Main: Accessory: Total: . . Job# 00-00598-02 4l, Page 2 of 2 Value/Quantity Fee Amount . . Fee Paid On Receipt# Electrical 04/24/2000 1341 04/24/2000 1341 04/24/2000 1341 I Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. 2 $37.00 $2.59 $1.11 $40.70 $40.70 Signature Date ,1",. 101.ll:'owmp project as submitted h~~ the following i ,,'.u ana does not require specIfic land use t>.l-'iJro~val '4) ~ Zoning 974].710 l-/. -'2.J.f--cn:> 12t>:::n,l):/,o Signature ~ . . ( ~25 FIFTH STREET SPRINGFIELD. OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTAg.ATION t4<g'~ ~, ~e.. LEGAL DESCRIPTION I:rO~~l..\~:J.. O~50o JOB DESCRIPTION / P _"\ (O....~, /~ lE..tf, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. EL'i:CTRICAL PERMIT APPLICATION - . """'y Job Number OO-OO~<c-O)...' 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular 'D\lelling 'SerVice or Feeder Sum $ 85.00 $ 15.00 . $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders C\ ~ Installation, ,Alterations Electrical Contracto~\E1pjOJ;:;e. ~V;CR. or Relocation: Address Po~ ~.'\" : 200 amps or less 201 amps to 400 amps City ~1l2A....t ql~Phone~4~-lln~J 401 amI's to. 600 amps "'. 601 amps to 1000 amps , .upel:vlsor License Number 13Oj..:'l."" Over 1000 amps/volts Reconnec t Only" - . Expiration Date 1I0-01-nl .., C. Temporary Services or Feeders Installation, Alteration or .Relocation Cons t r Con t r. Number _~ <t:CXD / Expiration Date ct ~ /"1- - 00 Signature of Sup~sing Electrician ~. _W/A- Owners Name N\G'a.-o-~A 0 ,...:s:r,\,\ . Address ro- ClI(I\)...-. D City Phone:1:t!~ ~ OIINER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. owners Signature: ......... ." .TE: RECEIPT .: RECEIVED BY: 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 --$40.00 volts $ 40.00 S 55.00 $ 80.00 "see "Bt! above Ney, Alteration or Extension Per Panel One Circuit ~ $ 35.00 ~ Each Additional Circuit or with Service or Feeder Permi t J $ 2.00 c:ol-O E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation, $ 40.00 Sign/Outline Lighting- .. .,~ $. 40.00 Limited Energy/Res '$ 20.00 l;imited'Energy/Comm' $,.36.00 ". .J" 5. SUBTOTAL. OF ABOVE.. ...- 7% State Surcharge 3% Administrative Fee TOTAL - ~'")~ ~~ "\ ,\\ 4 (y....o .:..:_~ . :.~:::: t 225 North Fifth Street Springfield, OR 97477 . ~ Page 1 of2 TRANS#:01-0001309 DATE:APR 20 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER:059 I Job# 00.00598.01 I CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00598-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1482 Delrose Ave Spr Assessors Map#: 17032432 Lot: Block: Addition: Tax Lot #: 01500 Subdivision: Owner: Marc Anderson 1482 Delrose Ave Phone Number: 541-747-6204 City/State/Zip: Springfield, OR 97477 Repair Value: $0 Address: Scope Of Work: Mechanical Contractor Type Mechanical Contr Contractor Associated Heating and Air Cond PO Box 412; Eugene, OR 97440 Registration # Expiration Date Phone 541-683-2590 ...'~ "UI.)'" Offi U \..,'"'....... J Ice se . ~,,~, on Ull;', ( _ - tneOren.> Land Use:\\ II ,,)'''0 adoOted by 'u\"''' ,,#,-0, fcBiJildings: . 'J o! ~- 1 ~O"'c.' ...... r: ""'..... Zoning COd!lJai'p, r;~""PI . '\1~;UIl1101-'0CCupaiicy Group: , '0\",.,'\111\" .",....\'..,<;[; Bedrooms: '-' ~ -;~~- ..." t - cOple~ 0' Heat Source: -' a" 00 a'.', , 'r \\~""'\ll!i Water Heater: Range: J90 'IOU rn . \NotS' th~ "Sq:'foob!ge: ."".-: ,...0_n18 . ..'L "lnr~flr:H.UU GG\.\lll'~ ~....r hPOfepon Ul~H:_::~." To request an inspection call the 24 hour recording at-726!37.69_~.AII 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, Quad Area: # Of Units: Constr. Type: Rough Mechanical Final Mechanical Required Inspections Mechanical - - ~I - Prior to cover. -When all mechanical work is complete. NOTICE: PIREIFlI-IEWORK TI-I\S PERMIT SI-IALLE~I-I\S PERMIT IS NOT AUTI-IORQED UNDE:BANDONED FOR ~OMMENCEDOR IS # Of S~~\~e,stio DAY PERIOD. Height (feet): Current Units: Proposed Units: Census Code: Does not apply Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) 1 Main: Accessory: Total: ~ . Job# 00.00598.01 , Page 2 of 2 Value/Quantity Fee Amount I . , . Fee Paid On Receipt# Mechanical 04/20/2000 1309 04/20/2000 1309 04/20/2000 1309 04/20/2000 1309 04/20/2000 1309 1 $9,00 $.45 $6.00 $10.00 $1,05 $26.50 $26.50 Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. Signature Date