HomeMy WebLinkAboutPermit Electrical 2000-2-1
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225 FIFTH STREET ELECTRiCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97r4iilllowing project as suhmitted, hao U; fOI!~\,::ing .
INSPECTION REQUEST: ~r911137-'69 does nen r64ulrb &peClilc I,-!fie U::iS Ci ty Job Number.e-0 9-0-! 6 7 . C [
OFFICE: 726-3759 approval . ~ ".e-l
Zoning ~,j . COMPLETE FEE SCHEDULE BELOV ~~l5\ to"U
1. LOCATION OF INSTAIlliM'ION 2--\- , l\C\.j\\o:D0\
3l/03 WaJ~re ~lA., A.- No", n.esidential-Sing~e or
Multi-Family per dwelling unit.
LEGAL DESCRIPT29N Service Included:
\ +- - w,- l. q _0 r(jO 2,~OQ Items Cost Sum
JOB DESCRIPTION
5FJI--
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 ONLY B.
Electrical Contractor J1f6f'(fc+rl' c., J-vtC
Address fD B6X llogh
Ci ty A [ be> VI \/ OR. ph~~~ I St{ {. Cf ro 1-8(027
Supervisor License Number ';}{ 2 J 5C
I/}-I- 00
Constr Contr. Number '!5Lflf 10 <X
Q-;5'-OO
Expiration Date
Expiration Date
Signature of Supervising Electricfan
K~~, C~
Owners Name ~ ~v~!V t2...ll'v. ,15jJ~
\
Address ?fl. ~ 26Lf I
, I
Ci ty -.Sr fri.. Phone 72lP ~ 37c-'1
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ;) - 1- tiO
RECEIPT #:
RECEIVED BY: q(uJ
1000 sq. ft. or less l $ 85.00 ~5) riD
Each additional 500
sq. ft or portion 3 LftJJj)
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder, $ 40.00
Services or Feeders
Installation, Alterations or
Reloca ti on:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. . Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit'
E.
5. ~UBTOTAL OF ABOVE
7~% S ta te Surcharge \
TOTAL 3fp Q.~ F~
'Ten-a)
$ 35.00
$ 2.00
not included)
$
$
$
s
/3b .tr{)
9. {O
?J10
ILf3bOO
40.00
40.00
20.00
36.00
v
- ,~,.~,
ft~' -:
Job# 00-00157-01
Page 1 of 2
TRAN8#:Ol-0000422
DATE:FEB 01 2000
AMT RECD:2 $ 269.50
CHANGE:
CASHIER: 059
CITY OF SPRINGFI,ELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00157-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location 'Of Proposed Site: 3403 Watermark Dr Spr
Assessors Map#: 17021900
lot: Block: Addition:
Tax lot #: 03200
Subdivision:
Owner:
Address:
River Valley Builders
PO Box 2041
Phone Number: 541-740-4370
City/State/Zip: Corvallis, OR 97339
New Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
G&E ELECTRIC
PO BOX 1686, ALBANY, OR 97321
Registration # Expiration Date
Phone
541-967 -8627
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. >
MH Electrical
Electrical Service
Final Electrical
Required Inspections
I Electrical I
-When blocking, setup, and plumbing inspections have been approved and the home is connect
- Must be approved to obtain permanent power.
- When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
,~
.
;.
Job# 00-00157-01
Paid On Receipt#
Electrical
02/01/2000 422
02/01/2000 422
02/01/2000 422
02/01/2000 422
Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee .
Total Electrical
Grand Total
Signature
Page 2 of 2
Value/Quantity
1
3
Date
Fee Amount
$85.00
$45.00
$9.10
$3.90
$143.00
$143.00