HomeMy WebLinkAboutPermit Electrical 2000-2-17
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I Job# 00-00287-01 I
Page 1 of fRANS#: 01-0000630
DATE:FEB 17 2000
AMT RECD:2 $ 40.70
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00287-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 184 Hayden Bridge way Spr
Assessors Map#: 17032333
lot: Block: Addition:
Tax lot #: 04400
Subdivision:
Owner:
John Garland
Phone Number: 541-726-8697
City/State/Zip: Springfield, OR 97477
Alteration . Value: $0
Address: 184 Hayden Bridge Way
Scope Of Work: Electrical On'ly
Contractor Type
Electrical Contr
Contractor ' Registration #
Builders Electric Inc 4296
195 Madison St, Eugene, OR 97402-5030
Expiration Date
12/10/99
Phone
541-485-0922
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.
Required Inspections
. Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- 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
02/17/2000 630
. Value/Quantity
Fee Amount.
Branch Circuits WIO Feeder or Service
2
$37.00
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Fee
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Gr~;'~Jrf ~~
SignatUre - J - .'
Job# 00-00287-01
Paid On Receipt#
. . I Electrical
02/17/2000 630
02/17/2000 630
'Page 2 of2
Value/Quantity Fee Amount
$2.59
$1.11
$40.70
$40.70
Date
...
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. . bmitted has the following
The following project as su . re specific land use
225 FIFTH STREET zoning. and does not requl.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97471Pproval l.--U(L-- - .'. . /'V"" 00 Q
INSPECTION REQUEST: 726.-:3769 Zoning __ l"'l- trV Ci ty Job Numberl)l/ ;)0
OFFICE: 726-3759 Date 6l ,_oJ '\
, ture ~. .-e.aMDtH~EE SCHEDULE BELOV'
1. ~.OCfTION OF INST~LAT!ffff>nzed SIgna
1% LI g U1 ~ (\Pln -t\(I'C q f' \~ . A. New Residential-Single or
~ ~_. - 0.- ) Multi-Family per dwelling unit.
I+-Iff5~ ~~PTIO~OC{4'OQ Service Included: Items
JOB DESCRIP1'l9ti tV'
(1nnrl-P (' 1- ffV n'--
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home o~
'ModularDwelling .
Service or Feeder
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 INSTALLATIO~ ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor Bu ,'Ide(s EecJn'C..or Relocation:
Address I<iS MOd,'S()() Eu~e()e oe 91~'CSL 200 amps or less
· 201 amps to 400 amps
Ci ty 6.uOeYje . Phone 4<6S"-CAze.. 401 amps to 600 amps
J . 601 amps to 1000 amps
Supervisor License Number. '32 qO '-'S Over 1000 amps/vol ts
Reconnect Only
Expiration DateJO~1iD !
Cons t r Con tr. Number 4ZQ (p
Expiration Date /2 - (0"- Os
7-0('.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
. .
Temporary Services or Feeders
Installation, Aiteration or Relocation
200 ampi~r less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Sign~;:~perVi.sing Electrician
(t/ C- "
Owners Name~t)\I(\ GCV1 1a.rd1
Address I<?~ /-}GJ-c;:lw"Bnt3f
Ci ty Spr!/V1~ .fi.fkfhhone 121r - "tCo9i
OVNER INSTALLATION
D.
Branch Circuits
vol is
$ 40.00
. $ 55.00
.$ 80.00
see "B"
above
~ew,Alieration or Extension Per Janel
One Circuit $ 35.00 35-0[)
Each Additional
Circuit or with Service 2,00
or Feeder Permit I $ 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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Adminis~rativ~ Fee
TOTAL
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