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HomeMy WebLinkAboutPermit Electrical 2001-2-22 (2) . " .. I Job# 01-00152-01 I . Page 1 of 2 . TRANS#:Ol-0004515 DATE:FEB 22 2001 AMT RECD:1 $ 40.00 CHANGE:$ 1.50 CASHIER:004 SPRINGPIELD ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00152-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3743 DOUGLAS Dr Spr Assessors Map#: 18020612 Lot: Block: Addition: Tax Lot #: 04309 Subdivision: Owner: Mark Luedecke Phone Number: 541-726-5013 City/State/Zip: Springfield, OR 97478 Alteration Value: $0 Address: 3743 Douglas Dr. Scope Of Work: Electrical Only Electrical circuit for hot tub 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? 0 rArea (Sq. r, d) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Electrical 02/22/2001 0004515 02/22/2001 0004515 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service State Surcharge - Electrical 1 $35.00 $2.45 , ,~ .. Fee Administrative Fee - Electrical Total Electrical Grand Total ~~ YI 'OV'ljQp1L Signature Job# 01-00152-01 . Paid On Receipt# Electrical 02/22/2001 0004515 . Page 2 of 2 Value/Quantity Fee Amount $1.05 $38.50 $38.50 z:2.. ~ () \ Date '- . DEVELOPMENT SERVICES DEPARTMENT fho tOlloWln . lCning anl prOject as sUbmitted (]~Pruval does not require spe h~s the tOllowing ChIC land Use 225 FIFTH STREET ZOnlng_ J..'PIZ- SPRINGFIELD, ORmoN-..!P (.77 2.- Z. ~ INSPECTION REQUE/i,'J;~i1l\d7~6-37b~ - 2 .L. OFFICE: 726-3759 IQnalure _ ~ 1. LOCATION OpF. INSTALLATION 7---1... ~'7L/'".:? ~b'L:::..../AZ-~ ./...........~ ~ - - . -- /. -'" . LEGAL DESCRIPTION I. /1 D 'l-Ov 12- IJ oI/fJD'f JOB DESCRI~ION .1/ ^---. 'Z::;r~p~('~~~.0t'7/ /L.'b: 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 Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name mAR.K lA)F.tJE!.CJ<!{ ~ Address 3lL\3 000L...LAS iJR Ci ty SPR,Il]{,.. f/ aD Phone 7Z(C) - SOl3 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:. n "tY\ruJh 9LlQ~_- --------------------------------------- DATE: 7_2-::::<'6 I RECEIPT II: .cJaoH5'/~ RECEIVED BY: / ~~~ - -//". . - City Job Number ~/-~/~? -~/ 3 _ COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. f t or port ion 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 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 One Circuit / Each Additional Circuit or with Service or Feeder Permit . -- $ 35.00 y. c9D $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 -==?~.~"" - 7. V~ l,~: ~C;;;>.~~