HomeMy WebLinkAboutOccupancy Miscellaneous 2000-6-9
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I Job# 00-00909-01 I
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Page 1 of 2
TRANS#:01-0002091
DATE:JUN 09 2000
AMT RECD:2 $ 143.00
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00909-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3423 Falcon Dr Spr
Assessons Map#: 17021943
Lot: Block: Addition:
Tax Lot #: 10000
Subdivision:
Owner:
Greg Larkin
Po Box 2041
Phone Number: 541-726-0330
Address:
Scope Of Work: Land Drainage Alter Permit
LDAP Ambleside Meadows Phase 2
whole house wiring
City/State/Zip:
New
Corvallis, OR
Value: $0
Contractor Type
Electrical Contr
Contractor
G & E Electric Inc
Po Box 1686, Albany, OR 97321-0529
Registration #
54468
Expiration Date
9/15/1999
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 alro"'ii~(!lfl)1ade the following -
working day. . THIS PERMIT SHALL EXPIRE IF THE WORK
R . d I t' - -- -, "- -7"f.IT '''' "I"\T
eqUlre nspec Ions AU I HUHIL..t::U UI'lUt-ll II h.... I ......f. (,_. ..
Electrical COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Rough Electrical
Final Electrical
-Prior to cover.
-When all electrical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
# Of Stories: Heiglif(fee't):J>Ii:UIt<l"" ,,0" ,"':UIOt,o, }".
C. "',1'-'" "'~~."rlopted by the Orepon Uti>
urrent Umts: Prol'oseo'Umts: Th 'Llle<:: . r":'Jl "
. r-..Jotification Cpnter. n~(- .'"
Census Code: Does not apply., AR952-001-00iOi'vOU~i10A'~ :Je-;'
nO . 'I' I".
0090. You may obtain cop'P~ o. ," ".
Total: calling the center. (Not.~:.~~f ,~:~L:t,
r'lumoer IUI lilt: VI ,:.;~...." .... ,,,n
r:'i"'~C':.: ~ , .....~i' .~'" -
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Fee
Job# 00-00909-01
Paid On Receipt#
Electrical
06/09/2000 2091
06/09/2000 2091
06/09/2000 2091
06/09/2000 2091
Page 2 of2
Value/Quantity Fee Amount
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
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 futher certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein. I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project.
1 $85.00
3 $45.00
$9.10
$3.90
$143.00
$143.00
The City may inspect the work site described in this permit at any time during a one year period
following the receipt by the City of notice of completion of the described work and specify, at the
City's sole descretion, any additional restoration work required to return the site to a standard
acceptable to the City. The permittee will be notified in writing of any work required and will have
thirty (30) days from the date of the notice to complete the work. Work not completed at the end of
the thirty days will be performed by the City and Ihe costs will be billed to the permittee. I further
agree to ensure that all required inspections are requested at the proper time, that the project
address is readable from the street, and the approved set of plans will remain on the site at all times
during construction.
Signature
Date
-.....
:-.:.,
h.'.
. d has the following
. . tassubmltte .' ,nd use
225 FIFTH ....u..:.. The following prolee 0\ require specIfiC a
SPRINGFIELD, OREGON 1J'l-4U,."nd does n
INSPECfION REQUEST: a\l1'~~3769 LQ r1-
OFFICE: 726-3759 Zoning Ia- 'l-O-:P
Date - . -{II 3,
1. LOCATION OF INST~7i~ignature
?,t.j~ " FaLeOV1 'Wio A.
LEGAL DESCRIPTION
JOB DESCRIPTION
I.,AJh~ Vl~ /,{)-'(MMC{
.
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. CONTRACfOR INSTALLATION ONLY
Electrical Contractor GfE fa (L.
Address 170 'BOx. ((og (0
Og <1.BZI
City ~ (II,;) LIlli Phone SCf,.q(p7'S&l7
,-
Supervisor License Number j},q9, ~S
Expiration Date /() -1- DO
. nrIZft." t1J
Constr Contr. Number ~~ ~ ~
Expiration Date 10. (- 0 ()
,
-
- City Job Number CO --c::o '709 -0 (
COMPI.RTE FEE SCHEDULE BELOV
New Residential-Sing~e or
Hulti-Family per dwelling
Service Included:
II
..
uni t.
Items Cost Sum
1000 sq.ft. or less { $ 85.00 '3).00
Each additional 500
sq. ft or portion 3 l/SfJ-8
thereof $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Serviees 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
Signature of Supervising Electrician
X ~~ ~/lJt7~
Owners Nallie
Address
City Phone
OVNER INSTALLATION
The .installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
~"'.;; f:
RECEIVED BY:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. . Branch Circui ts
$ 40.00
$ 55.00
$ 80,00
see "BIt
above
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. ';;UBTOTAL OF ABOVE
7~% State Surcharge ,.
TOTAL 3'" q~ F.(.P
'Tvta)
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00~
$ 20.00 ...:j~~
$ 36.00~=<~
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