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HomeMy WebLinkAboutOccupancy Miscellaneous 2000-6-9 '!'_ ~l . I Job# 00-00909-01 I . Page 1 of 2 TRANS#:01-0002091 DATE:JUN 09 2000 AMT RECD:2 $ 143.00 CHANGE: CASHIER:061 ~ 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' .~'" - , . . 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~=<~ c:.1" J.J ' I~.~~ ~~d: Rj !1~ -.0 :5 "ZLoJt'.)1',J /~~