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HomeMy WebLinkAboutPermit Electrical 2001-10-2 (2) ~ ,.,... Job# 01-01054-01 .- Page 1 of2 TRANS#:01-0006885 DATE:OCT 02 2001 AMT RECD:1 $ 52.00 CHANGE:$ 0.25 CASHIER: 032 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01054-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5150 Forsythia St Spr Assessors Map#: 18020421 Lot: Block: Addition: Tax Lot #: 01 E;OO Subdivision: Owner: Joe Quesada Phone Number: 541-741-2495 City/State/Zip: Springfield, OR 97478 New Value: $0 Address: 5150 Forsythia St Scope Of Work: Electrical Only Electrical Only 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 workin9 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 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# I Electrical 10102/2001 6885 10102/2001 6885 10102/2001 6885 Value/C;juantity Fee Amount Minimum Electrical Permit Fee Branch Circuits WIO Feeder or Service State Surcharge - Electrical 1 $2,00 $43,00 $3,15 '-<. . L Job# 01-01054-01 Paid On Receipt# Electrical 10/02/2001 6885 Fee Administrative Fee - Electrical Total Electrical bGCS:: ~ ~9nature . Page 2 of2 Value/Quantity Fee Amount $3.60 $51.75 / $51.75 f--. ~-<_O( Date .- .;. , '-::225 FIFTH STREET ~~'\ F'-'1 c-, ;- -,.i :iSPRINGFffir!D, OREGON 97477 i .Jjl : ";\ lINS~Eci[QN REQUrS1\ 726=H6f"") , \,' '11. OFFICE: 726-37,?9:.'.d . Ii I' <\li [;':'"1 "ci ,(-' t. r, Ilq:n." \ )1'('-' \,.~) i:h LbCt\Ti~9N:(kINSTALLA+ION ,j ,-,./ ,,,, 61"50" 'F6~+N :t..:::. u ~j LEGAL DESCRIPTION 1'6' 02. ()Y.' 2/ - 0 I ("cD ~nn, i 'i ; '-" \ EL"RlCAL PERlVfiT APPLICATION .1 , " , I C': i l,-,. !. 01- C> IDcz,y:--O I , ~.! l,f\y,~Oh ~umhcr "C I ;3,LcQ~LbE F~E SCrtEDULE BELO\V ,. 1I1i~ i' I '.' , ' ::.:...:J 1: It:. r/ 1 . . ' .~ --' i\:' Ncw'RcsidcntiillcSingle or-- -. ..~ , ----- .. Multi-Family per dwelling unit. Scn'icc Included: " , Items Cost SU'~l'-' fi~: ."~~ i'" JOB DESCRIPTION 1000 sq.ft, or less i ,': 10u...J &v ~ L. - Each additional 500 I'" , . " t sq, ft or portion (, Permits are non-transferable and expire thereof L~, .~,I if work is not'started within 180 days Each ManuI'd Home or / "I:':'':'''' of issuance ib()f work is suspendect'for ',~~ ",,: \ ) I :1 '.., [ylodular Dwelling l ' " ,C', 180 days. ;..,) '", ,,_ " ,ServiceorFeeder / ,....., -=-- $50,00 t-." . , ,;, '"J '. . " .". .~' u' ;. ...' ,. " " ,,< ,. J'.. 2, CONTAACTO~'~~TALLATIONONLY' '-'. B: s~';{~~/~;Feeders / '.. I -,' , . - I ~ '- PI~' "..j'~ -' . I '\ ,. ~. J' \ I~'~" r'o' I .',. ~ .._'.~ ,"_ . Installation, Alterations Olr '. ',.i\ ;,':{"' Electrical'Cont?act~tj..:,\ ''-.' ..!,' ..; ';,"j"l~\ R~location: /." ," d~, ~~~.~\:~ l.:>r'\!~~i ~'Ul,.._..' " ~ ::. oj ?_- A~:..' f ~~I~.' i;;\~;~ .. ,.",:,,~<' \'" "",:.::\~ ( ""'i Address t. ,..;'1 f)\ C:,,, , I I_~~:~...".'J")' 200ampsorles.s,',i......'...,'...'.... :;(....;.$63.00"" '. "1 P", "l ~~. ",', "-.-~:.:',> ' ."~'! U~:'j Cit\, k~~';}hone /{~l0~~~:1:t"]'~" ~~: ~~:~: :;~~~~~~:i ",i"';':li~',~)6 . i ~, ,. J Sup~rvi,LLic~~~el\~~;,!b~r . /.";:r.;,~\~~;r,...';,.;:Z:~~;~~riiJ~~~~v::~t . ~~~;:~~ I, " i ". .1,'. ,~~.~. :V*~~>>~~, ',,' ';~\ -N':;,~~connec"t ?~lit?]~~, ". ',_",:,/,);$)S.Q'-?l~ ., ExplIatIonDate ~ ~ '" ~ < ' :, ,'" 'J7_':"";,, :: \"':>'!;<;;-':"}"'" _.\_~' .,fl 4" '" l."'~,";&~:~( "~.:wtr~:,~ 1 " cmporarv Services or Fcellen, , \~}),;&;'iir'(;~r:t( .; .~;, .' . IJ:;,..,~, ' ~, 4' 1~: . '" 'M~~K ~ ,1 ::"';":;;i\'>t:-':r/;:,;;. 'I:" y.' Constr.J;ontr: NUIIJber ~ _.' i1'<:'....--~ ,Rj f- hl~ioll, AlteFation or Rclol~.ition ,:,:i.i;.:~:.~...:....~:~...>'~.;~'~::~:..::.y,.:." ; ..;.J'.:'~ ~ , ~~' " '",., .~n''';':-;' ~~'i:~l-"""'OIT' "',, '.0 .,iIi....;~.,... . '._ ... ".. .. - -. i.tj'"',tj.c" ~tp.t WJ. \'Xq.:t1\1 It. K ,~ '$ ~ '. " '. -' '.IIt' ',.,..' , .- r" ' >Expiration Date 'Il I:"':j;. iEulll~~ I:~~ l ',:; ,'~ " "200 amp~' ~r less' ".... , ' d" ,.'}"j'i:$50,'OO ".. :'. ,~~: ~ ", . . cr ,I,. . ::::D~~~~.:2o'i\,!,ps to,400 a~ps." . ,. '~:;$69,OO_ 'Slgnatnrc ~f~upervlSlng Electl'l~',any' PER\on ~Oy.!!:.~Olto~OQ~.mp~" . -----.::i $IOO,QO~' ,.;,,),. :;c:C,~' ANY 181. ,p;, " Over 600ampsor-l.'l20 VO~IS see, '~,O)~;';"", ~ '.:_'.';;:',.}.<::o-+;,.H liB" above ---"~~"_'" ". :'.~;Y~:i(^_.::~:..c::,..;;.'.;i,.\'," .::rf''o~''',iF~';''l /".. 1'." ",..t;,-..:";';.<7";'V::'I,'. " ,'I"", \~' -'~\~', :';:," '" "..,Jt....,,:, "'" " '..',' ,>,:~:.,,>. ,.,',' ,- '>::~":>'i_,:; ,~I'.. .. ..\~<:{,.i.,~~~~':.\+i;,,~~-~A..,__~: . D. Branch Circuits . . J.i ~k,.l,:e ,:~, <. trv ::)o~;"W~~Crs N~~~*i~:,,'Y~i~~~ N?;ter~ti\norl'tensionp?:p~'~71 .~ ~ \;, ..' j :.I;",,:~1Ks~~r,es~f:',:ir;~~.~rs~'~ oltl~cuit :\) J !\.~r~oo~T 'lr'),,::'/o,iwt;;N'~EDR' rlN.~~S'T~A..~L.'.fJ!dL.::Aj~T'IPo' hN' ~ile' '1,;:1- ~ 1:ta~~~~f~~~Fi5~:~~0: with s~,:r'~~,~~ . :;,<,,,,,::--,,<-/-:,', ..'.".... 1 .:~ t:', ".II':-'/'~-:-,v"", \^,"', . \.'.',. . ';fhe installation. is'being made on, . E. Miscellaneous (Service/fcedc~ not included)' ,j:~;..;:,:piopertyI oim \vl~~h;s.not ill-Eachinst~lIatibh'!~. \... ,.- .' " :~"~ ,~, , ~. '~;::;'::forsale,. iease orrhii~"~;~~': ,:..- ~ ~urnp'6~.f(sri~atlpb "': <t~; j: ..~ ...._~~O:OO ~.,~~ ;~:.::r,:.>;:.:~::t~t:;.'j-0j<..(\.._,,;:, '< "\:~'{~~_1~:~~~~~:,~L~.:. '. ~ ~~g~8litli~e_Lci.~~q~gL.;;i J _ \$~O.OO ~'.~ \.~~:.;~..:.l'~,,;.~;~:O'v.ncr1rSignature.:":.,:_~~..~, _' ?i LJmJteg ~ner~0-f~' :'} ,'!/ _ $2,5~OO~::' ?,:.e ",:~> .,.'.':~;tE~:;. i{ ;.-,Ll,'n,litedEn.ergy/Co. mm,,':' $45,00. . " .~"f.5~' {~t~'-~~~::~'. .,4."...... '.. . oS.:'-;:."" .-'''.. Minimi~: E{!;:;;'i;P~1J;j~~ction Fcc is S45.00 + Sui'charges i': if/.:-; \ . 1/.'" .' I ,. \ .,' ~>, (.: .7" 4. SUB't6:f~LOF A~O~E:;: ,. . C ~~ ';'>:". ,.' 70/0 S'tal~:Str~ha~ge\ /"~;::..: I -J~ '.~- ',>.,; ," . ' , 8% Admjnistrativc Fie,:' 3. (,,~ .' ','\, - ' ' ;!"" j ;, .t c:- 'L.' 'P .c:.1. 7~ ,', "" .. $106,00 ~ " , . ' $ 19,00 ',i:~ -~ , . .~ TOTAL ..~ ~'.'o-::_~ . ---.--- -" ~'-'-----" . --~- --. -.;.-_.~