HomeMy WebLinkAboutPermit Electrical 2000-7-6 (2)
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The. following project as submitted has the following
zonIng, and does not require specific land use
approval.. (/
/) . ELECTRICAL PERliIT APPLICATION
97477 Zoning .:'.'--
726>l'~.:g 7 -(,-oo
Authorized Signature ....J{u 1
J.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION ~
3"f'J~ :r:;..,.",rJ"V\ RIll) LILL A.
LEG~ DESCRIPTION
/..JuA-C t'?~~tt/V2 4:2-c!,t::>e>
~ ,
J~ QESCRIPT}:ON
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. ()Dlf'X.J
2. CONTRACTOR INSTALLATION ONLY
.~
Electrical Contractor -:rP> FI...,..j..-rr: T"'(.
,.
Address l(()(.,<7 IAI. !Ith .U<
Ci ty r LI -r-:.
. I
Phone
(.K-7"i776
~~7;:;jC;
Supervisor License Number
Expiration Date I~~\
;;3J1PbETJ1 FEE SCHEDULE BELO\l
Ci~y Job Number~~..t>/,el::S'?~C:::>/
New Residential-Single or
Multi-Family.per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
uni t.
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, Alteration or Relocation
Cons t r Con tI:. Number~7 e;~L!':
t%~('")
Expiration Date
Signa~;:r S
Owners ~me 10 is
Address <""""""1'
.4",)~,...t;~'
City
. PhonelL/(.,-~1d.(..
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
,for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ?'&'.6~CJ
RECEIPT #:' ~~:::2 4/?th
RECEIVED BY: //A..-7'~
"t!1'" .
~
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
200 amps"o'!: 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
"
Ne~, Alteration or Extension Per Panel
;
E.' Mis~ellaneous (Service/ feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One \Circui t
Each Additional
Citcuit or with Service
or Feeder Permit ~
5. SUBTOTAL OF ABOVE
1r. State Surcharge
r. Administrative Fee
TOTAL
i
$ 35.00 ?~~
$
2.00 ~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-
-
-
~
10-
. L-\J rp-
j
.
I Job# 00-01057-01 I
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Page 1 of2
TRANS#:01-0002476
DATE:JUL 06 2000
AMT RECD:2 $ 42.90
CHANGE:
CASHIER: 004
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01057-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3998 Franklin Blvd Spr
Assessors Map#: 17033442
Lot: Block: Addition:
Tax Lot #: 02400
Subdivision:
Owner:
Lois Anderson
Phorie Number: 541-746-8926
City/StatelZip: Eugene, OR 97403
Remodel Value: $0
Address:
3998 Franklin Blvd., Space 44
Scope Of Work: Electrical Only
three branch circuits for mechanical system installation.
Contractor Type
Electrical Contr
Contractor
Jb Electric Inc
4065 W 11Th #18, Eugene, OR 97402
Registration #
104929
Expiration Date
3/14/2004
Phone
541-687-5770
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. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.'
.
Fee
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
GlC-1 2 i l
Signature crv'---
Job# 00-01057-01 I
Paid On Receipt#
Electrical
07/06/2000 0002476
07/06/2000 0002476
07/06/2000 0002476
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Page 2 of2
Value/Quantity
Fee Amount
$39.00
$2.73
$1.17
$42.90
$42.90
7- 6" ' Cl::)
Date
3