HomeMy WebLinkAboutPermit Electrical 2000-4-28 (2)
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TRANS#:Ol-0001392
DATE:APR 28 2000
AMT RECD:2 $ 46.20
CHANGE:
CASHIER: 059
I Job# 00-00619-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00619-01
225 North Fifth Street
Springfield, OR 97477.
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4750 Franklin Blvd Spr
Assessors Map#: 18030311
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 03500
Subdivision:
Ernie Ogg
PO Box 186
Phone Number:
City/State/Zip: Springfield, OR
Alteration Value: $0
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
\ :I " '. ~
. ~O!le:J!I!ION;;IJ/ij(i lI~fjB "
Contractor BUOllrl3/8J .-.I.iJ'.S\O ). JO Btjj Registration #
q ~~In . N JallJ8~ :)lfl !)'I'''p
Arc Electric the J 3tjlllJ 3B!do:> uremo ^eu115113-:J
nn-;:::r''::;'l\.J-- R . )ljUA !)o(
85783 Hwy, 99j!>9uth1' Eligene,lO~l\l,?:4 l,8n_;>('L
VI dS 3JP. C:;::Un. ",......... }. .....~n.i tHi( ,
limn lIoB"",:, "'~Offi~~,U;~o~ JUlle:JljIJ'
-'r- r ~~~""', ." ..----.....to '::la/oJ MOllf
Land Use:
Zoning Code:
Bedrooms:
Range:
Expiration Date Phone
7/10/2000 541-741-0494
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the sameQ"orking day, insp'llCtianSJ($gI{l!jiJ~,,~er 7:00 a.m. will be made the following
working day. tl ::W3NOONVeVS/ti0030N3VIJ
LON SI1IVVti3d <:::II-J I W '^ _ _. VlJoq
>;ClOM 3Hl "]rRequir.llJ;t:!!!?a~~ons
~, 3ti/dX3(i I "H::>lElecJJ:icaL r I
-Prior to cover. :301 J n
-When all electrical work is comP1~I~
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. r ,,:)
~ Main: Accessory:
Rough Electrical
Final Electrical
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
;.Fee
Manufactured Home ServicelFeeder
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Job# 00-00619-01
Paid On Receipt#
Electrical
04/28/2000 1392
04/28/2000 1392
04/28/2000 1392
04/28/2000 1392
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Page 2 of 2
Value/Quantity
1
1
Date
Fee Amount
$40.00
$2.00
$2.94
$1.26
$46.20
$46.20
, bitted has Ihe following
ri1e following prolect as su I: specific land use .
luning, and does not requ
225 FIITH STREET ""proval. M.b ~
SPRINGFIELD, OREGON 974'!?mng !J~'A%. ~
INSPE~ION REQUESTi',etenc,- 07"0 "": '\
OFPICE. 726-3759 , S' lur. ~
;-,.Jl1IUIlZltO 19na 3.
1. LOCATION OF INSTALLATION
~rdl'\,kl;" ~":L
LEGAL DESCRIPTION
I ~O~031\ ("~~aO
ELECTRICAL PERMIT APPLICATION
City Job NumberOO-006IQ-CJI
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Se~vice Included:'
JOB DESCRIPTION
-.ro 4-\. UtlOk...... +.'L c..: r'e.u.'t'
t
Permits a~e non-transferable and expire'
if wo~k is not sta~ted within 180 days'
of issuance o~ if work is suspended for
180 days.
..
2. CONTRACTOR INSTALLATION ONLY
Electrical Cont~acto~ ARC ELECTRIC TNC
Address At:;7A~ m.IY 9.9__S011'T'U
Ci ty 1'.Tlr:1'.N1'.
Phone 74 1-04Q4
Supe~vi$o~ License Numbe~ 4079S
Expi ra t ion Da te 10/1/01
Constr Cont~. Numbe~ 20-401C
Expira tion Da te 10/01 Ion
Sign~~rician
(/ r
Owne~s Name 6.......:4'.Ojj
Address PO ~oV. \ ~~
Ci ty ~ p~l~ Phone
OYNER INSTALLATION
The installation is being made on
prope~ty I own which is not intended
for sale, lease o~ ren t:
Ovners Signature:
---------------------------------------
DATE:
~t.;L.lljT n:
RECEIVED BY:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular~Dwelling
Service or Feede~
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps o~ less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
OVe~ 1000 amps/volts
Reconnec t' Only
C.
Items Cost
Sum
$ 85.00
$ 15.00
I
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
'$300.00
$ 40.00
Temporary Services or Feede~s
Installation, Alteration o~ Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o~ 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see llBll above
New, Alte~ation or Extension Per Panel
One\Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ---L- $ 2.00
no t included)
E.
Miscellaneous (Se~vice/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
'$20.00
$ 36.00