HomeMy WebLinkAboutPermit Electrical 2000-6-30 (2)
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I Job# 00-01035-01 I
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Page 1 of2
TRANS#:01-0002410
DATE:JUN 30 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01035-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3553 Garden Ave Spr
Assessors Map#: 18020642
Lot: Block: Addition:
Tax Lot #: 00500
Subdivision:
Owner:
James Parmenter
3553 Garden Ave
Phone Number: 541-726-1993
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Electrical Only
add shop service
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.
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete.
. . n -e~ vou · '
Re uiredlns ections ". "" ....... ".~"~jH,u"" .:L'
q p 011 OW rules adopted bvthe Orerlon Uliilty .
Electrical l'hfiC,-I'O:. Gp'O,')L I ",-::' rules ~'J:}seqorth
. Ol-lh ",,,2-(JU I-UU'I' I .:. vl,g.', OA.1 %2-001-
~ :.J911 V'JI,' na\' obtai!' copies of t:'3 iUles by
callinl} 'h8 C3n::;', ~~;lJt:;:ihet;:I~f!i,:;ne
~I.Iml)er (or tha Or9g0:1 Utilit; i\!otification
..... .....~.r . ~ . "l",:(\~':.'l.~"..2~44).
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
IA. . rea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
NOTICE:
"T'I ".........,............,..,........ ,,,.. _"............,_..... ...................,
-....... ........___... ..._.. "'_W'_"
Fee
Paid On Receip1#,ORIZE.VlilUiiIQu3fjtitYPERMF;e:e}Ar!lount
Electrical COMMENltED OR IS ABANDONED FOR
06/30i2000 241/Q\Jy 180 DAY PERIOD. 1 $50.00
06/30/2000 2410 $3.50
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
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Fee
Electric Administrative Fee
Total Electrical
GrandT~ ~
Sig:J!ure
,
Job# 00-01035-01
Paid On Receipt#
Electrical
06/30/2000 2410
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Page 2 of 2
Value/Quantity Fee Amount
I
$1.50
$55.00
$55.00
Date
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SPRINGFIELD
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P~ ~E SCHEDULE BELOV
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477 O'~
726-3769 :9""1"
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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00:.-00
JOB DESCRIPTION
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. C CTOR INSTALLATION
Address
City
ONLY
/
../
Supervisor License
Expiration Dat~
/
Constr Cont~Number
//
Expiration Date
S. /'f S .. El ~ .
Ignature 0 upervlslng ectri~
/
o~~rs Name To..,,"," l' J f) Rv....,~ 7ey-
. -:Js-.>'J Ci"o.vd e.Yl QUe
Addre~s-""'_',-~\.'" .. -. -.
~ - -
Ci ty .s 'iJ tJ I? Y-' Phone 7) r; I ? J '3
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
j-~ f) p~
--if-----------------------------------
DATE: 063000
RECEIPT #:
RECEIVED BY: . j'vR.
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AMI RECD:2 $ 55.00
CHANGE:
CASHIER:061
ELECTRICAL PERMIT APPLICATION
R 'dential-Single or
ul '-Family per dwelling unit.
vice Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder .$ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less \( $ 50.00 I
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Recannect Only $ 40.00
C.
Temporary Services or Feeders
Installatian, Alteration ar Relocation
200 amps' 'ar less $ 40.00
201 amps to' 400 amps $ 55.00
Over 401 to' 600 amps $ 80.00
Over 600 amps or 1000 volts see nBn above
D.
Branch Circuits
,-
New, Alteratian or Extension Per Panel
One Circuit
Each Addi tional
Circuit ar with Service
ar Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50
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