HomeMy WebLinkAboutPermit Electrical 2000-2-7
The following project as submitted has the following
zoning, and does, not require specific land use
approval, '
Zoning L"D YL-
:;( - I -~
Date
225 FIFTH STREET
SPRINGFIELD, OREGON 97'4f'ti/Jnzed Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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:ELECTRICAL pERMIT APPLICATION.
. .
City Job' NumberOO..w~o;t-GI
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3.
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
1 ~DO A1-J{)fC.{LSON L.,rV I ,,[JeHu/oF-diU} A.
, LEGAL D.E.SCRIPTION /l
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JOB DESCRIPTION
Alarm Install",...",...
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT SecUIitr
Address 1501 e.e,arl ~,.
I
Ci ty Eueene Phone 342-1 ill
Supervisor Li cense Number g t;' 5 JLF.
Expiration Date. "/0,/11 ;It)o:2-
Constr Contr. Number 59944
Expiration Date_ ~ / 7./:2~O(
Signature of Supervising Electrician
/~~.~...
Owners Name Drf\-N .q.- ;+u 0)' eACE
,Address ~s()(') Ar00R-t?~r)'rv L rV
Ci tyc:.~IV0(of-lvr.L-D Phone(S'-l l~7'" 5''-/08
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.. ~ ....
New Residential-Single or
Multi-Family' per dwelling unit.
Service Included:
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
Ins talla t ion,' Al tera t ions
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 ,
Items 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
200 amps'.oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps ,$ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res '~ $ 20.00
Limited Energy/Comm $ 36.00 ~
_______________________________________ 5. SUBTOTAL OF ABOVE
DATE: ~~/-crb 5% State Surcharge
~I~ '~1~ ^~m;n;~trrttive Fee
Job# 00-00202-01
Page 1 of 2
TRANS#:01-0000478
DATE:FEB 07 2000
AMT RECD:2 $ 21.60
1 $ 0.40
CHANGE:
CASHIER: 059
!
'.
CITY OF SPRINGFIELD~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00202-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1300 Anderson Ln Spr
Assessors Map#: 17032733
Lot: Block: Addition:
Tax Lot #: 01800
Subdivision:
Owner:
Dan & Judy Race
1300 Anderson Lane
Phone Number: 541-747-5408
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Electrical Only
Contractor Type
Electrical Contr
Contractor
Adt Security Services Inc
1501 Pearl St, Eugene, OR
Registration # Expiration Date
Phone
541-342-1313
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
E::lectrical
Low Voltage
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Electrical
02/07/2000 478
02/07/2000 478
Value/Quantity
Fee Amount
Limited Energy - Residential
State Surcharge For Electrical Permit
1
$20.00
$1.40
..
Fee
Electric Administrative Fee
Total Electrical
Grand Total
---I ),
-=:-t...e.::::: "'" ~
Signature. J(J
( C.J--
Job# 00-00202-01
'Paid On Receipt#
Electrical
02/07/2000 478
Page 2 of 2
Value/Quantity Fee Amount
$.60
$22.00
$22.00
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Date