HomeMy WebLinkAboutPermit Electrical 2000-6-19
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I Job# 00-00961-01 I
Page 1 of 2
TRANS#:01-0002216
DATE:JUN 19 2000
AMT RECD:l $ 60.00
CHANGE:$ 5.00
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00961-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 35 ann Ct Spr
Assessors Map#: 17032241
. lot: Block: Addition:
Tax lot #: 01000
Subdivision:
Owner:
Address:
Steve Booher
35 Ann Court
Phone Number: 541-747-7113
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Electrical Only
This is a copy with a new Application Number
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.
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:.
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Accessory:
Total:
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Fee.
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Electncal~G~G, "/e) may obtain copies at the rules b:
06/19/2000 2216 callina the center. (Noh;): the WI3phm$50.00
06/19/2000 2216~ umberfor the Oregon Utility Notificatit$$.50
. 1"'r7:.~~'~~!" ;,- ., /~()rL~_'1.??~.1.4)~
Paid On
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Fee
Job# 00-00961-01 I
Paid On Receipt#
Electrical
06/19/2000 2216
Electric Administrative Fee
Total Electrical
Grand Total
Signature
Page 2 of 2
Value/Quantity
Date
Fee Amount
$1.50
$55.00
$55.00
...16
DATE:JUN 19 2000
AMT RECD:1 $ 60.00
'- CHANGE:$ 5.00
CASHIER: 061
.--BLEGTIUCAL PERMIT APPLICATION
, ubmitted has the followin
The following proJect 6tSeSqUire specific land use
, d does no r
zoning, an A ~
approval. " ~IV,"::-
225 FIFTH STREET Zoning - ~ @"@
SPRINGFIELD,OREGON 97477 'te _ in":::"!! 1 ~
INSPECTION REQUEST: 726-R1'69, d S'gnature
OFFICE: 726-3759 Authon~e 1
1. LOCATION OF INSTALLATION
_.sS ,A~\ f\7 (I S"pR.' '
LEGAL DESCRIPTION
JOB DESCRIPTION
k NEL0 E(2.t:*\c.e~(L1S0)<'
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
Address
,Ci ty
Phone'
Supervisor License Number
Expiration Date
\-ny Job Numberoc _ oof~ "br ":'_0 I
3. COMPLETE FEE SCHEDULE BELOV
A. 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
Installation, Alterations'
or Relocation:
200 amps or less
201 amps to 400 ~mps
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 50
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
, ,C. Temporary' Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
K Owners Name 0~u.Q ht7tJlc;/
Address .5 5 ~11 ,r.Ot/";- T
City ~A/~: Pho~e VJU'77/, /2
- / Z;" /// u,___
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
. Ovn{l~gnat~/. .
________~-----------c-~-----------
DATE:' ;; - r' 9' -,;J.tlV d
RECEIPT #: "
RECEIVED BY:
200 amps"oT 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
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump o~ irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surchatge
3% Administrative Fee
TOTAL
$ 40.00
$ AO. 00
$ 20.00
$ 36.00
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