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HomeMy WebLinkAboutPermit Electrical 2000-6-19 ,I' - ~ ,........\ ) .. -.' ,- 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: t~ i ~l\:'. :~",/i'.;......'" .J~';'," .:A ..' . .';"~~l.;"~": 'ldv : .. I _ _1_ ._J.........J 1...~. it"'-...... t""\vI"'\l"I1^n Ilti!r'i 11 Ii II JU\1 11JICii,,~'-' u~..,n..,'~L\"'."" -11' a.. -- ~ - ....-, Fee. R ',d 't#" 'at,'o'" V- ~1'~"IQThl"\"t'+.rUleC ?E~'=' ~(?~ TOf t ecelp ", ,,,, a ue uan I.,. ", 'ee ",moun _ .. ~ . ~..._-"'...... .t. ...", , ....,'... r"\ .i....."'l. u.:.'..... ,i" ": . ~ U,,.,'1 .:::J....',. UlI i-VU ~u t.:HVL4~'t '-" \It. ...--- -- 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 :sO 3.5'0 /. S'e> 1. """,0 l ~5=--