HomeMy WebLinkAboutPermit Electrical 2002-12-3
,225 Fi'i'TH STREET .
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERM1.LlCATION
City Job Number f.L-E ;)OOd.- - 00 ISO
3. COMPLETE FEE SCHEDULE BELOW
I. LOCATION OF I~N
1126 Gateway Lp $iJite11 0 ~
A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION ~~~Included:
170) Zzcc 02..'/0 a o\\~s\\\e (10 "se
\\\6 ':\\C \3
1j'O'(ro. neC\
e.sS '~e $y
JOB DESCRIPTION . Q,oiec\\ ,eo,'" 1 000 . .. or less
Dedicated circuit for computo~~r.o~o:':'J dOeS (I fI ~ had" a 500
Ill.' U ~.
'tor< o~e.\'. v
Permits are non-transferable and eJllll~ 7-0(1,(19/ /0
if work is not started within 180 days ?:
of issuance or if work is suspended fooe\e S\9(1~\\l.e
180 days. ~,,\\\o'\1.eo
Items
Cost
Sum
$106.00 $
$19.00 $
Electrical Contractor JB ELECTRIC. INC.
$50.00 $
r t.\':' j vqulre~ ~fO\A LV
B. Services or FeedOrS'~' . " . 'n,),eCi by the Oregon Utility
Installation' Aiterations or . .",~. '-:'0.0< ruie~ are set foil!'>
Relocation:: C; . '- ," u::no thrQllgh OAR 952-001-
. ';~::. " ., lOla!fl 80ples or tli8 rules by
200 amps or less'" " \::,fer ;Noie: .i16 '$63~OOOr$1
201 amps to'400:iunpsc 1,0aC~.' ,tllit\' ~$75!OO'aJ$JIl
401 amps to 600 amps . '.~~-2$i,i5.00 $
601 amps to 1000 amps $163.00 $
Over 1000 amps/volts $375.00 $
Reconnect Only $50.00 $
2. CONTRACTOR INSTALLATION ONLY
Addres' 4685 I sabelle Street
City Euaene. OR 97402 Phone 541.687.5770
Supervisor License Number 38728
Expiration Date 10/1104
Constr Contr. Number 37587C
CCB C. Temporary Services or Feeders
104929
Expiration Date
10/1/02
3/14/04
200 amps or less $50.00 $
201 amps to 400 amps $69.00 $
OveriQUl\~IO amps $10~~\ $
Ov&l60b'<Ml ~t~'lW~~~~t:: ~'RE If I HE W
B aboW.S P UNDER T\.II" PFRMIT IS NOT $
{>.U1HORIZED .. NDONEO FOR
D. Branch CiQl1l\IAMENCED OR IS {>.BJI.
New, ~lJfal~ll <\ihUtHli~\Mr Panel
Owners N
CD Willie & Assoc.
Address
City 8orinafield. OR 97477
Phone 988-3287
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
$43.00 $
43.00
$3.00 $
3.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
Owners Signature:
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
"s.oo $
$
$
46.00
3.22
3.68
JB Job #
TOTAL
$
52.90
4.
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
OWNERlAPPUcANT:
CD WILLIE & ASSOC
1126 GATEWAY LP STE 110
SPRINGFIELD OR 97477
Desc riotion
+ 7% State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Add, Aller, Extend Circ Ea Add
.
.
City of Springfield
Electrical Permit Attachment
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00150
12/3/2002
12/3/2002
613/2003
1126 GATEWAY LP Springfield
1703220002300 TYPE OF WORK:
. ----=-"--_~ ~F USE:
,-
Add 2 circuits (""'dress is 1126 Gateway Lp suite 110
Addition
Commercial
541-988-3287
ELECTRICAL CONTRACTOR:
JB E[ECTRIC 541-687-5770
4685 ISABELLE STREET
EUGENE'OR 97402
..CCB#,,'104929 Expiration Date: 03/1412004
....' . -"," ...
Amount Paid
-I ~
Date"Paid Il....~.:. Receint Num her:
. .,-') ..:) .
12/03/2002.(' ,..'. 220020'0000000000255
-12i03/200i:.' .o;;~" . "2200200000000000255
,i 2/03/2002 + _' 2200200000000000255
, 7, 12/03/io02 '~ . 2200200000000000255
~'. .1' , ~....' ,',' .,r'
djb
djb
dib
dib
Cashier
3.22
3.68
43.00
3.00
~ ".' ,,-VJ'.
To Request an inspection call the 24 hour recording at 726-3i69.'AII.iilspecti6ns feq~eSted before 7:00 am. will be made the same working day,
inspections requested after 7:00 a.m. will be made the:f6119-;"i(!g'w.tb,;g day:',"
,0 .;e..... v ,f';
~ .. - t \.
,,' V is ~- fb
Reouired InSDections: ....,JSS v~ if;) ,
~ ~ ~L
1 Rough Electric: Prior to Cover (:' ~~"" ~
2 Final Electric: When all electrical work is complete. .~~ ~\;)
'\,. ~
By Signature, I state and agree, that I have carefully examined the completed applic#n '\l!it~rebY certify that all
information hereon is true and correct, and I further certify that any and all wor~~~hall be done in accordance
with the Ordinances of the City of Springfield and the laws of the State ofOre!l~)e~lllW~ to the work described hereiIL I
further certify that only contmcJors and employees who are in compliance w~'X:-~;Z~'055 will be used on this project. I
further agree to ensure that all required inspections are requested at the p~~tllD~"fbat each address is readable from the
street, and that the approved set of plans, if applicable, will remain~n t1";;-~t~t-~li'ti~s during constructiolL
~'-1 ~. :v cs:. ~'V-
~ <<'-<; ~<<; <$> Q,'-<;
~~"o~~ ,C, .-1.
Owner or Contractors Signature -<.;: ~ ~Qa~ '\j'"
~\;)~ ,~
CJ#
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