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HomeMy WebLinkAboutPermit Electrical 2002-11-26 ...... ,::::,' .' ,.~ : -, :~ '. '."" " :.:,: '!. 225 FIFTH STREET _ SPRINGFIELD, OREGO~77 INSPECTION REQUEST: 726,3769 'OFFICE: 726-3759' ' I ,; .' ,'~' EL.CAL PERNnTAPPLlCATION CityJoh Numhe~'ELEZOOl-COl '-{ !; , "L 3,. COMPLETE FEESCflEDULE BELOW . .-, :'.' . . I. LOCATION OF ~STALr,ATION ',: L !,', 3.030'. ~~ 'S.'F-..c:.'A:'New'Residentiill:Singleor' Multi-Family per dwelling unit Sen'ice Included: LEGAL DESCRIl'TION 1""70 "37,:2_0 a , 02-10 f Items Cost Surrr ' - ..',. $106,00 , ~ $ 19,00 ", $ 50,00 -.",,\ 1.... ~:..~SCRWTION , 0..\ w'Q..o"r {.(~ rf'I,",c-l.Jt l 1000 sq,ft, or less Each additional 500 sq, ft or portion thereof Each Manui'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not'started within ISO days of issuance or if work is suspended for ISO days, 2, CONTRACTOR INSTALLATION ONLY R Services or Feeders ' :, ',:' " " e \NOP-v. Installation, Altera,tio~~,or : .,', Electrical' CCAArtel'a': rJ.lBT,\\I\'r~,\\W'~ 'ISINOJ Relocation: " ,',' "1.1\: "ftllJIl1 S"'~\.: \'\IS \'t~~" '," '" AddressJ~,.' . R'~ \j ,1:., tPI1~~ ~;'hl"[,~.',-,t)tJ.."",',.~"",,,.,.P.'" :t~, ,,\\ 200 amps or less, '. City F1JG4~~WI~~~~~~~~'~ti0."') . . ;~: ~~:~: :~~6~::;~~' " b.i'\'{'\~O \J . .{ ,,:t1:, .,.' ,601 amps to 1000 amps Supervisor Liten~e. Number 2.it9.s .... ~,.,;:>" ..<'.[.:;:.":,':,. eWer 1009 .amp,sl-volts:,-:: "', .' E~~i,r~ti~~D~\~'~.~/~1Ai';'~~';;.i]}~:,~;"\::~tf~e~l:e:.:~n~:ri:~~;:;r~~ders ,"" . ,~' '. Con~tr contr: Number" ?f'i_itif ,~.{,,:'i<",,::!~;:Jhstailatio~iAlteraiIon or Relocation , ., '" .,--- u ~',' '~' :j~~ :"",..:;~:- '. ;^~\ \0' .- J"~ - ):~:'.^4.. '-.)~,' '-' ',-.- - ,': '.. ";,,,' '.Expirauon Date 10/01 10~ '.: " ,'..' ~t~~~(Y"\\\\'i.~200'.amps o~less: :, :.;'" ':3 _ _$50,00 '_' , " " ia.\~'~QQU \0.291 amp~ to 400 an:P~', , ' .: ---.-:.:: $69,00 _' ,;;ignatu~e of Supervising El~$t,Ijci:u\l6 ~'ll:(\e s a.le-sa\O~rA01, to 600 amp~ ,,": ,,' _ $100.00_.----.:' , ' : . ',!. "\ ",\" \ \V oO~\e OSe IU\eO~~ 9'02 e~VS: 600'amps or J.R90 volts see, , ,,:, ' ' , ~:', ',.(1....\ ,',,' }\eS-O: \el."\n, 'Our:},n "'Ii\eIU\"S':;above ,,~,::,.~' '..",'" ' " ' ,,,"" ,I ()\'<I 01' "'OIW " " ., . ' \, _\\ffi\ ..l'IC\'\ "leS ~e~I" ~ ~, ,.,', . . h..;...... "'" ~,,,. .. \l\v'Jt" ,'(\e\e ......I),~~O. ..... .. , ..' " :". NA:lYA ~1f1IT:.~J dOl(\: , ~O\e'.', ~'\c.~ranch Cl~CUltS ' , Owners N am ...;S'..n1f.f.. s. \ 'lir.1t5;/~v'iJ{/JJ);!-;, ~~. New-,A1teration or,Extension Per Panel, , "".C;'2jJ," 't:),,,,,, ,y/,\fZfr7VO,1'C!P-' ., '",,' " ' \:Iv 'A\\\\:J,:' 0v'--~r_"'::' , , . \ I b ^ Address '2.,()'2,r) 'l\SQ.Aol!~j~4 'S, One Circuit" _ $43,00 ::t:LUO . r\\}"\W- t""'?,\,f':~~ City~Q,\~'Iq,,\d Phon;' . " , \.. .." . , $'63.00 . "'; ~$75;00~': '$125.00 ~'; " $I6~,OO ' $375,00,--':::::' $,,50.00' , " , .' OWNER'INSTALEATION ,. The installation is being made on, property I own which is not intended for sale, lease or rent. Each Additional, Circuit or with Service , or FeederPennit - ~ $ 3,00 ~O E, Miscellaneous (Service/feeder not included) -Eachinstnllation Pump'or irrigation Sign/OUlline Lighting Limited Energy/Res Limited Energy/Comm $50,00 $50,00 $25.00 $45,00 Owners Signature: l\linimum Electric Permit'lnsJlection Fce is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fcc t;E',~~ U,(oU .. TOTAL lJ ( 0 .1[L scb ()Dl~oL\l .""" . . City of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO,: ISSUED: APPLIED: EXPIRES: ELE2002-00145 11/2612002 11/2612002 5/26/2003 SITE ADDRESS: ASSESSOR'S PARCEL NO,: 3030 GA TEW A Y ST 1703220002109 Springfield TYPE OF WORK: TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Add 6 circuits in Sears store OWNER/APPLICANT: GATEWAY MALL PARTNERS liON WACKER DR BSC 3-04 CHICAGO IL 60606 ELECTRICAL CONTRACTOR: CHRISTENSON ELECTRIC INC 541-688-6121 1631 NW THURMAN 2ND FLR 543-419-3600 PORTLAND OR 97209 CCB # 458 Expiration Date: 05/01/2003 Desc rintion Amount Paid Date Paid Receint Number Cashier + 7% State Surcharge 4,06 11/26/2002 2200200000000000233 djb + 8% Administrative Fee 4.64 11/26/2002 2200200000000000233 djb Add, Alter, Extend Circ 43.00 11/26/2002 2200200000000000233 djb Add, Alter, Extend Circ Ea Add 15,00 11/26/2002 2200200000000000233 djb To Request an inspeetion call the 24 hour recording at 726.3769. All inspections requested before 7:00 am, will be made the same working day, inspeetions requested after 7 :00 a.m, will be made the following working day, Reouired Insnections: 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete, E WOR\<. By Signature, I stale and agree, that 1 ha~\Q~~~ma!W\1~~~J~~ ~:N>\lli~l.ltIbn and do hereby certify that all informalion hereon is true and correct, miJl.li~~5~t'f\j(X\!l.iat lli'Y'anl ~al\J~~\Performed shall be done in accordance wi!b !be Ordinances of the City of Spring_b\UPthilkePt\t.!l~a~1d Bregon pertaining to !be work described hereilL I further certify that only contractors and e'8~'Y.e'o!S~Jl:iJ ar"tit\\~mpliance with ORS 701.055 will be used on this project. I further agree to ensure !bat all required i~~iqijila~~e~uested at the proper time, that each address is readable from !be street, and !bat the approved set of plans, itapplicable, will remain on the site at all times during construction. Owner or Contractors Signature Dat,.,UUi ,aw reqUireS you to , ' " ' :;'d byth€ Qreoon Utility ill\IO'^' rllltl" .Jdu!Jl~ I! vre se' fO"lb ,\ ,t]CClIIOli Cenler. Those rUhe~tR 952-001- , y,: , 'l!j;N)01'OO1 0 throU9, , ,,;\:1(.1, YOl' moy obtain copies ~f tile ru~~~ b) calUn'" tn,- C,lOler. (Note: lh~ tele.~h , nurnlJ~r IN Ihe Oregon Utilily Notll1catlon , "'I'" ,,;-R0fl-332-2344). \. ' n ~ 1 of I