HomeMy WebLinkAboutPermit Electrical 2003-3-27
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',:)25FIFTII STREET,:..\.:gJ,~
\'SPRlNGFIELD OREGON 97477 ,(~:tfi~
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;, INSPECTI0J'fREQliE:S1:' 726~37W:'J;
"'OFFICE' '7263759'::,:,,, ,,:' J,:';::':,j,.V;"
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LEGAL :6ESCRIPTION
170::> 2.7./D 0370/
~':; ,,:, E.CALP?R01TAPPLICATION.
~i :;;'2i~Y Job N,,~:rl)~:;5~~~:~!{~~:~~ r '
3'(. COMPLETE FEE SCHEDULE BELOW :yi;';."i"/"
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A:' New'Residential-Single or ,e"..".,"'- .'-,'..'.. ,"
Multi-Family per dwelling unit.
Service Included:
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-!P:B.D.!.S!jRIPTION L. ",i\led'l~W;~sorless $106.00,
~ ~ AIm (3tlet!ll/ T5 I Oee\ "s s~~i'e s?f1ch addition 00 "\;
{!IIIJ1Nik saqV~ R.('~\)~~~~(\O\,e sq. ft rtion,,~~(
Permils'are ri?n-transf~rable and~M'~. ,,(\0 . er~ f. .'.' $ 19.00,,'
If work IS not started Wlthm 180 ~t'O""I. i(\\) -Q I anut' "'::' '.
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'."-,':.',t ,;.'":<: Installation, Altcn~t.~~.~~P,~~:{.:.':?r'A'f~':~:~~<:,''': . " .Ij;~:,;,:
Electr,'cal' C'"0: n\':t"'r;"'lctor;:;:n:~. R. Brabham, Inc. R I t" .' '.':'''"'':'~'r.".;!, '~\'..('.. "~1;f~)J..,;,~~'. ..... '-'~'~'l:. ~
- c uca Ion. :~::l"lt::~.t~,:,,~$l_~~~4.- '.~...:~ "!'1'2~~-j'>,\::.': :Y \ ;":":~Y'~:~
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Address .i!fg,~;\lWe~~~:" Q" 200 amps or less" .\,~.",;:.,,\,;,:,,\A$ 63.00 "..,1;1,,(
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;~};~~iP' ,.:~~,t{\,::; '~}f>. 201 amps to 49.o.:*mpr~ .\t,~~&~':::~':.~~17it1,~\7...5:0-9 . :,.~:~;I~tt
C. Sprlngfle'ld"pl '....~,,, il, 6-' ,,,,,,\>','i\:t 'L,~._ -'I'''',~,., .',.'. '0,' . " ,,4
Ity -\~"C" '.'::';;'" lone i'e. 401 amps to,OO,a,:!p~:\;; '~;I\j'l.'i!,."'~$1}5;00 -'[<-"'1
. .':;~~~,~,~1YI,.: ~{~~~2l{ .< ,;-~~1;~~ ~f~~.~601 amps t_~','.lpOo')iIr-""~~ ::~';2;,;t'~~1~lC~.~$l63.'OO ....,,~~7{~~~
Sllpervisor:~~~nse:Niii~;ber. 4:~~.~ H'~';~;:~~~~i;'~li;,~r,;W %~~f12itil~~{~,t~;~~
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'Constr.~Co~~y:~~:hn~~er':!.,;,h~',,, ;;")-:'-d~,t nstalla!~9.~;~J~.l\tEW~,ltIOn or-~Relo.caho~'.~~:;. , >{:@f.:,~".<" '..
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.,,~ . "')::.'i;-),,-Expiration Date ". ,,"'-c'" OO,amps'of:]ess' ';~. $50.00;.."
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.,~t -':,.':f.;.i:,"f~,. ;~", 01 amps to'JGOm ~Jl~~tJ-:':~U.'~~~~tt~$$69.00 ',\:~;;'~;\'
.>~Y~.;~j~~-~~~~ig~l~;H~u:~ ,~~: Super"vising Electrician '\(\ 0 ~O ~0~).~gi~t?:~Rg~~~P~' ,~~~~~i~~~.W~:;f"~\9~~~O'Q. ~ll?~~
':;~ ':-':c~~~':\ ~!;o:~ ::.;:; >;:"'~"';':" ~, 0090. . "9!0ve~~OOhamR~(or:.tQQ2~~~]~ sc?~ ~ l~.~IY.\;"~~~'::'~Ir"~*
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. \/':K~~Cii)',7t?1.JJ!4 "/Pho~:~;.'7'/(, , If:, 7 / EaC!l'Addit.ional C!~C~lit. o. r with se~~;6~;;::-:;;' ' . .,' .~,';
-- .,'..J,,"',. c '\. ,.\. t....... :' ,-- . '-...'......<" or Feeder Penmt . "."_. ". . j~. .'....
, O\Vt,iE'R INSTALLATioN; . .'. :.... , .~~\?-t. \r :Ii \~~Q~,'
. . .: 'The installation is being made em:. E. l\!is~~N~le;'us ,(?~WM;;ld~\lbo1>\iRli'&\j~?
. property I O\vn which is not intended ~\li~~C!!\iIi~Mll~\iR.1()t.?- '\ ~'UQ~t.\)
for sale, lease or ~ent.""'; WPi1JllPI?,~'ifrlll<li~i\ \5 JI,'O,fl' _ $50,00
rxsi'g\i;O~lfV!Jt.'ili~ltlfiro'U, $50.00
Owners Si~nature: QliMi~'<!;!;I~'IR~\'\ $25_00
J;.i!llit~nergy/Comm $-15_00
Items Cost
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4. SUBTOTAL OF ABOVE
70/0 State Surcharge
J~/o Administrative F.cc'
I\'linimum Electric: Permit Inspection Fec i~ $45.00 + Surcharges
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S-3,$;}-.
TOTAL
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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:
ELE2003-00081
3/20/2003
3/20/2003
9/20/2003
SITE ADDRESS: 1887 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271003901
Springfield
TYPE OF WORK: Addition
TYPE OF USE: Commercial
PROJECT DESCRIPTION:
Add 2 circuits for computer server room
OWNER! APPLICANT:
OREGON NEWS MEDIA INC
PO BOX 130
ALBANY OR 97321
ELECTRICAL CONTRACfOR:
LR BRABHAM 541-747-6638
68 WEST Q STREET
SPRINGFIELD OR 97477
CCB # 8699 Expiration Date: 12/18/2004
Descriotion
Amount Paid
Date Paid
Receint Number
+ 10% Administrative Fee
+ 7% State Surcharge
Add. Alter. Extend Circ
Add. Alter. Extend Circ Ea Add
4.60
3.22
43.00
3.00
03120/2003
0312012003
03/20/2003
03/20/2003
1200200000000000858
1200200000000000858
1200200000000000858
1200200000000000858
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7:00 a.m will be made the following working day.
Reouired I nSDections:
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 application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shaJl be done in accordance
with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, and that the approved set of plan~1,if,~pplicable, will remain on the site at all timeS9~i.9g,'&.nstruction.
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OwnerorContrac~!S.Sii;na~rs~\W" ~eS0.1e 9<:.>'2..-'00\, ~O,\\:.t.. ~\:\ SWD~e :\\\\S r a~'t.a {\.II'
,. \ \:;s~' 1\ 0.00~\\"ose lU :n O~~ lU\es'O' '" \\S ?'t.~ "'t.a \)~\)'c.~ r>.'Or>.~a
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\o\:o~0.\iO\'C~,\-'0'0'\~ co~ieS e\e\e?~ 0.\iO{l I\\) ~~'t.~c.'t.~ ?'t.\\\aa.
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
ELE2003-000S1
ELE2003-000S1
ELE2003-000S1
ELE2003-000S1
Payments:
TWe of Payment
Check
Paid By
Description
Add, Alter, Extend Circ
3/20/20(l3 ;
2:3S:IOPM
" ,
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000858
Date: 03/20/2003
-
Amount Paid
43.00
Add, Alter, Extend Circ Ea Add
3.00
4.60
+ 10% Administrative Fee
+ 7% State Surcharge
LR BRABHAM INC
3.22
Line Item Total:
$53,82
Rec eived By Check Number Confirm No How Received Amount Paid
djb In Person 53.S2 e
Payment Total: $53.82
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