HomeMy WebLinkAboutPermit Electrical 2003-2-25
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225 FIFTH STREET -. ELECTRICAL PERMI.LlCATION
SPRINGFIELD, OREGON 9'747r7,lowing project as submitted h.s the following ,...., ,- 'J'~ 2.
INSPECTION REQUEST: '726-37690 does not require specific I~ Number ~i...l; ,;rvd..> - 00005 r
OFFICE: 726-3759 "",><"v.l. I....ot-
Zoning ,....r" 3, 2aw.r:"E'FE :;EE SCHEDULE BELOW
1. LOCATION OF INSTALbNflON dI-d.C:;-"'O~ \
1449 Lawnridge C'M,"....O ~wResidenti.I-Singleor
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
o\,>\U
JOB DESCRIPTION \III (a~u\lffiooO'!1\fi'y or less
Elect to Elect. and Heat pump eXCha!)~eCl(ao.OIl Ia: t"a Ole~ ~i1!PllaI500
_ \lc.~ \ \V 'dO?tao 'o'l e IU\esSq~~<l!:~on
Permits are non-transferable ",!d liijli,reU\eS!el\te\, ,''OS auld" ~f'u\es 'o'l
if work is not started within ISO'1J~a\iOl\ v O~_oo~ot"l ies~\ll Home or
of issuance or if work is suspen~~ll'\ 952-0 )/ o'ota\1I COie', t\\M6lI~&,<<dnng
ISO days, \1: gO, ,<ou ~a elltal, \~o \.ltW\~ or Feeder
\ll), ("~\\iIl9 \\\e ene OleldOIl i,l,'3Z-Z'3A4)'
2, CONTRACTOR INST ALLA TION\ONI!9" \ ,',,,, \ .e.'if\ Services or Feeders
(1\j\l~' le-
'eel" Installation, ~ns or
Electrical C~..~~_;v. JB ELECTRIC, INC, Relocat~~ "\~\
\\\'t. \'i' :\ \S \'
Address 4685 Isabelle 5t. \. 't.iS'21l,.P'fU~\ ~~~
'\\,'ie:. :\ S~~\.: \\ '\~,_~bo amps
City Euoene, OR 97402 Phone 54<.jf~87_5~ \) '0~'\)'t. ~~ps to 600 amps
,\~\'::l ' ;\\\1t: \)\\ \S ,liOl amps to 1000 amps
Supervisor License Number 38725 ., \\\\ _"r,'t.\) \,X,\\\\)\)ver 1000 amps/volts
'~\)~W<\.. ~ '\)\>-'{ Reconnect Only
Expiration Date 10/1/03 f\\~ \'0
CCB C, Temporary Services or Feeders
Constr Contr, Number 37587C 104929
Expiration Date
10/1/03
3/14/04
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Owners tame
Bill Dever
Address _same.
City 5orinafield, OR 97477 Phone 741-2926
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
JB Job # _03-145
Items
Cost
Sum
$106,00 $
$19,00 $
$50,00 $
$63,00 $
$75.00 $
$125,00 $
$163,00 $
$375,00 $
$50,00 $
200 amps or less $50,00 $
20 I amps to 400 amps $69,00 $
Over 40 I to 600 amps $100,00 $
Over 600 amps or 1000 volts see
B above $
D, Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $43,00 $ 43,00
Each Additional Circuit or with Service
or Feeder Permit $3,00 $ 3,00
E, Miscellaneous (Service/feeder not included)
'Each installation
Pump or irrigation $50,00 $
Sign/Outline Lighting_ $50,00 $
Limited EnergylRes $25,00 $
Limited Energy/Comm $45,00 $
5, SUBTOTAL OF ABOVE MINlIIUM $45.00 $ 46,00
7% State Surcharge $ 3,22
10% Administrative Fee $ 4,60
TOTAL $ 53,S2
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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
541-726-37691nspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00054
2/26/2003
2/26/2003
8/26/2003
SITE ADDRESS: 1449 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO,: 1703252207300
Springfield
TYPE OF WORK: New
TYPE OF USE: Residential
PROJECT DESCRIPTION: Heat Pump
OWNER/APPLICANT: ELECTRICAL CONTRACTOR:
DEVER WILLIAM J & KAREN K
1449 LA WNRIDGE AVE
SPRINGFIELD OR 97477
CCB #
Expirntion Date:
Descriotion Amount Paid Date Paid Receiot Number
+ 10% Administrative Fee 4,60 02/26/2003 2200200000000000527
+ 7% State Surcharge 3,22 02/26/2003 2200200000000000527
Add. Alter. Extend Circ 43,00 02/26/2003 2200200000000000527
Add. Alter. Extend Circ Ea Add 3,00 02/26/2003 2200200000000000527
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,
Reouired Insoections:
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 shall 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 plans, if applicable, will remain on the site at all times during construction.
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Owner or Contractors Signature
Dmeu,v 'Ult:~ dUopleC uy thb Or"90n UtiWy
NOlll/Catior, Cle/ll..,. rhOSt" ,'Ie~ dre set f ',.,
i.1 OA~ 95~-UU1-001O tn~ou~h ,)AR 952-~O'
0090, ,(au may obtain COpIE:' of the rules b
calling the center, (1I1:1te: the telephone
nu, nbar !Oithr nregon , JWit\, ~Jotification
, 2rt", I;~' ,'r t')~J~ ~J~ '"ii.'
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M01\CE: XPIRE If ,.\-IE WORK
1\-115 PERMI" 5\-1Al~ \\-115 PERMI115 NOl
MJ1\-\OR\IEO UN~~5 MlANDONED FOR
COMMENCED 0
\~lY '80 DAY PERIOD,
1 of 1
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.e Items:
Job/Journal Number
ELE2003-00054
ELE2003-00054
ELE2003-00054
ELE2003-00054
Payments:
T)pe of Payment
,.
Check
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Paid By
JB ELECTRIC
Description
Add, Alter, Extend Circ
Receipt #: 2200200000000000527
Date: 02/26/2003
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Received By
Chock Number Confirm No
lkw
012044
Page 1 ofl
2/26/2003
2:31:19PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
43,00
3,00
4,60
3,22
Line Item Total:
$53.82
How Received
Amount Paid
In Person
53,82
$53.82
Payment Total:
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