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HomeMy WebLinkAboutPermit Electrical 2003-4-4 ". ~' ~..'" ~~. ~~. ~ . '"" ,',226 FIETI{.STREET.,;; ~.'1" " " ". ~lf,:;",\ </;"1"" :......t,..>:>".:.. I""''' ......~... ~J 1!-'~i'~(:.;. :,-,t{.~.. ,,: ~';:~," ~~, li:.:rS~&ItlpF,m~R,' "q.w.::9.,9J;:!i?7~kV .~',: t~~. 'vN~;;.PtfJ;~c?l)l!M:9!;J,E~'E:!p26~37.~9.""" /', ~,~',' (:"GEFIG,E:~;n6~, 3\?,~9~::tl ',' g,1~ fj;~ 1', IT,J~~~ $( L~ljijl~Mt,iif~Ii~J:I' ~~ ~ ..~ L ilO. i~/'7IS"" 'lJlJjcr?tfi-Ip~ ? ,.i,<,~ \O~.o 0 " ,:t! JOB D~CRIPTION . ..~~\",<'~JUOO sq.ft. or less f"A-rv&'L Ct-+AA/{,..(.r io,\\"~:c\\'C Eac ditiona1500 >>'" ~'1 ft. $ lE:.? ~\f,,0n / . 0 ortlon Permits are jU>n-transfernble and expire,6\"c~~\ ,""" 1\'/ tI of .fwork IS not:~taned within 180 d1l>~10"~ \/. I}-, acl anufd Home or ,of issuance ~ifwork is susp~'/i~ _ 0 'I- ular Dwelling 180 days. ~ '\'<:'o",<,~~",\. ",<,~ Service or Feeder J;;:i\\i! , l' ~,o ,!-o tEi\l~~ ,.. ",'I ," 2. CONTRA'GTOR INSTALLATION Yr-t"">> B. ~'l:'~~\ ~. I ,". ~"" Electrical @tracto~~~e,~r~ I 1'i1(.... ~".% ~ . A'.- Address ?t!t-"511 HZ'~ ,,~1 n w. ,,~1'Pf,9..... 200 amps or less"", \;~i".'p,~ ~~1~ ~-s;..., ''';.,);.,'$,. 201 amps to 4o'O~m'ps , City6t.1~~ttl\ 1;'*~;{;fhone.1liL~Z,5)mZ!::::~!ff",," 401 amps to ~.OQ:~:1}i3}~T:'.''''' ,,,.i'-~~ i:}!"") , PJ,~;~.;;"''t:1i.;:;'if . .601 amps ttiboo~nlp~\i!;, ", . !~;;~l;ft'l\ '.'~~,'t:>-~ llt/''':O-';H~rf~,,;.t;'';''i;'''' ,nl-.. It~/.!"-R~l.:t ~""t, Supervlsp-r.;~~~~~e ~,~!l!}~~er ,";:f9'..::'CJ_:?;~~..:~:~"'-t+t _ .~qg~rr~lOgp,~a,~~~~€?I~: J~!.;l.;.; ,ii' ...... -',;.:fii...t1:=..,';;;, :i:,JI.,,"'! ,~~;":;:",;;,,,,,,,,_,,,,~";';.l.~ReconnectOnly:"<! ,s..-::. , 1 \'1-'~~,",Hf;!;fl-1';".. ... '<'>~q,;V:;. '!j~', . ,""J,1-::~-,_ __'::'';: "","'''' '-i""..:"'.~, ~ ....,,:*;>,....j~..'j->',"'. I"".., 'i':"" -',' E . . ",\1;0' "',~lx 0 .'rI.' , ,'., ,,,. ..;'\...." ,". ~:.~. -, .;" ':""" . ",,,,,. -.l .~ ~ :;r-....,.. ,- ~;~,'" . ~ '._'l' -. I- xplr<;ltl.ou:. .a~e~,...;'-. 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",.:,.."";~_ .',. :;%",,~' ,~," .. ;-.:',. l<>,200Iamps'onless;,:~. ;-,~,;,t;--.,.' -.1.:'~ -'''''.::.u.::'~~.~a.-'!ir~~?.!--t~~",\.l\-;-.cr.::-:~Z'"",~, .' ,;!;~;.Z~(~fk~ . ~~~~Y,~t~1~&~g~19~t~P ';t=,:Sj~~\~~~rSu}len'ising Electrician~,~OJ~\~~.9.eJ~m.ps.~~, .. ^. .. '. r-' -: .., - ..;,:,;,...:,.,,; ii..'\-"'::...,,,,_,: .. Over 600'ampSlOf,'1000,vol r' ""'''<','' ,.J~,~,\Jr~~~ ...'-"<"-<-,:-'" " _<t.:.4~-~C}:'lf':J '-,.",' t"T-<!:t,( A It ~-r'e.l ,'<~~~-V:::".'. ,. "~~,(~'~;':";>7f'.X1..'~~.. nBII above 1~\-~.:t),~~~t"'-(fi;,~;"'~ l~".. ",,\!1J..~-J:-<i,~' ..~. ;1:'<,1:'0 IA .,', r..... ,,-- '~t~' '~'" ~ '''.1,>10 .'-. '.". ,,' _~' ",:, " ..__ ".".',c:,- ~,,~:ul't't~-' ,'~", ~ ~ ,'t....,:..M-, .,,;;;,{.:;:t"'*!Ji;.f.'~5-;,~'~'~' D. Branch Ci~~uits ~4',~~:~B'" ,. .' J$....'i.:J'~~~~4.:l.~~rt"'-;'~.;{:f'\'.*a~. \.~ J,1f.~'0:~::'!::;-, 5~:.L"";-f<!~ .." :.O.lw_er.s;.!'fl1m~~~~CliIi .. ,; ""TT' NewfAI~jtion or;E~tension Per;J~~j1ft~*[ "._; '."",~~:j"\~ !S-."'~' lQ~~.' ..... ,'.~' \ j. q/'C.'.,'h;,;~ -If~ .,+~~,;;-.,iK,)~ '1 ' .,,,,/"~t: ,0.. ::.'o:::J......',;~I'![^' ~ i' . I!rlZ J~l,"f.-:.'j5fi:..:...- -"""" '..,O:~"i/"l''''.',.:.<! ~- :.~~ ;~.dAi.~~~."';i:" b~f:>..'9;. ~U..r<:J ~. .~.~. _ C; On?,C~r~~~~, ~!~ . i.h\~<~~~,,<:;,~$43:0 \.0..~ !l<.', .ic-;,.if~,.,~.."'~,'~~"" ~",~ '~--~~~(~~~,;;. f:@;j01~,~.!~~. '9;.1 '\~~!''''l;~~' .d:":~ Ir~-:c:~i~~:,' ,.Jf-<,.~'"':~? - , " .'. ,'9~ .';..y:,~".~,,'(l ~,'""~~2~;.. ,; :~:J,~"; .!.,..,~ E',! "Ii;:.rAt{d~Ad~!,t,;;r.' ; l~, ~1~ '!.\.\.1~",':':,;~~~! t;/tt~~...""", ""l.,('...~_ . ~ Ity.",,~' ,".' ..~.,~ P:.'Q"S'!I"':'" Ja,V ac - ItlOna.~~ li'lvu rvI ,.-; ,....... "".'~ '" .,:--J(":!l~~~~f"'''' CJ-~,r.. .,J." ~X"~--- .''" >IC:'':''_'''';~';''''io'...:~.'-t.' n \";) \ ',":i-""~ ' J,~.,h.~ ~.,,;;;;~,~"',,'iI.,:;t::,"'\O'i:..t\' "':"'~}/~~"'i"-' ....';;.~\.flI!;~i",JNT 6i'Feeder,p,eriAA-'~ ;~:\\~ '0. o,'~<::. ,.0 ",'," , "W"S; . . """",.' .',... ~~.,' :'i)'\'~:t< "'1:~.., ,J~" K '.'"n<;,';,,"n\~Y a..,..\I.' '\\> --"'~i!'" ''1;;0---'''' :~~;\....,:~~'''~ ''',' "~;:,' ,K~ ~~' ~;3~"'i:\; <~;~~'":~:"', ,<x,\~t,Z\~v't:$~1;b,":;.I;;~,;~";, ~','itE a.'-,\";,;,,-;,, ,~v,._J' '.:; ~" ."",.. .' >'.: b;l\l" ~ ,~r'~~~_,~~_"" ,ltCi . '''''-r)~,:>-1.'...,;:;;'\''~''' ,;","'~'.1',~t.,:;l~.~ ,,' W.~. '~'Mo" "-;';~ '~""",', ," _ " ;'d'~,- -<,,'. l~" ..;",<;, -:"', ','" P'''','': ~ not mclud~~'';'f'~~';''::;\'1,'ji;,',2:;','b,' ,..,;"".~"..~ ,0."U~nl de '." <,\:,' a..~"- ~Ir.!' al!ll .h~'.. """'~'''''Jif'' ,"~'.., -;,;:~;i.;~E!!(;. .'~' ".r~,.;" .;".: .~"\~, \\\J ,c. \l't.\>'1t~; \~~.~ itoh~rf~j ~~$'5P'60;-'; :,c':p,f "\.-!'\~f\~""O .k-' )"iM."l ....-'fte~;~ ....j! d;!" 0'(,,\-.;) ,,\'\&,..',.. . 1'~1!'_"T' .. ."~r.......,,,;. -". ""~""'-" '''-;",'$,i,;,J1.i;,':~,'' "{s:;,,~, ;~~;i"",~:t';\Ii)JPi\t!.,;"~\,,',,,;,:,'i':! l""AK \ ,\",\\v ...\\ ..; 'ightiiig~~. _ $59:99,'. ";'","/" 'i>":"';:;;~'~'~~'itr.~ '. g';~~\':Ji..tt:.::~ ..;;!.,f;;;,\, ~\j' ~\'t.\.. ." neiiiYiR;;rC;\.; ," $2500 ' .C :~:..../{,,:.~';!':~.~.:;~or:- ..?l~t..~~'i~~1:~k~-:" ...,tt-.~;~. ~~\~' .C\." '-. ."'"~':J.,~":~ .;,{.;'!h1,,~' -.. '>-:~< ...,;\:.,J;?jJ,~.~~::f,;;.~~,:'j::09f';;;ts~iY4'r:;..{ "':~<{">.i"" \J ~~ \'O"-Lllluted'Energy/Comm ' $hOO.::-, ',:.- ' 'i:~~~i";~',::Fl~i~tff~~::i~~~:;~t(!'S~~1~?i,,~~.~r;1::,\",:,,~, :{~!~~,\{:;?~i~~ ~\, /~t~~:\\ .'::{~t~j~: -';~ir 0;~Y... ~ - -~%, , . . ~:'-;,,:' ~~!t'~~~\;~~":~~-s-.~~~~;::-""~'..c~';f,~'l;';;~~:ff;'7-:._.;"'tr;.~~'<:;~1 ~j{'..- l\1inim~~~il{ct"r'ic'P~;~it~I'~Jpection Fee is 545.00 + S'~i,'cha~.~'es ,,'~~. .,.a:~'j ~."'~'~ '( 'h- ' ;.::!.t.:<' '(\:'..l,..:O:,"",....,"'7' If ,,,. 8 ,(;~tr ....~.,r".:-v;.,,"1~t,.".,-..l'.;:.. : \,., ., '''-. },j 'i;\\~ ~),t" ~;L~'~~~ :'i;~:~Ji'~~1; - ~ ~,~ ~h't~:~~:~:1'\1 ~~~:; ,~;ii~~;{1~~~!.< rit~~ -\ I'rr~,~"t;~:.'. .,r:~';::,~~.:~~;;~\J:yl.,l.~'}/..l,..... ~l'~~.~.:~,ly~;_~~':. ;~~~:(i':t:fi\1~ 4. SUBTOTAu"O, F;ABOV, E' bJ ~t;~. '. 'f... "l<,~;:",'.t.-<~,~~l...;O<\:'''t' U"'~"'~--;'l-.'" .. ~. ...0''";:'.... . ,).......". ""...,'" -- '.. ;';:,~~f..;':fr:.~(~:\~~#~:/~ifltr~..~rr~.\?r~:1 . ?:~t "'.. 70/0 Sta~c,Sftr'ch:lrge: .:", '-(i..( {.:.' ;-':'lt~~Z~'~~''';~li-t'\(~r.:tr*~f.;~~'tr;.~~. "~:,,g{,:~ ~ ,'t, 8" Ad....':r.~.,:[~t t.'':'lj''''i.F'' ,N:t, J '?,-l \.i..'"" s..''i1(I..,.i~, i~~;~..:;?-t'.l"'~tl. ~~',,:,:~.~~~,.;~ _ /0 miDIS ra ,H'C. ce.-.' fv V' !),:':~'':Y:M''~''\~~ -,r:::'-~' ','t.J:"'.t,"',<J. ~--!,.. lj\~' -' ..... J.-;.!:' \..:~ "~'\<'l"<' ,~.;,,'1" ''''-{'t''~;:,,~~.''4~~'1;;~<:('i:-'4/'(' --:,., .:!~~ - / S;,," :-\~.;..q-r!:...'/'. ~.!i--:t~i-:;f.."!;\~{-~~;:1"'lf'".."''.'~" :;~~).;, 7< 7 \f~:f,~::if.rI~ .... ',:5.t::!~~~~~;?-~~1~~::~:, TOTAL'~ ~ LEGAL DESCRIPTION "\ -1782 ;70377J;) ~ ~' EnE_w~e/PERMIT,jAPEHGATION:-ii.tf.:, ' ','I':>~' ,~~"",,,,,,,,,,,,,'~-,~",,,*,";<r;;I','~,','."li""",",'''"'~'' ,. Ji~{"", ;.~ !;'l:!: ~k~$Wf:r:'~Jr'/~:"""':-fi':;';; ~1\~W-"....-41:.~";t:t~"':2\ ". , . , ' f"-! "~f"')l!:i'Si' ,., ,'r ;p,:-O:O'CJ.JI",: ' e ~ . ~"Ci\ymOb N.!'mbeI'J.4?;~.;.....~~,~'ii "'!:'i\"ii'~ i'-t:-::..". :. r.. ...~~:~.~~_}.~~,,~"~~i}~'\l'p':,;"'"':~"~,~'').);J; :.fij :~\ ~",'>' ~~ I., ~J tF"""'O",;-"."itf'l',liI':i.'4~~1-\Wj,~~""ifii!~,...l,'~ ~,i:-"') , " , >}", COlVlRl.:Eqc FEESCHEDULE,BEt:0W" .. ~"~"l!', ~~" ~~"'i\"fr" ~..,.,;.;~,~-",.,. :'!ll"'-~' .. '~1'lJiil .''', ,~<../ii: "'''~J ,";;',''':i'f' W"- ''''''~'~'''';':.;r....1il' _>;%'t'<!';~: :;-~ ..j. ~_;..~~ .'~~,1t~_- ~'.<lt..\..,~_~,~~~,~.:~!h:.\C~'''''' -A-N'"'R'd "1 S''']'- .~,*~"'.... ,"+,~,;., n. e,y est entIa ~ 109 e.or~"" Multi-Family per dwelling unit. Service Included: \ Sum .~~& ?~~"" ~""q" i.~~'S~ '~.,'- f:l'oli ~ ,..~~., d ~ ~~~We: }",,'/;1.V ,,~kil ":~::\ 05700 Items Cost $106.00 Services or Feeders Installation, Alterati .. Relocation: $ 19.00 'r '\ . . 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: ELE2003-00099 4/3/2003 4/3/2003 10/3/2003 SITE ADDRESS: 1175 LODGEPOLE CT ASSESSOR'S PARCEL NO.: 1703273309900 Springfield TYPE OF WORK: Alteration TYPE OF USE: Residential PROJECT DESCRIPTION: Panel change OWNER! APPLICANT: BURNETT DONALD W & ELOlS I I 175 LODGEPOLE CT SPRINGFIELD OR 97477 .ELECTRICAL CONTRACTOR, ANTONE ELECTRIC 541-729-6570 4257 BARGER DRIVE #125 EUGENE OR 97402 CCB # 145436 Expiration Date: 04/23/2003 Descriotion ~mount Paid Date Paid Receiot Number + 10% Administrative Fee + 7% State Surcharge Penn Serv/Fdr 200 amps or less 6.30 4.41 63.00 04/03/2003 04/03/2003 04/03/2003 1200200000000000938 1200200000000000938 1200200000000000938 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 Electric Service: Approval required prior to utility company energizing service. By Signature, I state and agree, that I have carefull!(<1xamined the completed application and do hereby certify that aU information hereon is true and correct, and I f~.A~tify that any and aU work performed shaU be done in accordance with the Ordinances of the City of Springfield ~,.i\ld*s~~ State of Oregon pertaining to the work described herein. I further certify that only contractors and eml'~~WIlf.~~h !l9'D'\iliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspec~~~,!W~d,~~per time, that each address is readable from the street, and that the approved set of plans, i~~b1~~l;i.U>'Pee"~~~ at aU times during construction. \O~. GO~rtJ~ ~~ O,'fl rl~'(lJ ~~ ,N..~ ~~ r'()~of..\i#>,['\.~ J~ Owner or Con~\!\~~~' :\~#~ ~0'~#C'\~"p.,. ,o~~~'\~""e\'~~~V ' ~ Ot--~ -.{O~ ecFeO~ JO($r" \~ (l)~' ~~ cJ.~ \'0" ~ ~ e\~'@\ ~~~ Date , 1~~ ~Q~~ tJ.?\~~ \f ~\1 \S ~Q1 \\Q1\C'i.~\J\\1 S~t>.'t~ 1\\\S ?~~~\) ~Q\\ 1\\\':> ~~~\'l.~\) IJ~~ \S t>.'Ot>.~o f>,1J'\J\\J\t.~Ct.O ?~~\O\). CQ oJ '\~\) Of>,'i t>.~, Page I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number ELE2003-00099 ELE2003-00099 ELE2003-00099 Payments: Type of Payment CreditCard Paid By Description Receipt #: 1200200000000000938 Date: 04/03/2003 Penn ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge SHELBY L ANTONE Received By Check Number Confirm No om 000034 014131 Page I of! 4/3/2003 11 :28:20AM ... City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 63.00 6.30 4.41 Line Item Total: $73.71 How Received Amount Paid In Person 73,71 $73.71 -- Payment Total: cReceipt.rpt