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HomeMy WebLinkAboutPermit Electrical 2003-1-21 I ! . . 225FIFTH STREET A.\, ._.., ' E' Ao~C~PER!vnrAPPLICATION . SPRINGFIELD, OREG~417' . . ,. '" .....:: . , INSPECTION REQUEST: 726,3769 '.' ,,,'1 !'( ..~', ".': "-:Citv.Joh N,;n;I;e,,:f!:-CZQc 3cOOoO I ,'"OF.FICE: 726-3759'. . .:': ;':~ " ~.:r.: .;~ ;;:,~~~; '~l :,~; ~'... .>'.;',,:>":'~1 ~ ~;~.;.,:' ..:-". ,..- I,.,,'"';;''' . ' '.', -. .~.- 7:\ i,'.~x: ,3:;;C9tv1P),-ETE FEESCHYDUL,E'\3ELOW ;c '" . I. L()cATION OF INSTALdTION ::~ :;:)"':';1, ';,",: ':~:::' . .:" :.1". ". .' '". ;;-. ',..,' ',.: q d S 'hi:" ,.:'1 "".\ f2 r;/ . .,:. '-' I-,~>..., 'A".>'New'Residentii1l'Singic-or"" .,-,~,~- ,-.' Multi-Family per dwelling unit. LEGAL DESCRlPTION ~ce Included: 1703,2'2)"3 Oc,tOc:::, S\"'0\~\S0 6"'''' \",l' -~- ;~, .' . 'iOi-\~0 eC\\\C ~:~[~. ~~{~~~~~l'D~",~\~~o~~~~~~~t\'; S,9 l~~h ~rp l~~;~S~oo ",'.. Permits are lion-transferable ~~re . Q the ...1;::'" if work is not started within 18J)~3ys 1.0<>1l' aeh ManuI'd Home or i~~\~'." :~i;;],': . ~~~S~l~~~~e!~(WOrk is suspend~",~~r oll~"O SI~<>"'\U'. ~~~~~r o~;~~~~; ,. ..~.~.~.::~~t.;.~?';":- $ 50.00' ;~"; ...' ,'. - ...}\\\ . -.:" ::~~:',i" 2. CONTIj0CTOR iNSTALLATION ONLY B. Services or Feeders ,'" '.,; >..',,,: ,. . ~ :t-.:~'..'.'" jf.. :".,'. ._"_~ Installation, Alterations.or.'. '., "..- .'.' ' . >- W,~:< Electrical C'o~t~actor ffmT"TI'NSON 1'1FCTRIC INC. Relocation: ,:!.":,~':~'.,~::::<')" '.;; .:.,~. ,~::', .)....1.::,~. :';~~('~;~ ~f~;t'. ;~\..> ' ," it~:""'~:"rr-';:'~~-:~~5': ",~;.J:":-::t.': ,l.":;':.~ ;:,~X'j Address 1 ~~f\ r~~IHVF /' ~,~~~~~:- 200 amps or le~~~'f;;': ; }~.-~'.~': ~ $'6~'.OO;_:_~? '.,:~,~.~.:.1,:,~:.,~..,..,.,: .:. ...,..~, ;'":'~'~~,A <':'1' ":,,;,~~:}-~~>"'/,,:,,\. 201 amPi~ e. mM- .',i'" .-- ~$ 7):OOf---':"'~ .~ ,: City F11r;~ .-~, .::~:"~;: ,p;!lOne ()41:.\h~~;}r~~~~\,'.;~ ~'" 40 \(\'(;I\..!~~~'a~.i :;,.:- /::t": :.' < ' ,: $I25:00'~'i :;\jf!\:i~ ,.::," '<,",\ ~ : .,:P, /:" """';i,'-'~::'!,{,~\'::;'~''';''I'", /,'.~\f~\t9.~~~1~!ps::",,,.:,,",.A', ~$16~,~0---.::..:~ ;.L.~,:,'~.;c.i Supervis?r;Ei~~n~e:.Nu!~15~r .J.:71~" "~ '.' "~~.~':~2~;~\\~~;:'~~~~lb~. ~~l\-'i:.," :'-."': ',: . ~~~375.00.~: :c. ":,..:,,_oql"'''_"''.2(;c-,\';''~':''.-:\\'v~~~\\:''~'\)'C)K~~tOnlv,'.: .' ',',"'- "'$'50.00 - : :,:.:::C.hi ExpirationDa(~ '1o';n'i'lri~'. ~_~..'f,\\\);_.~l),<;K.S}~<o..\'1>' ,~.'. ,~~..: ':->,;:' '. ".:::-. ~ 'f- ,~: ~. '"'. f;Yf,:."~'f t.,,:.-> .-,'..w..<.....,-:--.."~\1.\~ 1'.t\.'\1;.Vmn~""tO.{'\'i.<'t'..:;.....~",...> .~,.,>:\~, ;'". ~.~;., ~J,~ ~~;'(.~. I'" """)'~ . )1"'" ~".f,'~::", $~::.l..~~:__\,,,~.'O(~~'n~\rx..y~ffiJ~~lI'IVScr:vICeS:orFeeders:! ,1.* -... .,~:..~_.,.. '~""~' >.:q,~ l.~ ~~.eo\n~tr:Co'ntr~Nn'Jiib~-;:, ?~;.~1Liff{tt;)~,t~~~\i~W~~Rs'rallati~~;4::\lte^..;ii~n or,R~loc'~tion~.~:., , . :1';~~~:,,;1 y"' 1~ li~ :~:.(l~~ --~~~.-_:..,: 1;\,>.. t..,;'l...~"\l..[lr.t)\i\ "'c.\~V' ,.:;:t"",:~-;;.l" .'~,,~..~~' ,~.,."(l'.,\,,7,...'. ...,," ,~ ~"~'{i :~:~;\;.~'_-,"';>.. '~,>::,.. ,::t<~ :,/ ;? ;;:;- ~'~~""'-r '-l'u~V' , '; :;, ,~~; ;y",,~; .,'l}....r \:~" ': ';t-:?-~..t j-,~:"f$. ~~' "~':. ~"-,~ -t~ "'~.' .1. ,J, .~l.! . .iJ"~:~?~~..<~~.t?~plratlOn Date 1 0/01 /01.'......:~, :: ' _~ ,;' ~~~ ~~r~t:;:.. "-'-~~~O~,amP.s o~.~~~s.'i f:f.~ '~-, .~.~~ .~~..::~ :.$~O.OO' ~\ ,;" ,;":' '..- : .~ ,..;(j,,' .,' " 201 ampslto 400'amps'. ;.~. .", , ". '$69 00; ".. ' ':":','"'' ;'_:,":'~l'" \., ,~., ,;~"", -~~\';~,: ~j_;r; '~'''l' . h, ~ ".-" ...,..,., .- ' - ;}1~~~~'';~:-tJ:;.:,~ig~at#I':~.),or,Super\'ising Electrician ooli._ '..,.:;,".~-~r~4Ql~tpi?09}li!lPS. :, ,. ~:o ":"~';:' ~ $~Op..o.o ,~' '",~.~;,,:,:",'1,:''''1'.''-';'''~r'~\i;~:,,~~:,~~t''rl..:'l-:'''':' Over 600'amps or: lOo.o~l s..&:ee' -"'~ l ';V'+ ~\ '".; ;.:'lbi'.:-:",4,';\.-{r,:!_l:i...~~tr:I~'~'~.,:.':.'.",,-;....~. ' '., 5' ';.\\\'4.--'- '... :./..:,.,. .'......' '''','''J.. I..l~.?;,".~~('!'."~"ii:. Y:-.:;';'!.;'.~.."~~~".:;.'.;;'~' .:-..':.....~~~~..:.'. . "B" abO\'e ~\'(e . ,",.,~ ~\: ~... -. :',(~" :~. .,......, <, ':.'~..., ~,(_1~: .", ',~ ':'~~.;' ','"''': - "./t_':';", /.\ ,\e~ _^O'ft. At>t.\\Q ~\~. .~. ~ ' .". <f:~tf.~~~.~;f\:,~::;,~':>\::.N~:.}~~tI;rPS D. Branch ~'-O~~"eO~,:~e~'l-~~~' .:.,. ;" .. .-:' :," .~';'\Ii. . "';'O\vnerfN,une ': . '1::"'../';-,: ,r, '. "/:", ONe)\), 1tIClIl\~~~o.n~~1lJlel"""" . :~~;(,\'.r~~,:.".\~~~~~,,'r.~.:-'C:,:~,~~...'+:,':~~:.~,~97R.,.;";:~.-::~;,\: - \O~'-:b<:J ,~~O-o- .~~ ~~~ ~~.' :(\.: ,~ :-:,:., ' - '.~ "!,\~;: ')::'::A:t,~~~~~.'~gf:<t:::'~/~lB'~1J!, r2.d ~~~~\e~~Il\~~;e"'~e\~e~~~f : ~~~"OO' ~D .:, .;"~~;bii)'.,!i~e6~ "'~hO~~'::\;)'V' '~~~~i;~i3\.~se;i~e -' 3D' ',' _,!:',,<';' . ., ".< ,," ..... ~~O'tl -4.6f>~r$ffi ~~.~'?) 1---.$3.00 ~O OWNER INSTALLATION "~>: ~ ~9Jf:J. ~\~ ~~e. ,\,~ . . The' installation is.being,'made"on',: . <to ~~~O!l\\~n'iCC/feeder not included) property' I O\vn which is'not intended': {\~~ -Ea6il~nstallauon for'sale.:, lease-or. rent.' .-, . Ptu'llP 'or irrigation. .. ", Sign/Outline Lighting, Owners'Signature: Limited EnergyfRes~ Lfinited Energy/Conun f'-" , ", .\ Items Cost --'~'. .. " (, Su~,.: $106.00 \'" ~ ,-1,." ';'f"'\ .' '. ''; ~,,' $ 19.00 . ,',' o $50,00 $50,00 $25.00 $45.00 i\'linimum Electric P.~l"mlt'InsJlecti()n Fce is 545.00 + Surcharges . ..': 4. SUBTOTAL OF'ABOVE ;0/0 State SUI'charge' ,. 'to%~lministrati\'e Fee. 'c" 4&.00 3.a~ ~f&:,8 i/~ 10~ 0000/5/ TOTAL ~ 53,'15;2 .:\ . . 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: ELE2003-00001 1/2/2003 1/2/2003 7/2/2003 SITE ADDRESS: 925 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300100 Springfield TYPE OF WORK: Addition TYPE OF USE: Commercial PROJECT DESCRIPTION: Add circnit for computers ELECTRICAL CONTRACTOR: CHRISTENSON ELECTRIC INC 541-688-6121 1631 NW THURMAN 2ND FLR 543-419-3600 PORTLAND OR 97209 CCS # o4j&: ,\ Expiration Date: 05/01/2003 ~e.~ .t',x,\". ,- uW' V' ~". Amouot Paid ~~eo.'n~~:id.\'Q r::J\' Receiut Number \~ \,) 1- 0:dJ.fS 'tl'l + 7% State Surcharge 3.22 09>0<;;0. NoiS'0 ~v> IllH"" ~'b 1200200000000000484 + 8% Administrative Fee 4.60 ~p~ ~00'O'~~ (j) ~~ ~e 1200200000000000484 Add, Alter, Extend Circ 43J1.l4'\\O ~~O~ ~~(p;o~~ 0112 1(\0 ~O~ 1200200000000000484 Add, Alter, Extend Circ Ea Add ~~~~e:c,e~~\:)\\:)~cO~,'i1 ~~~ 1200200000000000484 ~,J MV' NJ\~J' o~ '~"-"ft.llo1" To Request an inspection call the 24 hour re~!i~7~1!J'3-~-fl IO~\-~'Defore 7:00 am. will be made the same working day, inspections requested after 7 :00 a.m. will be 1'I;Ml~'i1b4&llJIn'g~ ~O~iYrg; \~ c.\:)' 'r^~ .,'(\0 . ".COt:S ,,9..'+- v3' cfb'" ~'v ~e' ,- ~ "'~. s:) \ Reouired Insoections: ~~~'Oe C,0~ ~ '\~ ~ ,<:> ~ , 1 Rough Electric: Prior to Cover ~~\~~~~ ~~~ 2 Final Electric: When all electrical work is complete. ~~\..\.. '\~,<:> ~~~YJ .('~. :\ <:>'\' n;"..~ ..Q,.~~ By Signature, I state and agree, that I have carefully examine!\.tII\'WB~~t~i' ~fi,\'!Ji\'llf and do bereby certify that all information hereon is true and correct, and I further certify t~IV'; 3lJi ~~med shall be done in accordance with the Ordinances of the City of Springfield and the laws of ~~ .,~~~'.:>..ining to the work described herein. I further certify that only contractors and employees who are in co . ~ RS 701.055 will be used on this project I further agree to ensure that all required inspections are requested ~~per time, that eacb address is readable from the street, and that the approved set of plans, if applicable, will remain dll e site at all times during construction. OWNER/APPLICANT: SELCO CREDIT UNION 299 E 11TH A VB EUGENE OR 97401 Descrintion Owner or Contractors Signature Date 1 of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Lme Items: Job/Journal Number ELE2003-0000 I ELE2003-0000 I ELE2003-0000 I ELE2003-0000 I Payments: TWe of Payment Check Cash Change Paid By "- Description Add, Alter, Extend Circ 1/2/2003. 9:17:19AM , City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000484 Date: 01102/2003 . Amount Paid 43.00 3.00 Add, Alter, Extend Circ Ea Add 4.60 + 8% Administrative Fee + 7% State Surcharge PHILIPS ELECTRIC PHILIPS ELECTRIC PHILIPS ELECTRIC 3.22 Line Item Total: $53.82 Received By Check Nnmher Continn No How Received Amount Paid djb In Person 52.90 . djb In Person 1.00 djb In Person (0.08) Payment Total: $53.82 Page 3 of3 cReceipupt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Lme Items: Job/Journal Number ELE2003-0000 1 ELE2003-0000 1 ELE2003-0000 1 ELE2003-0000 I Payments: Type of Payment Check Cash Change Paid By Description Add, Alter, Extend Cire 1/2/2003 . 9:17:20AM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000484 Date: 01102/2003 . Amount Paid 43.00 Add, Alter, Extend Cire Ea Add 3.00 4.60 + 8% Administrative Fee + 7% State Surcharge PHILIPS ELECTRIC PHILIPS ELECTRIC PHILIPS ELECTRIC 3.22 Line Item Total: $53.82 R<<eived By Cb<<k Number Conli nn No How Received Amount Paid djb In Person 52.90 . djb In Person 1.00 djb In Person (0.08) Payment Total: $53.82 Page 2 oD cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number ELE2003-0000 I ELE2003-0000 I ELE2003-0000 I ELE2003-0000 I Payments: Type of Payment Check Cash Change Paid By Description Add, Alter, Extend Circ 1/2/2003 . 9:17:19AM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000484 Date: 01/02/2003 . Amount Paid 43.00 Add, Alter, Extend Circ Ea Add 4.60 + 8% Administrative Fee + 7% State Surcharge PHILIPS ELECTRIC PHILIPS ELECTRIC PHILIPS ELECTRIC 3.00 3.22 Line Item Total: $53.82 Received By Check Number Continn No How Received Amount Paid djb In Person 52.90 . djb In Person 1.00 djb In Person (0.08) Payment Total: $53.82 Page I of3 cRcceipt.rpt