HomeMy WebLinkAboutPermit Electrical 2002-11-20
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i ,,:'- ,,;225 FIFTH STREET., .,..',. :i"'!,,;,~:; ~,~'!;;j;;~ :,l'.' ".' , aTRlCALPERlvIlT APPLICATION'.' '
':,' ,'. ~'\;SPR:rNGFiELb OREGON 97477 }t~);<,! i> ;"~";i t;! ciS ,:' 'iA., ;',", :":''11~ ;''':''(j>-l. :",.:;".,
:'; ':~. L INSPECTIOl'{REQUIiST: 72g,3~~9~'~~ ~;; i~~~- ~! :;~i;;' Joh ~~';;I;~i:j{lf?; iWVU' ~~\::L~/';:
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i'. ,~. 5"'; '."./' '. ~.{" 4 ~~: ~-i~: .)' (~~1'~ ~~('. .:ff:\ t, !;.~ FIF_;;.~r ~_..:. 3', . CONWLETE FEE'SCHEDULE BELO\V ~~- Ai< \\-?~~'.::l:'~ :,;~..::~.,,"~.:
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~:'~-~~~},; ~l~~ L LOCA,'flpr{qF~~TAL, L~TI9N f.? ~{1l;'.._,~'.~.r.~2~:!f::f..' I.:, "'_~':~Y~::~'~"'-<~;~~;:"\-;'r;~<'~' ')'~"::'-"';,",~~,'
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Ik !}CAw! t.rMU{e'"":~T6nct.~sSUb"'it\:a:C~iC \ana use MlIlti,Famil)' per dwelling unit.;,;.::',:
1f rf' I,EGAJ...,D~C;-!I~10N ~.. q ;;0\ not 'equ"e~? i Se Tice Included: :,:,:,,;.
\~V;)U~ " 0 Items Cost Sum'
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~~~~'\'()'.}a\ . ,. 0 t.--- . .:':::
, JOB DESCRIPTION fiz,lO on,nQ. 0 ,ft. or less $106,00 ..
:TAI:>?7?!! Gmc"l? & . 'Ir.. Each additional 500 . ,
'.:!~: ':'
~(:lllltJ/I/S -thA~;'bUr~ sq, ft or portion .'f,.
Permits arc lion-transferable'antl'~~pire thereof $ 19,00 ., ,"
if work is not started within 180 days Each Manllfd Home or
r.:.
of issuance o~ if work is suspended for Modular D\\'elling{- ..,' ::. " ':,.., '
180 days, : ,;<, Service or Feeder .:\- $ 50,00
, :,. 2, CONT~~OR INSTALLATION ONLY B. Sen-ice, or Feeders .' f~!r:";'> '::~t)J,);, ,~:r;:
'~: ',. ElectricalS~j;t~:lcto~;,!~;, t,f /J-Mr:~~;:~ ~~~~~:l'::~~ln, AI~.~r;~~rii:)/, ",~~l;'~{~';2;:,:~i~"
: '~,:, Address ~!/t.tJ. ,;t1p 5fxLLr-",;;!'t::. 200 amps or les~ ',: ;'';~''\;.,: :~::;:-:;;. ':' '~.f~ !53,q,0 .'. ,",
::,..;.::..:,I, 0~'%l:;" /J'iJ/7^ ~ ' l.)tJ6.'ti{"l~';":::. i,::';-". 201 amps to 400 amps:::'",;,;;,: ,,;.,,,),:;;, $}5.00 " "',
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, City "",:.,' ';'.';r lOne 7.' :'f.,"..:' )~~b]' :ih.,;;-, 401 amps t~",6, 00 ~~!P:,;jj.::.-.',:.' ,~_:',.:.'$ll,50~ ~';',::
1:~i; ":;:?\"~ t.,"::-,'~,~",.'r..:<i~'...;;'c.~~~,~,,,. :601 amps to 10(j0 amps):i~'ii';\'"',, ","'" .;$16~.QO ' " ., "U
, ". S upervispr :~i.ceil~c. N ~lcllilier IfCj/l~lfr:,<4'f ~~ (~:~~;;iR;!~'}~~\):~ Q"er 1 oqQ. aJTli:;siy.b!~~,~:~r:~l: ~.'.lr1V'''~ Y.<$l, ~j$~.7 5. OO\'-~, ': :1~. '~" 0:
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:<:~, ::;~';~:0~"'" Expiration Date 1;;J.//JrI't)X''ty,,.~.J...~>~r~_\.,/~-. ~~~i' ~\)J" ;\200 amps 'or-less ':1:~:J",1-<l~~i"'~' ..:~~~-,:,~',~~:-;:.~.r:';:;,$50.00":i~ .~:t,~
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~ -"r.':~, ,J,<:::.~ _ Sigriatul"c of SUJlcryising Electrician ......"t.:..:,.., Over 401.10.600 arrips):'::.~.;:",~'?~'-i-:-:..'.i'~ ~.;$1oo:o6 ,~. _. -.::~.
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~:.':' '..;','i.,~:.(.."l-.Y'",~' ,(~""~,,'~;;',, \cr amps or 1 .' ,otssee ~",~t.,l'>'l,:,'k~,',\..~'f ,-;;;;;'yi.~~
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'~.'~"""">:;: ",~Wl1er~ l'!~~:' <1/1-A/)~Jd;1IS Ne"'j\l,t~r~lion or.~;\tension PertParel,:'r~,'J>>f:/:>
<',; '~,::'l~~:,:e:s; :fti~;;!'JJ.1r <\\ Olle 2;;~/ ~;~ ", d;;:U~'t00'f3)~tJ
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';: : 1 " ,::' Cit/Vdd(iCJ 7~~~1011~ ";6Jt. ..7d1tJ Eac;;~~di;ional Clf~uit or with' Se~'ie/;~~' ,<,>;;,;;;
'::" ,,' .',: ,',.'.. :':':: or Feeder!'ermit i,.' ~,$:J'OO ~/'
',;,;OWNERINSTALLATI@~JTION:UregonlawreqlJ!re~"ou' "': ,',,:,' ".', ,', '
, ,'i' The installation is bein'g(J\lI\~19!! adopted by the Or'1:,' ]\li'cel,~al1eolls (Scn-ice/feeder not inc1l1de~l) , '
. :'.:, "property I O\nt whichliiiiI)Quim,Q.dsfller, Those rUle~ ~r~ns~:I!~~;h installation .,., ,
" .' for sale, lease or renOAR 952-001-0010 through OAR 952}~g~P or IrrigatIOn ,'"
'- S.' :090. .You may oblam copies ot the rUlfli,gnW.Oulhnc LlfRghtmg
,Owne,., Ignatlll'e, calling (he cen\el. (Nole: the telepho '~l1llled Energy es
lumber for the Oregon lJt'I't N 'f' IJ!lIluted Energ)'/Comm
, . II Y olt Icatlon
ro.nl,....... ,~., ...",.,)1'" . .
. 'Kti'nimul11 Electric Permit InsjJcction Fcc is $45.00 + Surchargcs
(pI/, ~
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$50,00
$50,00
$25,00
$45,00
NOTICE:
. THIS PERMIT SHAll 'EXP;REIF TliE WORK:
AUTHORIZED UNDER THIS PERMIT IS Nor' :. ,
COMMENCED OR IS ABANDONED FOR . ..
ANY 180 DAY PERIOD. ,..
",;'
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
80/0 Administratiyc Fcc'
~
TOTAL
..
..
.
.
City of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Spriflgfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00141
11/20/2002
11/20/2002
5/20/2003
SITE ADDRESS: 2000 HENDERSON AVE
ASSESSOR'S PARCEL NO,: 1803032000190
Eugene
TYPE OF WORK:
TYPE OF USE:
Addition
Industrial
PROJECT DESCRIPTION:
Install emergency circuits to various locations throughout office area
OWNER/APPliCANT:
FARWEST STEEL CORPORATlOI'
PO BOX 889
EUGENE OR 97440
ELECTRICAL CONTRACTOR:
LR BRABHAM 541-747-6638
68 WEST Q STREET
SPRINGFIELD OR 97477
CCB # 8699 Expiration Date: 12/18/2002
Desc rintion
Amount Paid
Date Paid
Receint Num her:
Cashier
+ 7% State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
4.48
5.12
43,00
21.00
11/20/2002
11/20/2002
11/20/2002
11/20/2002
2200200000000000208
2200200000000000208
2200200000000000208
2200200000000000208
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IIh
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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 Insnections:
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 1 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 hereilL 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 readahle from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
Owner or Contractors Signature
Date
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Ai'l tOi\lI IUI\I:Uregon law reqUires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set fortI-
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.ROO<~32-2344).
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