HomeMy WebLinkAboutPermit Electrical 2003-6-16
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. F^,=~ JQ~q"l'~rffiW as submittad has the following
1~,'Ml'cf'Ho-e~ not reqUire specific land use
approval, (L
6f6/oJ Zoning rl(:)
, Date 111-11-03
3. f156Mi;tiF1Ji:"'i7iii,'"srfi"Ril111,EBEEOlW,'; "'i';~
$;;1',::" ~'i;" f'1.'~,i:.._:,L:~~:..!'r4t1__I.l.JI.n1tt([S'j"gna1Ure\~' ,'-,"",y, ; '""I",&;~:r",.'i;[_:J
225 FIFTII STREET. SPRINGFIELD, OR 9~477 . 1'11:(541)726-3753
ELECTRICAL PERMITAPPL1CA110N
City Joh Number ELi:.COO'} - 00 1'1 'f Date
200 Amps or less $ 63,00
20 I Amps 10 400 Amps $ 75,00
40 I Amps 10 600 Amps $125,00
60 I Amps 10 1000 Amps ~'f,. $163,00
Over 1000 AmpS,~~~()" $375,00
Reeonnecl~~ ~\'\ \'1l $ 50,00
_ ~\;.x.~~\~~x.,!""\\,'{S)~"..,,,,,..,~,,,,,,,,,,,,_,,,_,_,"_,=",lX_Y
S L N b "2 J.LIO - () ~. @~~~PPJ'h 't~\\\tces'or Fe~der'sl:{~"'l'~'yn :ttft(~lif!:;~,~~t"~lr~~1~1
upervisor icensc um er ~ ~~f~~~*,~ -;~'\)'(.'I"~'o~ IV""': ,,' '".:',,,,...' ," ',~' :,~~','ili'i:" ,!.1t,!6:;;I",f-,"{~it'w"",.I"''j
Expilat;on Dale (0 - / ,() II ,,\'(..\'1l f)\'\1.'i:.'i) ~"''O.~~\YI' Alteralion or Roloeafion
\>.\) \\~~'i:.~,,\: ~lf~~,PS or less
,,\)~ \'O~'i)201 Amps 10 400 Amps
\>.~ 40 I Amps 10 600 Amps
m?;!\" -"''''- '>'.' , '.-.'" '-',,,,~,"~.."...,,... --, "'-,~ --. '~J'."""~l!"!'1:~~.~."-':1:
I, ;iLOl!!ATIONiOh>INSTA:LLA1'10N:';i'-;';;;lt'-,1
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LEGAL DESCR{PTION ' I
/703 Z333
o t;Stsc)
Jon DESCRIPTION
A:o~ :3
l n2.(j.A.:h
Permits are non~transrerable and expire if work is
nnl slarted wifhin 180 days of issnanoe or if work is
Suspended for 180 days,
~:COmRACT(J;t?NJsi~'DiTToNONiJ1J:1, .
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Electrical Contractor
r<'\' i leprS
[iec\llf kc
Address
IqL:)
",loci \ c.:.t, ,'\
City
E lj~ enf'
Phone 4~~~ CFI =0
( C N b /,]e/''''
":ollstr. ontr. urn er W
n 'in -0":\
per\,jsing Electrician
Owners Name ,~Il-EO Codba..
Address 3! '\ ~ckv i3 rd( '.-fA;1
<:;>fA:) Phone 7'-17- 72/'7
City
OWNlm INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owncrs Signature:
Inspeelion Request: 726-3769
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A. t,:N",tRcsideliti:i1 ;-,Siugle or Mul ti, Fiiinih'peh"d,fellhlg'jiriWsMi
v- .j'-,> ,r,,,;. " ,,~. ,,;:,t:- ~- -,\';-, ,-':;:;, .;;'-;;"., 'Si ;::;;'Y_;;}':"';;~_f;:'.,,;-~i ;.,Z;iX-l.9,,,U1.',..~,{1i1....i:'-.Lblh?f
Service Included
1000 sq. fL or less
Each additional 500 sq, n. or
p0l1ion thereof
$106,00
$ 19,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
~;f1TG::-:,??,770"i~^.r!T~0?f(:W'l?'(t',''C~;'~~V'0N'r~::~~hn,;:';>'iif/Yl'-.;~_~;V
8., '~Sen-'lces,.or;Feeders~;::: Installa tion~ Altera tions -or~Reloca hon:;j~l~~
:r :!'..~ "'\. :HAYt 'J. ':l~t:::.\'i,Ll, 1t~; 'G~'J, t~~ill::-:':tf 'f?~iI;:;"..':1:~;t' ,;H~~~~,:tJ;t:';h,''<f.~HC.~'''::'~!i',i;~,)lf:4ii'..ffl:~
$ 50,00
$ 69,00
$100.00
O~.I~~~O ~,~_1'p~,2,r.,1 O?O Y~~ts ~::_ HB" abovc. ____...., ...~
D ~'l.li.'-",,- rn.,.,fC' .'.-'.'." '~'"",%"i~~r:f'u_'~:ll,';(:(jii'!~-},~!}~:kl'f'j*\~~\;tt:i"'t:-il7t,_~;~~';~;"~::3!j\,r$
. '''-. lane h 'II CUltS"-,'YJ;,t%~~ J},J.t;.HH~.S.t ."J,t.t:\~'wf,,\,h'tt"d~.<(<~...:vll,t--'~';' .f"t~'H'<
'Ij! :,'.> , <'f'~d< .' :"~_~ ':.< ':':~':,;r:,~;_.-\'~"'.'_,"n.~:}J~f)}",,,!..,f,:,''t ,> 3/{f""r,g;;)}x:',''''~,~h;...~';t';>.:,-,~,~il:4
New Alteration or Extension I'or Panebs '10\.1 \~,. .
{eC\UH i \ ,\,1'.. 'fJ
One Circuil gOn \a~ ",,,IIOn $ 43,00
EacJ; Additiona!,Gi;diif or,wilh \nb -\ c.~,{e set '~~. b
''''"''_''1' ' .lnn\<:>v'" ," e,~ $"3'00'
Sel'llee or'Feeder RennIt ,nose' v - n S ~(, t
_ F;,,~\}?'fa~~;~7'~it!'icWi9~~~;\~~~;~~'\~;p...,:"-.,:?T;r-"''1'''''J~
F" y; l\lise~IIaneolls,(Servlee/f~ed"r,'liot'incl Ilded)&Each, IllslaUation r;
i''';b~VI;:'7;\;'~''OUW.llJ~~\gi:~~e'"~;;\\\t8a\\01Wx''''n'''".K~
Pump\St1ihigalion.e cen\6{" ~ 01' \j\I\I\'1 .. . ,$ 50.00
'" "\:'10.\\ Q{e9 ",tv.,"'I'
Sign/Outliite Lighlil\glne P>. ('(1,3:'\<'- $ 50.00
.. .rl\b~( \u.- '_"'~ ~~
LII11Ited 'Energy/ReSidential $ 25,00
v'
Limited Energy/Commercial $ 45,00
l\1inimum Electric Permit Inspection Fee is $45.00 + Surcharges
IDr"'';',"\". "T~""'T"rn?'''TT'''V::'=''ry;;~~'-
4. ~~SUi1TO-tALltiJir~l
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Lf7
3/t)
l-f ?O
$ 5713
7% State Surcharge
10% Administrative Fec
TOTAL
Shared Drivc{T:)/Building Fonns/Elcctrical Pcnnit Application I-03.doc
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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:
ELE2003-00144
6/16/2003
6/16/2003
12/16/2003
SITE ADDRESS: 315 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO,: 1703233306500
Springfield
TYPE OF WORK: Addition
TYPE OF USE: Residential
PROJECT DESCRIPTION:
Add 3 circuits
OWNER! APPLICANT:
CODER FREDRICK C & KELLY J
PO BOX 276
SPRINGFIELD OR 97477
ELECTRICAL CONTRACTOR:
BUILDERS ELECTRIC INC 541-485-0922
195 MADISON ST
EUGENE OR 97402
CCB # 4296 Expiration Date: 12/10/2003
Descriotion
Amount Paid
Date Paid
Receiot Number
+ 10% Administrative Fee
+ 7% State Surcharge
Add. Alter. Extend Circ
Add. Alter. Extend Circ Ea Add
4.90
3.43
43,00
6,00
06/16/2003
06/16/2003
06/16/2003
06/1612003
1200200000000001535
1200200000000001535
1200200000000001535
1200200000000001535
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 InsDections: ,0
1 Rough Electric: Prior to Cover ~ :1\0'> ~~ ~
2 Final Electric: When all electric~'\i1~~S complete, ,s.,0~ o~v 0,\0 ~
B S' I d h ,k, .c.:~ f II . d hid 1..0~_<0<0 de..'i)'1i9J'S1i"- '0. 'f h II
Y Ignature, state an agree, t ~;ll"l>'S&e u y exam IDe t e comp ete a,!p)catIon an uo~ er~ y certI y t at a
information hereon is true~nd ~e~n~'rurther certify that any and all ~,ortpe. 't!~tirt:e1.'~~!!(b~,!!o~~;!n accordance with
the Ordinances of the City of ~i.c6lnd the laws of the State of Oreg~_it~l!.~a~'!jng ~:tlitwo~.!(d,e~~Tibed herein. I further
certify that only contrac~o ~y;es who are in compliance with.ORS~'701:05~wiIJ:be:used?o~tiii.S project. I further agree
to ensure that all requir' 'It..~ are requested at the proper t~m~t!1'lit ~~Ch:~dd~~s~i; ~e1,datile from the street, and that
the approved set of pili} ~,~ p~able, will remain on the site .a~;.ail ~J.itet9Gr~!Ifc~~str~.!'iffiei~" \'If'
<<:.',;:. ~~~'" ~<:). ~ ,,~'.o~ ~\) 0;> 0'~ o~ f!J":Jq;
, ~~ <~ ~<:!~ ~ ~ <~ '~\cl' C?,~~, :,?;~ ~,,<c-'I. -:,0<0:.<:\\:/
OwnerO\,Gb~~~~~~ ~o~ ~~ -l,cDa-t~~ '$:'0 ,,~":
'\~ ~~~ 5:;)<;:) ..s-O '?J\)' ~.s-c., ~\O' (::0,0'
~ (::)"'- ,,~ \)<;j o'l>' ~0 cl;
" _~ ~<S'
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Page I of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
ELE2003-00 144
ELE2003-00144
ELE2003-00 144
ELE2003-00 144
Payments:
Type of Payment
CreditCard
6/16/2003
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001535
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Paid By
BUILDERS ELECTRIC
10:56:54AM
Received By
djb
Date: 06/16/2003
Amount Paid
Item Total:
43.00
6,00
4,90
3.43
$57.33
(;heck Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
57,33
$57.33
000095 060112
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cRcceipt.rpt