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HomeMy WebLinkAboutPermit Electrical 2003-6-16 , :,:' :,:v' : :'. €lIT OF sL lNGFiEttf OREOON'h ::::r~\;-"';~:~ \, ~ : ~ .... - , ~ "', (f _ \~~.',~. ',' . 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 .:.~" fui:~~;M,";:u':l :{!li;.J;.,1;,;,; ..: !;~"l;ft, '.:;;-' I~ .-,L<L..;::;Mb~'i( ,"::1.' '.:L> ,~.~,.;' ;;:; 5/ S fk., dtw' ~ci\ t,-/ y 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, . 2. f>..:{J'; -3:'~t !lr11il'H.!ff;!i':~: ';l;!:~!::'rti:t:~ .t~Ettitti~d'~'I'...t1i ':::::};.i,i~'. j 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 .o":2F'':t~'T;-<,,-::,1~~;r,'-~:n :;;,'?'~~T,~-t;-;<1,-:-:~"J:]_~';~':""c?~~!"mrT7":'''':-''"~<7'".f~;:;};'1t'E~ 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 ~'~~;~:fl,,'6:i;':t;':1~I':_&;'<,\<2/:':;;,;~~:;o:r;...f::'::",;;; 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 . . 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' ~ ~ 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 Page 1 of1 . . cRcceipt.rpt