HomeMy WebLinkAboutPermit Electrical 2003-3-5
JOJ.-P.ES~TION, ,1000 sq,ft. or less $106,00
'l-Ne.77J ()uJlf1e 71J #6W..M&5S" Each additio.naJ 500 ,.'>~:
1fA/f) IJ K;'e'J< . . [U"UI, lall' lel~q"ft'or,portlOn "";. '
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PermIts are non.t ansferable and expIre d ted by the ltl)~rEof1 tlllY .' _ $ 19,00 --.::.
if~vork IS not'started \~'i(hin !80I,ilaYf,Ules a op Those rul&i!c.!!r~~miI'd'Home or .,J.',:, .,'
of ISSuance 0: If work IS suspended'for~~ cen~er. 0 th~Oug\ly!99~1~g!?;\'e]hng :.';/: ~: ',., .,;,:,
180 days.;' In OAR 95~-001 001 ,Servlc~orFeeder _';j',,, ',': ,.. $ 50,00 ,~..
:'.., " 090 youmayobtaincoplesu"" ,u.u_., .:fr,~'<:.Ii.,~.".;..j'.., ~
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2, CONTRACTOR INSTALLAl'IOl;'ONlly.enter.B. Isf,'vi~Cs.o.r F~eders'n .:i'';'>~;'l~, :j,~t:'\;"l ,F.
.......... ~ urr"\I f'\lf'llllt,;C1U.... . ~~'.7'1t~"... '~~i'l"\ -', ...
"";0' . :.::\ n' .."h"l' for the Oregon (IInstallation, Allcratl~~ro~". ,,', :",\";"'"(,j':: . ~.,.-
. I'C"'" : L. R. Brabham I .Inc',-v ."12R"n,".l1.\.. "v~ ;J;?.,\;.':t''i~. ;).,. \b~'.~".lo" ~ ",'" "
EleclncD onJrdclor .'J I <'~Il2.t \.. . ,,',I', - C ocatlOn l;~.'~'''J:{j_~~''!;' ~!..1'~~;'~ll'::. .';',' ':>.:..~""
--' . ~. r... ;.T._;!l. ..,....:'...0., ,~;" _ l'I',,~. {
.'. .~(l^.l'. '-"!:f;\ ~.... .!....... '''''J'';;",:;)~''''l''~M'' "~""'~'IJ
~,~.':^.i.~,~..,~,..'."'",.,;,:,,?,:: Address ,\~',ffwe~J~:.uQ" Street:~1~)\~ 200 amps or tess'J!~: ::l~;,:~~~~A',q~ /~6~.f
~"- ~, ,~~~~.'. :t;~ti'/~.,1.f?S:r~~~~t~~, 20] amps to 490:amps~' ~(\~~~'.~(;rf~tf$J",OO . ','.r~'.:.1l~
, .... Cit)'Sprl-:n9,t,1~1,c:l''!phone 71..l~~9.~g;'~l?;'$l;';'i':~?t'~~,. 401 amps tOj!06a~lp?i~ '~';:jftj,1;;.i'~;,:Ji~5;<\O, ~:!:;;,'il
.., hii.' ",,'-'" , - ,', :::.-. ...j ",-;,;,'tfi.',;..--'l_:e.: -,..'-?t.\ "." ,rl.":l~._'...,. . ..- -,.,,,,.~, "..' ",' , - ~.. ,""a":..9:'
'~~1~,$~:" ~~~1~",!., _ i~~~~~; ":~~'~/'601 amps to.-l000 am~s':.;;j_'i~'I.~~_,~.:~\~$163.00__.f::{~J).'l?
Supervisof '1i~.~H~e:~i)111~er 49A4Sg~~, 'J ':(S~Q;'e.r 1 oo~q~.'~mp~y~l~~i': ~~~'~i~}r~i~;1~i$~t7 5.qo~ :~~;i:'~~~
,?.';..~.~~,:,'^'.".,..~,~",.,~.C:".,~,'.~::::;~..,".,';.:,,~~'.,"~':':':,:.,.'.f.;,.~:"~'~:::,,':,'~,::".,.,::, :?r~\i~,~};'!-,:~: ..t'::'~:f::~~W1' : .:.-. ;.~~~~'4~~~~';' '.Reconnect Y)iili1""';<;~. ::..;:\~;~~ Wjp'$rSO DO. ': ~;,~it:t:
''-.~. . .~~d(~~~~'_?("!\(;'b~%(rr'~oW~~*~~~;:'~ .,....$.;:...~...':.:~f;,P.;;;~~;~,~;,." ',:\. .". ',:,~.,'ir.":':~f~ '~"~":A''''''~:'
EXP.lratlOn'Date." .'"~''-';oI.(;/.,:.!.-,.Jj..."::"),.;f-'l-ilf,,!&t~. -":'f~ ;"? "I;$,;,-~,;"~.!J:/';~~::;;,j':,";'","('- .' ?:! ~"~J~""~'lri'~'{~~r;
..~.J.e"':-''ff~(:'''1:l'll.'' ,,- ."'";1:0;.,' .q~.,._...,.~,.,,1O"'''''''''" . :"~';<;:~:\l;""",\Y,l;'~;;l}>i-:-'~:_lo..r '-.' ,,_ r','~"'/~""
.,;~~'~~Yt~.,g~~:m::'h:"0t..;'.';:;:+~."h;"ii-i;_5..';;..,,tK.."~d;~r4-;"\\~?j.!: "-'<"&TClllpor. an.'. SCI,'ICeS'Or} ee . f:t:~~?ii..~~~ ..'" ~
.... J' ..:'~ . ~:..t:-'.~iI.r ,.,'0.-~"'\\~' >:' ,r"~~o?~":it',8 69 9~,;;~",j .~;\"" ~~,~. -..-. ::".t,;:"" '':f.~...';'-";.tWth;~'--''<:!'.:ro~':~';..{!.,J . \.:A."!~. '" ':o!,~
~,~~i~.'".~:,. "Constr_G91).tr.'"~_~~1~1?er ,:'!f?:".. ;,,'5:/;:i~~.2,~1:8;.;i" al.I:.t.tI9.D,.!\.~tc}:a lon.o~'Reloca(~on. :i:f:~~~fJ~t;f' .,,':
~~. ...., '''":J;';!i.(;;'~'~~'f;:'~~~:.t'~~~;.;..,:.,~~,;~':. 4:~~~L'f.~<.'t.~:)1 ~'-:.~:r'~~'l':l. \~~
,~~.3'''':'''i':''''-'.'~;lMC'2~r7, '8;'1.'0. "A ,~~"o;~~~.~l;'~'; :~~9'~'Wi
... ,~"~'{;l; ,. E ' 'D .L ,,,"'1.' '-i !'t 00- ......,... wJ 0" $50 '00" .
'~~~:~:"~~~;~~~;: .;,~pWl110n ate ,..~....r:.:it.f;, . .",:.. ,,~,l~lp~ ?~, es.s .~~,. :'~~)"~., _,,, ' . "...... " ,. ::'. " {. ~;
::it:,;'.:,~~~t~:;f,~;'~~i~:~;.." ~., .. M., ~JYi_20 1 amps to ~OO Dmps~ 1'1~~::-.:}t~"~~~#1.$69.00 ,\..~.~"'/.1~~
t"-,;:;':').{.:~':0" ~.' ";"" .......--..:".....{.~.,~.._':. . '...t,-~~. "J~"~t;.l;]4":,'If. 1'(~'~'.IJ...>;t:"::" ......,,~
~..~~~~:;:e.~,/1',t ~~.~1~~\~~~;~5,.~{.:~ up cryisi n g Elect ricia n " -;. ~Over- 40 1~: t.o\~69? ,~~lpP~-;~:;;~~-r::~~~'~ ~~~~~J.,~~:,OQ.. ~.~~~~~
:,. ",; :',':-$'J,tr,~"..::",.v~;::;,..,:.;-t'~":"~:l"I"~"" Over 600 amps or 1000 volts 'see p3~;: \.it"l ~t':"~~"4f
':";C .~,it,l,;.;t.~~.';'~!.:>J~<~t.\t!;(~.''f~I:~''''-';, c -4~. ~.~.,,:~ . ,,'?-\' ,~~.}:~ f;. ~';e.!I'
:~',~ 'f~':'S'i:-r:;i~,~i''- ~-~~'''J.'';~~:':i~'';~'~f~~. .4 "BlI above -- \:o'f.a;lM.t.lC'.\.'~';i,.1~ . ~~l;~~~.'~~"
~(~t.~,:,,:'~~~:.{,:~i'.:j.Ci:':.~J~. .:r:;:,?" ).-'t~"~""~ / ~ I "l~")~,. ';~"~'t~""f ~JM,jJt
~~:~;~~.'Jt~~~~~E:~:'.~,..~.:',:;',~~:.:~!',~,~:,~~~~y:~,."~:~'::~7~-:-:-"'J - . t:t,~. '~. 1~~~. ..~J. I~t ;;.~r~~~\g~.
-.,.:\,"~":!""!ii'~".b'i.:t.t;."""~'''~'.,~~.:. "''!h...~'*.....\;~...:._.,.,.';;o.~J.-~ D. Branch Cucurts '~'~..!1..:'it/Jt~....l," 'f-t."<v,:
,...',"".,.'~".,'\"., .',Yd""-.,,, '>.',_' ,N"",,,li'AA^"" 'II)/' ... ' '..~, :.~w. ',,,:' \'" '. "< ~
/~:'{.:~~~M!:.~'OTIA~!~s.l~~.n;....' .. .{./~w.v"'.J.;I;:~/.~," "CJ Ne\\:~~lter~tion or ~xtension Per. p~n~~.::~J~.~:{., .~; '-.~r~:~,'
i~.L.;,,"~Yr"+'td.~~:.~~;~~~t.":~~~:~~f::'Ti:~;-'-:-.:\J..~:{:~~~~!:~' ~~~.::;~~~'~~'7i: 1A / ' :.:~.~_: ::\. JI:~ ...",.~:m~~:'~$";' :'.:; . ~~4(tr
i:~,~:t~t;;i;i,)..difH:ss'fj:C(/JII1lteiJf:/)IT7!/f}/l7f.L w'AY One Circuit> \':~;: : 1" \~~;,l;,$43,OO, ~\~~
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',i, 'The installation is being 'niad. qn',"",', E. Miscellaneous (Ser'l'iccffcedcr not include~)
'.' 'property I 0\\'0 whichis'not intended -Each installation :,.... "
for sale. lease or rerit'"'' NOnCE: Pinnp'orirrigation ",' "
THIS PERMIT SHALL E Si,gnlOutlme Lighting
XPIRErJlinTrMEBt\\GB~es
AUTHORIZED U,,!DEIi THIS PERMJell fS1~~TC01l1m
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, '.,')25FIFTII STREET ',:..'c ;;',-": .i... ~gu' ~ ~~; ..' E,A,,'CAL PERMIT APPLICATION
~ \~"'SPRIl'.jGFfELDJ OREGON 97477 r1? :-;,;:] f;/ ~"~:i.~~{ ~~:. ../-.... -; ~~.....:~~~:{~!~.;.l .:' .:(~': ':~'( .~;:;~.. ';1,'.
: ;" INSPECTIO~REQU?S1::72(37~~:~~ ~~~ i~.: ~i ,~CityJoh Nu,!,hcr}@.p'WJt;~-";(5ttPs::;.",
. . s \" 'OFFI~,E:.:726-)759,~}: ~'. ~:;; i(.."rlJi' ~WorPPgP"roJ...c, as ~ubmitted has the fqllb~;'ri~',~.f,~:!'f.', ,"'.::~::~;, ~' . ,:.
,'. ,,' ':.:Y"., c'. .' ,,/-;>, ".. 2-' ""nonl~g. '!.~51doeSjnmmiFE""SalmDULEBELO\V'>';;;'I',':" '.
~ /': ..!:-" ,.... . .;:.., t. '.;:..; ~ ,appn;):VaI;"i?:.-:;:;'.' _~ .',;".. J ~ . ___:, I- .-'..,. ... '~';.f;~;~ ,/ '. '. ,
.: ,:' ":: I LOCATION OFINSTALLAT,IPt.'1 ~~_ !:2:;~'&:f;!:')i:' '", F:" !..,. '>')'i;c;:;:'c">';\'i,,",.,$t,'\.:~,F."""
" " '> 5&J rAln::i(/)~/JAt:. 111/11-11'; i' o~,",~""u"......I:S;"b:~ ~:.~~.:,.;i"":"" __:',) t..' "'. '
:5tNPIfEtA//JdD ~/f6/Af!jfe - ....0:._-" ~t;_"omiIY por dwelling unit.
LEGAL DESCRIPTION Autnorized Signature 1-V e 'ice Included:
Items Cost
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Sum"
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" Owners Signature:;
$50,00
$50.00
$25,00
$45.00
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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:
ELE2003-00055
2/27/2003
2/27/2003
812712003
SITE ADDRESS: 500 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO,: 1703154000600
Springfield
TYPE OF WORK: Addition
TYPE OF USE: Commercial
PROJECT DESCRIPTION:
Power to new press and Dryer
OWNER! APPLICANT:
SHOREWOOD PACKAGING COR
500 INTERNATIONAL WAY
SPRINGFIELD OR 97477
,ELECTRICAL CONTRACfOR:
lR BRABHAM 541-747-6638
68 WEST Q STREET
SPRINGFIELD OR 97477
CCB # 8699 Expiration Date: 12/18/2004
Descriotion
Amount Paid
Date Paid
Receiot Number
+ 10% Administrative Fee
+ 7% State Surcharge
Add. Alter. Extend Circ Ea Add
Penn Serv/Fdr 200 amps or less
13,20
9,24
6,00
126,00
02/27/2003
02127/2003
02127/2003
02/27/2003
2200200000000000529
2200200000000000529
2200200000000000529
2200200000000000529
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7;00 am. will be made the S1me working day,
inspections requested after 7;00 a.m. will be made the following working day,
Reouired InsDections:
1 Electric Service: Approval required prior to utility company energizing service.
2 Rough Electric: Prior to Cover
3 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 tbat all
information hereon is Irue and correct, and I further certify that any and all work performed shaIl be done in accordance
wilh the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify thai 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 althe proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the sile at all times during construction.
~~ ~f~r
GlWner or Contractor.; Signature ()
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR is ABANDONED FOR
AI~Y 180 DAY PERiOD,
d? -;},7- "'3
Date
.',1 :~' "v' ,....",,<j......,dv;'eqUlresyouto
tallow rule~ doopted by the Oregon Utility
'\lotiticalion Centel. Those rules are set fort,
In OAR 952-001-0010 through OAR 952-001
u090. You may obtain copies of the rules b)
calling the center. (Note: the telephone
number for the Oregon Utility Notification
('''''11'1' if.1-A!1r.-~~;>-2344).
I of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
ELE2003-00055
ELE2003-00055
ELE2003-00055
ELE2003-00055
Payments:
TWe of Payment
Check
Paid By
Receipt #: 2200200000000000529
Date: 02/27/2003
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Received By
Check Number Confirm No
L.R. BRABHAM
28941
lkw
Page I ofl
2/27/200ii
9:00:13AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
126.00
6.00
13.20
9.24
Line Item Total:
$154.44
How Received
Amount Paid
In Person
.
Paymenl Tolal:
154.44
$154.44
cRecdpt.rpt