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HomeMy WebLinkAboutPermit Electrical 2002-12-17 . - City of Springfield Electrical Permit Attachment ,," , .."li; Status: Issued 225 Fifth Street Spnllglicld, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2002-00161 12/17/2002 12/17/2002 6/17/2003 SITE ADDRESS: 500 INTERNATIONAL WAY ,\SSESSOR'S PARCEL NO,: 1703154000600 Springfield TYPE OF WORK: New TYPE OF USE: Commercial I'ROJECT DESCRIPTION: InstaU circuit for ink mixer OWNER/APPLICANT: ELECTRICAL CONTRACTOR: LR BRABHAM 68 WEST Q STREET SPRINGFIELD OR 97477 cca # 8699 Expiration Date: 12/18/2002 --1.. pl'st'rintioll Amount Paid Date Paid ~~umber Cashier + 7% State Surcharge 3.15 12/17/2002 ~1f 000000413 dib +'8':;', ,\dm;llistrati"e Fee 3.60 12/17/2002 ~~ 00000000413 dib Add. ..\i1er, Extelld Circ 43.00 12/17/20~ ~ ~ 0000000000413 dib Millillllllll/,\djustlllcnt Electrical 2.00 12I17J~}"~~ ~ 0200000000000413 dib ,~"" ,0.. -'J.~ To 1':e'que"1 all illspection call the 24 hour recording at 726-W' ~;~~~~~JlSted before 7:00 am. will be m~e the same working day, ills!"",;,"" re'quested after 7:00 a,m. wiU be made the f~~~bl!~~ f<,<:i!:><;:S "O{;j .~~~ K' ~,~~ :~v:\~:-l ~ ..,'?I ' ~~ .o~.. ,. 'is''' ~V <vr (}1>' ~o.Q' ~. ):lv ;-\ HClIuimllnsncctions: "f.('~~ '\<o~ i1f''<i O~~-.t-e ~~'!;'I;.e""'O , , v~ ~~~~~~ RoughEJcctrlc: PnortoCover "f." ",0'-' A" ...~ o~""e 'lJl<.ov,O<:- 2 Fill:!1 Electric: When all electrical work is complete. .,)"""'\.eC,'<:: c/,J >::,~ o\~ ~e~..~v~ '....~. (-0<'; ,,~.~o '~e"" e'i: c<~' By Si~lI "'lIn', I stale and agree, that 1 have carefully examined the comp'let~d,applic~liow'lind{lo,h~eb1 ceitify that all ,"- .?... ...",,' "" "<'0-, \.'" .',,,., rlJA in fll I'lll ",ioll hercon is true and correct, and 1 further certify that any and a1I'wotk.P!'rforrited:shaIUie done in accordance Wilh 111" Ol'd i 1I an ecs of the City of Springfield and the laws of the Sta'teo"f Ore~on:'p~rti'i',;ing 'jo;di; ~~'~k described hereilL 1 ",'\' _ 4'{Y ...,r.. "1\.' J'\"'- ?;....... f:\"~ furtller ",'rill'" thai only contractors and employees who are in compliance'with'ORS 701'.055 will'be used on this project 1 . -..'-' V' .,..''\ ~... ,..- .,.. furlher "~I"l'C 10 cnsure that all required inspections are requested at the ,e,roper't(nie, th~t'e~ch address is readable from the slrCCI. "lid lhallhc approvcd set of plans, if applicable, will remain on tJie,siii,at:all.timesciuring construction. ~'V v'lJ.' '\.O~' ,..r l'1. <,' SIIOI( [WOOD PACKAGING CORl 500 IX,[RNATIONAL WAY SI'J(I\(;FIELD OR 97477 541-747-6638 Owner or COlltrnctors Signature Date 1 of I " . . ,..', 22'FIFTHSTREET ".,," ., -, '..- .TRlCAL PERMIT APP :..c' ) , , ,....', ,r' i.~~) ;.2:",~,:'; ~'.'" ..', ,... LICA TION ' , ' , (' ~~< SPRINGFIELD OREGON 97477 a ~:~~~'; 1'/:: ~<1..~!t ;:~~, '::~... ~: . .'. ;".:.; .:If':'..<;''~~..~' ~. '~~t( Y'~', '..~ "., . .' . :~,~ . , ,.....,'-". ="..~- ',' .' --'..-.....,,-, ".." "'I/. . ~ ;.< INSP!;:CTIOl'f REQUfS"I:':: 726,n~~::~ ;ik ~1;".:' ~~t :.Cib. Job Nu\';b~r -ecl:'zb-o'z>"Cilc:Yto : , " J;:.,.O C - - ,.r... ,. ,)~, .;,.,: Jr.:~ ~.~" t ~, '. '.~, '" --" '"_." ~. '. 'w 'l':~ FFI E:~' 726-)7)9 \U:,::..~ t ...:'I~ :(~:.~,",\' t::i' ?i~\~:' ~l ~~. ~:, ,~~ '.'," ;:' ,:> ~'r;t:;~;:,\;:t. . .;' ~~ .~\:~. ~ ",.' '. J. '. . '.".. '" _ _ ,r., ,/:"1. ~~:;...,~ ~~ t)l.N"...... . ,- _".. ,..... ~'" '. '. '. . " . ~{, 5:-" ii~" .~.~".""::. 1;~ '- ~~~:t\. \' ,,>J~ t< ~ ?Z:;"-';l 3:. COMPLETE FEE SCHEDULEBEL0\V"~i;;.-r~1'~,': ': ..", -...:;. '~l LO-'CA"IO-NO' FIN'<-STALL--t"n~ON :;;""l"~'':;T'''{''~[f'~'t.'';:-._.-;.::' "\.,. ~~.....~' \-..<.1':...... '..'-~".',;';'''1::' . ~ ~: ,."..: ~'~ ' 713N1J1"T1"I71;y~ IVJj~t2~~r ~~~~~~:~:';~s~dcnti~;'~~'i~i;~':~;:1~~~~~';~."'~:'~:~:;~.~,~:. ::.~..; , 5 hd /(EW()~/J /1JM 116/ AlG) Multi.Family pCI' dwelling unit. LEGAL D CRIPTION Scnicc Included: 170.3 JSYO noboa ",illll \0110 3S \"e 6, use , . JP.Il DESCNPTIPN '.J-" J,(\oelq\it\'<'O\' less J-uc,rA-tL (I/ft'tLt.IT JlJ 1#1( mt.Aqe--U;fS,l "additional 5 J ~'~ E,QPt>1 4JbV 8USWRV, .....:;:.~," ,r", /~;';'" Permits MC rion-transferable and exp(~,,"\OIl' .,lIO ?..-- ," if work is not'staned within 180 days 1.0ll'~O'''\' illll ,.;:: , :' of issuance 9fif work is suspended for .,QQ 1.0ll, 'k / :~~~:;;'.,' " ,~;:;,::: , 180 days. :~ "," Ice or Feeder ..",:,j,., ',':' ", $ 50,00 .,> " '3\v ..,.;r.....F~....-_ . . .,'. . ~ ~ 03\e S\Q,f\ .~~.~:;'1\o11.;.'. ~:<.",,'rr;. .\'.~.. . ~. - - ~1;,: .. -eO . . '-''': i~" ".t;:~.. ~ . .'. .:- . '.::.~. - 2. CONT~~OR IN,STALLATION O~\)\~ot\L- B. Scryiccs or Fe.cders .,.~~:~~~r~:,..')~1;1;' '.~f',~" ". . , ' ; ;:..:'.~ ~<;~ Installahon, Alterahons.or:,..:.. .].1, ~ ~f"~:Jt." . ~i~'.' '~~,.' ElectricalContractor:..~L.R. Brabham, Inc. Relocation: ~i-"" -. ~:~{:,,'~~~~~j.~~,~3:l ,...:;~s: . ", ~-.: - - . ..' .~ .. j, '.. ,...'_.......". ... -<,,\... .'. "'t'],t~.b ~" '~:...~;',., r..J,~,.f?"" ,- .~~.j,.', :J.':"l~""l.~, y;.., ~ il~" .1,: , ."-6'B'Wes"'t.....~ "Q" Street .~. .~-:-~- ":;t<~r'".\" ;"~-;'1.j::,~ ,;.\ ':" \:'''1:&,. :"\~'\;:; Address .:~. .;.,...r ..~,_i;. ~.--: ~~ 200nmpsorless'~1~ \;:'~':~t"',.1t'i:"/').;'",~$63',OO .''..;.::~~ ~,~,.., --'''\ ".,"~ 'N'.. -.-':''f- ~"\-"-f~~"':..''''''~'' ~"'i;."J," ~!ijO' J:'~~';'s; ,~'!\I .}-:i' flo.,. 20] amps 10 400'arii.ps~i:t,-.:~; ~~s.;t~~';''t~!~r4':~$:75.00 "..!..:~',it':o; ..>.,,-- Sprrngfie'ld-" 74:7"'6 ..', . ,', ,",,~~ .~, ".'-'-' "-, ,;;t,..;:.:,:, Cit)' .'., ,," ::.."1;'hone .;l.~^,~- ,'"-'f,' -~'" 401 amps to_~oo,arijp~1. t':\~,!(',,.tI)_~,\;tJ;,'i!,I:$if.~:oO .'!;;';,'~l ,I_f,..... '-"T.-' . '",;.1 -j ,..,-,..;);!- j ''-:.'' '. . ~"',. ~~,,-'J..~' ,"- .... 'If \.oj'" ,~ '-I!l':tlo. t~t.'~- ~:;}i~';"I'2!iG' '~~;;rrt{J ...*;.$~~. ':l~601 amps tp..!OO ...~~IJf,~~;:.~.i.~~~~l;:s.~t?~.OO, f;~~';l.-~'~ .;'J;>:,. Supervisor,Liceitse'Nlllillier 49.4'4S~_. '~f,..:Ol'er 1000 a~ .. ~~~~'t\t'MG1q$375.00 -(J;:'1i:. P1~'~~ ?\t::&.:~..;;,~ ..~~~~.l~ - j~~~~~~~~"'-" ~~'~'Recon e~~ '.", ~ ~ ;;,\"';;n;t;:.,.:~t$050 00' :iJ[':*.~ ?I"~/';'':~ . .!~~,J'\;~I'~~;'110:Z0IZ'0~';,~1~.. .-', '"':; .:,'&.~':~- ~ .'.t.... ...,~~'i,. ..:('" -~',",""~..: .~'~t~~~1 Exp:rat,tqn pate .'~' ....f.\:. '. ~;"o<'''''d;,i~ ~~ \it{l?IDl';';~"!:'\;~~:[I~(\\S."~fi~ ~i' ~'~l;.,~r'h: {!~~ri HZ','" .' ,...,-"i.,~"'r,~!'" ",,,,,,,.,,,.,,,, '..'''''....1 "'..""~-..~ ~"'c&-,;;...~;r.;'lli ,.... ,,,,~{,,,"'Q'F. d' ,~, '*'~,;'l;\," ',' J,~.i'N.':.; .T~A J..;;;-"","l\\;:'....:':;"'t, $,1"': ~"-..."&1fJ" o;;s..Ji~. a:...."" ;;';;~T~;... I ,1(.1 ~t\\.:J' 'Jt'~'tS r. ee erS;';:i>~l ..!t"l'~'~ ' ~ ::h}~'~JJ '::!)C':'. ~-""I\C"t-'"-..".,..- .\I'~"'-';!;fh~:'fr"j8699'\i'i!1l.~~;,'!;'" S~"'" ..\) ~v~:"b..' ~.-,"-:N'..-]"~...:t<~......{!. ~";'\::"!~'" :."':f.f~' ~\ onstr. ontr. .Number'~~'l'{i;- - "i-I,..{,t;,~$'i!,....~t..p ~ < l'1tfs alhin nJ"..An ratIon or Relocation -li.~\~~:' . 'l'; ,,"'"r'.~.' "'i.'''':t.<'I~ ~",. 1i:"'- '~.!"V ~ . :;;''i.:~~.,)?~:. ",~~' " ''''./1;'1. r~\'~""" ~.::~ii~~l ~'-""'''~t,,;\~:-:''_i''~~~~'' ~~'J~;m~~~~' '" ~l~;';;1- ,,~.:.-.: !~~ 'Q'-:i~h~' ~.~ '~.;l1r ~ '!~;'-.l.V~t.. "ffl\...21"'.L'8~04~M;'P.':"..~ t(' '. (l.W ~'~'>.',,,, M~V ,~J.;t:;:.r:~ ,'~;,' '\"'i:'J:,,Expiration Date ' , ""7'"'' i,1;,~M",;. ,,~,.. "Il\lpS 'or JesS" ,,;.':\$ ,..... ~.~$50.00 :,',;;., i., :-t... '~""""......r. .. . .;;:;,.t...... .'it~_,.~"..: .~.-. ':."1',... . oc"....,~...- ~:lr.(::.'.i~':~-t~;~l?'.,,, '''-t.~tll't~.. .~' ~'/MU' amps to 400 amp ~~.,~~,j,;'W.~)ll'tt $69.00: {.$,5;.~~. '-'''~-~"l..'''..... .~ -x~~, - ",~...J' .,..:,~...-:..... "c:o!'i. ",., '-"'~ ~:"J::;;"!A'$;til;,Sighatllrc of Supel'vising Electrician \J\J~\,(, '::0I'e(40I.to'600 amp~~', \~!t:,,<,'i);.::1';"f,i'$100:00 ,l~?;:,( ..; .~~ '~~~~;'h~~:~~~.i:t~'~0,~'~,;: ,_ ~\~ Over 600 arllp5 "btiObO\%lts"sd~~~-:----;~~~:l'~~'~~J1 """--il"'~"""~,,"!-,~r--"'.....! ..~.""",,"',",';;.l:. .,. ".t""~r.:;:;,,",!, "- ~ 'j-p,::'f}:.'," '~"':"":-""'" ;, r,~,...:.::,~~ - tlB" above '"\t.:;.:Jt'i..'l..~\.,".~ ~. ,; ~~" .lI'I;'''- ~~'l';.' "'!i,'.-'-"'" '1"~'J,j "J~:t""~,*~,,j \'-.~ ,.. -~,'. ~.'i::'~.~i {'., a.t :.,.". '-W"6't'~~'~l:'~ .'" ',}.Jo<'l.. :~.~.~. "~'''\l' . ,i!': 1 \!l ~~"~.tl:~'1'~~,A :'~r~i;"J:\F~""'. ~(.~. _ ~t -- - ~':~ O~~,\: ~~'::J- '~I ''';Jti~.trl'"' tr-i\1..r.....'..~i-.. v..~" 1";',,-;;'; ~'~-...-; \' . vr .' . S~ ..-A. "/'-. ,;"'" - t<p:,~:- ,:-.M;"?-~4".!~~,~j~~i{tIl":'_.-::~~,,~~1 ~ ~~',~ :-,' J:'t.! ~ ~'Jt ~ D. n~h eU'CUlts (\.\}\(0 \\\.1-1 ,.,~ r5.'fll i' ,~.t~' f" )~~~ '~~~?ilrO~v.n~i',<N~nie' '4tiEW(JtIf) m.A'A'6/4"t; ~e\\ Att~r~tion or,J;x'l'ensi2,I))'P?r P.aAi;ljl{';.~:'~~!" 'i';&~;, ';:'-:'"'';'O~'''1;;''i;;:''Ba5:-~'''':!''; c-~ ',"~'.",., ......\;.~~,-.,.. M '':.Jt,,,o~\''i'"'eU\ ,,~e,l'!!-;;,I\~>J"~ " '/k" ,.t~'I'1 -',--. ;A" .,..'''-' '-. ',<> , '''T"!;;f"''''' cia'" .', ,_ A ' . ('j\V'" ,\,~' S" . ""''% "\iW" , 'v..v ;~y;~<@;~i~:A,dili-c.ss _ '~'J t::K-1)fi:J7lJ/ln-L. 'AU O~!:j~ircuitIe6'Of~~~\60\l>.~"''!; ,Pi' !~~.3.0~, ~1> . '- """21. '" "k . .' 07'177" -,'.., .. I 't:.~\ - 'i}{}.O'o',,, ~~ .,t\'(\ .~'\0"~,.::"~,,,, ' ..' '. ",.:~!:,5""'i' :,:7:' /'/J)".'I '1 ::,,"pJl1- tJAA/) ,,0 ,,\\e"iJ _~~\. ..,\\'0"'" e.o' \ ':;"'~\.11,,,f:;:r' . " :he:, .,>':.":!-.:(:.-'City ~prl. . :', ::Phon~'-'"I'7 /VVI/ r,~,,"'~'lE,?91~/~dd!t~~~lrqr~tj~or'\\'~l~lSeryi~~\O'~" . ,';..,,: , .' ",\;", :.:.. ' -, . :'" ' :r:T[)1!l (lftS~ \\' ~or)Feed~f)Pernll!).\~ h\r::f.,e"\~ ~Q\\~', ,$ 3.00,---"'-:'" _ O\VNERINSTALLATION '~~C ~ ~\I>.?-9b"'~i'l0~\e~'~~ f'I\)\\I\\t,?>ll.bt)- "-"'" , " , ~The installation is being -made C?n:~ . E.\,(l\I~~Jlh'n~q't~~(S~~ts~lfc~~r!fiOfihCIUde~).' ~ propen)" I own whichi~,n,~t inte~~ed \)G C"G.J;:~c:!~j~,s.t,alI~~i~f"\~~' , , . for sale. lease or rent. ", .\.' ~ ':~r ~~;~',. ~mnp'o~lr.ng~tlOn : .. '. $50,00 .' ' " ...... fSignlOutline Lightin'g $50,00 Limited EnergylRes $25,00 Limited Energy/Comill $45,00 .' :;.~ . . ".. ' ~ :;:,~H : ,.,,':'" .':tYi;. Items Cost . ..i~::.; .; :\:,:: Sum>' :',\": ~.~:. . $106,00 ~. :...~;y .-r~~( $ 19,00 . Owners Signaturc:, . I\Iinimu.m Electric Pcrmit Inspection Fee i~ S45.00 + Surcharges , TOTAL 45. - 3 I /.15. .':3,t:XJ .5/,75 -..- . 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fee, ..;..'