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Home My WebLink AboutPermit Electrical 2003-08-12City of Springfield Electrical Permit Attachment Status: Issued 225Fifth Street 541 s4t- s41 r iciW l€Qulles YOU ttr by the Oregon UtilitY r. Those rules are set for 10 through oAR 952-00 of the rules PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00186 8n2t2003 8n2t2003 2n2t2004 SITE ADDRESS:VD Springfield TYPE OF WORK: TYPE OF USE:ASSESSoR,s p[fr8H Nd. PROJECT DESCRIPTION: New Fryers - Five circuits OWNER/APPLICANT: WENDY'S OLD FASH HAMBURG L EXPIRE IF TH % PMD RESTAURANTS LLC Ii THIS PERMI ELECTRICAL CONTRACTOR: E ELECTRIC SERVICE INC 541.344-3561 NOE E lvo#ffi8 NROE ST EUGENE OR 974O4COMIt4ENCED ABANOONEO EUGENE OR ccB # 90200 Expiration Date: 031 17 12007 97402TISN OR IS FOB Description + l0% Administrative Fee + 7o/o State Surcharge Add. Alter. Extend Circ Add. Alter. Extend Circ Ea Add Amount Paid 5.50 3.85 43.00 12.00 Date Paid 08112t2003 0811212003 08/1212003 08n2t2003 Receipt Number l 20020000000000 I 942 I 20020000000000 I 942 I 20020000000000 I 942 I 20020000000000 I 942 To Request an inspection call the 24hour 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. Required Inspections: 1 Final Electric: When all electrical work is complete. 2 Rough Electric: Prior to Cover 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 I 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 herein. 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 readable from the street, and that set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Pase I of I '*]TEEE \ 225 FIFTII STREET . SPRINGFIELD, OR97477 c PH:(541 )726-3753 o FAX: (541)726-3689 fnelorrciwlndproJeir as submitted has the tollowing ELECTRICAL PERMIT AP PLICA ciry Job Number GLgf,fS' 1Ci {" LO CAT"ION O T; INST'EIIAT-ION LEGAL DESCRIPTION ? zoning, and does not require specific land use proval C-c-Zoning zl Authorized Signature A. Ncrv Ilesidcntial - Single or [Iulti-liarnill' per dn'clling unit. 1 Service Included Tro.v Date 3. law requlres yo onu 1. JOB DESC tion Center. Those rules are set fd000 sq. ft. or less $ r06.00 9 01-0010 throug h OAB g52-0Qach additional500 sq. ft. or e rUleSPPrtion thereof $ 19.00 honqu"6 Manufact'd Home or CatiOModular Dwelling Service or Feeder Z. CONTRACTOR INSTALIATIONONLY B. Services or Feeders - Installation, Alterations or Relocation: EtectricalContractor EUGENE ELECTRIC Expiration Date 10/ou03 Constr. Contr. Number ccB90200 Expiration Date 3lL7lO7 Signature of Superuising Electrician L'L,*vaB Ovvners N Address Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Ilranclr Clircuits Nelv Alteration or Extension Per Panel one Circuit I Each Additional Circuit or with Service or Feeder Permit 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Aurps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. Temporarl,' Services or Feeders 7%o State Surcharge I0% Administrative Fee TOTAL K T $ 63.00 $ 7-s.00 $ 125.00 $ 1 63.00 $37s.00 $ s0.00 $ 43.00 $ 3.00 OWNER INSTALLA The installation is being made on property I own which is not intended for sale, Iease or rent. Owners Signature: Inspection Request: 726-3769 E. l,Iiscellaneous (Serl'ice/feeder not included) -Each Installatiorr Pump or inigation Sign/Outline Lighting Limited Energy/Residential Lirnited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABAVE , T -{ TTT' )._).- 7,#cl -)$ s0.00 $ 50.00 $ 25.00 $ 45.00 o-.50 Iax 3?Y-7q+s Shared Drive(T:)/Building Fonns/Electrical Pcnnit Application I -03.doc 1i ffi-rrra GFIEI,D, OREGON not started $s0.00Suspended for davs. Address 120 MONROE 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 1942 Date: 0811212003 10:37:18AM ELE2003-00186 ELE2003-00186 ELE2003-00186 ELE2003-00186 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0% Administrative Fee + 7Yo State Surcharge 43.00 12.00 5.50 3.85 Item Total:$64.3s Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard JACKDEAN 000139 0126t4nJm In Person Payment Total: $64.3s $64.3s t;[n**Hc**