The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-04-14City of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 9747 7 541-726-3759 Phone 541-726-3676 Fax 541-7 26-3769 Inspection Line PERMITNO.: ISSUED: APPLIED: EXPIRES: ELE2003-00104 411412003 411412003 10n4t2003 SITE ADDRESS: ASSESSOR'S PARCELNO.: PROJECT DESCRIPTION: 3145 PARTRIDGE WAY 1703221307500 Service Change Springfield OFWORK:ryPE TYPE OF USE Alteration Residential OWIIERYAPPLICANT: THOMAS ADAM K & JENNIFER I 3I45 PARTRIDGE WAY SPRINGFIELD OP.97477 EI,ECTRICAL CONTRACTOK BURRELL BROS ENTERPRISES INC 541-747-2724 40159 BOOTH KELLY ROAD SPRINGFIELD OR 97478 CCB # 136446 Expiration Date:08t2012003 Descrbtion + l0%o Adminishative Fee + 7Yo State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid 6.30 4.4t 63.00 Date Paid 0411412003 04n4/2003 04n4/2003 Receint Number 2200200000000000743 2200200000000000743 2200200000000000743 To Reque$ an inryection call the 24 hour recordingil.726-3769. All inspections requested before 7:00 a-m. will be made the same working day, urspections reque$ed after 7:00 a.m. will be made the following workrng day. Required Inspections: 1 Electric Service: Approval required prior to utility company energizing service. By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that atl information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this projecl I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Signature Date lofl h Gity of Springfield Electrical Perm it Attachment Status: missing from list 225 Fifth Street Springfield, Oregon 97 477 541,-726-3759 Phone 541-726-3676Fax 541-726-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00104 4n4t2003 SITEADDRESS: 3145 PARTRIDGE WAY Springfield OF WORK: TYPE OF USE: TYPE OWN.ERIAP4,IGAil$Tar,es of the rules br rndflllsqbnilqo&f(NlqtmtrB telephone : r 49F}h€il{otlm0rqon Uti I ity N otilicati on spnrNcrr0or Gx. is7fl flo 0 -3,az -29 4 $ " T N01 AB-{rHidEuid FSR s4l-747-2724 Date: 08120/2003 7B Description + l}Yo Administrative Fee + 7%o State Surcharge Perm ServiFdr 200 amps or less Amount Paid 6.30 4.41 63.00 Date Paid 041t4/2003 04n4/2003 0411412003 Receipt Number 2200200000000000743 2200200000000000743 2200200000000000743 To Request an inspection call the 24how recording at726-3769. 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 Electric Service: Approval required prior to utility company energizing service. 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 the approved set of plans, if applicable, will remain on the site at all times during construction. Ll,4t),'o3 Owner or Signature Date Page 1 of I tillil0tme \ 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 . FAX: (541)726-3689 E LE CTRI CAL P E RMIT AP P LI CA Ciry Job Number LEGAL DESCRIPTION 6ot ld Ot- ON Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electncal Contractor 3"c()4-lqor 3. A. rIONiovI Date Addres AI.'tErJ-ltOrv fo[gW rules a, Notiflcation Cer the center.ote: tiib telephonenuElBelt{or$Hfto Centeris 1 -2344 Constr. Contr. Number Expiration Date Signarure of Supervising Electrician Orvners Name Address ciw f*Y2 ,PhoneF OWNER TNSTALLATION The installation is befurg made on property I own which is not intended for sale, lease or rent. Ou,ners Signarure: Pump or inigation $ s0.00 Sign/Outline Lighting $ s0.00 Limited EnergylResidential $ 2s.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges .OO Amps or less 20r to 400 Amps to 600 Amps to 1000 Amps Amps/Volts Only see "B" above New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 7oh State Surcharge 10% Administrative Fee TOTAL Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 $ 19.00 $50.00 I $ 63.00 G3.uo $ 7s.00 $ 125.00 $ r 63.00 $37s.00 $ 50.00 $ 43.00 $ 3.00 in OAR 952-001 -001 00 ( C E. 20 40 Over D e{,ql[.? 11,-l tInspection Request: 726-37 69 4. Shared Driv{T:/Building Forms/Electrical Permit Application l -03.doc l. JOB B. 65 Relocation EXPIRE IF THE THIS Ftfiirirti IS or 00.00 .hrstallation 4/1412003 10:35:49AM City of Springfield Development Services Depatrment Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Receipt #: 22002000000000 007 43 Date: 0411412003 Line Items: Job/Journal Number Description Amount Paid ELE2003-00104 ELE2003-00104 ELE2003-00r04 Perm Serv/Fdr 200 amps or less + l0o/o Administrative Fee + 7%o State Surcharge Payments 63.00 6.30 4.41 Line ltem Total:$73.71 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check BURRELL BROS.njm 2857 In Person 73.7t Total:a Page I of I cReceipt.rpt *Ft**xfiFtsl*$ 7t