HomeMy WebLinkAboutPermit Electrical 2002-11-22Gity of Springfield
Electrica! Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00144
1U22t2002
1y2212002
5t2212003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION
1543 6TH ST
1703264201702
Replace Service
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Residential
OWNER/APPLICANT:
TAYLORBRADFORDD&LK
1543 N 6TH ST
SPRINGFIELD OP.97477
ELECTRICAL CONTRACTOR:
LORETTA TAYLOR
1543 6TH STREET
SPRINGFIELD OR
CCB # Expiration Date:
541-726-1243
Description
+ 7oA State Surcharge
+ 8% Administrative Fee
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid
1U22t2002
tt/2212002
tU2212002
Receipt Number
2200200000000000220
2200200000000000220
2200200000000000220
Cashier
4.41
s.04
63.00
llh
llh
llh
To Re quest an inspection call the 24 hour recording at 726-37 69. 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.
Owner or Contractors Signature Date
Page I of I
ffi*t***
rRi
ity Job N
Z=
e\1'identitl
o ily per drvelling unit.
LEGAL DES 22
JOB D CRIPTION
Permits are non-
if work is not started
ALLATION
The instailation is being mtrde on
propcrt\'I oun u'hich is not intended
lor sltle. lease or rent.
Oryners
Included
1000 sc1.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mamrfd Home or
':i:
s i9 00
Items Cost
$106.00
- tL+3
One Circuit
Each Additional Circuit or rvith
or Feeder Permit
E. 1\Iiscellaneous (Service/fecder not included)
-Each installation
Pttmp or irrigation
-
S50
Sign/Outline Liglrting
-
$50
Liniited EnergY/Res
-
$25
Limited Energv/Conm
-
$-t5
00
00
00
00
I\linimum Electric Permit Inspection Fee is S45.00 + Su
TOTAL 1ti6
1. SUBTOTALOF'ABOVE
7Yo Stite Surcharge
8%o Administrative Fee
lollovlr