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Home My WebLink AboutPermit Electrical 2003-04-18Gity 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: ELE2003-00108 4n8t2003 4n8t2003 1U28t2003 SITE ADDRESS: 435 9TH ST ASSESSOR'S PARCELNO.: 1703351308100 PROJECT DESCRIPTION: Install 100amp sub service in garage Springfield TYPE OF WORK: TYPE OF USE: Addition Residential OWNER/APPLICANT: DELEAU JOHN E & PATzuCIA A 435 9TH ST SPRINGFIELD OP.97477 Description + ljYo Administrative Fee + 7o/o State Surcharge Perm ServlFdr 200 amps or less + l0o/o Administrative Fee + 7Yo State Surcharge Add. Alter. Extend Circ Add. Alter, Extend Circ Ea Add To Request an inspection call the 24 working day, inspections requested Amount Paid ELECTRICAL CONTRACTOR: THINK ELECTRIC 541-232-1212 PO BOX 844 97440 Expiration Date: 021 ll 12005 rg\Receipt Number 1 20020000000000 I 032 I 20020000000000 I 032 I 20020000000000 I 032 120020000000000 l 332 120020000000000 I 332 l 20020000000000 l 332 l 20020000000000 I 332 requested before 7:00 a.m. will be made the same following working day, 6.30 4.41 63.00 5 3 43 F. C Required Inspections: 1 Electric Service: Approval required prior to utility company energizing 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 information hereon is true and correct, and I further certify that any the Ordinances of the City of Springfield and the laws of the State certify that only contractors and employees who are in to ensure that all required inspections are requested the approved set of plans, if applicable, will do hereby certify that all shall be done in accordance with to the work described herein. I further .055 will be used on this project. I further agree address is readable from the street, and that construction. Owner or Contractors Signature Paee I of I Date an$tflet3.q * 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 1rCity of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 12002000000000 01332 Date: 0512812003 ELE2003-00108 ELE2003-00108 ELE2003-00108 ELE2003-00108 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0Y, Administrative Fee + 7o/o State Surcharge Payments 43.00 9.00 5.20 3.64 Item Total: -56-0.84- o Cash Change THINKELECTRIC THINKELECTRIC djb djb In Person In Person Payment Total: 61.00 (0.16) $60.84 ELE2003-00108 ELE2003-00108 ELE2003-00108 ELE2003-00108 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + ljYo Administrative Fee + 7o/o State Surcharge Payments: 43.00 9.00 s.20 3.64 Item Total:$60.84 Cash Change THINKELECTRIC THINKELECTRIC djb djb In Person In Person Payment Total: 61.00 (0.r6) $60.84 s12812003 9:59:01AM Page I of I cRcceipt.rpt ( 225 FIFTH STREET . SPRINGFIELD, OR.97477 o PH:(541)726-3753 o F E LE CTRICAL P ERMIT AP P LICATI O N Job Number EccKnS '' c->c> I aY Date -/tr-a AX: (54 L-rt l,ollowtng prof r)726-3689 zontng and doe approval Zontng eci as suhmitted has the follors not require specific land use, 1l/ $ r 06.00 Cify I . LOCATION OF .{5{ 7 t\ INSTALIATTON LEGAL DESCRIPTION i7o 33sti o rlca JOB DESCRIPTION 9tb |cr,,:cc L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. C0NTRACTOR IAIS?XTL TION ONLY Electrical Contractor 7)l ;^ L f lc c- Address /.A i2-x ft't City 6ro o" a Phone 732-/2tz Supervisor License Number Expiration Date 10 * I - O.[ Constr. Contr. Number 7O ' <Va 1 Expiration Date 2 -t-oy Signature of Supervising Electrician Sri"*. \t A.New Residential - Single or h{ulti-Family per drvelling u uit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Ser-vice or Feeder $ 19.00 $s0.00 Sen'ices or Feeders -B. 200 Amps or less 63.00 201 Amps to A1'SYs.oo 401 125.00 o\.00 $375.00 $ s0.00 CAMPLETE 3. x,-tthorrzec Srgnature Lfi{ ?+t^ Sl 200 or 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see D.Branch Clircuits New \S E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Relocation: /'7b) $ 50.00 $ 69.00 $ 100.00 \5 t0t $ 43.00 $ 3.00 -Each lnstallation $ 50.00 $ 50.00 $ 2s.00 $ 4s.00 36zt t "B" above. or rs Owners Name Address city >-€fb Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature Minimum Electric Permit Inspection Fee is $45.00 * Surcharges SUBT'OITAL OF ABOW4. 7Yo State Surcharge l0% Administrative Fee TOTAL 7 U Inspection Request: a Shared Drive(T:)/Building FonnsiElectrical Pennit Application I -03.doc CTTY OF GFIELD, \t ) Gity of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676Fax 541-7 26-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00108 4n8t2003 4n8t2003 10/18/2003 SITE ADDRESS: ASSESSOR'S PARCELNO.: PROJECT DESCRIPTION 435 9THST 1703351308100 Install 100amp sub service in garage Springfield TYPE OF WORK: TYPE OF USE: Addition Residential OWNER/APPLICANT: DELEAU JOHN E & PATRICIA A 435 9TH ST SPRINGFIELD OP.97477 ELECTRICAL CONTRACTOR: THINK ELECTRIC 541-232-1212 PO BOX 844 EUGENE OR 97440 CCB # 154326 Expiration Date: 0211112005 Description + l0% Administrative Fee + 7%o State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid 6.30 4.41 63.00 Date Paid 04/1812003 04/18t2003 04/r8t2003 Receipt Number I 20020000000000 I 032 l 20020000000000 I 032 l 20020000000000 I 032 To Request an inspection call the 24 hour recording at726-3769. All inspections working day, inspections requested after 7:00 a.m. will be made the following 7:00 a.m. will be made the same hereby certify that all shall be done in accordance with the work described herein. I further will be used on this project. I further agree each address is readable from the street, and that Required Inspections: 1 Elechic Service: Approval required prior By Signature, I state and agree, that I have information hereon is true and correct, and I the Ordinances of the City of Springfield and certify that only contractors and employees who \ON to ensure that all required inspections are requested the approved set of plans, if applicable, will remain on site times during construction. Owner or Contractors Signature Date $fuW*m$It\ Pase I of I alttraf,3,D b\ \ne , 411812003 l:25:52PM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 120020000000000 I 032 Date: 0411812003 Line ltems: Job/Journal Number Amount Paid ELE2003-00108 ELE2003-00108 ELE2003-00108 Perm Serv/Fdr 200 amps or less + l0%o Administrative Fee + 7Yo State Surcharge Payments: 63.00 6.30 4.41 Line Item Total:$73.71 TypeofPayment PaidBy Received By Check Number Confirm No How Received Amount Paid Cash Change THINKELECTRIC THINKELECTRIC djb djb Line ltems: In Person In Person 74.00 (0.2e) Total:$73.71 Job/Journal Number Description Amount Paid ELE2003-00108 ELE2003-00108 ELE2003-00108 Perm ServlFdr 200 amps or less + l0o/o Administrative Fee + 7o/o State Surcharge 63.00 6.30 4.41 Page 1 of2 Line Item Total:$73.71 cReceipt.rpt Descrintion 4lt8/2003 l:25:52PM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000001 032 Date: 0411812003 Payments TypeofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Cash Change THINK ELECTRIC THINK ELECTRIC djb djb In Person In Person 74.00 (0.2e) Total:$73.71 Page 2 of 2 cReceipt.rpt has the tollowing re sPecific land use 225 FIFTH STREET o SPRINGFIELD, OR97477 r PH:(541)726-3753 o E LE CT RI CAL P B RM IT AP P LI CATIOJV CityJobNumber EL{ZCCj,- rloto8 Date L${L t/rq13 Zoning or -o I. LOCAT"IAN Ob' INST'ALI-A??ON '/3s 7ut s+ LEGAL DESCzuPTION lle35113 oSloo JOB DESCRIPTION z$ \ S tt 1, 4-.,. ,^ts Permits are non-transferable and expire if work is not started n'ithin 180 days of issuance or if work is Suspended for 180 days. 2. O0NTRACTORTNSTALLATTON ONLY ttl A.Nen'Residential - Single or IV[ulti-F-arrrily per dnelling unit. 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 B.Sen,ices or Feeders - Installation, Alterations or Relocirtiou: 200 Amps or lessElectrical Contractor Address Ciry Supervisor License Number Expiration Date /0 Constr. Contr. Number ?O - Phone 3 -t ,Di b', Date 201 Amps to Arnps EO TOTAL Feeders Relocation --7 - 3. coMpLETrs sfur $ 63.00 $ 7s.00 $ r 2s.00 $ 163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 s 100.00 E0 fr- rt+ s,/-c4 a4_<_ 401 e 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Circuit or \F , \dN Expiration Date 3- t - c2Y Signature of Supervising Electrician 'S,[,.^. \-/e.zty-tR "tH\t0R L{3 -Each lnstallatiottE. Owners Name Address L{3S 7:rSF City SPT\Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signahrre: AYP $ 50.00 $ 50.00 Pump Limited Energy/Residential $ 25.00 Minimum Electric Permit lnspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOVE 7oh State Surcharge I0% Administrative Fee SZ a)("'l 5zg 60 8'l .9\e Shared Drive(T:)/Building Fonns/Elcctrical Penrit Application I -03.doc CITY OF'OREGON 'a/_,, /<E ir.fr;,- 7 Inspection Request: 7 26-37 69