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HomeMy WebLinkAboutPermit Electrical 2002-10-02City of Springfield Electrical Permit Attachment PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2002-00004 10t2t2002 10t2t2002 41212003 SITE ADDRESS: ASSESSOR'S PARCELNO.: PROJECT DESCRIPTION 483 SHELLEY ST r703271008900 Add I circuit Springfield TYPE OF WORK: TYPE OF USE: Addition Commercial OWNER/APPLICANT: MTHOOD BEVERAGE CO INC 360I NW YEON PORTLAND OR 97210 ELECTRICAL CONTRACTOR: SECURECOM INC 1940 DON ST #100 SPRINGFIELD OR 97477 CCB # ll7l95 ExpirationDate: 0910112004 Description Add, Alter, Extend Circ Minimum/Adj ustment Electric al + 8% Administrative Fee + 7%o State Surcharge Amount Paid 43.00 2.00 3.60 3.l5 Date Paid 1010212002 t010212002 1010212002 t010212002 Receipt Number 1200200000000000005 1200200000000000005 1200200000000000005 1200200000000000005 Cashier dib dib dib dib To Request an inspection call the 24 hour 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 Rough Elechic: Prior to Cover 2 Final Electric: When all electrical work is complete. 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 Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676Fax 541-726-3769 Inspection Line 225 FIFTH STREET SPzuNGFIELD,.OREGON INSPECTION REQUEST i. LOCATION OF LEGAL DESCRIPTIONlaa3L7(D JOB DESCR.TPTION Addres Expiration Date J. A. Multi-Family per drvelling unit. Scr-vice Included: Sumo"#,,fl[u?xiitiTl '$:i;:ffi:"1[3'* 1000 sq.ft. or less Items Cost $ i06.00 ' $ 19.00 or with s2s.00 $45.00 ection Fee is $45.00 + Surcharges 't 1 Zoning L o L L 500 Perniits are non-transferable r#[-"dii8o if work is noistarted within 180 days Home or Modular Drvelling Sen,ice or Feeder B. Sen'ices or Feeders Installirtion, Rclocation: t.' t u.-Q* Supervisihg E'Iectri 200 amps or less 201 amps to 401 amps to Over D. Branch Nelv Minimum ri 1. SUBTOT OFABOVE 8% Administrativc Fee TOTAL cran I $ 50.00 ( of issuance work is suspended for 180 days. aL. Electrical' 60i amps ONLY jl ,,'l 3 .rf; <,toQ 5-/,-);