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
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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
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