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Home My WebLink AboutPermit Electrical 2003-01-24Gity of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 541-726-3676Fax 541-72G3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00020 u24t2003 u24t2003 7124t2003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCzuPTION 460 16TH ST 1703362409800 Service change and 4 circuits Springfield TYPE OF WORK: TYPE OF USE: Alteration Residential OWIIERYAPPLICAIIT: RICKZEBROWNNSKI 460 16TH ST SPRINGFIELD OR97477 541-579-4t50 ELECTRICAL C ONTRACTOR: JB ELECTRIC 541-687-5770 4685ISABELLE STREET EUGENE OR 97402 CCB # 104929 Expiration Date:0311412004 Descrintion + l0o/o Administrative Fee +70 StzteSurcharge Add. Alter. Extend Circ Ea Add Perm Serv/Fdr 200 amps or less To Request an inryection call the 24 hour recording inryections requested aftu 7:00 a.m. will be made the Required Inspections: 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Elechic: When all electrical work is complete. By Signature, I state and agree, that I have carefully examined the completed information hereon is true and correct, and I further certi$ that any and with the Ordinances of the City of Springfield and the laws of the State further certiS that only contractors and employees who are in further agree to ensure that all required inspections are street, and that the approved set of plans, if applicable, will Receipt Number 1200200000000000602 l 200200000000000602 I 200200000000000602 l 200200000000000602 before 7:00 a"m. will be made the same working day, certify that all in accordance described herein I on this project I is readable from the Amount Paid 7.50 5.25 t2.00 63.00 0 0 r\ Owner or Contracton Signature lofl aDrttcillrD 225;iFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERMI' 'PLICATION 3. COMPI"ETE FEE SC}IEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items ft.. or less 500 Home or Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 to 1000 amps \t amps/volts Only or Feeders 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D. Branch Circuits "l 9\)to Panel \)l b\e hR b) included) \ne Liehtins Limited Enerry/Res Limited Enerry/Comm 5. SUBTOTALOFABOVE ilruilr,f, 7o/o StateSurcharge ff## Administrative Fee $40.m $ $ $ cityJobNuruo EAGiZoo 3 4o OZO LEGALDESCRIPTIONi?633 621 o?r5o I. LOCATION OF INSTALLATION 460 N. 16th Street JOB DESCRIPTION Service 2. CONTRACTOR TNSTALLATTW Electrical Contractor Address 4685lsabelle Street City Eugene, OR 97402 Phonelsl-SQZ.lZ9.- Supervisor License Number 3872S Expiration Date 10t1to4 Constr Contr.Number 37587C,*-. $ $ I Cost Sum $r06.00 $ $r9.00 $ $s0.00 $ $63.00 $7s.00 $125.00 $r63.00 $ 63.00 $ $37s.00 $ $s0.00 $ $50.00 $69.00 $100.00 $--$- -E Expiration Date Owners Rich & Joann Zebrownnski Address _ Ciry Sorlnqfleld. OR 97477 Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Itt \$ o $ \he ,tJ$'$43.00 $ 4 $3.00 $ 12.00 $50.00 $s0.00 $2s.00 75.00 5.25 7.50 \, \(\ $ $ $ JB Job # 18il (1\ TOTAL $ $45.00 $ 87.7s Permits are non-transferable and ifwork is not started within 180 of issuance or ifwork is 180 days. ftb9 ilH.#il,ri;:n s7477 t/24/2o(J3 1:lS:l3pM D everop m.nt s.ifl.l rfeY:Lsfi ero Pubric*%T#iis;$i Receipt #: 1200200000000000602 Date: 0L12412003 Line Items: PaYments: Number ELE2003-00020 ELE2003-00020 ELE2003-00020 ELEzoo3-00020 Perm ServlFdr 200 amPs or less Add, Alter, Extend Circ Ea Add + l}oh Administrative Fee + 7Yo State Surcharge Line ltem Total: lfow Received In Person Total: Amount Paid 63.00 12.00 7.s0 s.25 $87.75 Amount P116 87,7s .75 TyPe of PaYment Paid BY Received By Check Number Confirm No djbJB ELECTRIC Check Page I ofl cRecetpt.rpt I it City of Springfield 225 Fifth Street, Springfield, OR97477 *"i::,il::r.,?Tl: June23,2003 ZEBROWNNSKIRICK 460 16TH ST SPRINGFIELD oR 97477 Job Number: Location: ELE2003-00020 460 16TH ST Project:Service change and 4 circuits Dear PermitHoldsr: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by ttre permitmustbegin wthin 180 days of the date of isuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 460 16TH ST which is set to expire on 712912003. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit$) will be expiring shortly. Ifyou are ready to request an inspection for your project, please phone the inqpection line at 541-726-37 69. If you do not request an inqpection prior to the expiration date, your permit($ will expire and additional permit fees will be required in order to complete your project. Ifyou have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Buildin g Safety Sup ervisor