HomeMy WebLinkAboutPermit Electrical 2003-03-26225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o
ELECTRI CAL P ERM IT AP P LICATI ON
Fi\q{gltgul[Ig/pBlSGtEF submitted has the lollowing
llr,rng' an-d ooes not require specific land use
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approval
ZoningCity Job Number
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LEGAL DESCRIPTION
JOB DESCRIPTION
a
Address
City
Burrel! Bros' Electric
40159 Booth KellY Road
Springfietd, Oregon 97 478
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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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
7%o State Surcharge
l0% Administrative Fee
TOTAL
'+.
o
A.
L
$106.00
$ 19.00
$s0.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
7
Electrical C^-*- ^'^-
lr'
$ 63.00
$ 7s.00
$ 125.00
$ I 63.00
$375.00
$ 50.00 fre;tu
Arn[rru Btu
SupervisorlicenseNumber W C.
Expiration Date I
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps S100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New
One
Each
E.
Pump or irrigation $ s0.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
&
Owners Name
Address
City Phone
OWNER INST
The installation is being made on properly I own which
is not intended for sale, lease or rent.
Owners Signature
3,ro
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rbInspection Request: 726-3769
4.
Shared Drive(T:)/Building Forms,/Electrical Permit Application 1-03.doc
CITY OF OREGON
LO CAT' I A N A F IN SL'ALLATI CIN
Nerv Residential - Single or ft'Iulti-Family pcr dt'clling unit.
CONI"RACTOR INSTALLATION O:VT,Y B.Seil,iaes oi f,edders,,; hrstallation, Alteratious cr Reltle,ttion:
IS
not includecl) -[ach lnstallation
SUBTATAL
IIELO'tt/
3/2712003
8:14:58AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 1200200000000000896
Date: 0312712003
Line Items:
Job/Journal Number Description Amount Paid
ELE2003-00089
ELE2003-00089
ELE2003-00089
Service Reconnect
+ l0o Administrative Fee
+ 7o/o State Surcharge
Payments:
50.00
5.00
3.s0
Line Item Total:$s8.s0
Type of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid
Check BURRELL BROS ENTERPRISES
INC
dlm 2825 In Person 58.50
Total:
Page I of I cReccipt.rpt
CitY of SPringfield
225 Fifth Street Springfield, OR97477
541:726-3759 Phone
54"1.-726-3676 Fax
August 25,2003
ORDONEZ RAUL
137 N 38TH ST
SPRINGFIELD
Job Number:
Location:
oR 97478
ELE2003-00089
135 38TH ST
Project:Repair service mast
Dear PermitHolder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid,
ttre work which has been auttrorized by the permit must begin wthin 1 80 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 135 38TH ST which is set to expire on
9127l2OO3 . Our records indicate that you have not requested an inspection within the past five (5) months. This
letter is written to notif, you that your permit(s) will be expiring shortly. If you 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(s) will expire and additional permit fees will be required in order to
complete your project.
If you have any questions, please feel free to phone me at 541 -726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
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