HomeMy WebLinkAboutPermit Electrical 2003-02-18City of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00035
2n8t2003
2n3t2003
8/18/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
2350 YOLANDA AVE
1703244103002
Lighting Upgrade
Springfield
OFWORK:
TYPE OF USE:
TYPE Repair
Public
OWNEWAPPLICANT:
SCHOOL DISTRICT #19
525 MILL ST
SPRINGFIELD OP.97477
ELECTRICAL CONTRACTOR:
BRIAN DAY ELECTRIC
298 ORCHARD VIEW TERRACE
MEDFORD 97504
CCB # 81081 Expiration Date:0U0U2004
Description
+ l0% Administrative Fee
+ 7Yo State Surcharge
Add. Alter. Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
6. l0
4.27
43.00
18.00
Date Paid
0211812003
0211812003
0211812003
0211812003
Receint Number
2200200000000000484
2200200000000000484
2200200000000000484
2200200000000000484
To Request an inryection call the 24hotr recording at 726-37 69. 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 Electric: 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 certiff that any and all work performed shall be done in accordance
with the Ordinances of the City of Springlield and the laws of the State of Oregon pertaining to the work described herein I
further certiff that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I
fwther agree to ensure that all required inspections are requested at the prop€r 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
lofl
asrtxa}l3l."r
2/18/2003
l0:02:l9AM
City of Springfield
Development Services Department
Public Works f),epart ment
Oflicial Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 2200200000000000484
Date: 0211812003
Line Items:
Job/Journal Number Description Amount Paid
ELE2003-00035
ELE2003-00035
ELE2003-00035
ELE2003-00035
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ lUYo Administrative Fee
+ 7%o State Surcharge
Payments:
43.00
18.00
6.10
4.27
Line Item Total:$71.37
Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check BRIAN DAY ELECTzuC 1640 In Person 71.37
Total:$71.37
Page I of I cReceipt.rpt
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City of Springfield
225 Fifth Street, Springfield, OR97477
541-:726-3759 Phone
541-726-3676 Fax
July 18,2003
SCHOOL DISTzuCT #19
525 MILL ST
SPRINGFIELD OR
Job Number:
Location:
97477
ELE2003-00035
2350 YOLANDA AVE
Project:Lighting Upgrade
Dear PermitHoldsr:
The Springfield Building Safety Code Administrative Code provides that in order for a permitto remain valid,
the work which has been auttrorized by the permitmustbegin rarthin 180 days of ttre date of isuance, and an
inspection must be requested at least every 180 days.
According to our rccords, you obtained a permit for a project at2350 YOLANDA AVE which is set to expire on
811812003. Our records indicate thatyou have not requested an inspection within the past five (5) months. This
letter is written to notiff you that your permit$) win be expiring slrortly. 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 inspection
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
*FllTN(iPITLI}
as submitted has the following
225 FIFTH STREET o SPRINGFIELD, OR97477 . PH:(54I)726-3753 o FAX: (5{D}0!61.3689
ELECTRICAL PERLTIT APPLICATTON ZONiNg
cir-y rob Nurnber EV ?-tn3 - OOASS1^"&-r('a Z Date
1. LACAT'IONOK'INS7'ALI.AT'ION 3. CAMPLET'E FEE
X,YqtmD4
LEGAL DESCRIPTION A. Ncrv Residential - Single or Nlulti-Faruily per drvellirg unit.
2|fo rtr..tO 4 U
not require
?co
specific land use
a-lK- o3
JOB DESCRIPTION
,lotification Center
Service Included
One Circuit
Each Additional Circuit or with
Service or Feeder Pemit
Pump or irrigation
Sign/Outline Lighting
7Yo State Surcharge
l0% Administrative Fee
TOTAL
i\.ureg
)1-001
$ r 06.00
$ 1e.00
'ac Qx--
Suspended for 180 days.$50.00
D CO '?'ILACIOR IAT,STA,L L-4TION O ]'LI' B. Sen ict's or Feeders - Installation, Alterations or Relocation:
Electrical Contractor Bru,t>t DA'l 6l.6 tuc
Permits are non-transferable and expire if work is
not started lvithin 180 davs of issuance or if rvork is
Address Z?( o*r11,1*-.D U l81il 7A
ci,v ra FD6t5 OR .t Sze LI
Phone
Supervisor License Number 3 ? lLl s
Expiration Date /o- o1
Constr. Contr. Number 7lo8
Expiration Date o o THIS PERMIT
ZED
Signature of Supervising E COMMENCED
ANY 1BO DAYt-
d Home or
or
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
C. Temporary Senices or Feeders
Installation, Alteration or Relocation
200 Amps or less
numberforthe
$ 63.00
$ 7s.00
$ 1 25.00
$ r 63.00
$375.00
$ s0.00
$ 50.00
$ 69.00
s 100.00
$ 43.00
$ 3.00
Ltl>
tg
201 Amps to 400 Amps
401 Arnps to 600 Arnps
Over' 600 Arnps or 1000 Volts see "B" above.
D. Rranch Circui(s
Nerv Alteration or Extension Per Pauelc I
owners Name .SPFi)\\ S-t
Address -529 tv t LL > r E. Miscellaneous (Service/feeder not included) -[ach lnstallation
City ; PrtN phone 7uL/-Ct[
L
$ 50.00
$ s0.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Lirnited EnergyiResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SUBTOTAL AF ABO\'E bt
Yzt
bro
7137Inspection Request: 726-3769
Shared Drive(T:)iBuilding Fonns/Electrical Pennit Application I -03.doc
CITY OF OREGON
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