Loading...
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:$71.37 Page I of I cReceipt.rpt sp$rx{ile.lsr-sr \ ) 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 follow I 000 Authonzed or the rules r (^