HomeMy WebLinkAboutPermit Electrical 2002-12-17City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-126-367 6 Fax
541-7 26 -37 69 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00160
12n7t2002
1211712002
6n7t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION
860 2sTTIPL
1703361107301
Service Change
TYPE
Springfield
OF WORK:
TYPE OF USE:
New
Residential
OWNIiTUAPPLICANT:
MURPI IY SUZANNE M & TROY E
860 N 25TTI PL
SPRINCFIELD OP.97477
ELECTRICAL CO NTRACTO R:
BUILDERS ELECTRIC INC 541.485-0922
195 MADISON ST
EUGENE OR 97402
CCB# 4296 Expiration Date: 12/10/2003
Desc rint ion
+ 7%o Statc Surcharge
+ 80% Adrrinistrative Fee
Penn Scn'/Fdr 200 amps or less
Amount Paid
4.41
5.04
63.00
Date Paid
12n712002
1211712002
t2/1712002
Receint Number
22002000000000003 l0
22002000000000003 10
22002000000000003 10
Cashier
ddk
ddk
ddk
ToReqrrestaninspectioncallthe24hourrecordingatT26-3769. All inspectionsrequestedbeforeT:00a-m.will bemadethesameworkingday,
inspections requcsted after 7:00 a.m. will be madethe following working day.
Rcquircd Inspections:
1 E,lcctric Service: Approval required prior to utility company energizing service.
By Signatu re, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infornration hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with tlrc Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further ccrtify that only contractors and employees who are in with ORS 701.055 will be used on this project I
further agrce to ensure that all required inspections are requ from the
street, and that the approved set of plans, if applicable, will rem
COMMENCED OR IS ABANDONED FOR
Olvner or Contractors Sigrature ANY 1B&OAY PTRIOD.
l of I
.225 FTFTH STREET ELE -.JCAL PERMT APPLICATION
oREGON 97477
REQUEST:9 cit.vJob xu^rr"rLD€ %Ob OOIbO
h:ff8"ur$ry4gr"t T?T,CI
3. COMPLETE FEE SCFIEDULE BELOW
A. Neu' Rc.sidential-Singlc or
Mrrlti-Farnily per rll'elling unit.
clutletl
v ft rtion
Sum
Address
Phone
License Nurnber +)q
Supcrrising Electricirur
In.stallation, Altcrations or
Rclocation:
20() arrrps or less
20 I aurps to 400 arnps
201 amps to 400 amps
Over 401 to 600 amps
Over 600 antps or 1000 volts see
"8" above
Items Cost
$ 106.00
$ 19.00
$ 50.00
s 63.00
$ 75.00
$ 125.00 _
$375.00 _$ 50.00
fd Home or
ofissuance or ifwork is suspended for
180 days.
r,..rre
lar Drvclling
5\gf\a\uie Service or Feeder
- .riju., rJ2. CONTRACTOR INSTALLATIONONILY B. Sen.iccs or Fecdcrs
(osa
Co
Citl'onc
OWNER INSTALLATION
The installation is being urade on
propertv I orvn lvhich is not intended
for sale, lease or rent.
D. Branch Circuits
N,Tl[ti Alteration or Extension Per Panel
TH|S BSBMLLSHALL EXPIRE lF THE W0B6: oo
AUTHOBIZED UNOER THIS PERMITISNOI
c 0 M rfiHtlgtuiom{Bc/rtsf, t\tD0rl$EErf0i*
ANy f86tffif ftnibo. $ 3.oo
f. l\[iscellnneous (Scrlicc/fceder not inclutled)
-Each installation
Pump or irrigation $50.00
Linrited Energr,/ltes $25.00
Lirnited Energr'/Colnrn $15.00
I\Iininrunr Electric Pernrit Inspcction Fcc is S-15.00 * Surchar.gcs
4. SUBTOTALOFABOVE
7%o Statc Surchargc
8%o Administrttiyc Fce
N MAVP
Address Atro Ll 5*n Ha c €
Orvners Signature
TOTAL 1>../s
Permits are non-transferable
if u,ork is not started u'ithin 180
Etecrrical contrn.tor-pqjgprS- Qe6* n C .
L-
$69.00 _
$100.00 _
'a:
Expiration
.SvfCtr.
€oastr Contr.
Orvne rs