HomeMy WebLinkAboutPermit Electrical 2003-03-07Gity of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 477
541-726-37 59 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00064
3t7t2003
3t7t2003
9t7t2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
725 S 42ND ST
1802052108300
Relocate 4 circuits
TYPE
Springfield
OFWORK:
TYPE OF USE:
Alteration
Public
OWNERYAPPLICANT:
SCHOOL DISTzuCT #19
525 MILL ST
SPRINGFIELD OR97477
ELECTRICAL C ONTRACTOR:
coNRlcH ELECTRIC LLC s4t-232-3402
2929 BRETT LOOP
EUGENE OR 97404
CCB # 149509 ExpirationDate: 1110212003
Description
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Add. Alter. Extend Circ
Add. Alter, Extend Circ Ea Add
To Request an inspection call the 24 hour
inspections requested after 7:00 a.m. will
Amount Paid Date Paid
0310712003
0310712003
0310712003
0310712003
5.20
3.64
43.00
9.00 \ut
Receint Number
1200200000000000788
1200200000000000788
1200200000000000788
1200200000000000788
before 7:00 am. will be made the mme working day,
.l\ r
do hereby certify that all
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 this project I
further agree to ensure that all required inspections are requested at the proper time, that each from the
street, and that the approved set of plans, if applicable, will remain on the site at all times
Owner or Contractors Signature
I of I
$PllirrerrSLD
1 Rough Electric:
2 FinalElectric:
rtN\
rro
a(\
By Signature, I state and
information hereon is true and
317/2003
9:50:l IAM
City of Springfietd
Development Services Department
Public Works Department
Official Receipt
| ,)
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000788
Date: 0310612003
Line ltems:
Job/Journal Number Description Amount Paid
ELE2003-00064
ELE2003-00064
ELE2003-00064
ELE2003-00064
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Payments:
43.00
9.00
5.20
3.64
Line Item Total:$60.84
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
CreditCard RICHARD SALAHA djb 000013 007456 In Person 60.84
Total:$60.84
Page I of I cReceipt.rpt
(
City of SPringfield
225 Fifth Street Springfield, Ox-97477u*ll:::il::,i:;::
August 25,2003
SCHOOL DISTzuCT #19
525 MILL ST
SPRINGFIELD OR 97477
Job Number:
Location:
ELE2003-00064
725 S 42ND ST
Project:Relocate 4 circuits
Dear PermitHolder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid,
the work which has been authorized by the permitmustbegin wthin 180 days ofthe date of isuance, and an
inspection must be requested at least every 1 80 days.
According to our records, you obtained a permit for a project at 725 S 42ND ST which is set to expire on
911112003. Our records indicate thatyou have not requested an inspection within the past five (5) months. This
letter is written to notiff you that your permit$) win be expiring shortly. If you are ready to request an
inspection for your project, please phone ttre inqpection line at 541-726-37 69. If you do not request an inspection
prior to the expiration datg your psrmit($ 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
Buildin g Safe ty Sup ervisor
ELEUT
Multi-Family per drvelling unit.
OI
Manufd Home or
APPLICATION
Items Cost
$ 19.00
LEGAL DESCRIPTION
t8 ozosLl O E)oo
JOB DESCRIPTION $ 106.00
L{L
o
69ttco c
0Permits are
Electrical'
Supervi
0
${e
Modular Drvelling
Service or Feeder
sqt ervising Electrician
B. Services or Feeders
Installation
C lzl Relocation
200 amps or
201 amps to
401 amps to
60 I amps to
Over
ALL
Date
volts see
"8" abo\rg
t 'ttt'
D. Branch Circuits
Nerv Alteration or Extension Per
.
or rrith S,
I
C-,1*-
+1
E. NI
-Frnlr
$50
$50
$25
$45
00
00
00
00
Nlininlum Electric Permit Inspcction Fee
cc^ (lrs^€ fco ALuvo<'-.}-.
+. Iusror.a.l,-or: ifovn 9'Ll'vhA
7Yo Stile Surcharge
8% Administrative Fee
is S15.00 * Surcharges
SZ
TOTAL {pu
Included:
or less
5 ?-D
if work is
of issuance
180 days.