HomeMy WebLinkAboutPermit Electrical 2002-11-05City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 9747 7
541-726-3759 Phone
541-726-367 6Fax
541-7 26-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00134
Lu5t2002
tust2002
515t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION
1442 6THST
1703263400100
Service panel change
ryPE
Springfield
OF WORK:
ryPE OF USE
Alteration
Residential
OWNEWAPPLICANT:
BRANDENFELS ALAN M
4O2O SW IDAHO TERRACE
PORTLAND OR9722I
ELECTRICAL CONTRACTOR:
GLEN A CAMPBELL 541-744-0'705
PO BOX 264
WALTERVILLE OR 97489
CCB # 73995 Expiration Date: 05/2412004
Descrintion
+ 7oh State Surcharge
+ 8% Administrative Fee
Service Reconnect
Amount Paid
3.50
4.00
50.00
Date Paid
tt/05/2002
1U0512002
tU05/2002
Receint Number
1200200000000000 l 94
1200200000000000 194
I 200200000000000 l 94
Cashier
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections reque$ed after 7:00 a.m. will be made the following working day.
Required Inspections:
1 Electric Service: Approval required prior to utility company energizing service.
By Signature, I state and agree, that I have carefully examined the completed do hereby certify that all
information hereon is true and correct, and I further certify that any and shall be done in accordance
ing to the work described herein I
further certify that only contractors and employees who 701.055 will be used on this project I
further agree to ensure that all required inspections time, that each address is readable from the
street, and that the approved set ofplans, ifapplica all times during
Owner or Contractors Signature Date
s'
r,or
$Mkt
.+
r{\d
I of I
LI
with the Ordinances of the City of Springfield and the laws of the
^\
225 FIFTH STREET
SPRINGFIELD. OREGON 97.177
TNSPECTION REQLIEST" 126-31 69' OFFICE'.726-3159
I LOCATION OF INSTAILATIOn-i*1 t,uaw
LEGAL DESCRIPTIONl7o3z6sV Oor 0o
2. CONTRACTOR INSTALLATIO)'I)
A
Elecrrical Contrtrctor LlrtqtVll t L
ELE. {CAL PERMIT APPLICATION
A. Nerv Resitlential-Single or
Multi-Family per du'elling unit.
Sen'ice Included:
Items Cost
fiF%r less
tional 00
sq ftor
11g
or Feeder
erryices or Feeders
Installation,
Relocation:
or
Alter:rtions or
$ 19.00
$ 50.00 _
A
a
"t.$""t
c
Add
t
LG 200 amps or less
Lirnited Energv/Comm
Nlinimum Electric Permit Inspection Fce is S-15.00 * Srrrcharges
4. SUBTOTALOFABOVE
7oh Stile Surcharge
8 7o Administratit'e Fee
--
oJ>()-
3so
v!9
TOTAL s79
Citv Job L-Numl)er L.L(' fL)C\^oo
3. COMPLETE FEE SCF{EDULE BELOW
69
$c,\
o
amps
amps
alr1ps
Feeders
or Rclocation
Ol'er -101 to 600 amps
Over 600 anlps or 1000 volts see
"8" abot,e
D. Brrrnch Circuits
* s 6i.Qo..---
--*--- '-.$-7:.00
-
$ 125.00 _
sl6l.00
$375.00
, $ 50.()0
$5o.oo _
$6e.oo _
$100.00 _
.IOB DESCRIPTIOiT-
and
if rvork is not sttrrted lvithin 180
of issuance or if rvork is
180 days.
>1,-tg
gi*, qrl+Utrr, (Lc pnon")Lft r:-}Of
Supen'isor License Nrnrrber )606-S
Expiration
Constr Contr. Number
Expiralion
Signature of Superlising
4,,
Orvncrs N A{k-,^,
,+0 t-o ,-^t EJ+\ o
(€
OWNER INSTALLATION
The installation is being urade on
propcrt)' I orvn u'ltich is not intended
lor slrle. leirse or rcnt.
Orvncrs Signature:
anlps or less
4re amps to 400 amps
5e>
.^\PI1
C,Q
Neu'
One
Per Pzrnel
$43.00
or u ith Service
$ i.0()
-(Senice/feedcr not includetl)
installation