HomeMy WebLinkAboutPermit Electrical 2002-11-22City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
8Lrc2002-00143
1u2212002
Lu2212002
st22t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION:
244 6TIJ
1703353100700
One circuit for x-ray machine
Springfield
OF WORK:
TYPE OF USE
TYPE
OWNER/APPLICANT:
DAN STANBAUGH
244 6TH STREET
SPRINGFIELD OR97477
ELECTRICAL CONTRACTOR:
ABLE ELECTRIC 541-726-6701
13OO ANDERSON LANE
SPRINGFIELD OR 97477
CCB # 146374 Expiration Date:tzl0t/2003
Description
+ 7Yo State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Amount Paid
3. l5
3.60
43.00
2.00
Date Paid
tU22t2002
tU2212002
tt/2212002
tU2212002
Receint Number
1200200000000000288
I 200200000000000288
l 200200000000000288
I 200200000000000288
Cashier
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To Reque$ an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a-m. will be made the same working day,
inspections reque$ed after 7:00 a.m. will be made *re 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 certify that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I
further agree to ensure that all required inspections are requested at the proper 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
?3
approval
Date
Permits are
if rvork is tarted \vithin 180 days
of isst-tance rvork is suspended for
180 days
denti
Multi-Family per drvelling unit.
submitted has the toldsifldce Included:
specilic land use
or less
sq. ft or
B. Ser-vices or Feeders
Installrtion, Alter
Relocirtion:
nature
ON ONLY
Items Cost
$ 106.00
$ 19.00
$ 50.00
Electrical
Address
rcF
Date
200 amps or
201 trrnps to
40i amps
Ot er
"B" aboYe
Electrician
D. Branch
Circuit or rvith
4. SUBTOTALOFABOVE
7%o State Surcharge
87o Administrative Fee
TOTAL
not in
ection Fee is S45.00 * Surcltarges
Stns
t' :.
Eercli Manufd Home or
Modular Drvelling
Senice or Feeder
TH
AU