HomeMy WebLinkAboutPermit Electrical 2002-11-18City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00139
tUt8t2002
tut8t2002
5n8t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION:
4O1O E 16TH AVE
1703344306600
Install one circuit in out building
Eugene
ryPEOF WORK:
TYPE OF USE:
Addition
Residential
OWNER/APPLICANT:
CARVO DAVID V
PMB 5I7
EUGENE OR 9740I
Description
+ 7%o State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
541-221-2949
*
$U1812002
812002
tUt8l2002
t1/18t2002
,16TH AVE
rE oR 97403
Expiration Date:
Receipt Number
l 20020000000000025 1
I 20020000000000025 1
I 20020000000000025 l
I 20020000000000025 I
Cashier
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To Request an inspection call the 24 hour 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7:00 a.m. will be the following working day l(
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
-
LEGAL Dtlo oLbo
Each Manufd Home or
Ivlodular Drveiling
Senice or eeder
amps or
201 amps to
.401 amps to
1 anrps to 1
100
Over
"8" abo|e
,Family per drlelling unit.
Included
or
500
Iterns Cost
_ $ i06.00
$ 19.00
$ 50.00
^r 69
l:"J:""".
Electrical'
JOB D o
Permits are non-transferable and
if rvork is not sttrrted u'ithin 180 days
suspended
s
TALLATION ONLY B.
en'ising Electrician
tor
,0
D. Br
Address
Cit)'
Date
ers Name
I orvn rvlfch is not intended
Iease or rent.
anch Circtrits
Nctr Alteration or Exlensio
One Circuit
Elch Additional Circuit or
or Feeder Pennit
q
n Per
l'ith
E. I\'Iiscellaneous (Serliceilced
-Each install:ition
Ptrnrp or irrigation
Sign/Oulline Ligltting
Linrited EnerglAcs
Limitecl Energr''/Comnt
cr not includcd)
5)U.Ut)
Nlinimum Electric Permit Inspection Fee is S"15.00 * Surchargcs
--
J. SUBTOTALOFABOVE q)
7o/o Stfie Surcharge t-rr
87o Administrativc Fee ?6o
TOTAL 5rf
2]5 FIFTH STREET
SPRINGFIELD. OREGON 97+77
TNSPECTION REQUEST . 126-37 69
OFFICE: 726-3159
OF
t---
City Job No*t,.,' fiLCZfuZ' 3 ?,'
3. COMPLETE FEE SCHEDULE BELOW
ELE( CAL PERMIT APPLICATION
:
or
Expiration
Expiration
OWNER II{STALLATION
Tlie installation is being rnnde on
C. Tcnrporary Scruices or Feeders
Installi-rtion, Alteration or Relocation
$ 3.00
180 days.
Alterations or:
!
SLrpen'isor License Number
amps or less
to 400 amps
volts, see
$4300 !)