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Home My WebLink AboutPermit Electrical 2003-03-17SPNIHGFIELD Gity of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield Oregon 97 477 541-726-37 59 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00074 3n7t2003 3fi7t2003 9n712003 SIrE ADDRESS: 230112 17TH ST Springfield ASSESSOR'S PARCEL NO.: 1703363102500 T\"8 OF WORK: RCPAiT TYPE OF USE: Residential PROJECT DESCRIPTION: Repair damaged mast OWNERYAPPLICAIIT: WALKER& BUSH 488 SUNSHINE ACRES EUGENE OR974O2 s4t-344-9046 ELECTRICAL C ONTRACTOR: CHRISTENSON ELECTRIC INC 54I-688-612I 1631 NW THURMAN 2ND FLR 543-419-3600 PORTLAND OR 97209 CCB # 458 Expiration Date: 0510112003 Description + 10Y' Administrative Fee + 7%o State Surcharge Service Reconnect Amount Paid 5.00 3.50 50.00 Date Paid 03117/2003 03/17t2003 0311712003 Receipt Number I 200200000000000833 l 200200000000000833 I 200200000000000833 To Request an inspection call the 24 hour recording at726-37 69. All inspections requested before 7:00 am. will be made the same working day, inspections requested 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 application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of S further certiff that only contractors the laws of the State of Oregon pertaining to the work described herein. I further agree to ensure that all who are in compliance with ORS 701.055 will be used on this projecL I are requested at the proper time, that each address is readable from the street, and that the ap will remain on the site at all times during construction. \$Date L \ lofl f (u\eu ' .^t tl 1 L1iBIITHSTREET . SPRINGFIELD, OR97477 ' PH: E LE CTKT CAL P E RMIT AP P LICATIO N City Job Number U-ebos*o@7f Date 3. jac,7,r p i1ti' StdJ LEGAL DESCRIPTION 70 33 [,3 I oes<>o JOB DESCRIPTION (s47)726-3753 approval. ?-r{- 63 Zonins TC A. Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. C D. has the fo,,owrng ,and useuire specific $106.00 $ 19.00 I l1 ) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. $50.00 s 63.00 $ 7s.00 $125.00 s163.00 $375.00 I $ s0.00 < Ci OO Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 Over 600 or 1000 Volts see "B" above. Electrical Contractor Chri stenson El ee lri c 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601Amps to 1000 AmPS Over 1000 AmPs/Volts Reconnect OnlY 1 Address Address ?9R Bethel Dri we1 City F,g.no Phone 541 -688-5121 Supervisor License Number 3759S Expiration Date t0/0t/04 Constr. Contr. Number ? Expiration Date S ignature of SuPervising Ownerc Name q.,tr\.r,: Irl - tii 6.1 !0 E. Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * surcharges Pump or irrigation Sign/Outline Lighting Limited EnergY/Residential 7o/o State Surcharge 10% Administrative Fee TOTAL $ s0.00 $ 50.00 $ 2s.00 is not intended for saie, lease or rent. Owners Signature:OO 35o5oo 5s 5oInspection Request: 726-3769 trt& cbolo? I own which 4. Shared Driv{T:)/Building FormslElectrical Permit Application I -o1 doc s New Alteration or Extension Per Panel one circuit $ 43'oo Each Additional Circuit or with Se*i"" or Feeder Permit $ 3'oo City OWNER The installation is being 3n7/2003 l0:07:l9AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000833 I)ate: 0311712003 Job/Journal Number Description Amount Paid ELE2003-00074 ELE2003-00074 ELE2003-00074 Service Reconnect + llY' Administrative Fee + 7Yo State Surcharge Payments: 50.00 s.00 3.50 Line Item Total:$s8.s0 Type of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid Check PHILIPS ELECTRIC djb In Person 58.50 Total:$58.50 - Page I of I cReceipt.rpt Line Items: