HomeMy WebLinkAboutPermit Electrical 2002-11-15City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-367 6Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE,2002-00137
tulsl2002
tut5l2002
slt512003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION:
277 S 34TH ST
1702313106700
New underground service
Springfield
TYPEOF WORK: New
TYPE OF USE: Commercial
OWNER/APPLICANT:
WILLAMALANE PARK & RECRE, 541.736-4044
2OO S MILL ST
SPRINGFIELD OR97477
ELE CTRICAL CONTRAC TOR:
KENNETH D RANDALL 541.736.4044
2OO S MILL ST
SPRINGFIELD OR 97477
CCS # 4OZiS Expiration Date: 1010112004
Amount Paid
4.83
5.s2
6.00
63.00
Date Paid
1llts12002
tU1512002
t!1512002
tyl512002
Receipt Number
1200200000000000245
1200200000000000245
1200200000000000245
1200200000000000245
CashierDescription
+ 7%o State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amPs or less
To Request an inspection call the 24 hour recording at'126-3769. All inspections requested before 7:00 a-m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following working day.
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Owner or Contractors Signature
lofl
'X.q
with the Ordinances of the City of Springfield and the
further certify that only contractors and employees who are ORS 701.055 will be used on
further agree to ensure that all required inspections are the proper time,that each address
street, and that the approved set of plans, if applicable, will remain on the site at all times during
Required Inspections:
1 Electric Service: Approval required prior to utility company
2 Final Electric: When all electrical work is complete.
3 Rough Electric: Prior to Cover
By Signature, I state and agree, that I have carefully
information hereon is true and correct, and I further
and do hereby certify that all
shall be done in accordance
to the work described I
I
the
22s
LEGAL
OZ
JOB DESCRIPTION
2
Electrical
FEE SCT{EDULE BELOW
or
(r 6zc<:
The and does
zoning
dwellingunit.
Items Cost Sum
$ r06.00
$ 19.00
| $ 63.00 69
$ 75.00
$l2s.o0
-
s163.00
s375.00
WORK
lls NOT
NED t0R
$s0.00
$69.00
$100.00
Per Panel
$43.00
Permits are non-transferable and expirelt'
Stgnature
o or
5 -c ftor
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Instntlntion, Alteraiions or
Rclocation:
200 amPs or less
: . 201 amPs to 4O0 amPs
401 amPs to"600 amPs
-\
if work is not started within 180 daysA\Inonzeo
of issuance or if work is sqpended for
180 days
,,
l
ONLY
Address
City
601 amps to 1000 amPs
Over 1000.amPslvolts
Reconnect Only
Date
Constr Contr. Nunrber--L/A--
l.Expiration Date
Signnturc of Supervising Electrician
City 5
OWNERINSTALLATION
The installation is being made on
properly I own which is not intended
for sale, lease or rent.
Orvners Signature:
401 to 600 amPs
Over 600 amps or 1000 volts see
rBrt
D. Branch
IST .
r r r;iv; tUl\
low rules a
tion C
952-001
)090 You ma
or with Serv'ice
:get fort 1 tt'oo 6 *
-001
or
yOU IL,
'ycallin
numberforthd
Cpntar r,,
s50.00
$50.00
$25.00
$45.00
Fee is 545.00 * Surchargcs
*
77.35
FIFTH
$ s0.00
CONTRACTOR
lVlinimum Electric Permit Inspection
4. SUBTOTALOFABOVE
77o State Surcharge
87o Administrative Fee