HomeMy WebLinkAboutPermit Electrical 2003-02-07Gity of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00028
2t7t2003
2t7t2003
8t7t2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
169 37TH ST APT 1
1702314202402
100 amp service amd 6 circuits
Springfield
OFWORK:TYPE
TYPE OF USE
New
Residential
OWIIEWAPPLICANIT:
RAY RICE
70 MAXWELL RD
EUGENE OR974O2
541-729-7 57 t
ELECTRICAL CONTRACTOR:
ABLE ELECTRIC 541-726-6701
13OO ANDERSON LANE
SPRINGFIELD OR 97477
CCB # 146374 Expiration Date:1210U2003
Description
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
Add. Alter. Extend Circ Ea Add
Perm Serv/Idr 200 amps or less
Amount Paid
8. l0
5.67
18.00
63.00
Date Paid
02t0712003
0210712003
0210712003
02107/2003
Receipt Number
I 20020000000000067 l
I 20020000000000067 I
I 20020000000000067 1
I 20020000000000067 1
To Request an inryection call the 24 hour recording at 726-37 69. All inspections requested before 7:00 a"m. will be made the same working day,
inqections requested after 7:00 a.m. will be made the following working day.
,. rrt'l:B.(
Required Inspections:01\!'
\S NCT
1 Rough Electric: Prior to Cover N
SP
t0R
2 Electric Service: Approval required prior to
3 Final Electric: When all electrical work is
P ER\O 0
By Signature, I state and agree, that I have completed application d do hereby certify that all
information hereon is true and correct, and I further certiff 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 certi$ that only contractors and employees who are in compliance with ORS 701.055 will be used on this projecl 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.
Date
lhtalnOwner or Contractors Signature
lofl
.FilXOFT3.D
J
2/7/2003
l:27:4lPM
City of Springfielct
Development Seroices Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #z 120020000000000067 1
Date: 0210712003
Line Items:
Job/Journal Number Description Amount Paid
ELE2003-00028
ELE2003-00028
ELE2003-00028
ELE2003-00028
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ llYo Administrative Fee
+ 7o/o State Surcharge
Payments:
63.00
18.00
8.10
5.67
Line ltem Total $94.77
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check ABLE ELECTRIC djb In Person
Total:s94.77
Page I of I cReceipt.rpt
I}BffiIIL*
94.17
the tottowing
land use
225 FIFTH STREET o SPRINGFIELD, ORg7477 . PH:(541)726-3753 o FAX:
ELE CTRI CAL P ERM IT AP PLI CATI ON
City Job Number (:l-C- ZC,c, j O<)O Z Yoate
689
Zontng -.\g024.70 f.ale
1.3.' VDn [\. 3")+5
LEGAL DESCRIPTION
lAoL3ltt 7 c>z,toL
JOB DESCzuPTION
l-too
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Electrical Contractor AG\4 C\<-r^\f i1
Address
City .<fFf _O Phone
Supervisor License Number L{ *7*S
Expiration Date /?' /" oq
C-
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000.$p
over looo a"rorlVX$l
n""o.,n""td\El ttl
..'t\).,(N'cO$
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
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 Amps or 1000 Volts see "B" above.
New Alteration or Extension Per Panel
$106.00
$ 19.00
$s0.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ s0.00
u3-
$ 43.00
$ 3.00(r^lz'
A.
B.,
t
C
Constr. Contr. Number
Date
Electrician D.
Owners Name
Address \
City -0
OWNER INSTALLATION
tttat ftL Ph"r" \a?-\SD/
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
E.
Pump or irrigation
Sign/Outline Lighting
Lirnited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
<\-
7oA State Surcharge
l0% Administrative Fee
TOTAL
.17"1-G/Sl
$ 50.00
$ s0.00
$ 2s.00
$ 45.00
4
s
(
q .rtInspection Request: 726-3769
Shared Drive(T:)/Building Forns/Electrical Permit Application 1{3.doc
i CITY OF OREGON
LO CAT' I O N OF IA'S'I}1I LA' T I O N
Ncw Residential - Single or l\{ulti.Iiamil.v per d*'elling unit.
Ilranch Circrrits
Services or Feeders - Installatiou, .{lteratinns or Relocntion:
or Ieeders
\
bo ,$\
.c\..s
\q
SUBTOTAL AF ABOW
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-126-3676 Fax
December 02,2003
RICE RAY
70 MAXWELL RD
EUGENE oR 97402
Job Number:
Location:
ELE2003-00028
169 37TH ST APT 1
Project:100 amp service amd 6 circuits
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 169 37TH ST APT 1 which is set to
expire on 1212412003. Our records indicate that you have not requested an inspection within the past
five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you
are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If
you do not request an inspection prior to the expiration date, your permit(s) will expire and additional
permit fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building S afety Supervisor