The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-02-07aFB${8F|40 City 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: ELE2003-00027 2t7t2003 2t7t2003 8t712003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: 153 37TH ST APT 1 1702314202403 100 amp service and 6 circuits TYPE Springfield OF WORK: TYPE OF USE: New Residential OWI\ERYAPPLICAITIT: RAY RICE 70 MAXWELL RD EUGENE OR 97402 s4t-729-7571 ELECTRICAL C ONTRACTOR: ABLE ELECTRTC s4t-726-6701 ,I3OO ANDERSON LANE SPRINGFIELD OR 97477 CCB # 146374 Expiration Date 1210112003 Description + l0% Administrative Fee + 7o/o State Surcharge Add. Alter. Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid 8.l0 5.67 18.00 63.00 Date Paid 0210712003 0210712003 02t07t2003 02107/2003 Receint Number l 200200000000000670 l 200200000000000670 l 200200000000000670 I 200200000000000670 To Request an inryection call the 24 hour recording at inryections requested after 7:00 a.m. will be made the Required Inspections: 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing seryice. 3 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 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 certiff 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. Owner or Contractors Signature I of I J same working day, by a(e b' 21712003 l:27:22PM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000670 Date: 0210712003 Line Items: Job/Journal Number Amount Paid ELE2003-00027 ELE2003-00027 ELE2003-00027 ELE2003-00027 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + l0o/o Administrative Fee + 7Yo State Surcharge Payments: 63.00 18.00 8. l0 5.67 Line Item Total:$94.77 Type of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid Check ABLE ELECTRIC djb In Person Total:$94.77 94.77 Page I of I cReceipt.rpt 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 r FAX: ELECTRICAL P ERMIT APP LICAruON City Job Number taL€.ZC o3-DOO'21 out"O ZO-" O'3o"t" 1.3. \53 IJ, ia\L LEGAL DESCRIPTION A. JOB DESCRIPTION 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 7 B. Electrical Contractor ACA<- -t\ eAr ia -200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only AS submitted has the tollowing not requ ire sPecific land use g $106.00 $ 19.00 $s0.00 $ 63.00 s 75.00 $125.00 $163.00 s375.00 $ 50.00 f4et5 $ 43.00 $ 3.00 Lz- Zoning t7o"Z3MZ a'LLt.o\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address ciry G?et f Ph""" \;Xr-(aQO ( Supervisor License Number LT8'?RS Expiration Date /3- t- o( Constr. Contr. Number %-qc.r)c Expiration Date /o*ol-01 Owners Name Address ( ciry 6l Lc,,1qi1{- pno,,"'J}?'r}fl T t9( Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps 5100.00 Over 600 or 1000 Volts see "B" above. C D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with r Service or Feeder Permit lO ( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 7oh State Surcharge 10% Administrative Fee TOTAL 9t-{ ,"t1Inspection Request: 726-3769 Shared Driv{T:),tsuilding Forms/Electrical Permit Application l-03.doc W [ffiffim"ffius sRm..pw .EE'r' \-looGmC*Dtrrrizy ,h a.: Qrr,^.nrk. c \41S .l{r}1, [sidex].fiet =. gtp]ar tt**tff'Fax*i,y i Alterations or Relocafion:OiVf,-Ir $ert"irss or Fs**ers * ...\{! r\ \(\ E. Pump or \S $ s0.00 $ 50.00 $ 2s.00 $ 45.00 Permit Inspection Fee is $45.00 * Surcharges 1\\e $.a.r. ae/t- ef:not ;fa*h 4.