HomeMy WebLinkAboutPermit Electrical 2002-10-14
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.. ':\ 225 FIFTH STREET' . .\," r I rj-' : "'. EL.CAL PERlv[]T APPLICATION'
"~~,ISPRINGFIEI.p,OREGON97:'77: .J:: -.--:il i.,:,,' cl V'IrV'.f'l-Oal\4'
"':'.1 INSPECnO..N. REQUEST: 726:a769.', I : I,.l'i. : '. I .CI~y!oh ~umher ( Q....1l1 f.L - 'I
'e_., ! i O~FICE: 7~6.37591 : t :;! c : ie,c..; !: l.I!; I._ . '.
'-(F{r'e WqY;~('ei'fi~(cS: n,L ;3C9MPLETEFEESCHEDULEBELOW
. i i L LOCA TI9NOF INSTALI;PION i . I I, ,'. al/lleu6!S jpezu041n\f
... -'':::; 6 (l [S. "J1?A) /LJ .c:..'1'_ fYl)l3- A. NewRcsideuli"l-~ing/jllgr- -,>.-
: -z.. () -fr! - oj Multi-Family per dwelling unit.
LI:;GAk~OND~fV'Y"\ -Vv "c~I~81~"c~~~"J~ .
\'{}O\.J~I ~ 61uOZ Items Cost Sum
bel lOU seop PU'B U
aso puel :>!J!:>ads eJI" . IOJd 6U1MOllol a41 .
JO B DESCRIPTION ,-Qu!MOI}OI aUI seu pel\lUlqns f5o'li'sq fL orless _ $106.00 _
W')ve.\",c;,c; S€.DV"'~+<' ~ ~ EaChadditional500~ .
. .r Al"" sq ft or portion .
Permits arc liou-transferahle and expire '04:' 1~1v thereof _ $ I 9.00 ~..
if work IS not started within 180 days .~Otlil'Olj." );0/11 Each Manufd Home or
of issuance or if work is suspeuded for ;I}OAl/~tlo q/&~<l '~dular Dwelling / .
180 days. '. VoO Ji'0.s:: '?C& O'o.8f.~~/r Feeder ~ $ 50 00
'. ">s>;. '. Yoq l.?"OOl '?t&r &0'6 >S>lj. r6\ ' . .
2 CONTRACTOR INST ALLA TION'0l>fJa~.9 t~ 11}.;. S6VJ.c~~;')tl!w~I%/,, ,.'
, . ,-' i9r,o ~c 06t"'l ~!ffi>"ti21r,'~~~ns or
ElectncalContractor GfnbA..! ~~t4>IlY~~ '?<fl:j;@W}jo~>S>1: O?Ut,~to
....:.., _ /ft~O.,~' (~0t.101&~ OAlI? ~8&t I#~
Address Lt6 '- V U IN.<;, f~o "a;'OI) lffil.tJ61?t ~)e~.a '0"1'1-
. " 0 / -',-V',?.l~(j)~lPS45J"411941~l.
Clly f..Ua.1'D /.v<e > Phone q(((-C,G5''9- ~.i!~1Irg6eia~J!>J
. \ / 601 'fIl.JllS r6'<1>>g,1l' amps
Supervisor Llcen~eINumb~r F2{.,:J-. L (2;A . Over 1000 amp~olts
i - -, ,." , ,/
Expirati~n Date.e / 6 -~aA~O:t~.S ' , Reconnect Only
~,.':constrCon~I~:~e~. ~q,,+--/f11JtJ~fI!~~8~~~J~f~:i~~!;~::~~ation
'ExpIratIOn Date 7 {"j ~.. 600,3 .'. ClX] ]]..PAlJ1P. "l~~f/~ds1//;i,
. _______~_. vflS2 o'%ljlIllPs
. .. " . ,,~~:~ Sillf'rU~?.o_volts s~e
'. ~. /\01( -'" \
.J- . , ,
- I' -'-,-" C' . I D. Branch Circuits ;
Owners Name LLu. ~... v (V" c. & Ne,;' ~heration or Extension Per' Panel
I '< , J,::'!
Address I., "^. C{ 600 JII1 AI (<- '> f One/Circuit '. ,.
Cit). ~IR.,.;:' .~Phone Eac:I Additional Circuit or with Service
. tI or Feeder Permit $ 3.00
OWNER INSTALLATION
The installation is being made on
property I o\m which is not intended
for sale1 lease o.r rent. .
,
$ 63.00'- _
$ 75.00 ~
$125.00
$163.00
$375.00 ~
$ 50.00
---.-.:. $50.00
$69.00
$100.00
$43.00
Owners Signature:
E. Miscellaneous (Service/feeder not included)
,Each inst'lIlation
Pump 'or 'irr(gation .
SignlOutli~e Lighting
Limited Energy/Res
Limited Energy/Comm
~ $50.00
$50.00
$25.00
-/- $45.00 _
,Minimum Electric Permit Inspection Fcc is S45.0n + Surcharges
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
8% Admjnistrative Fee
TOTAL
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City of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00114
10/14/2002
10/14/2002
4/14/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
5608 Main St
1702334103000
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Commercial
PROJECT DESCRIPTION: Install Wiretess Security System
OWNER/APPLICANT: ELECTRICAL CONTRACTOR:
FIREWORKS CERAMICS
4608 MAIN STREET
SPRINGFIELD OR 97478
GLOBAL SECURITY 541-461-9657
46 IRVING ROAD
EUGENE OR 97404
CCB # 69705 Expiration Date: 10/10/2004
Descriotion
Amount Paid
Date Paid
Receiot Number
Cashier
+ 7% State Surcharge
+ 8% Administrative Fee
Low Voltage - Commercial Indus
3.t5
3.60
45.00
1011 4/2002
10/1412002
1011 4/2002
1200200000000000065
1200200000000000065
1200200000000000065
IIh
IIh
IIh
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.ffi. will be made the same
working day, inspections requested after 7:00 a.m. will be made the following working day.
Reouired InsDections:
1 Low Voltage: Prior to cover.
By Signature, I state and agree, that I have carefully examined the compteted 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 Springfietd and the taws of the State of Oregon pertaining to the work described herein. I further
certify that onty contractors and emptoyees 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 readabte from the street, and that the
approved set of plans, if applicabte, will remain on the site at all times during construction.
Owner or Contractors Signature
Date
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