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HomeMy WebLinkAboutPermit Electrical 2003-5-21 , . ", - CITY OF ,- \.INGFJELD, OREGON ~' . . ~" . I ~ ... ; '" PIFIH.~ET · ",,",en_ OR "'" · "''''')''''''53 ,'AX< "',,,,..... D'iJ" ' ELEl-JJU.CALPERMlTAPPUCAUON / ~\l1t... .......... ""'d' CIl)' Job Number aE'ZOO.3 ~ 00 I z ~ Date s/t '710?, 'V""'J' :"j~~"'~'I:<!.':"""~:;;~li"";'~"t'!'iil'~:.:..,q '~~"-':-;~~~~~;:"~i1.::.~"o\f""" ;~.;-.(:i'~~:-"""'~r""!'. .,:....';';l.:-A... .'. . ,'--~,;_~-;:, :I.:.'Ull,r...... 1 ;::~~~l ~JY.~li.B . I .';I::I:.I2L'.;<,!'eH,:'f.~::'~~~t~ 3 '"~~,. . ~;P:'r~dQ'~~"":I~.t/~.JIB.m:I . il.;,..~~~.. '-!~I.~,~;;.i.......,!n1llil.\:\ .~.::"..i.Il"r...t~"J~~.:J::~,.:i;f:.'l::.t . ~~::1::::;;";'''1~!l~~~' -';"", ~!.~i:!;~~,a~;;;;;~;b:::..~::iii:i~~~~;;ia;"::rl!}.::: 4/7S- M....." Sf- LEGAL DESCRiPTION J70Z3Z32 02~O JOB DESCRIPTION P05 C't.h/1i\, Permits are non-transferable and upire if work Is not started within 180 days ofis.suance or it work is Suspended for 180 days. ~i1--'"'''''''~,)'''~",":.r,i''''.=-''''ia'!\III~;!I''' "'~'~-"""~iI\~-'r.;~~r"-' ~~~.'~~~:.:~"'~'~M .'I.~~~..:~..~-~~;:~"., ~'~:'.~';f'.X.~~~:-"_~'_ ~";~~1.iii~ 2. '!...~..,...,..",-. ,__,.,._.._,...,...,."",u....." ""'_" ..) .....~~,;!~'" ..~~..:.'.-...':!'O"I.r:~'~ '.._.~.~...:;l_..._~. _.....M.. _.___. ._........... :.>..._._"'__ ..:.>l.OoIl........"",,:/::... ....:.>.. Electrical Contractor .1111,. I 'lcffl< 'c ~""'~ Address d..-1llY 51.1) t::n.s-l- Av-t City PilRH"",,) Oi'l 'TI'~I Phone $"0) - ~-(,771 Supervisor LicellSe Number ~dJL~P Expiration Date '0-0{ - OS- Constr. Contr. Number 6 G 7Q. ) Expiration Date <:J5f(J11 Z 00(" Signature of Supervising E]ectrician ~~ r ' Owners Name ~12-\t,-' fi/}rtfll.j I~r Address 10 l.; Levillk..J Mi:: City CCaws Jilt:" cA- Phone OWNER INSTALLATION The installation is being made on property I Own which is not intended for sale, lease or relll. OwneJll Signature: Inspection Request: 726-3769 ," ,.'.... ,.,."....; -'. -' ~, .. .' ~ .. A. ~jlr#!.li!i~liBi.:mtl~~!~:'~,~~f~~j 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 S106.00 S 19.00 $50.00 B. ~B::~~~t~!~~~~;f~~it~~~p;rl~~~~l~J :\g..Eh..::;:':'.;.~...,..r.~~.,';:,,;:,,."::"~.'M~;;.r,;:::!'l~:..... .,;:,..i1!~~!,~~ .,'rJ;.:,,~~..._~~,.,::h,,:r::_,_~">:~,.......;l,..,.,,;,.,',..!!,.!r,h~~: _'~::"""''''''''''''''~~~''''-''';&_'''''''~".'''''''_''''''M.' . __...."""__.... ......'t:i......._. ,. ~...4~"......_ 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1 000 AmpsIV OiLS Reconnect Only S 63.00 $ 75.00 $125.00 S163.00 $375.00 S 50,00 c. fi:~ll~j!;~~~~!~~t~riW~~~~~~~kil~W.!.~t~lt -.. ,-- .,.- 0~'lu0\~~'i" .' ... '.... .-. ... '. Installation, AlteratioD Or Re1ocati~~,or> . '0(. \ ~"'-. 0'" ",0' ' ~C'i 200 Amps orless r.\'3--.tl 0 O~ ,,~0 ,\$~50.0<!i, ~o,. \~ '0'" c-:l" ,"- 201 Amps to 400 ^",ps' A 'Q"! ~I\' ~~p $1!i9:00 "'.'V_IreV s0 V\._ lei' c\"\ 401 Ampsto.6oo'Awp's' -'(,'<;\0 \'0." _,~ S100.00,)(\ ....~, ,- e, '3-\>' :~(. . ~'<:I~O . ~s - .1>,,0": '3-\~ Over-6oo'Amps .or.1pOO~Y:ol~ ~~)~.. ~1?P'::: ~\\\\~ "', ..... ........... D ~. ~--...~\~w~~.~~.-T:ll..:~l':ir.t~~~~~~~::~_."_M.!.J:i;;t~l:'.:~C:~.~~,.. .' . ". J:j . . ,,'" ~.....~:f'..Z;:';:;~;~:t~,,;.:~ """::!"'i~::U..~"''':;~."':'dj;;. ~'b"''''~I'"''.:-::'i="'~ .~..~ " .\. ,-'" -~'~~-"".oIo"~'_:;:'~~"'"";;""'IO;;.;"'T'.m,,",,,,_,.';;":".="":rl:......,,ffi;.~,,...._,.,.. ,... -- - _-,;.'lI\i!.Ii".."~",,,..~,~.......~_.~a;-::"""__~.';;1: a1_".......;f;..~.~........,......,......."".... . .h\\\'-r. C\":)~ ~"'I.... \e\..... r.<\ V n;f,..~ New,:Atteration or'Extension Pe!;'PSnef>" One Cllic~o.~~::.\'<;\e\~'3~'~,'OCV- $ 43.00 Each AildliionaJ\citcwl~or.wilii' v- V':........ :(\....... Service or FCedei"Perriiiil \\V E. f- ,\~iPli7j~gf;;JS(1~'l'~;~':"'E"5~f,,,,"'>-~E;i:1l1'~~1$~ITi;i.~i; -.-'- .;;".~ ,..:~>:-r.t~~~~=~"~~..~S'F~"m!~.H.lJ~~",- '''';'.i~'''.''~-~''-''-''=;~~ .. .... -.""'----. ......- ....._._--....-..-~..... . ...... ~......~~--.".- $ 3.00 Pwnp or irrigation TOTAL SIw<d DriV<(l':)/Building FonnsIEl<<lriaJ Pcnnlt AppUCIIlion t.oJ.doc '.., '.- ....;; Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: OWNER/APPLICANT: GABRIEL F AMIL Y TRUST 1023 LEONARD AVE OCEANSIDE CA 92054 Descriotion + 10% Administrative Fee + 7% State Surcharge Low Voltage. Commercial Indus i. . City of Springfield Electrical Permit Attachment . PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00129 5/20/2003 5/19/2003 11/20/2003 4175 MAIN ST 1702323202500 Springfield TYPE OF WORK: TYPE OF USE: New Commercial POS cabling ELECTRICAL CONTRACTOR: DYNALECTRIC COMPANY 503.226.6771 2904 SW 1ST AVE PORTLAND OR 97201 CCB # 66793 Expiralion Date: OS/21/2006 Amount Paid Date Paid OS/20/2003 OS/20/2003 OS/20/2003 Receiot Number 4.50 3.15 45.00 1200200000000001269 1200200000000001269 1200200000000001269 To Requesl an inspeclion call the 24 hour recording al726.3769. All inspections requested before 7:00 a.m. will be made the same working day, inspeclions requested after 7:00 a.m. will be made lhe following working day. ~,o 1 Low Vollage: Prior to cover. S ~o \)~~'i ~ By Signature, I state and agree, that I have carefully examined:ti,~7~~P~~~r.iPP.Iication and do hereby certify that all information hereon is true and correct, and I further certifi t!ia'i ;Ey~~nc6ii~ork' performed shall be done in accordance with the ?rdinances of the City of Springfield and theJ!1,~s"OfJ~~~ta't'~' ~.O?,)(g6n~.p'~~a!.n.ing. to the work des.cribe~ herein. I further certIfy tbat only contractors and employees who,are'lD<'Compllancf'wltli\ORS-70l-;055 WIll be used on thIS project, I further agree .. . ",..... .....')" /"~ ~nV"" ...... __\v....(".., . to ensure that all reqUIred IDspectlons art; ~equested'l!t the p.roperih!"~thllti!ach address IS readable from the street, and that the approved set of plans, if appIicable,<will rem~in;~'fi.th'e';ite:ai"all t~es"'d'rlring construction. <?S-' ~~>>.~~\.r~....\J~,'if'''~0'\.~\)~'''':l-~~'' ~O~~..r~ _,,7:r;:s~\ 0 _\e~' ')O~ ,~~7: _'0'" "",?- J ~ ,. v"" O'~ o.C\\J Dale '--: 0<' ~O .;s>e ~e . < "tV ,~ ~'!l\J' ~,<:<~ 'O~ e~ \- r;:s vi}. '$)e~ ci'~ <:<~~ Reouired Insoections: Owner or Contraclors Signature ~\J'0" <. ,\--r.\;. c. ~\J'\ ~ \\ ~ \'" \;.i-~\\l\ ~\;.'?-.~ \\J'?-. \>.\.\. ,\--r.\'O f;J~\;.'O ~,\\~fc;"o.'J-.-v.. ~~~'O'\:.'?-. \>.'O\>.~'V ~'v ~\;.'" '\:.'0 \) ~ \'0 ,\--r.\'O --r.\J~-V ~'O 'V '?-.\\J'O' \>.\:>\ ~\;.~'V ~ ~<..; c.\J~ '\ 'O\) "V \>.~'\ Page I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number ELE2003.00129 ELE2003.00129 ELE2003-00129 Payments: Type of Payment Check 5/20/2003 City of Springfield Development Services Department( Public Works Department Official Receipt~, Receipt #: 1200200000000001269 Description + 10% Administrative Fee + 7% Stale Surcharge Low Voltage. Commercial Indus Paid By DYNALECTRIC 3:23:39PM Received By djb Date: OS/20/2003 Amount Paid Item Total: 4.50 3.15 45.00 $52.65 Check Number Confirm No How Received In Person Payment Total: Amount Paid . 52.65 $52.65 . Page I of I cReccipl.rpl