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