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HomeMy WebLinkAboutPermit Electrical 2003-9-9 1. LOCATION OF INSTALLATION lQD3 \ ~l('1V LEG\~OW~~ rD\?J+ JOB DESCRIPTION -... ~~o~ ~':~I~~~~~'k u not started Wi;~~~~O days of issuance or if work is Suspended for 180 days. 2. . '., - . . < CONTRACTOR INSTALLATION ONLY . .~. .-~' -~.... 3. COJJfPLETE FEE SCHED A. New Rcsidential- Single or Multi-Family per d\~~II~i.~~!.t.;'? 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 $106.00 $ 19.00 $50.00 .; -.. ,,:-:<- .:;--;"-i>'~c-- -::~-_;".>, B. Services or Feeders - Installation, Alterations or,Reloc~ti~n:.": . - ~: ~"",;\.; . -'~ Electrical Contractor The Murphv Harris CompanyOO Amps orIess 201 Amps to 400 Amps Address 1 49 9 th S tree t 401 Amps to 600 Amps 601 Amps to 1000 Amps City Sprinqfield Phone 736-1292 Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges I) \ l.DI 4. "fSUBTOTAEOY '0 f\ \}...~~ v\\ ~1im:.~~;JJJ,,~ ~ ~ \f\ 7% State Surcharge ~\1 \) t\ :tPt, lO%'Administrative Fee JJ ,'\ TOTAL Supervisor License Number 4 0 9 4 S Expiration Date 10/1/04 \ \ Constr. Contr. Number 20-474 C Expiration Date 10/1/04 Signature of Supervising Electrician ~-fP/J -- - ~ OwoersName I ~~ ~ Address \X) \~){ ~cf> ~ ' . City .. Phooe [?>lo It<61.... OWNER INSTALLATION The installation is being made on property I own which is not intended for sale,lease or rent Owners Signature: Inspection Request: 726-3769 ~~.;rj~U~7t'~~ir;-~~f:i~:~'-'~\o~'!i%:~~'0_S::-")~~.~;'/ C.;.Temporary .5ehiceS or"'Feeders' ,*:#'"-~._~_x_,",><~~_<<:""-..,;~<it";,__'_N:,':~':'~"'~".A-""~-_k.,.!.~,,,,_,'" Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. E:-.' "'au' r-,- -<-'~ $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 ir.'1"'~~!i""nt'7~}~~~f'1/~TI"Wffq'\';~"'-S-t:f~""'$';"'{~ E. t~.~~i~",~~;ii~~i~,~[e,!~~~~~~", MU~-~j-~~~~ ~~.~( t-'.\:31/\;;31 +- - - - - - - - - Entity/Address/License LICENSE NUMBER:' 20-474C ENTITY NAME: THE MURPHY HARRIS COMPANY ADDRESS ONE: PO BOX 7632 ADDRESS TWO: CITY: TELEPHONE: , : SECTION CODE: I LICENSE TYPE:, ~ LICENSE STATUS: , :VALIDATION DATE: ENDORSEMENTS: : EMPLOYERS: : RECIPROCAL LIC: - CCB NO: 142410 AB EXAM DATE: EXAM . DATE: : COMMENTS: INACTIVE FROM 7/14/03 TO 8/29/03 ~ '5$=40948 ; CC HOURS TAKEN: 0 : CR HOURS TAKEN: 0 : NSF CHECK RISK: 1 I, - Screen - - - - - + EUGENE (541) 736-7292 PRINT EL ENTITY TYPE: DBA C - ELECTRICAL CONTRACTOR ACTIVE ISSUE DATE: 09/16/02 09/16/02 VALIDATION NO: 0137354 COUNTY: LANE STATE: OR ZIPCODE: 97401- DATE: 09/23/02 PRINT FLAG (Y/N): N FIRST LICENSED: 11/08/01 EXPIRATION DATE: 10/01/03 AMOUNT PAID: $125.00. CERTIFICATION LEVEL: START: END: SUPERVSR SIGN DATE: EXAM SCORE: DUE TO LACK OF 5S; CC HOURS REQUIRED: CR HOURS REQUIRED: , MULTI EMPLOYER? o o SENT TO PHOTO ID: LAST RENEWAL SENT: 08/09/03 LAST UPDATE: 08/29/03 - DAVI +- - - :Window:Enter :Sv :SoftKeysl - - - - - - - - - - + +------+------+--------------~----------------------------------~--------------~. : Collector :Ed Off: FILTER: : Davisc1 :August 29, 2003 :Level 1: , , TRUE copy OF CERTD'~INEGD CODES DiVISION BUlL ,i UCENSE m:CORD~. ,.' a'f J:"~b;--\D~.- 'OATE- . .,. - TOTAL P. 01 CCB#142410 @'''<';-:'.''~''. .-:'."<~".''', ~ JUIlI " The Murphy Harris COlnpany PHONE (541) 736-1292 FAX (541) 736-1273 P.O. Box 7632 Eugene, OR. 97401 Building Codes Division Issue Date: 09119/2001 Expire Date: 10/0112004 License No:' '40945 -..~ -\--. General Supe~or GEISLER STEVEN R 37026 HlhLSCR RD SPRINGFlI~Lb, OR 97478 ..- ..;........ ~.,'.c..,~. ~ SCOFIELD ELECTRIC Co Fax:54'G8S8696 ** Transmit Conf.Report ** P.1 Jul 14 2003 12:46 Fax/Phone Number Mode Startr I Time Page Result 14,12:461 O~29" 0 K Note 15033782322 NORMAL JUL-f4-2003 09= 110 ,Signing Supervisor Registration P.e2 Deplnmenl or Consumer &. Business Sef"tccs , IlhaUdb.g Codes DJlIrision . I S3S Ed&el/llBl.ct NW. Salem, Oil. "".ailillg addF1!SS: p,O. BOll 14470.5alcm, OR 9?)(w ()U.!I) ."J.l,~(SOjn18-21c2,'TT~(~3>>7.)-llSS '-", '. _.__. ~"'w .orego"bcd.org "----- -- - - - . ~j;.fl~11~~~~sf~,~.t~.;~;~ntr~~~J:;~~\;~~1~~~J~'~~~lif~i::-il~j.r~~! *!.~~.~~!~ '\(~~;... ~::t~~~: ,1/~~: vj~Ji~:~'~' : ~~. ~'. ~~ ~~r4: ~,~ ~(' .! ~f:'~:~~:\~~,~~~~~:~;:~~~~~\i5.t:':g~';1t:Jt~J?iiJi ~'):v.(~~~\:~';~}:~~~~~i l. (fta",e) the undersignc4.'~ or . ~ill iCNe 116 (Please check aile): (due) a licensed genenl supeNisorc1oc(ncian o Limited journeyman sign eleclrician a Limited energy electrician fOf (comp:ilftY name) . Company address: City/StatelZlP: Company license no.: Phone: ( .) I will sIgn al,llabel appBic.uion.s and countersign ollllllbels. As supervisor. I ""ill be~pon5ible for ensuring [hat all e.lccuic.al installations mcltr minil'tll.lm safet)' slandards Bnd thaI all $I)(h installations ",ill be made: in compliance ....Ith ORS 479.510..8'0. Signature: _ Qualifying signers hicn1e no.: ~I. ..~ ~~'> O~ To<:.- ~~'k:-'L- (lIan,,:) . the undersigned. as or ' ), I ~ . 0 ~ (<laIC) . will nOl bI: lignin! for TAst- VV/~~:I, Company .\ddress: P. 0 ~.~ (..bx /f, 3 z. h~, j:)~. ((t') . (l."O"'PlI"Y "lone) Cily/SrarelZ.l'P:, 77(/.,0 l . Company Jicen:s .- Ic.r " ~. SJ~nature' .J!:I~~ ...zr:-- ___ Pbone: (S\lJ ) 7..:l1e. - J 2~L Qualifying signet's license no.: Y"f:J..'t s. ., 10- !:;j~ff~ ":~~i~~~1f;~'4i"ti~: ;,!~.;~'i:~~!~~\~-;l~r;~.,~}~'j.~(i.~~!~:~ i " 1 . .. J~~-14-20a3 09:40 P.02 ..~, . . . . . . . . , . . . ~'.. .,' Signing Supervisor Registration Depllrcment of Con$Umer &. Business Se".icc:s Building Cedes Division. 1535 Edgelbllrer NW, Salem, OR Mailing address: P.O. Bo.1 14470, Salem. OR 97309 (S03) 37H268. ru: (503) 378-2322, TTY: ($03) 373~1358 VlliI/w.oRgonbcd.org ~s:~~I(:11*~;'~&~~;i;;7;r~~~~~1t&~{~! ':~;';1;~(~::~~,~~1~':"\:.~;:J:f~~~~11l'f~!';;.!~~;!J~5;~~f~l~~i~~:~~~~:i !~( ,~r}l~lrf~';J~~~{~'~?~!!f:~~: ~-::~i~~tI~ ~j~~~1:i~Y;1~t~f;~:;1~~~~~:~f~1~6~:t\~~ ~~~~~~r:lft/~ , I, . (/Ill me) thel.lndersigned. as of . will &eM 4' (dale) (Please 'Check one): o Licensed general supervisor eleerrician ' o Limited joumeyman sign electrician a Limi(ecj energ~ electrician 'fat" . '.' -.,., --.:_- --, (company 112171e:) Compaoy address: Ci~y/S'atelZIP: ' Company license no.: Phone: ( ) ,I will sign all label applications and cDuntersign all labels. As supervisor. I ""ill be responsible for ensuring [hat all eleclrical installations meeJ: minimum safel)' standards and that all stiCh installalions \Io'i11 be made in <:ompliance with ORS 479.510-.850. Signature: Qualifying signer's license no.:_ ~f, .., \) ~~ 'J fOt ~ J'11 ~,J;,..; O~ Company address: Eo ' :JOL ~SeJ....:,~ (natI'Ic) J.k,~.~ r:bx , the undersigned, as of ") ~ J 1I. f):::!> u" will n.ot be signing (cJIJle) (rr) , 'Cily/$t3telZfP: G::f~ r ~{(u' (company name) /(, '3 z.. 77CJo ( Compan,Y liczens no.: ) " c.r \, (M .J . ~'Signa(ure' ';.R_ /",/~~-S- _.__ Phone: ( :flLJ 7.:?k -I :;27'2.-- Qu~lif)'ing signer's license 00.;36h i..S o ' Employe..- nOfified Date: . By Comment: (imriJlls) 1~j.~ .wo.25~~ (7102ICOM\ TOTAL P. a;>