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HomeMy WebLinkAboutPermit Electrical 2003-8-29 .dJf 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726~-689 ~ (\& 1<1, ELECTRICAL~:I;(,AK-%ICATION ~v J \;v r1bV City Job Number I j()' '.l.J\O LY\. Date r)_ itA 1. LOCATION OF INSTALIATION 3. CO~MPLETE FEE SCHEDiJLE KELO . ,'D 1ffi\ \:\\~M-. ~ L\91IL()'6~ m~~ {\>~ ~7SCRIPTION \\ ^ 3j~n~ J VI \(!l J\ Permits a ~ non-tr n ferable an<~pire if work is not started within 1 days of issuance or if work is Suspended for 180 days. Electrical Contractor The Murph v Harr is Compan goo Amps or less 20 I Amps to 400 Amps 4tt'). 401 Amps to 600 Amps '%: "~"/lC.!'> 601 Amps to 1000 Amps 41. ;S () r~ City Springfield Phonec]-3,'(:!r1~'2 Over 1000 AmpsNolts AlA V4t~U.l?;i/f1;)' Reconnect Only '/I~ ~:rlJ(;. ~O S~ Supervisor License Number Lj~~ ",UI/,/O;<< (),c. I "It' A vij;. 'is> ;-. -717hl.... \ 0/ I nl/ (<'~/Q~ -16>-1, ~S A'fh~I1ation, Alteration or Relocation <! :tOQ ~ii,*t or less 20 - 474 C ~<l8I~A;gpr@~OO Amps l 01 ( 10 L( 40.f~~ttoO Amps Over 600 Am s or 1000 Volts see "B" above. Signature of Supervising Electrician . Pc51t . 015- "r[) e Ii; I[~., ~/~f~.w. rd.!. .~t'J,i~n or Extension Per Panel ~lv\ ~ \ ~oo 04,<,Pll~.:..C~uiJ /;'0;'(9 - - If\ ;.9~ 1.:E1c_h'~dqi.tf6ijgl....GifqUitO. rwitb C: -'(: ~.r. '"',... t(tJ r I~ t711.' Service;or 'Feeder<Peniiiv.z,.. ~:: NJ\01:: S0 G ~~: r","YJr" I' Vy rs :1\ r!t'A1 t\rn - . C/Q ~ ,. ,. ,., ~ql- \S' 'I) t. City ~V\O\ 'Lt Phone -~~P~~p'if[Jidi~ttig{{/e; '1 O,q;'/"& & ~hi 0 $ 50.00 \'))' ,(/0 f$. Of VT n Sf Ej, Sign/0>ji,tlih<?kigJ1tihg t~ O'\tn '0.... $ 50.00 . . Jt?,... vill.- ~ /10.. $ '..n , LImited Energ' :v~sldential I'(I,~ vo. $ 25.00 ','!i.. - ~Vt -)Un '&,s> Limited Energy7&?lIm~"feiaIOI).n I $ 45.00 ""I) 'l.~. ~ Minimum Electric Permit "Insperaqu Fee is $45.00 + Surcharges 2. .;~()NTiqS~OR INSl"~fATION;ONLY' Address 149 9th Street Expiration Date Constr. Contr. Number Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~& A1.4,U' Inspect;on ~eqnest: 726-3769 ~ l>(} 5J .tf A. New Residential -Single or Multi-F~iriiI:y per'dwelling'unit . Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B.S~~Jt~es. orFeed~rS- Instalhl tion,Altera tions orReloca tion:':'" ',,<-.(~~:;~..r',,:t -_)',:...,~",_,--;=-. ~'.'_:~''''' -: .:' '.-_::::,r,.,.:.-,-,:' "":::""_: '_'\~::-:~:~":-"':;':" $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 7% State Surcharge 1 O%' Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonns/Electrical Pennit Application l-Q3.doc .. HU~-~J-~~~~ ~~.~r t-'.I::ll/I::ll +- - - - - - - - - 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$=40945 : CC HOURS TAKEN: 0 :CR H,OURS TAKEN: 0 : NSF CHECK RISK: 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: 10101/03 AMOUNT PAID: S125.00 CERTIFICATION LEVEL: START: END: SOPERVSR SIGN DATE: EXAM SCORE: DUE TO LACK OF SS; CC HOURS REQUIRED: CR HOURS REQUIRED: MOLTI EMPLOYER? o o SENT TO PHOTO ID: LAST RENEWAL SENT: 08/09/03 LAST UPDATE: 08/29/03 - OAVI f I I I I ., +- - - - - - :WindowlEnter :Sv - - - - - - :EO Off:FILTER: +------+~-----+-----------------------------------~-------~-----~---~----------: :SoftKeys: - - - - - - - - - -. + : Collector , : Davisc1 : August 29, 2003 : Level 1: . TRUE copy OF CER'TD'~'NEGD CODES DiVISION BUlL a . UCENSE aECORD~ . _ BY I' ~~Q4J ..() ~ DATE... . .W- <?\ 1 .. -.: TOTAL P. 01 CCB#142410 @" . .....'h~ - ,- '''''''''.1.\ ( , -;."".~"", ,-i JUIlJ \ T11e Murphy HalTis COlnpany PHONE (541) 736-1292 FAX (541) 736-1273 P.O. Box 7632 Eugene, OR. 97401 Building Codes Division Issl.le Date: 09/19/200,1' Expire Date:10f01/2004 License N(.){ .~94S :, '.) 1, GeneratSupe~or ..: . ~ .op ';.......... GEISLER STEVEN R 37026 H16LSGR RD SPRINGFIELD, OR 97478 .-- .~ ~~ .: SCOfIELD ELECTRIC CO Fax:54i6SSS696 *~ Transmit Conf.Reoort ** P. 1 Jul 14 200312:46 Fax/Phone Number Mode Start Time Page Result Note 115033782322 NORMAL 14,12:46 0'29"'. o K JUL-14-2Ge3 09~AB p.az .. . . . - . . . ,. ....... ....... Signing Supervisor Registration De:p~""'rnt or Consumer & 8usiness Se~iccs BuUdb.g Codes DI"ision. 1535 Ed&e"'a1c:f p.(W. Sulcm, OR MaIling ukfreS$; P.O. BOlt 14470.51Ic",. OR 9:'J)(W --. - ,\Su,S) JIJ'I~(SOjt:t18-2JZ.'2/fTV:-(~1>>7~13SS '-. w"'w .ore.gonbect. ore "----- -- - - - t~;J;~~~~~::~,~,,:~~'~1;~~~\~~~J,~~.i~~~j}7~~~~,~\.~~~<~ ;~:: .~~~:~~,,;:~J'!~~~:~.~:.;~;;.\ ~~~\~.. !,;;-~\~, ~"~~::'~ ~'~t~~;~:4;( .! ~ ~'<l '~~:';~~~~\ t ~~,~ !(~~~f~f\i~~~:l~~~~:li)?:;~~~(t~~:;i~ ;:;:.'r~~iri~~i ~t~;!.:~::~~?,~ r. ("''''1:) -..:.-- the undersigned..~ of . ~in acNl: 116 (Please check o"e)~ (due) a licensed gef\e.r2.1 supervisOr electrician o Limited journeyman .sign electrician a Limited ent:rCY electrician fOf (COrrsp,IIY name) Company address: Cit)/Sl2.telZfP: Compa"y license no.: Phone: ( ) - ---'- I wjll sIgn aI/label epplic.:niOl'lS and countersign alll.bels. As supervisor. I will be responsible for ensuring [tIlt all elcC:ltic.alInSlaflalions ~er .minimum safety sta"dards and thaI all suth installations ~i\l be ml5dc in compliance \Iolth ORS 479.510-.8'0. Signalurl': Qualifying.signer's l1ien5e no.: ~I. "~ . ~~ ~ for Ik.- VI1 v-~ --/ JJg,.~ (cD . ~ ~ J , V \)J'- (C'O"'JlllI'}' "1__) Company Address: P. 0 a:, X 7, '3 Z Cily/SI.uelZlP;" h~ , (:) I(. . i? lJ.o ( :1 c.c" Company 11<:7:0.: _ Phone: ( S\I 7 J 7.:11. -/2 ty L . ~ Slg""IU~_ 4A'L ) Qotalifying ,igner', I.,..,. no.: '16(z ~ s. "'~~r~~ :foc.- . &:-O~;-'<- {Il)",r:) , the. undersigned. as of ) - J"#. 0'::> (dIu:) . will raCJl be signing .. . . -. J~~-14-20e3 09:40 P.02 e, . . . . . . . . . . -, ," . -, Signing Supervisor Registration . Deplrnnent ofCOn$Umer &. Business SCf'wiccs . Bunding Cedes DIvision' 1$35 EdgclIo3rer NW. Sale:m, OR Mailing address; P.O. BOll 14470. Salem, OR. 97309 (SO)) 37).1268, FIJI: (503) 378-2322. TTY: (503) 373.ll~8 www .o~gonbcd,org ;~:;:X~~:;;:i~?~~~~~~f1~;ltT~,~~~~'.~ "?~}:,~~~:~?~[i:'~i4~)~~~;!1~1~f;~;~!~~:';~~~i~:~J~! '~- ~~~~l~;l, .:~';~.~!,~~1~~~rr~{~!j~~~~~..X!~~!i(~,~~ ~~~~~, . r)~;~'~ ~y~ :~yt.~\~~~ Z~f:~~?:~~3~~~~1:t~; J~~~~~~~;iJ.~~t~?~ f. (""me} the undersigned. as of , will sem 4' (dale:) (Please <:heck ooe): o licenSed general supervisor eleclrlcian o Limited journeyman sign electrician a Limited energy eleclrician 'fat' ,... -.... -.:'-- - _. . '..- -'.. (company liame) Company address: Cit)'fStatelZIP: Company license no,: . Phone: ( ) I will sign all label applicalions and countersign 'all labels. As supervisor. I will be responsible for ensuring thaI all electrical installations meet minimum safely standards and that all such installalions ~i11 be made in compliance ""ith ORS 479.510..850. Signature: Qualifying signer's liccnse no.:, . -:# f. ...,~ '\ . J.;.~) C~ :Yo~ ~s-l.r.:~ (~C) for ~ Y11~.J...; J.J.c.u~.~ the undersigned. as of ) ~ _Ill- !) .:s..'__ . ";1/1101 be signing (dllll:) . {(f) , (t."Qmpany nsme) Company address: P. () ~ )( ? b '3 ~ Cily/$latelZIP; G:f~.r t:Jg_. 77CJo l ; " Company licens )" .\ c.r: ~ Signature' ~L -;- _ .___ Phone: ( S'J J 7 .fk -12 '?L Qu~lifying signer's license no.;Y6b y, s. o Employer nOfified Dare: By Comment: (initiAlS) l!I~~~~~tl ' &JM~~~8S A4o.H~<! (7102JCOMl TOTAL P. a;>