HomeMy WebLinkAboutPermit Electrical 2002-12-11
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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:
ELE2002-00154
12/11/2002
12/11/2002
6/11/2003
SITE ADDRESS: 1630 1ST
ASSESSOR'S PARCEL NO.: 1703362104400
Springfield
TYPE OF WORK: New
TYPE OF USE: Residential
PROJECT DESCRIPTION:
Temp power
OWNER! APPLI CANT:
DAMON RAPPLEYEA
32914 CHURCH RD
WARREN OR 97053
ELECTRICAL CONTRACTOR:
BURRELL BROS ENTERPRISES INC 541-747-2724
40159 BOOTH KELLY ROAD
SPRINGFIELD OR 97478
CCB # 136446 Expiration Date: 08/20/2003
Descrintion
Amount Paid
Date Paid
Receint Num ber
Cashier
+ 7% State Surcharge
+ 8% Administrative Fee
Temp Power 200 amps or less
3,50
4,00
50,00
12/ll/2002
12/ll/2002
12/ll/2002
1200200000000000379
1200200000000000379
1200200000000000379
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7 :00 a.m, will be made the following working day. ~\J~'f..
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Reouired Insbections: \. 't.i--\>\~ \>'t.~\N \) rv;\J~
1 Temporary Electric: Approval required prior to Utility COl}lR~.ene~~~~:..\\\ ~\)\J~~
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By Signature, I state and agree, that I have carefully exard\\i'i~~I\e'Xe\Nl!~te~li1l.~tion and do hereby certify that all
information hereon is true and correct, and I further certif)\~N\a.lQ.Y'){~!d1 t~'f)\!'i-formed shall be done in accordance
with the Ordinances of the City of Springfield and the laws o~J~~~~~ on pertaining to the work described herein. I
further certify that only contractors and em ployees who are ~ ce with ORS 701.055 will be used on this project I
further agree to ensure that all required inspections are request~ t the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
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Owner or Contractors Signature Date N ,\eo..\).'~~o'(\ v~\ \O'\~
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I. L~~A~~NOiSTA~fIION . iki'i'~i,t:~~~~[~~~5~0~f;b~V
, ~'(\0:~\c, \'3' Mult' amilv pcr dwclling unit.
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o C(f.{oO "F~'fl~V'J~,,0
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Permits arc non-transferable and e1>~9i-e ~~...0
If work is not started within ISO days ~ ~\,~,,1>
of issuance or,if work is suspended for \)'0-,-16 o\\}~~
J SO days, :...:)'-'(\ ,
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E .TRlCALPEBJvrIT APPLICATION
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:City Job N;~~;b~r:E6tS20Di;:..!OD( S-\j'
,225 FIFTH STREET
SPRINGFIELD, OREGON 97477 '
INSPECTION REQUEST 726.3
OFFICE 726-3759'
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LEGAL DESC~TION
/7033bZ(
Items Cost
SUI11'
JOB DESCRIPTION
'f?-'YVl ~
000 ,ft. or less
E' 1 additional 500
sC], ft or portion
thereof
Each Manurd Home or
Modular Dwelling
Service or Feeder
$lOliOO
:); 19.00
$ 50,00
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2, CONTRACTOR INST ALLA TION ONLY
Burrell Bros. Electric
40159 Booth Kelly Road
Springfield, Oregon 97478
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B. Sel'vices or Feeders
Installation, Alterationso!',
Relocation:
Sl1Pcr'~'isor,L,:lseI;SC-~-l1lJlbCr~~~i~\,' .
:::::;t~t}~W~~~~ .) C:I~;;~~;ra;i;~ i;\~~~~'
bpir,ltioIl Date (~.\::::)~,'" ,i':,~:<", ";:';:2 'l'~\'i'c
. , ,.,. , ' , ~." S~~\;.~ ~\I\\, a\~~\an~p~ ~ ,\"
" SIgnature of SuperVISing ElectrICian ~~,\~ ~~~\\ ~~\)~~'-t\~~~OD amps' ".
, ~' 0,,".'\ ,', "'" '," Q 1'~~Jl,,\t'-1\) \)~~~.~ amp' m 100.0 volt, '"
"* L ""',~llL.\J " rJ.vJ\Al.~~~~~C;\)~ \>'0' ,
, , " ',:;). ~ / ~~t..\'i \lQ~. Br,lIlch Circuits
Owne's Nam~AM6/V "r;frfJPIC y~)f. or ExtenslOn Per Panel
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Address 3Z11V :Lrl,h'a:c~-\ '~~
"$63,00
,,$ 7500.
,,' $125.00
:); ](;3.00
$375,.00
" ,$,.50.00
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City iJ;j (L (L'fp/
Phone
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One, , '\\16S'lO?\.\,.$j300
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E' I" "'1"1' ., "'IDF.l~ ., '" n~eJ'C' ,..0\ \0 '
ac l'Ac c ltlONa,' _(,lr~~,Ht prJwit ,1 0c<Evlce nO'\ ~
-nl}\';"- '. 'ov'),- le5"" 'n~u
,'0J.:FecCfe,rEeIi, ,n'11t,e -e tUI 01\9.95"$ 3 ,\8Q
j:\\ \ v'. \eSe.v~' ,nO;:) ~,.... u\e":; '\.I)
\\O\N tUi,(:;~.n\et. "''n~oug n\ \"e t. e
E. J\\'D:celIa"R'tf0i'lS,':J. Sm~'i0~/fecdc.ld~:fJ'i> incLlh"hf(f)On. ^
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,(\ '..nlInR~'!).llfrigatlGne\. \: U\\\\\', I, A...., :)iSO. 0
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, QvS'lgil/.\q\~{Jii(i\e'r::~httn.@~. ,(j,?;'2:'c- $5000
l'~~\ \ 1;:1 " \ I'~ ,.,1\0*"
Ll'l11i(1)1-E:f>l'Of.gYfRes,\-ol." $2500
ffiI-Nj'cctE'[Wg~,Y'C~7;lm $ct5,OO
OWNER INSTALLATION,
The installation is being made On '
property I 0\\'11 which is not intended
for S,lle. -]e,lse or rent. '
Owners Signature:
Minimum Electric Permit Inspection Fce is S45,()O +- Surchar;;es
TOTAL
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3_kJ
Lf(jO
S 7 50
4. SUBTOTAL OF ABOVE
7% State Su...chai:ge
80/., Allininistrative Fee'