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HomeMy WebLinkAboutPermit Electrical 2003-9-9 ';~''''~7;'~/J,'''!:~~'f.:''~.:'';., .~,; ....-:;. :,";::::"","~~,~'r;.-:1!~'?';l~",:'!o't7!r~r,T>';:~":t:."'~". '. "::.'!~-:'~~1?";.-1\" ~"'.' .'\''''!';'"-;:~,''':,,t.",..:;.-. ~ ", ..f .... ' .~ .'r .,., --I.' ", '.....:.:~~:'.. ~....1t..;: .';~';',".;:-,:!:.; :,., <CITYORS.l. ,JNGFIELD iOREGON;,,-:;~.c '.~, .':;,. ..-;..:.... ...>~....::::.:~~.,., .'; 'J.\"/l .~.:- ./.' .,..~,.:..t:........f^'-....'~.~.".: ~ .'....-., "';'.:.~.,J,..' .l ,';, 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICALKERMFrAfJ:l;rICATION ~ flO1-. City Job Number _l';3. W \ 1tf Date q V\... J 1, J;i()~F~~1;~N~~ 3. LEGAL DESCRIPTI~ A . \,~DL.O 6.7"< JOB DESCRIPTION ~r\i\~Q, t pe:i: a:e"h::trans e able and ex i if work is not started within 180 ys of issuance or if work is Suspended for 180 days. 1(coNTIfAcroii'iNsrAitATION'(mij?f 2. l.\-'~~\,;_~~u..:....:.i:~"-",&.~.:,~:,,,,?~"';~..Li~,.>>. ,:.<,:.f\.i. .' :r:...~':...... cnl \ \ ~ ~.. .,.-'::..,..':.... ":"",", ,:".", ;.~'#'.-...':' ,. ':o.....:'."~,, :'..p-'r.""'d;".;;"':.:;J't~';:r.>:,} '90~@~F!3ES9H~RqLE,BELOJX~;;,~'::',~:k~?".,'~~~~}~:'; . 'h. ;u,,,"->-__;:;;r:... . 'T' '-', ".~" ~. -'.;..... ~..:,~'1:.~, '. - ,: .;. "".'::~;.}.; ~.....~.t'!"'~';;'l."'::y:";-I.:..,..~LI A. Ne;w ~esldenttal- SlOgle o(Multi-Faniily".per d\vellingunit.~~";' ',. . ....... . .,.,. H;'':''~''l~~''::.'\..'(.\:w':",'6~.:' Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Serviee or Feeder S106.00 S 19.00 S50.00 ~:., "-:::ri:?; ';.,,,~,i:::~7-f.". ~ -:: .::';~::.'. J~t',~ .:::;?/(J' '.; '_'.t~~-r::.. ~1:,~~il.\;~'-?-~\!'f:-:~ B. ;~J~];~~~?rfJ~.~~.~~ ;!t.~.~~~p~~:~~.t~~~~~s~~tl~~~tti~~ Electrical Contraetor The MurDhv Harris Compan}!OO Amps orless 20 I Amps to 400 Amps Address 149 9th street 401 Amps to 600 Amps 601 Amps to 1000 Amps City Sprinqfield Phone 736-1292 Over 1000 AmpsIVolts Reconnect Only S 63.00 S 75.00 S125.00 S163.00 S375,OO S 50.00 Pump or inigation S 50.00 Sign/Outline Lighting S 50.00 OWNER INSTALLATION Limited EnergylResidc:ntial S 25,00 The installation is being made on property 1 own which Limited Energy/Commercial S 45.00 is nOlintended for sale,lease or rent Minimum Electric Permit Inspection Fee is $45.00 + Surcharges U,." ,m ~""""""''''''''''V~~ ~~~ \\V~~.O\ 4. ~~::= ,O~ .,.-. ,.,.1', C\ ~\J ~ 1)) 10%'AdniinistrativeFee' ". .; ;'~~.~'~'~;tr~:" InspeetionRequest: '726-3769 IJI..I ~ TOTAL .. ..tJ-~,il'!,,~.;'.)!,;:.,..,...:I, . . . .' .~.. ,"l'::,' -'~')~'f:,:'i;~"t:' Shared Driv<(T')'IIuiIdia& Forms/EIo:lrica I'crmii .I.' '1;Qj~'" '" . . . . ','" ".,' " . ":1..'~;i~;~ . . ',. _,'. S'~\'k.j\I.E.,,!. Supervisor License Number 40945 Expiration Date " ,I 10/1/04 Constr, Contr. Number 20-474 C . Expiration Date 10/1/04 Signature of Supervising E1. ecr 'c' '. .o/j J,{). '~^'\' ~ , Owners Name 0 1\ ~ ~ , Phone :.:J3{rJ .11 <lZ.. Owners Signature: c. W:~~ta~rri1~~O:r;t~~~~~~~~i1l Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, 'm.-~~~....;'~.~ ~';' D. ~!',!!!!SJ1~!!!ls '. ~>' , New Alteration or Extension Per Panel Qne Circuit Each Additional Circuit or with Service or Feeder Permit S 50,00 S 69.00 Sloo.OO . ..,; <~~:: $ 43.00 $ 3.00 ".. .' :I.::,{-. ..'~< r"~"~""'~"""""'-""""""~""S'~'~_..r.<J<~ .E. ~~~~~~~~oi:c~feede~~~tJ!.~~r ae nstall~~ . HU~-~~-~~~ ~~.~, .....\11/"'1 . . .. +- - - - - - - - - Entity/Address/License LICENSE NUMBER: 20-474C ENTITY NAME: THE MURPHY HARRIS COMPANY ADDRESS ONE: PO BOX 7632 ADDRESS TWO: CITY: TELEPHONE: SECTION CODE: . LICENSE TYPE: ~LICENSE STATUS: :VALIDATION DATE: ENDORSEMENTS: EMPLOYERS: RECIPROCAL LIC: CCB NO: 142410 AS EXAM DATE: EXAM DATE: : COMMENTS: INACTIVE FROM 7/14/03 TO 8/29/03 ~ SS=4094S : CC HOURS TAKEN: 0 : CR HOURS 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: 10/01/03 AMOUNT PAID: $125.00 CERTIFICATION LEVEL: START: END: SUPERVSR SIGN DATE: EXAM SCORE: DUE TO LACK OF 55; CC HOURS REQUIRED: CR HOURS REQUIRED: MULTI EMPLOYER? o o SENT TO PHOTO 10: LAST RENEWAL SENT: 08/09/03 LAST UPDATE: 08/29/03 - DAVI +- - - - - - : Window: Enter :Sv ------ - - - - - - - - - - + +------+------~-----------------------------------------------------~----------: :SoftKeys: : Collector : Ed Off: FILTER: : Daviscl :August 29, 2003 : Level 1: ~~~Z~~g ~~~~S ~~~~Ig~ LICENSE ~OR~ B'i -..0. ~_c\ to ~ OATE ~} TOTAL P,01 " CCB#14241O . . The Murphy Harris Company PHONE (541)736-1292 FAX (541) 736-1273 P,O, Box 7632 Eugene, OR. 97401 Building Codes Division Issue Date: 091::191200-1: Expire Date: :10/01/2004 . License No:', . 'lW94S . :..... ')!,.. General S~~~r .~': ':'~-~'.::'. . GEISLER STEVEN R 37026 HILLS,CR RD 0"", . SPRINGFIELD. OR 97478 :,:.< ,/ ~,.,. "'.l. 0, . ~.. . .'. ~I. ..~ ~~'> o~ ~ . . .: SCOFIELD ELECTRIC Co Fax:5416868696 ** Transmit Conf.Report ** P.l Jul 14 2003 12:46 I Fax/Phone Number 115033762322 Mode Start Time Page Result Note NORMAL 14.12:46 O'29~ 1 0 K JUL-14-2003 0'3: ~B p.02 e. . .. " .. . ,.' ". .' Signing Supervisor Registration Otpanmenr. of Consumer a. 8ulincn SePicn B"lIdb.t Cod.. Dl.jsion . I S3S EAa."Ilc' NW, Salem, 011. MAiIiIlC addro,.: p,O, 1101 14470, Salem, OR 9'l3CW ()O') ........... {...,1~3t118-2Jc2;.'FT~15el>>7'l-13S8 . -'. '. ---- , "'_ ._gonbcd.orc ~_._.- -- - - - .' .. -' ..' " '1'1" 11' 1 ,.. '1 '~I' ,', I 'I I' \ I ([I' ,', '''', , ,. .,., 1"'\..... .',. "..."" ..'.~ :'. ~ ~'~"".. '.{.h"~f:S ("',,,1, '; I, ~ :' f'" "'" ~:..:.,. ""~~'''I.: '. . ' I. the undel1iene4. u or ....iIlKfWllf I (ftltllc) Iduel (Please check one): a lic:enscd tenonl supervisor ell!l:l\;cian o Limiled journeyman .isn elcclrician a Limned enagy eleclrician fOf l._y.....) Company address: Citl"SlatetZIP: Company license no.: PIIone; ( ) I ...ill sign a/llabel .pplica,ions and eounlCnign alllabcl5, As supervisor. I ...ill be ~poDSible (Of' ensuring lhal all eleolnul installalion. MCCI minimum safel)' slandards Bnd Ihot all SlICh inSlallo.ions ...iII be mlde in t:ompliancc '"lIh ORS 479,510,.830. Signalu,e: QUllify;ne siC"""s heense no.' ',..' ,.,' ..' --,' ,.., 'II ""1"(' " '" .' \1 I' ," ....,.. ,.' .'".. ,', .."., .... ','..., .".>~-, "I.~I"'",..,'I'.:\I\(. ~IJ1U( Xl'll,.... '....... ,;'1 . ".f.,..,. ~.'. . . . ..~ - . ., :., . . . ~. . ., ,\ " ... ., .. . " ,,' , " ' TO(" _ ~:~ (......1 . wiU _ be ligninr die undersigned. lU of ~ '-I . /) ~ (dace) for ~ Y'1v-.,.}.;/ Hen:..::. Company address: f (') (.k. 'X. Ci'y/SlalclZ.lP: ~ , ,:) ~ ' etf) . (a1"'P"Y .....) 7" J z.. 77rJo I Phon.: ( _ S\j 7 ) 731.-121'2- Qllilityinr signet's license no.: '/61.'1." . . . . 1l,'_-14-2003 09:4B P.B2 I), , . . . . . . , .... .... '. " , . Signing Supervisor Registration Dcp.nmtnt of Consumer" I_sin.n S.".iecs Bulldl"l: Coda D/Yisiou . 133S Edge..att:, NW, Salt:m. OR Mailin, address: P.O. BOA 14470. Salem. OR 97J09 (S03) )7).1268, Fu: (S03) 378-2322, TTY: (S03) 373. 1 3S8 .....w.ORgonbed.org j ,', ". '. "W""'II"'/\(' 'IlI'i'I'I:\'I.,s11/.,:.\'\'I"oil.'.. :. . ~ : ',. , "\ .;.', '::,. '"; I ,\, ' '.', "'~. '_.' \ ,". ~. , .':'. ' . , ,.,"" .' ". \ :' I ".,' (.....) the unde~igncd. as of . will seM " I. (dale) (Please eheck onc): o Liccnsed general supel\'isor elcclrici.n o Lirniled journeyman sign eleclrician o Limiled energy eleclrician 'f01' '.' -.... --- -. . -- -'.. (co..p.a'Y""') Company addreu: Cily/SlalelZlP: Company lic:eftSC no.: PlIone: ( ) I will sign all label applicalions and counlCrsign alllabo:ls. As slIpervisor.1 will be responsible for ensuring Ihal all elcctrical inslallalion. mcer minimum safely Slandanls and tlla! all such inslallalions ...i11 be made in compliance ...ilh ORS 479.510,.8S0, Signalure: Qualifyin, signer's license no.: .' '. '.' '" .,' ',' .' .11I......I\;:->J:"G.......<;:\I;\G'S(II'U(\.!SIHl..'...':. .:...... ,;.: .'~ "-''','''.:',' . .... , ' .' " ,I. . "., .' , ',.' .. .", . ~ -?ffi I. ~,~ \ ' J.c~" O~ :ro~ ~s....l.:~ I-I rile undersigned. .. of "') - I". b ~ (0...) , wiU no/ bo: signing for '"Ik- Y'1v-.J.;I J.J-.:~ (cf). , (<omptnr nome) Company address: P. (') (.b)( 7" :3 Z. Cily/SlalelZlP: b:~~ ~fl.. 77"0 ( , r Company liee~no.: ~ Signalure'.V..P_ >>~-"~ Phone: ( S'lJ ) 7':?k-I"2'i'L Qu~lifying signer"s license no,; tj61:, 'I. " o Employer nOlitied Date: By Comment: (initialS) 1~1Wj . M().2$~ (1IOVCOhI) TOTI\. P. a;>