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Home My WebLink AboutPermit Electrical 2007-12-18 22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-37S3 . FAX (S41)726-3689 ELECTRICAL .r:,E(RMIT APPUCATlON City Job Number O!OD 1 - 0/ q 0 t'" ZON L-DQ..... INITIALS N I'V'- DATE D_\ '1-0 \ c:Jl SOURCE 'N'- it) ~ Date /ci. - / X' -- OJ E it~~~"!I~~e~~)l~~~r~~Ili!l!;!!~~~t&lllOn follow ruTes adopted by the Oregon Utility Pump or lITI~'t<iUlflcat on Cenler Those nM~-!lfu s.etk"th 5Ign/outhneljJlRg952'001-0010 thfOUQU3tt1Q 952-001. Llmlled Ene8~ ft"X2M,!]j1ay obtain cople~ \!~ \\1fi rules by mg'tIle cente.. (I-Jwi" t,/l~ntf1wpFlone Limited EnerlUlHiIlYm'1/iRhe OregeR UIII~Y''1%'tlh.,,,il\'''' MIDI~U~..~I:~trtC ~:~m:~ ~~~~~~~IIJfharges O:J''Jje' '\' r . 4 SUBTOTAL OF ABOVE . :'i~".~ :c ~ ....... () "Zl tIO" a31\1.....r1r\I\'~\' C::llt., (::' ....~,-'""---- ~~-'-" _....,.. ~~~""' ","-*,,,,--,,,-~,,,,,,, J G -' l, ... I , ... <'..J... ~ I 8% State Surcharge ~r; ce~ lUN ::illX"'l.dc:::i1 :1 L:__~ ': G~; . I 10% AdmmlStratlveFee -:J&<> )!tlOI\~ 3H1:J1 3(10)(3 -I WHS 11~~)J3d Si% Technology Fee 2, ~'O r1 "i> ~ ~v'''' i' f" .. AI -\."" -.; ~- "~~,, \t "'" i/\ LOCATION OF INSTALLATION' "M ';"1, ,....""""'-"*-~ IAJ-< _ "Ti:!""'_~'''''''_~'''''''''''~U1-'';;'' 2;tN...'%~N4t" ~.3 -- s....:L. ~O I ,Qa...u<, LEGAL DESCRIPTION 17n:+. ~s'5/{)/ 'dou 1 JOB DESCRIPTION Y~.<>JL ~---" e..<L<~!- Permits are non~traDsferable a~Plre If work IS not started wlthm 180 days oftssuance or If work IS Suspended for 180 days \ ~-~~-t1lo!1~I'~J,;~~~1>l~<~~~'Vq'l}'::i?~~'::"Jl:?"'it 2 "CONTr-ACTOR INSTALD!.TION ONLY" .......~_~N~i~~~~~~"J.ifn Electrical co.ooWDN ELECTRIC SE~VICE PO BOX 2237 Address --Ell(.l~Nl= I)~ !l74Q? Phone~t.l:;l-II" 9' I City SuperYIsor LIcense Number ,I. ~ Ci~ Expiration Date / () - ( - (V Constr Contr Number ( 10 (S (f ExpiratIOn Date q - a. '-t - tJ5 Signature of Supervlsmg ElectncIan 71oA~{~JP~ {'\\\'1\", I>. ,. ~ Owners Name ~u_J.JA. Address City Phone It\.k 0 X'D l OWNER INSTALLATION The lIls1allallon IS belllg made on property I own which is not mtended for sale, lease or rent Owners SIgnature 3 . . . COMPLETE FEE SCHEDULE BELOW . _",,0., J ~ 1 _ ~.&J '"' '" ~\ __,-,~,--v- .L~ , ~~ ''lip _ '" ? ~d 1 '" i(d r ~J-' ""~ ~ ~ A .New Res.dentllIl- SIngle or MultI-FamIly per dwellIng UnIt ~ _..r~,",,",.l '- "" 1" <r_ ~ __ 0~ ...~...~ """"'~ ''''''~ ~ 0..-.. v ServIce Included ] 000 sq ft or less Each addl tlOnal 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwelllllg SerYIce or Feeder $11700 $ 21 00 $5500 ~~~~~"'1!::'tryWJH,~:P(>'pI\"-&~" "'~i6lf;'*...,dji\^'> -""1"Cfif; "" 1~';'f" B l'Servlces or Fee!\ers - Installahon, AlteratIOns or Relocahon" ~..w.~);,.r.. ,......:_ ~~~::..,,..._ "( ~ - '> L,r'sV~~ r"'l......l!- ,."..".. . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNo1ts Reconnect Only $ 70 00 '-JO" OA..) $ 83 00 $13800 $18000 $41300 $ 55 00 4P'~~ ,,;;: f-' 1'p,0 dtt: j~~ "'''Zt:d'M,~ 2 C '.Temoorary ServIces or Feeders".:" r: ' I~./i,,,,",~~$~ ~~~"'" ,,_-?t "'-__ """" 4.;.. InstallatIOn, AlteratIon or RelocatIon 200 Amps or less 201 Amps 10 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above >-f'""i"'t'Q "'4'~"~ ~~ ' ",.'1 T" ~ ~J D ~~ch ~Jrc~ts ,1;..r:~~ / _ ~" New AlteratIOn or ExtensIon Per Panel One ClICUIt Each AdditIOnal CIICUlt or With ServIce or Feeder Permit $ 55 00 $ 76 00 $110 00 " . $ 48 00 $ 400 IospectlOn Request 726-3769 .=~ ""TOtAL ~r> It) Shared Dove(T )/Bulldmg Forms/Electncal Pel1Dlt ApphcatlOD 7 07 doc Cffi\)~ l\~;-~ TLtMolL (\s, D~ , -~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. cOM2007-01908 ISSUED: 12/20/2007 APPLIED. 12/20/2007 EXPIRES: 06/20/2008 VALUE: 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIRe SITE ADDRESS 363 52ND PL ASSESSOR'S PARCEL NO 1702333101200 SpllRgfield TYPE OF WORK Electncal Work Only TYPE OF USE New ResIdentIal PROJECT DESCRIPTION Panel Change-out Owner TUNNELL RICHARD E & KAREN L Address 363 N 52ND PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor OREGON ELECTRIC SERVICE License 161518 Explrahon Date 09/2812008 Phone 541-343-1681 . BUILDING INFORMATION' # of UOIts Pnmary Occupdncy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # 01 Bedrooms # of Stories HeIght of Structnre Type of Heat Water Type Range Type Energy Path Spnnkled BUlldlllg Lot SIze Sq Ft I st Floor Sq Ft 2nd Flool Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd, % of Lot Coverage Total HandIcapped Compact Street Improvements Storm Sewer AVdlldble Specl3l InstructIOn I PUBLIC IMPROVEMENTS I OOf1.j~ld'X{)'aT~gt ANV l:lO:l 03NOONV8V sPB~"W!li~s:Wrai;ro ION SIII1All:l3d SIHll:l30Nn 03ZIl:lOHlm >ll:lOM 3Hl :II 3l:lldX3 llVHS l11All:l3d SIHl .33110N Notes I ValuatIOn Descn9hon I DescriptIon Type of ConstructIOn $ Per Sq Ft or mnltIpher Square Footage or Bid Amonnt Value Date Calculated Paee I of 2 -~;~ ~. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01908 ISSUED' 12/2012007 APPLIED 12/20/2007 EXPIRES; 06/20/2008 VALUE' 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlIle Totdl Value of Project Fees PaId I Fee DeSCriptIOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount PaId Date PaId ReceIpt Number $700 $350 $560 $70 00 12/20/07 12120/07 12/20/07 12/20/07 1200700000000001517 1200700000000001517 1200700000000001517 1200700000000001517 Total Amouut PaId $8610 I Plan ReVIews I To Request an inspectIOn call the 24 hour recording at 726-3769 All Inspections requested belore 7:00 a m WIll be made the same working day, Inspections requested alter 7:00 a.m. will be made the follOWing work day. " Reaulred In.,"ectJon.~ I Electnc ServIce Approval requlI ed prIOr to utlhty compdny energlzlIlg sel vIce By sIgnature, I state and agree, that I have carefully examllled the completed apphcatlOn and do hereby certify that all mformatIon hereon IS tl De and correct, and I furthe) certIfy that any and all wor k pel formed shdll be done 10 accordance With the Ordmances of the CIty of Sprlllgfield and the Laws of the State of 01 egon pertallllllg to the WOI k descnbed herem, and that NO OCCUPANCY WIll be made of any structure WIthout permISSIOn of the Commulllty ServIces DIVISIOn, BUlldlllg Salety I fnrther certIfy thdt only contractors dnd employees who dre m comphance WIth ORS 701 005 WIll be nsed on thIS project I fnrther agree to ensure that dll reqUIred IIlspechons are requested at the proper time, that each address IS readable from the street, that the permIt card IS located at the front of the property, and the approved set of pldns WIll remalll on the sIte at all times dUring constructIOn Owner or Contrdctors Signature Date Page 2 of2 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~P~;GP;~ iii: CIty of Sprmgfield OfficIal Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-01908 COM2007.01908 COM2007-01908 COM2007-0 1908 Payments Type of Payment Check LRecemtl RECEIPT # 1200700000000001517 Date' 12/20/2007 DeSCription Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Admllllstratlve Fee PaId By OREGON ELECTRIC SERVICE, LLP Item Total Check Number AuthOrizatIOn ReceIved By Batch Number Number How Received NJM 21446 By Mail Payment Total Page I of I 2 56 OIPM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $8610 12/20/2007