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Home My WebLink AboutPermit Electrical 2008-1-10 ZON \r\ { INITIALS ~ r->V\f\.. DATE k I 6.... L)~ SOURCE{Y\ Q""-.cfJJ \ j_ jO- o~ SPRINGFIELD ~ lJfI ~l r ",J!,___~. '-; I~ M!l6': ' r ~,~" -"'" """'JII " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PE,J[1WTAJ:J;!f.J.CATION CIIy Job Number m..JVLL)~'-' \ I LOCA.TION OF INSTALLATION, J 7:J-1 \ /--I . s-l/'<("cl LE(r~n3&t \ cf{'~tO JOB DESCRIPTION Sf"PtlJr/;. l/....rr>'AJIJ'-? PermIts are non-transferable and expire If work IS not stdrted wltlun 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRACTOR INSTALLATION ONLY Electncal Contractor 1~ P/ ". ,f, / / ,'!:'"/Vu/l -/10- Address D () J3crx: ).-~y? 3 City [;u W/I-U_ J Phone bf6 -&.2J{, Supervisor Llcen,e Number 3 1/9'7 S ExplratlOn Date /0////0 I' ' Constr Contr Number -;7 0 r r<J' ExpiratIOn Date / ~ - 30 - 0 Y SIgnature of SupervIsmg ElectncIan '0"-- ./ ~/ Owners Name 1/1'<'" ,,-A /7)...(. f'uf.-,{ Address 17;)-/ /--/ S7T""'~~ CIty f;jt.-v0 Phone 5;)./-,(-220 o\VNER INST ALLA nON \\~ \N()?-$. 111e mstall'!!.l~l! IS bemg mad~\ie\t ~'\f~Ql IS n,~\\jinfor \sr'S\-\~~% ~t~ f()?- ~~~~?-"^ \}~$~?- ~\)Q~~\) owneH\t'\\'O~\i.~\) Q?- ,S to-~~ to-\} '1}.t:~C~\) _co$\$. vU1"'" \)11-'1 r!'o' II-~'l '\ COO InspectIOn Request 726-3769 ~ Date 3 , , COMPLETE FEE SCHEDULE BELOW y y , New Resldcnhal- Smgle or IVlultJ-Fanul) per d\\ellmg umt _ 1- _ -' ~ - - A ServIce Included 1000 sq ft or less Each additIOnal 500 sq ft or portIOn thereof Each ManufacC d Home or Modular Dwelhng Service or Feeder $10600 $ 1900 $50 00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only @ Services or Feeder(j - IllstJIl.ltJon, AlterJtlOl1!' or RelocatIOn lncO B , C ,Temporary Scrv~ces or Feeders Installation, AlteratIon or Relocation 200 Amps or less 20 I Amp' to 400 Amps 401 Amp' to 600 Amps Over 600 Amps or 1000 Volts see "B" above D y Branch CirCUItS New Alteration or ExtenSIOn Per Panel One CrrcUlt Each AddItIOnal CIrCUIt or wIth Servlce or Feeder PermIt $ 63 00 $ 75 00 $12500 $16300 $37500 $ 50 00 $ 50 00 $ 69 00 $10000 $ 43 00 $ 300 E Mlscellalieous (Se....'ce/feeder not mcluded) -Each InstallatIOn Pump or ImgatJon $ 50 00 SlgnJO~.L1llhtmg $ 50 00 All t:N110N, Oryellon lav. ",,!ut, "" ~ou to Llmlt~Ilil\'flllll%!},~6jmd by the Oregori'13611W LlmlN4>IlfIfa~!Jll(j~tefJaThoSe rules are ~kllt11 MIUlmum ~QMI.~i\l~1r,OJWUlilfPFlahi,*@ i@H\l~~harg;~_ '\ - 0090: ''You mayjl!i~arn copies of the rules ~ '7\ CU 4 : S~T~ fPi~Y.E(t-1ote. the tel~phone Il) , \'~o Stn~_lAfethe Oregon Utility NotIfication ~ 40 I 0% Adm~~;;~@\)tEjfelt!l1-800-332-2344), "'-r .(Y) 5% Technology Fee ;J, l?Y ) TOTAL Shared Dnve(T )/Buddmg Fonns/Electncal Penru' AP~Bs~oc Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlUe SITE ADDRESS 1721 H ST ASSESSOR'S PARCEL NO 1703362109300 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00039 ISSUED: 01/10/2008 APPLIED 01110/2008 EXPIRES. 07/10/2008 VALUE: SprlUgfield TYPE OF WORK Electncal Work Onlv PROJECT DESCRIPTION ElectrICal ServIce upgrade Owner JESSICA MCGRATH Address 1721 H STREET SPRINGFIELD OR 97477 Contractor Type Electrical Contractor KS ELECTRIC # of Umts Pnmal y Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Frontyard Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Impl ovements Storm Sewer Available Spectal InstructIOn Notes DescriptIOn Type of Construchon TYPE OF USE Repair ResIdential Phone Number 541-521-8220 I CONTRACTOR INFORMATION I License 70889 BUILDING INFORMATION I # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BUlldlUg ExpiratIOn Date 12130/2008 Phone 541-686-6236 nla Lot SIze Sq I't 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load I DEVELOPMENl INFORMATION I Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I I ValuatJon DescrmtJon I $ Per Sq Ft or multlpher Square Footage or BId Amount Pa2e I of 2 REQUIRED PARKING Total HandIcapped Compact Sidewalk Type Downspouts/DralUs Value Date Calculated Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00039 ISSUED', 01110/2008 APPLIED- 01110/2008 EXPIRES. 07/10/2008 VALUE' 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees PaICI I Fee DescnptlOn + 10% Admmlstra!lve Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount PaId Date P3Id ReceIpt Number $700 $840 $350 $70 00 1/10/08 1/10/08 1/10/08 111 0/08 2200800000000000032 2200800000000000032 2200800000000000032 2200800000000000032 Total Amount PaId $88 90 I Plan Reviews I To Request an mspectlOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7-00 a.m. Will be made the same workmg day, inspections requested after 7 00 a m Will be made the followmg work day I Reouired Insnectmns . 1wIl111 I I I I, Electnc ServIce Approval reqUIred prIOr to u!lhty company energlZmg servIce By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mforma!lon hereon IS true and correct, and I further cer!lfy that any and all work performed shall be done m accordance wIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permISSIon of the CommuUlty Se, vIces DIVIsIon, BUlldmg Safety I fnrther certify that only contractors and employees who are m comphance wIth ORS 701 005 will be used on thiS project I fUJ ther dgree to ensUI e that dll J equlred inspections are requested at the proper time, that e,lch address IS readable from the street, that the permit card IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all times dunng constructIOn Owner or Contractors Signature Date Pa2e 2 of 2 ?25 FI(th Street Sprmgfield, Oregon 97477 541-726-3759 Phone City of Sprmgfield Official Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00039 COM2008-00039 COM2008-00039 COM2008-00039 Payments Type of Payment Check cReLemtl RECEIPT # 2200800000000000032 Date. 01/10/2008 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee PaId By KS ELECTRIC Item Total Lheck Number AuthorizatIOn Received By Batch Number Number How Received 5622 lIh In Person Payment Total Page I of I 931 21AM Amount Due 7000 3 50 840 700 $88 90 Amount PaId $88 90 $88 90 1/]0/2008