HomeMy WebLinkAboutPermit Electrical 2008-1-10
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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,
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JOB DESCRIPTION
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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
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Constr Contr Number -;7 0 r r<J'
ExpiratIOn Date / ~ - 30 - 0 Y
SIgnature of SupervIsmg ElectncIan
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Owners Name 1/1'<'" ,,-A /7)...(. f'uf.-,{
Address 17;)-/ /--/ S7T""'~~
CIty f;jt.-v0 Phone 5;)./-,(-220
o\VNER INST ALLA nON \\~ \N()?-\(.
111e mstall'!!.l~l! IS bemg mad~\ie\t ~'\f~Ql
IS n,~\\jinfor \sr'S\-\~~% ~t~ f()?-
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InspectIOn Request 726-3769
~
Date
3
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COMPLETE FEE SCHEDULE BELOW
y y ,
New Resldcnhal- Smgle or IVlultJ-Fanul) per d\\ellmg umt
_ 1- _ -' ~ - -
A
ServIce Included
1000 sq ft or less
Each additIOnal 500 sq ft or
portIOn thereof
Each ManufacC d Home or
Modular Dwelhng Service or
Feeder
$10600
$ 1900
$50 00
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
@
Services or Feeder(j - IllstJIl.ltJon, AlterJtlOl1!' or RelocatIOn
lncO
B
,
C ,Temporary Scrv~ces or Feeders
Installation, AlteratIon or Relocation
200 Amps or less
20 I Amp' to 400 Amps
401 Amp' to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
D y Branch CirCUItS
New Alteration or ExtenSIOn Per Panel
One CrrcUlt
Each AddItIOnal CIrCUIt or wIth
Servlce or Feeder PermIt
$ 63 00
$ 75 00
$12500
$16300
$37500
$ 50 00
$ 50 00
$ 69 00
$10000
$ 43 00
$ 300
E Mlscellalieous (Se....'ce/feeder not mcluded) -Each InstallatIOn
Pump or ImgatJon $ 50 00
SlgnJO~.L1llhtmg $ 50 00
All t:N110N, Oryellon lav. ",,!ut, "" ~ou to
Llmlt~Ilil\'flllll%!},~6jmd by the Oregori'13611W
LlmlN4>IlfIfa~!Jll(j~tefJaThoSe rules are ~kllt11
MIUlmum ~QMI.~i\l~1r,OJWUlilfPFlahi,*@ i@H\l~~harg;~_ '\
- 0090: ''You mayjl!i~arn copies of the rules ~ '7\ CU
4 : S~T~ fPi~Y.E(t-1ote. the tel~phone Il) ,
\'~o Stn~_lAfethe Oregon Utility NotIfication ~ 40
I 0% Adm~~;;~@\)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