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Home My WebLink AboutPermit Electrical 2006-8-1 ;p"~NGr'''~::;;~ / O<P 1 ';'.oi ~ ~_-O)1t~ " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F,U: (541)726-3689 :~.r:~~:.2~;:~ ELECTRICAL PERlYIIT APPLICATION r~ ~';''':"'c~~e:.. 'Y.iiIJ;tt ..,~ :'",';~;;'::~;,~;,;;.,,;~ ,,~~':: ffi sCiHiJUM.iLow~;W-""C~~ "", .... .~.,-, < ...,...... -,..".' "--"-'-'-'~'., ~.. .' ,-' .;: . ~.--~. ,,""'...., '-"-'~-""-'~~'~ ~ ~"-. :......-. "~'':'..-.... -';'--.:.--....:N.:...~~. .' ", -<;.:.:..~~,.::':l..~.;=u.~~'O;.~ =.~F~"..,..:.q ~7.73 G l:-~'::'::' \~~ nIL LEGAL DESCRIPTION It'ozobf Z 04 tOO JOB DESCRIPTION Ad ~ Z L( rLcAlk A. ~'::~~~~~;~I~~~:~?~~~ff~~~K~~.~~:~~I}iif~~!~~ Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50 Suspended for 180 days. Feeder. U to .00 .-."--- m TTcN"""",","0<=Qn.!aI.!.!.,Q;lOUlres yo -.-._ ~B! .koNiiJiiijtCfioiilfNST~"i"f,i5iTiON?ONiili'l A 'B. 11S:';i~~;';:;-i~1<ieRi6i:Ff;fsi'itlriltiJnl~l\'lt;'r;;ii'J~~';,":R;it8ti~~F~'~ 2. '''"''.':~'':-~~~,'l!i~~~ki..~.~.z.~.lii1~,''~r(,........., follow r~~4tf..l;,.'L_4-!.~.'l~'q.1a1e"set1e~~'_'~_"..z...........) ""',,," ..,...'~t~ D _ ''''-:';f t"'''' r.enter. Those rUles 01- EleClncal Contractor f.-Y '/ (In \0"" ,=~I.t?C'.T-\<\tcca J~8_f)lJft'()'!\'HhrOugh OAR 952-0 $ 63.00 . In OAR '20r Amps.t0400""mpsS 01 the rUleS uy $ 75.00 \,C\ A 090 YOll IlId} Uw'"'' ""., Address d \ IS L n ;:;l V E' 0 . 401 Amp.;; tQ,60~l'P.>.oips the telepl1ofl" $125 00 callinQ lne \..~,1,~.. \ N t'l 60h~mns,t"'lf)OQlf\llii~ity 0 IlcallUIl $163.00 r::::: numb", lu''''r.~ '" ~ Jtl~ 44) City \.---liCj9"\', P Phone "'f-V,') :l;::;)q l O~fJ.liQgPi8.mpslW,dtS'2-23, $37500 Reconnect Only $ 50.00 Supervisor License Number ;<SOlO S Expiration Date \01.01 Constr, Contr. Number ;:JC. \':')sG Expiration Date "1- \-CLn Signature of Supervising EJecmcian ~. City /"'.------ ~ ( &-6~7C ~~I 3773 Ci..c-ro lc.e-~ So T> r--'\ Phone 726 - 75C{! ~ Name Address ... OWNER INST ALLA TION The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: c. :~i[!;~~fiwJrM~'e~1~it~~a~~~'~~~lrl~~~r4~lW~}t~~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 ~!60il~T~S ~~60~~~I"n:PIRE IF~::~ \,^!I)(s'I{lO.OO TI?:y,ef~:~~I~~~B~~~~~ilc\l~,~*~~ggr.~:q:l;;;':;ii~);;;;::;:~r;iiiiiJ.\\' D.U lBrancIiiG.rcu.tS:_ .''''A'",1i,~l.ID''''h'lt11',C'Im_,.., :.' ,.",.,...,' "._,~;""",",,,,,."l ,. ~~~ -ENrtt:fuh1~"-iji-7.---l~I1.~l..?~.:--::,.~~~~"l\1'_~~~i~..i;::l~ CNewtIJ.\:lteration.or~xtension Per Panel P0~ c~~luliI\Y rc 'VC'. I $ 4300 . l( J Each Additional Circuit or with :J Service or Feeder Permit I $ 3.00 ,;,.. ;"'C~~' ~,,:,- :.,.j....T!;:,'..__v..~-:'!">;',~!.;,;~-'.~;:.~'-.~..,'{;;:;L.,,.'~L!d~.:s;;i(..T -:;- .~~,....',~- ~.~1~.::'!~~.;;:.,l.ni"::7_~-~~m E. Miscellaneo~s:(Sel:Vii:e(fe~~im!,oi lncliided):~E~c.Ji...Iiisiall~ti~ii11 ._.1 ". ,,' ...."-'..." _. ."_..._".._.. '~"""~''''__.;''_';''''_~''''~''~.''''' __" _. _-~,,:.";;j;;i_~;';. "_..,""~~,, Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 S 25.00 S J5.00 Minimum Electric Permit Inspectinn Fee is S45.00 + Surcharges :.. . "W:"-~:"~;:i:'::;;-:~:" ..- ...:...:;..... 4. .:~c:!~~2:"~,?li:~g~1;iIE:;2;:;~:i~L L/&, -:J bi'> 7% State Surcharge - & 10% Administrative Fee 1160 \,\0 5'% z. 30 ~"OiOt;:, '\ ;oH~." ~.o,::,::.~"~"_"".",," '~" b ~ Inspection Request: i26--3769 225 Fifth Street Springfield, Oregon 97477 541'-726-3759 Phone ...,.."',':j...~.Ac!>.'y,J:,,,.'.,.,...CCCC'CCC '" ", .. .. $i. 11[' ". '. .. , ...~....."......- ." ~..,'" -. r"<v of Springfield Official Receipt ;elopment Services Department Public Works Department Job/Journal Number COM2006-00969 COM2006-00969 COM2006-00969 COM2006-00969 COM2006-00969 Payments: Type of Payment CreditCard cReceil111 RECEIPT #: 2200600000000001092 Date: 08/0212006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 015459 In Person Payment Total: Page I of I 1l:4S:ISAM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 8/2/2006 SITE ADDRESS: 3773 CHEROKEE DR Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1802061204100 ""ireS you to n TION: oregon \a~ rf'n;tE,,9A.-Itl,SEi: Addition PROJECT DESCRIPTION: Add 2 circnitsATTe,j \ ~ adopted by t,18 0 'dre set lorth lollow ru e';.-nntP.f. lhose ru\e~~o QI;2-001- NOl\\lvU"~' 010U1\U",," - b\l . OAR 952-001-0 . opies olthe rules t'hone Nnmber: 541-726-7541 In 90. '{au may obtain c ate.. the telephone 00. 11.\"9 the center. (N Utility Not\llcatlOn r.9\ "~ ^~,",r'\f"\n. "1' \l1lber 1UI ll....... - .. ~1l1l_0;12.-Z:5't"'tJ. I CONTRl\'G\fOR'INFORMATlON I _...q!~g"I~~ 't ^f Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: GEORGE FAUST 3773 CHEROKEE DR SPRINGFIELD OR 97478 Contractor Type Electrical CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00969 ISSUED: 08/02/2006 APPLIED: 08/0112006 EXPIRES: 02/0212007' VALUE: Residential License 17252 Expiration Date 02/08/2007 Contractor REYNOLDS ELECTRIC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone 541-343-7297 ~ BUILDING INFORMATION I R-3 :# of Stories: Lot Size: Height of Structure Sq Ft tst Floor: .Type of,Heat:E' Sq Ft 2nd Floo", ~v I'll- . Ir;T\.....\ldn~y. Water;."r~ee&ERM\1 SHALL EXPIRE ,Sq FtI~a~~p'ent: Range.Ty.?~: D UNDER 1HIS PE!~,q1F.tGarag1,/Carport Energy,lpath':1~I~c A8ANDOf~9cFW,t/1er: . . Sprinklell\Building:D OR IS nla Occupant Load: . -~.:..nn"^VD~p.\nll VN I DEVELOPMENT INFORMATION I L Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee t of2 Status Issued 225 Fifth Street, Springfield, OR 54 t-726-3753 Phone 541-726-3676 Fax 54t-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Exrend Circ Ea Add Amount Paid Date Paid $4,60 $2.30 $3.68 $43,00 $3.00 8/2/06 8/2/06 8/2/06 8/2/06 8/2/06 Total Amount Paid $56,58 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00969 ISSUED: 08/02/2006 APPLIED: 08/0112006 EXPIRES: 02/02/2007 VALUE: Receipt Number 2200600000000001092 2200600000000001092 2200600000000001092 2200600000000001092 220060000000000t092 To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insneetinns I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. o By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections 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 properry, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 2 of2 Date