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Home My WebLink AboutPermit Electrical 2008-1-23 ,~;~'" .;Cl)rYbE$SPR1Nn~^ '0' OREGON"," , ; . t~ ,:t ;-~.....~ . '" \~....;;r,$;,.~.,_-..~ r",~,.d,:,l;/ , .,,""7" . . . _ . ','" _ ff....M:r~., ,-''''I'''t'"'''_ ~ ~ _ _"'"" _ .. " ZON ct / INITIALS - N '(I/l DATE I-:::J.U-U( SOURCE 'rn Cf::, ().o~ ."225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number U::> W1 'Z-C> 0 . 8' - C:> 00 , t.. 1. ~~tQ~1'~t~1~WQ.zyk~ill. 3. J 1/ '). MA-lIt! )\ ~-- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. nt7:rm01;ffi~:iMt,Pf;1~(1~;,!$'j~1'*pr1t,,*cUf2ri1P~;\!~i0'3'"08~T_~~i'fi~ 2. rtfJ.Op!.~~;!fi~/!'L4!J!fAll!J~IJ#:>~ Electrical Contraclor 'f':./?;r.lJ~ Address ~ ).0 ~ '{ (f .f/~ City SdI/Jw.J:}) Phone1lfl-df,kS ~y 9rY-d~ 3 (tIS c. ATTENTION: Oregon law requires you to . , I 0 ;to~ rules adopted by the ~tl\\luy\Iteration or Relocation /"'Ollllu"IIOn \iemer, I hose rUI~~Q~SS $ 55.00 Constr. 'Contr. Number _ ~~-o01.001~ thrOUgh.~~~ GQB1rno Amps $ 76.00 . --ll . ---may eblaln copies 0) !), !'nUJ,~~ bv I / ~ClII)ing Ihe center. (Note: the Yl lejm8htg 600 Amps $110.00 Expiration Date I I; 'I1'u(nhAr fllr the Or"'90n UtilitycHetillOGli\:mpsor 1000 Volts see "B" above. .. EI Center is 1-a00-332tf.3(.ifjj)(;!~iti&~lf;.~lIirllJ,[\li;T!51L~.,p:~r"'t:rlli Ismg . ian ~""'" .' '_W^,M~"",w'''''''h..=,d:m:;~':W,~""4,i*t~~i\lllf:m*i4flhEil~L,,frlh;Q~p:0.!ili'1n!f" t,,,, <> Pump or irrigation $ 55.00 Sign/Oulline Lighling $ 55.00 OWNER INSTALLATION Limiled Energy/Residential . $ 28.00 The installation is being made on property I own which L\ruiled Energy/Commercial' . . (,n.oo is not intended for sale, lease or rent.. Mini';'nm Electric Permit Inspection Fee~50.00 + charges NOT1CE'"'{""'{~~"~1\4I07'~ . ~~I~H~~~~lci ~~~~~ ~IS;~ 4ctt1ftI~:"t"fl~~I1.ij!It~!lt~j,'lkct COMMENCED OR IS ABA~&ative Fee ANY 180 DAY PERIOD. 5% Technology Fee LC~ A,T_,T.:\!:;~r."R_TPTI()l\J' t~170 3 SS-Lf J 07060'-, JOB DESCRIPTION: I ct.-r r:'tfl-- /JI ~ f!.t f/ Supervisor License Number Expiration Date Owners Name 'D R<->I-e... \" ~h Address 3 5;~o 6.v..p CK- ~J City ::; f=>~i) Ph';;;;;1'Lj:1-3lA I Owners Signature: I,;,spection Request: 726-3769 Date d--3 ~ ~ A. ~~~JR~1~~ml~iiI10i~4ffi:TmmrF7.irn~r8~l~dw~lli0A~R,iiriif~IJl .- . _~__",*". .. ~_~. _,,,,,2i2~ -,..,g . ." ,..... .:'- ,"',;,x,._Y,\J!'"'",x,,,,,,,",,,,",,",,",,,,,,,,g&';;;D~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $4\3.00 $ 55.00 New Alteration or Extension Per Panel One Circuil J Each Additional Circuit or with Service or Feeder Permit' $ 48.00 $ 4.00 L/ (c!- E. 0:;:-0 b .s- Z"So. b1~ . TOTAL Sha:red Drive(T:)/Building FormslElectrical Pennit Application 1-08.doc -1I\i:~rRI.N~F,IJ~!i-_~! . \ ': !1 , .. 'h, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00096 ISSUED: 01/23/2008 APPLIED: 01/23/2008 EXPIRES: 07/23/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1115 MAIN ST ASSESSOR'S PARCEL NO.: 1703354107000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add circuit for alarm Owner: STRAND RUSSELL W & LINDA L Address: 35508 CAMP CREEK RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor K & K ELECTRIC INC License. 87202 Expiration Date 04/30/2008 Phone 541-741-2663 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height Of Structure Secondary Occupancy Group: Type of Heal: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: ATTENTION: Oregon law requlr~900't!)ath: .!~".ow r~les adopted by the Oreg'\Rii!%\n;Building: - __4UJo~rol"J -o.:...'m.... "i'lIlo1.,JI... ...i:ih....'t'..-HL::.. ~'!pJ-JHUjJ InOAR952-o01-0010thro~T INFORMATION I 0090. You may obtain cop~y calling the center. (Note: the te~~'hO~ . F~ontyard Setba"lfumber for the Oregon Utility No I .e~: I Dlsl: Side 1 Setback: Center is 1-800-332-2344 free 'frees Rqd: Side 2 Setback: aved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: NOW~spouts/Drains: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR AIH IOU UIU ra;muu. I Valuation Descrintion " Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Sq nare Footage or Bid Amonnt Value Date Calculated Pa2e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Descriplion + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $5.00 $6.00 $2.50 $48.00 $2.00 Total Amount Paid $63.50 Total Value of Project Fees Paid I Date Paid I Plan Reviews I 1/23/08 1/23/08 1/23/08 1/23/08 1/23/08 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00096 ISSUED: 01123/2008 APPLIED: 01/23/2008 EXPIRES: 07/23/2008 VALUE: Receipt Number 2200800000000000090 2200800000000000090 2200800000000000090 2200800000000000090 2200800000000000090 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 !nSl>e~tio~s I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe 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. I further certify Ihat 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 Ihe property, and the approved set of plans will remaiu on the site at all. times during construction. Owner or Contractors Signature Page 2 of2 Date 225 Fifth Street Springfi6ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department. Job/Journal Number COM2008-00096 COM2008-00096 COM2008-00096 COM2008-00096 COM2008-00096 Paymenls: Type of Payment CreditCard cReeeiotl RECEIPT #: 2200800000000000090 Date: 01123/2008 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By K & K ELECTRIC INC Item Total: <":heck N umber Authorization Received By Batch Number Number How Received djb 020973 In Person Payment Total: Page I of I 10:27:59AM Amount Due 48.00 2.00 2.50 6.00 5.00 $63.50 Amount Paid $63.50 $63.50 1/23/2008