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HomeMy WebLinkAboutPermit Electrical 2008-2-4 Date ZON l::U2- INITI ALS ____1-,.:1/\'\ dM., DATE,.;)-V -O~ "";11 ,',' SOURCE fy-q) ~ ./ /'f'~go " .' '" . ',' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541!726-3753 . FAX: (541)726-3689' ELECTlliCAL PERMIT APPLICATION ,City Job Number CJ:-uA Z-=C:::; g~ 06 / )" i " ~~~.ft~d",.~i\tf~;~~~~~~~~~-:!1tf!fh~~~,i;j;??t~;#:ij.~t~l~~~~~ B. ~ Services or<Feeilers'~lnstallabon;l\lteratlOns or:ReJoc'lfion:;"\\j' t'?:m~l;;#...:::i;:~~.;;~;.'~""'Z~~~,'iJ~"~;MS:"..;:,oM~"S.~; 'i<el>....:i~~~~,~~j ! 70 . $.91.00 $ 75.00 e~U\les ~~~~:: :: ~~~;~~s ~ :~~:~~ \ Phone *--%A~~~ Ole90n.qt~tlOOO AmpsNolts $375.00 ,..1i~~i\O adopted '" ~ luleS ale ~~~t Only $ 50.00 o'll luteS tel, lnos 9n Op,.? ...leS '0'1 . \0\\ .~\ n cen ~..o \nIOU, o\\ne ~'"5"'''''''l'""",'~,ff'''"''-'''''"''1ir.'''''''''''""''''''''''''''''tB''-'- "; Supervisor License Nu~ucl\\ICa: ;:mr\~0 'n copIes .f'j3J.mi or,lln: SerVices ~r .,Feeders, :"i.." '~R:,Jt;"''"l~:\~:~~~~ ,":;~ H~~ ^ "00\ \"e \-8\ .~<l\t .t.i.~<~ru>iNrbR.;r." ~>::N~'" ~~...""~- iM,$k="(...,,,,,"~ '1'J<~ _ ~ \n 00_ _'{OU ma'j entel. \~O\~i\\\\\'j ~0\\\IC ExprratlOn Date \to -viW~ :Iinq \ne c nle90~ n n.2s4~stallation, Alteration or Relocation ~ - '0\ ~.c .. "'.v-~'3.. IIU(l\'Oel ell\el ill 'V- 200 Amps or less Constr. Contr. Number /1-11. 74 ,,- C 20 I Amps to 400 Amps 40 J. A:mp~ to 600 Amps New Alteration or Extension Per Panel One Cire'uit Each AdditionalCircuit or with Wlc..c... AvLe::--,... Service or Feeder Pe~t $ 3.00 - b s l- I E.~:~~~_,*~~~;f~dW~;~i\;~~~i~)~E~~h'J~1t~~1rO~~ _ \. ~'-:'~{i~~~ ""-"" ~r.;",; ~.oM+ 1-.r4'~~;t;; ~ =<-..- u>SiJ"-.n,;~'_S>i:<"",,,,:;\...~...bh Phone l\01\~;~~\i ~:;~W\'\i~J;.~JP\\ $ 50 00 \\"I~\\Cl\\\lt.\J 0\\ \S_~lme Lightmg $ 50.00 OWNER Ll'ISTALLATION [:>.1,) ~~t.~Ct.~ pt.\\\(\.'ibllted EnergylResidential $ 25.00 The mstallatlOn IS bemg made on property1~~9fl' Lunited Energy/Commercl3! $ 45.00 IS not mtended for sale, lease or rent. , , Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ,Owners Signature: 4. f!kst~2r~:[r]:1l?J1S~il~~;~!~li:ti 70 ,;g"1o State Surcharge ,~ 'tv ..10% Administrative Fee r 5% Technology Fee -:s.re> 88~ . ' ~"'.'~^'~~V'., "'~Y':;',......'~~,~,~ ,\'.',".' C ,; ,.'-:c', "''". ,.."'JI:;'~i'.;r. ~,l.:.-_,: ."",:,., '~l~'~'ffi;:i$:@ 1. ;"LQCATION;.oEINST.4LLATION:0i'!iiJ'fiff.~~.l' 2'b'G7,-'~m"""'"~+-""."'""~~_iIt LEGAL DESCRiPTION: /70'35. {,/Cf! , JOBDESCRlPTION: 12006 S ~v'L c....t#N6-~ Permits are non-transferable and expire if work is not started within 180 days'of issuance or if work is Suspended for 180 days. ' 1i-\,,-::''l,~if1(,~ql~'(';l~~~\W'::~,)>@;~~1H!i}iti',~;5i-;'"'r-''. ~~~',t~~~ ,',CONTRACTOR'INSTALLATIONONL1:'1', 2. ~~~;i,1;~,':!$1.~{tM,~'a0iG::t'j;;",;)&:U1lE;::i.~~i,~~:t''''''.~~;:';~~~;i~i;: , ' Electrical Contractor lb..ltiR r::(i" ,'T\.l.:- Address 'f27.~ ~ \&. _~ '~ City (, 5ll~ Expiration Date 1-~~9 S4~~-:- t/ ~ Owners Name ~W~ 2'b ( 5\=> f-\. Address City Inspection Request: 726-3769 3. rs5lliltLlii~~~l11~~Z~y;<iw.t~!iit~!~S" , ' " ' ~:{~~'&,~;,v,~o~~~~~~rBit;A';;7{~:~%~t'i-1'*fFt~'l?4'~~:'mi??;~'A~~~~~_~1:1'~ A. :,;N.W ResideIiti:ir,:;'Sirii;leor.Multi;Familv\~e;:ilwe]]jh'i;iiillf';,;p'; :~~W1tiil.&2;.;~.~~I:!~;",W'U;:;:'-:'.:, ,~.,,,;,,,,..,;:,:,""'+'::;C~!!,,',,,ld~;~'<.,"..,,;.';,:;L~..\'.H-L~'~~,,,,,.~~::i~ Service Included JOOO sq. ft. or'less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home' or Modular Dwdling SerVice or Feeder , $ 106.00 $ 19,00 $50.00 200 Amps or less , 201 Ampsto 400 Amps 70 $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1O00 Volts see "8" above. l''f'.A'i.;:,'r'' J','rx-:l!;U.~"_~~~':-!-i~"'-~~~a~;'.;i~;;'~._ ,i.' ". '~~.;(~~~~f.,1ijJf.g,''ie~:~^>~-->r~.'''' D. ~~Bra~ch: ,E:ii~tlififi~~~fw~t&1\~]~~~,<'i, ",~~~y{f:j~l.ii;;~l~~~'f~li+. ",,,",,~,,,,~-,,""'",-""li...w.,;.m,-'.\~i,-~,~',,,"...;;{"""''';!;.;<:<'''':::~;''' . ;"'W!"""'\J\';<J;"'.o-.i~~;..~~~~=". $ 43.00 TOTAL. Shured Driv~T:)/Buildjng FOl1ns/Electnc;J] Permit Application 3-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00159 ISSUED: 02/04/2008 APPLIED: 02/04/2008 EXPIRES: 08/04f2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2661 D ST ASSESSOR'S PARCEL NO.: 1703361412000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change Owner: MCCAULEY BRADLEY SCOTT Address: 2661 0 ST SPRINGFIELD OR 97477 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2009 Phone 541-521-5690 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 SYCll1'fl:tucture Secondary Occupancy GroWIO\l!', oregon \a'H~e MPrt'\l\I\\W Primary Construction~ lell adl5\liled by \ ~I 'tIAJ~~. Secondary constructilSll\~K~on center. ThOlleUgtlb;~~ # of Bedrooms: Notl~ 9S2'()01.oo10t\'lrople~a?lI",,1 . In OIlO YoU may ob\alnl~te: ~8\atllilmlt."ing: nla nn. 4-.....'. ,.. "/. . .._tlfleatrciK caI~~'; the Or~~~BNT INFORMATION I 1\11"""" c;en\er 1& 1~" rr Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dis!: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: C~. E \f 'Tl'IE WOR\C. Downspouts/Drains: ~1:i~~~1 ~~~~::!~~:~gf~:Ol ('nMWlE~CEO ~-:.f.;gf\ ~~'( 180 ulfd-h" . J I Valuation DescriDtion . Sidewalk Type: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued CITY OF ~t'J:Ul~GFIELD Building/Combination Permit PERMIT NO: COM2008-00159 ISSUED: 02f04/2008 APPLIED: 02/04/2008 EXPIRES: 08f04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I " . Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid .Date Paid $7.00 $8.40 $3.50 $70.00 2/4/08 2/4/08 2/4/08 2/4108 Receipt Number 1200800000000000094 1200800000000000094 1200800000000000094 1200800000000000094 Total Amount Paid $88.90 , Plan Reviews I 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 Reollired Insnections I Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 tertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of tile 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. 1 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signatnre Date Paee 2 of2 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 159 COM2008-00 159 COM2008-00 159 COM2008-00 159 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200800000000000094 Date: 02/04/2008 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By MITCHS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 054656 In Person Payment Total: Page I of I II :49:48AM Amount Due 70.00 3.50 8.40 7.00 $88.90 Amount Paid $88.90 $88,90 2/4/2008