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Home My WebLink AboutPermit Electrical 2008-2-21 Date uJvv' 0 t !~;.t~ . .- ,~+ - -~.:~_:_!.:- ~...o::._.gap - Z -71 -0 8' ;:-:;-:;-F,;;~~~'~~~~, :~:~~~~~",~"_'[~~-c::';~~~\ ';"-:'!1;>~ ;;~i~C~~1~4~- :-:. ..,~-'- --: ,-_:. ~- -"".r;;;j 1-~ 4J ~ ph~"'1 J;:] }-Jll, f'3 i1 r"<j3U ~:11\ P, -, )'-" ~:,-_ '.;-:;~: :-~~ - :'}:~;;';';'~-:<~~~';;"~j ~ ~:~~~;':~~~ik""'f~~~i:i[.:~~jLi~Y~.-~ ~-;<~ l~7' 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F.-LX: (541)726-3689 ELECTRICAL PER:.vIIT APPLICATION CIty Job Number CO,....." 2~O 7 -- C> II bL( )..5.).0 ~ ~ A7)-.e- c. Temporary SerYIce~j'or Feeders to//OW --;Yr/OIV,. EXDlranon Date /(f) I ( /..1-6 ~ lv?.t1licR#;l}les ect, O'r~~non. Alteranon or Relocanon ? V.LIb T>(;Jn C OD./A.. '~~ 0(1), '"1'7 BS<_ ente73{JJPfJpOfh/!S,,<,!Ylr. :5 5000 Constr Contr Number (-;2-52. 0. 0: "'o'!-ltl001-oo?;fP~}. fO@~~lJ " 5 6900 1l,,::;'f1g the :: Obtqli9~f500?J%{8~0/;Jfi/Jlli/it~ $100 00 EXpIratIOn Date 2-1 'X f n q er fOr t. enter. c9I2.k>.. 0,4.0 serln)1:f .. ~e 'he 0". P,oteu.""J"~fO!hf:/cJtS~_trn;'blts see "B" above. SIgnature of Supervlsmg EleclncJan '1Iler is /~onIVhjflA~if&Jlu[Wes gl.. , - -6(jO-.aa-:/!.Y Iv. . '/)1]0 ~ Ne~4?~i~tenslOn Per Panel One ClrcuI~' '11 Each Addl tlOnal CIrcuIt or wIth ServIce or Feeder Penmt ~~-.-/~ oL"", $/" "-AI S,.4- kerf- Address ro 730)( /7L( ("'; I I Ii.] CIty...:x,v I ssnomC' Phone Pump or lmgatlon $ 50.00 NorlC . SIgn/Outlme LIghtmg $ 5000 OWNER INST ALLA 1W1~ P 'E. Llmlteo Energy/ResIdential S 25 00 The InstallatIOn IS bel ~~RMlI~~rr hlCh LImIted Energy/CommerCIal /' S 4S 00 ) IS not mtenOea for sal~~M'l:tD UNDER 'lXPIRE ,,~:mum ElectrIC Permit Inspecnon Fee '~).tb ~a~.s /I/Vi] ANy 1 CED OR 'HIS PE. r 'HE~ ~ Owners Slgnarure' 80 DAy P~b IS A8ANDO RMJr CT T.iL OFA.BOVE 20 ~~ ~~q ~~~ , /0 State Surcharge Z '10 . lb% .-\ammlstranve ree '2 ZS~ 1. LOCATION OF INST.4LLATION 3/ bO C>~'OLt'- SI LEGAL DESCRIPTION J 70 :s 27-( :s JOB DESCRIPTION Add ~ I Z 20""0 c (Rl..c"\~ ~ Permits are non-transferable and expire if work IS not started wIthm 180 days of issuance or if work IS S~spended for 180 days, 2, ~ r- I - ~~" CONTR.4CTOR INSTALLATION ONLY Electncal Contractor .PCJ..fI'V-)trL., E~.-fr/ C Address ..2r? <\ I~ -1.Ald. 14....4L CI ty 6.., &. a..vu:J. Phone .2u-::?.. 7 .:L9 '7 c/ SupervIsor LIcense Number InspectIon Request: 726-.3769 3. C01VIPLETE FEE SC..H.J:,DULE BELOW A. '-Ie" Resldcntial- Single o~ Multi-FamIly per dwelling umt. ServIce Induded 1000 sq ft. or less Each addItIonal 500 sq. ft. or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $10600 $ 1900 $50,00 , ... ...I'..-,~ _, ~, , . B. Services or Feeder~~. I~stallation~ AlteratIons or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63 00 $ 7S 00 $125.00 $16300 $375 00 $ 50 00 $ 43,00 5 $ ':;'00 2c:::> E, :vrhcellaneous (ServIce/feeder not incluaed) -E.lch Jnstal1anon TOTAL Snarea Om el T l' Buuamg Forms, EleemC::l PermIt ....opJlc:lnon I -'}6 coe Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01164 ISSUED: 08/07/2007 APPLIED: 08/07/2007 EXPIRES: 08/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3160 ORIOLE ST ASSESSOR'S PARCEL NO.: 1703221312200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace meter and circuit panel. Owner: SAKER SHAWN M Address: PO BOX 174 SWISSHOME OR 97480 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02/08/2009 Phone 541-343-7297 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type ofH'eat~P 'T!()t./ Grego I Sq Ft 2nd Floor: f- I ' - n aw re . Water Type:'IV il1/c-S adopted b t ~/}!i'!6IJ~rttYnt: Range!J te~lcatlon Center. Tho~e ~e, CS(fRfJo;~Carport Energy' ath~R 952-001-0010 throu ~~ IDlbfo1:th Sprink gtBJ~iim~gnay obtauya,PI 9 a~atOWad: c.a/!mn ~ho ^~::t:\, .1~uu:les 0 the ""o.,.~. I DEVELOPMEWtliNF~ U' ~ne telephone . _ flllfy Not't' . - 00-332-2344): IC8MrQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: --~.." Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SH~hh_(ft0jFa1iHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01164 ISSUED: 08/07/2007 APPLIED: 08/07/2007 EXPIRES: 08/21/2008 VALUE: Total Value of Project L Fees Paid' Amount Paid Date Paid Receipt Number $7.80 8/7/07 1200700000000001007 $3.90 8/7/07 1200700000000001007 $6,24 8/7/07 1200700000000001007 $8,00 8/7/07 1200700000000001007 $70.00 8/7/07 1200700000000001007 $2.00 2/22/08 3200800000000000121 $2.40 2/22/08 3200800000000000121 $1.00 2/22/08 3200800000000000121 $20.00 2/22/08 3200800000000000121 $121.34 I 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. Reauired Insnections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, 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 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. I 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 property, and the approved set of plans will remain on the site at all times during construction, Owner or Contractors Signature Date Pal!:e 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 COM2007-01164 COM2007-01164 COM2007-01164 COM2007-01164 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 3200800000000000121 Date: 02/22/2008 DescnptlOn Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By ELLEN REYNOLDS Item Total: Check Number AuthonzatlOn Received By Batch Number Number How Received 018 07286c In Person Payment Total: Page 1 of 1 9:49:21AM Amount Due 2000 100 240 200 $25.40 Amount Paid $2540 $25.40 2/22/2008