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Home My WebLink AboutPermit Electrical 2008-2-28 ZON {If V _ INITIALS . n Y'f \ _/ DATE t... \ ~~ 10 S SOURCE ~?>iX? / Z-z-r-oK' ~PAINGl1'IIl!:LD ' 1, 1 .1lf\__~-__//:-'-/: '_"::::;:,::;:::::>e . .;" I. ' ~","', 225 AFTH STREET . SPRlNGflELD, OR 97477 . PH:(541)726-3753 . FAX; (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COIAI\ Z-OO 8' -- 0 0 Z ~ D 1. ;o;9~ONOFI7~rON: LEGAL DESCRIPTION: J7{)] ZS33 ODbf:)O JOB DESCRIPTION: _~V_L____t:~t€ I Z c.lrc-..~+S Permits are non- trnF.sfctl!nEe m~d cx~fu:'C' tf h'(:: k: ~:, not sL.... ,..... within 18.6 daj'S ofissmlncQ or frwati~ is Suspended for ISO dll'ys, Date 3. COMPLJJi,lJ!.,l<'EE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Included 1000 sq. it or less Each additional 500 sq. ft. or portion thereof ... ... COl''41''!li'.I'1CTOli11NST4.,:(,1.A'J'lON ONI Y U. Sl."nkcs or Feeders -, Knstatluth.m, AlterMion.<; m. Relo<l:utb , . Ele.:.triccl Contmctm T):u.J.G. V04,\fi.M?Y f,k,;tnc ...J "I -n ',. ~, Address \~I~ ~",,!I("i Jr'4"~Y'l l'\'V--L -- - ~~ -- City ~\.~,Ja~ Phon~ 4-~L\- S1~ Supervisor License Number ~4 Li rl S Expiration Date . _ _ __ ,_ \0 I \ 101 Constr. Contr. Number \ '1 \ \ 2>D II1...DID~ _~m OwnersNanw _)iLo/r:- .~.~ck~ Address L/ b 7 r G-r,od ~ S ~\LE" Lf b71' ~/;;':- city ,-",,-~"'C: Phone $106.00 $ 19.00 E~t:h l"'l{c;n:lfi~(.t ~.l t!':'ITt,.,; ,~i Modut.:J.r D\'l'CmU& Service or Feedrr $50.00 70 B E. MisceUl1llilCOaS (ServJee/teeder- not indude.d) - Em:h n Ris:t~ti!ation oA~:'~m~\lItJaw requires you to fn1lnw rules a<:lRp,ted b\l the Oregon Utility. . _ . ~r~\rnt'~I;I"~Q 1:, llfililW?~:; (jillWo~rWs~tltO'hl1t11C"1 rn~A~~~~irf.:6WTd(lR(oVgH5AR 952-001- ,Q9"~P.r~ ~9.\.lt:M-\cobtain caples of the rules by callIng die ce'nter. (Note. the telephone ---numaer-for tR&-GregGA-lJtI ~~ty.Nohf-i.GaHGn Center IS 1-800.33~.2:;44) 200 Amps or lest; 20 j Amos to 400 Amos ,_ $~O t\l.mhnm;If\H!Tri'a-f~i1mt hl::<fi~cti0.: t (~;' ~'J t.4::.~,(}'1 ~.~tl di\;zltf'<': 1. :: ::=rf{m.:P~RMtT~S~~Lt EXPIRE IF THE WORK 78 1~~}Av;tb{QalZEQ UNDER THIS PERMIT IS NOT 1:$6 Wo/~~eiOO IS ABANDONED FOR-_o'~-"--' . 7tl'O 5'1;-, A'ffP''P61J'!IYAY PERIOD. _'__' ~_ >0 71()6 InS;J"...etrnfi RequeSt: n6-376~ 401 i\mps to 600 /\mp~ $ 75J)!) ~ 1 25J){} 601 Amps to 1000 Amps O"PI' H\M tl""...,f\lt,lt" - ~~ --...... .--~r- ....,,- $163.0u <t~"1 <: f)t) -.1_ J -" "'-' Reconnect Only $ 50.00 c. Temporary SClvlces or l<eeders Installation, Alteriition or Relocation ZOO Amps or less $ 50.00 201 Amps to 400 Amps 1; 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. ik:m.d:t Ckc~its New Alteration or Extension Per Panel One CirCUit Each Additional Circuit or with Service or Feeder Permit $ 43.00 Z $ ~OO ?ump or irriga;rion Si~llfOtltH1!e Lighting Limited EnergyfReside.lltial Limned Energy/Commercial S 50.VO $ 50.00 $ 25.00 S 4:>.00 TOTAL Sh?recl nTiVll'ff'Whnlrlinl' Forrns/E1ectm:at Permit ^Pp!ll-'l1hon 8-06 dot" Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00290 ISSUED: 02/28/2008 APPLIED: 02/28/2008 EXPIRES: 08/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1391 N ST ASSESSOR'S PARCEL NO.: 1703253300600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service change and 2 circuits Owner: KUECKER MATT J & NICOLE A Address: 4675 GOODPASTURE LOOP APT 77 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JULIE LEIGH FORD License 171130 Expiration Date 07/20/2008 Phone 541-434-5600 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building. Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Inst!.1Hi~ON: Oregon law requires you to follow rules adopted by the Oregon UtIlity Notes: Notification Center. Those rules are set forth NOTICE: ~Q~:R,~~21~?~)1-~~~~~-:t~~o~~~~ ~~I~~~~~~~Ot THIS PERMIT SHALL EXPIRE IF THE \AfORI< calling the center. (Note: the t Joohone. . .,'\U UKILED UNDER THIS PERMIT IS NOT number for the Oregon Utility ~ .t on DeSCfI tI MENCED OR IS ABANDONED FOR Center IS 1-800-332-2344\"1> S F S ANY 180 DAY PERIOD . S rer q t quare l<ootage . Description Tvpe of ConstructIon It' I' B'd A Value Date Calculated or mu Ip ler or I mount Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00290 ISSUED: 02128/2008 APPLIED: 02/28/2008 EXPIRES: 08/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.80 2/28/08 2200800000000000262 $9.36 2/28/08 2200800000000000262 $3.90 2/28/08 2200800000000000262 $8.00 2/28/08 2200800000000000262 $70.00 2/28/08 2200800000000000262 Total Amount Paid $99.06 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. Reouired Insoections 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 Pa2e 2 of 2 225 Fif~h Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00290 COM2008-00290 COM2008-00290 COM2008-00290 COM2008-00290 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000262 Date: 02/28/2008 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstrative Fee PaId By DOUG PALMER ELECTRIC Item Total: Check Number Authorization ReceIved By Batch Number Number How ReceIved ddk 028480 In Person Payment Total: Page 1 of 1 9:04:27 AM Amount Due 7000 800 390 936 780 $99.06 Amount PaId $99 06 $99.06 2/28/2008