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Home My WebLink AboutPermit Electrical 2006-9-28 SPRINGFllELD ;.:::-..:...::...'. , ~,'\/----_/-~~ 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 =..-:-::- '" ~ "-. . ELECTRICAL PERMIT APPLICATION :. L ~ .:t:.". ' . City Job Number Co"",- ~':>Ob - 0 11 b l( Date 7 z~ cl 6, 1. LOCATION OF INSTALIATION 3. COMPLETE FEE SCHEDULE BELOW TA-sPclL ;:Lcl . tClllr'tt' (Q)W ~~(QjlJOU~Wg (Q)millOOWI . 3~7( LEGAL DESCRIPTION 1802- ObIt( JOB DESCRIPTION I "J ZOO A. New Residential- Single or Multi-Family per dwelling unit. 'Service Ineluded ~ R-" L.. i2..ec..0~t::-c. T 1000 sq. ft, or less Each additional 500 sq. ft. or portien thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 PermIts are non-transferable and expire If work is not started withIn 180 days of issuance or If work Is Suspended for 180 days. $50.00 CONTRACTOR INSTALIATION ONLY B. Services or Feeders -Installation, Alterations or Relocation: 2. Electrical Contractor Ge...-a..--d cE:. /-ec:...T 200 Amps orless '? ,/ _/ d 201~~to400Amps Address ~) 95-1 /Ttl.4 Cf41 ,8.. R. ~a?~{i600Amps f' d e~~0 fft' t4}M~.~ Amps City So 'I I Phone I'fJ-25C'f~~ O'~~t!.t!OO"~sNolts , o~.., '$'0 ~~r~t'O&0 ~ . 1.0C$ rI> 'O~ f00 <; ~ ~ '$' 0~'(:I ~o Supervisor License Number 3 {,S' 1:5,~jtO~~, ,\'('o'iS'~~0<:or~~~~C.services or Feeders , ~,p'lJ' ~eJ.-.'~ <fJ(10~"$LbP<'\' Expiration Date /0 -J - O~ ,~ ;, vll! o...)r",,'\,~~ ~~~~. Alteration or Relocation ~ "'~O~Ub,,;r rb~" ~0\e~~tA~Ps or less $ 50.00 Constr. Contr. Number $? 1 "~-I'~ _" ~ .}? eO ...~I Amps to 400 Amps $ 69.00 'i;'~..n':'~ ~~'o''$' I.'''' 401 Amps to 600 Amps $100.00 Expiration Date /1- /0 - Dl !!l- ~<" I.Io!. ~'\,0 ..r ~,,~ \.,'" Over 600 Amps or 1000 Volts see "B" above. SignalUre of Supervising Electrician ~-S D. Branch Circuits $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~ I , (IJ . New Alteration or Extension Per Panel ./t~A~ One Circuit ~ Q Each Additional Circuil. or WI!Qx. ~1j\lI . Ai I. -:7/ 1_ 1 C ServIce or Feeder Pe!l1lll \'( \" ,e-'$\\ $ 3.00 Owners Name ffll'l-e" I-'IA-~U--"""~'-''' o<a.f 't.iS\\l.'C. ~\\ ," Address '8 Cb "J -;-IA .....~'::.-J- ~ -(\t!;:. MiSC~~~S \""\'li~~MI'r'tl;)})nciuded) -Each Installation \ ~\}\ \l.~\\ \l,.\j't.\l. ~\j\j~'--v City 5?cF',~ Phone 7'f{b -Dr ,~\s \lY;I},\.IMt\'5't-'Ot>: t-\\\\\'Sl ~tt\l"~ri&,~ OWNER INSTALLATION C,c)~ te\\\I!\e'i'~)~esidential The installation is being made on property 1 own which ",~i-tI&$,d Energy/Commercial is not intended for sale, lease or rent. $ 43.00 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Inspection Request: 726-3769 TOTAL -0 ==- Z S'., '-I 5' b(~ Owners Signature: 4. SUBTOTAL OF ABOVE 5'; 7et.t~- 8% State Surcharge 10% Administrative Fee Shared Drive(T:)fBuilding Forms/Electrical Pennil Application l.o6.doc TYPE OF USE: PROJECT DESCRIPTION: Sanitary sewer connect and septic abandon ^nV-- ~ 'l'~ Owner: MIKE BLANKENSHIP CORPORATIOJlj, \~ \'(\ ''0 ~C\ Address: 8063 THURSTON RD ~,~'t. ~'\' SPRINGFIELD _O,-\~7478 ^"~\.\. ~;"\'O \l~\l\,~\) 'TC~ ~ (I'- ~\ \ ~ . x.~' ~\)JI ~ ~\'O \l~~~1.~\) 'U"~ ~t'RACTOR INFORMA nON I '\ ,,~'\j~ ~\) '\jl ~'\j\). C~.(~~~c.(\~ \l~~ License G ~ ~IVtERPRISES INC 87145 DO~ PLUMBING INC 110163 # of Stories: Lot Size: Height ofStru~ture Sq Ftlst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq ~~: Sprinkled Building: nla ,sJc'i~n-.l d A\~~ _(\"V' . '0 \ : , I DEVELOPMENT INFORMA Tlcr"l'l'~ O,e~e ZOO'" ~0~ 'O'l~ ,\)~O~ ~~RED PARKING Overlay Dist: .s\O~~o~\~'~" o\~1\~"o( #StreetT~~{!,.~0l ~\0\' ;\a~~\~.~nilicapped: ~aved on'\~~~:o"~\~~,, ~:~~~",pact: Y. of LOl\~~elJlge::J,; ~ 0 1/#_ '\! 0" ~}tJ"- . ~o~~~~~oe~~d)'~- I PUBLIC IMPRd'Wo~~~i'o\"'~~\~ ' ~" Oe<:'-. F II I d ",1S Sidewalk Type: u V mprove " Yes ~ii:~ Status Issued 225 Fifth Street, Springfield, OR 54\-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3971 JASPER RD ASSESSOR'S PARCEL NO.: 1802061413200 Contractor Type Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciullnstruction: . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01168 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/28/2007 VALUE: Springfield TYPE OF WORK: Plumbing Only New Residential Phone Number: 541-746-0194 Expiration Date 11/10/2006 11/24/2007 Phone 541-741-2596 541-688-3385 BUILDING INFORMATION I R-3 VN DownspoutslDrains: Cu rbside 5' Drywell . Provide Drywell Engineering Notes: Quick SDC Worksheet for David. Storm drainage to existing operational drywell. House annexed wi GoldenEagle Subdivision.JLP Paee I of 3 ~ii:~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtllOO' SDC SanitarylStorm Admin + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Water Line - 1st 50 Feet Water Line - Each AddtllOO' Total Amount Paid Public Works Review 09/12/2006 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01168 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/28/2007 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<, PiiiJ Amount Paid Date Paid Receipt Number 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001460 1200600000000001460 1200600000000001460 1200600000000001460 1200600000000001460 1200600000000001460 $10.40 $5.20 $8.32 $45.00 $45.00 $534.34 $702.72 $14.00 $61.85 $10.90 $5.45 $8.72 $50.00 $45.00 $14.00 9/12/06 9/12/06 9/12/06 9112/06 9/12106 9/12106 9/12106 9/12106 9/12106 9/28/06 9/28/06 9/28/06 9/28/06 9/28/06 9/28/06 $1,560.90 I Plan Reviews I 09/1212006 APP JLP Quick SDC Worksheet for David. Storm drainage to existing operational drywell. House annexed w/ GoldenEagle Subdivision.JLP 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. , Rp~p:,..tinn~'1 Sanitary Sewer Line: Prior to filling trench and including required testing. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. Paee 2 of 3 . . CITY OF SPRIN&t<u,LD Building/Combination Permit PERMIT NO: COM2006-01168 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/28/2007 VALUE: Status Issued 225 Fifth Street,Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to filling trench and including required testing. Electric Service: Approval required prior to utility company energizing service. 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, aud 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 car.~'s locat d at the front of the property, and the approved set of plans will remain on the site at all times during constructi . ~ .. '7/c:r/c., . , Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street SpringfiHd, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 Payments: Type of Payment Check cRcccinll . RECEIPT #: Description Water Line - 1st 50 Feet Water Line - Each Addtl 100' Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administralive Fee Paid By MIKE BLANKENSHIP CORP ..;:~~ ~. <;l& of Springfield Official Receipt .elopment Services Department Public Works Department 1200600000000001460 Date: 09/28/2006 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 10504 In Person Payment Total: Page I of 1 9:3S:39AM Amount Due 45,00 14,00 50,00 5.45 8.72 10,90 $134.07 Amount Paid $134.07 $134.07 9/28/2006