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HomeMy WebLinkAboutPermit Electrical 2008-4-2 'i-:".ih~,~'~~'lt-~-~:'~~'>""" .~, '~" ,'.~""~' "" ~~'," ,"",' ,t,:<':~':lf>::,crrY,<OESPRINGFIELD ,OREGON ,,':~' :',~',-, .t'i, ":,,:{':,:;'" :~'>;i . ..... /~~"' " -, , ,.1' ,.':., .- ."" I, "1~"'" ~.." ZON ~V INITIALS N W'\ DATE l"^Al_'Sn7 , SOURCE -4 .:: ~ -0 (t" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number fd:>...v\ -roof' - 0 " ~ 7 J Date Y - ~ - oF' ..." ... ... ->>fi~ '-"'l'"-"'1'<<~ ~..._'"'v, ,......".-~..,,.. 4',.<''' l~""'~>l'''''11...'''''''l''<..~'~''''''''1'.rr'-'''''-''''P (-<"~-~-" ~> ~" ....... ~ 1. LOCATION OF INSiAiLATION::~ ',~< 3, "COMPLETE FEEBcHEDUiE:BELOij?:', ~~. < . ,,.," , )_ ~ ,'~ "1,.... :('~"<il'...:~'"'_.>-",) ..~, ~,)...~\/~t"';i ~!~1 &~"lJ >;;. ",,,.6"" "\A";:<-""';',.1"..,, '}r\)";.,..J,:.;~t,, ~ ;<-i.,,,..~":.":r~A~~_T_.;:;-~~\h I Y4( - .3~ ~ D 6 JO() EXplratlOn Date / 0 - {- (0 Installation, Alteration or Relocation ATTENTION: oregon law requir2m~ewnlctr less Constr Contr Number I t2J1~\~~4!~ adopted by the Ore.RR"^-\tl1J~tyQ. 400 Amps 1\IUlIlII...i:lllUII Ct::lIlt::l. TI.vse rules ~r~t...s.plTort'h600 A E D J~OAR 952..Q01-001 0 through OM;{ l:I~"Z~m>lf. mps Xplratlon ate C1~xtG\: 'tv'?J.J.f ~btaifl-eoples of tIDeef!sG@j~ps or 1000 Volts see "B" above SIgnature of Supervlsmg Elec~Jllrng the center. (NOie:.i.h~1~t~g~Cir~~it~\(;~i~~::~(,~~q'~l]:t;;". number for the Oregon Utility U\!ofifitatlon'.'--- ".,""--~ ~,.L.- . . '"'., 7 / IfI II /J CeJlter i~ 1-800-332-23~JV ~Iteration or Extension Per Panel ~ (-JXY,a,,/ OneClrcUlt Each AdditIOnal ClrcUlt or wIth (\", Service or'feeder Penmt Owners Name I J \LQ..!i:o / fL~ LvYL.IlA._t:.s r;.- . ~" \t-t --(>~11"77,r-: "t'" :,-- lI"";~ --/".~,:; ,":,~~.:-.."r..... "'-.-~ ---;;'t: 'lY"-<",:",1,\"-4< ~ ' Address s3~ (Y\~ ~ E. ',~Mi~ce}laneotis"~Se~~!.celree,~er'~~~,'incl~~~I:l;~< -Each Installation City ~.~) \.~ Phone '7dLo "ci.I..fOo Pump or IITIgatlon $ 55,00 ~ I....) SIgn/Outlme Llghtmg $ 55 00 OWNER INST ALLA nON LImited EnergylResldentlal $ 28 00 The mstallatlOn IS bemg made on property 1 own~~t\E~ LimIted E~"rB<?\f)ffl!"WOR\c' $ 50 00 IS not mtended for sale, lease or rent THIS PE~ntbWA\.Jk:W~~RlQ\\Jew~~~.~, ~~,o.oo + ~urcharges Owners SIgnature AUTHOR'7J2~D~~\ ,JJt~.~9~8"";:I,'/\ ',~,i'::-';~:l-<: J ". ~ COMMENC \nRiS:'~~;~~''4}O , ,C,","'''' '~"'~"'" ,'", )(YO ANY 180 DA; 1.0 0 ~mlIilstratlVe Fee '10-0 5% Technology Fee ,,~ St> LEGAL DESCRIPTION /70Z S/Zt{ JOB DESCRIPTION ~ l>, ~ - .rlJ~_lvO ~ V~n. ~ A ""'\\ Permits are non-transferable and expire If wllrk is not started within 180 days of issuance or if work is Suspended for 180 days. b ~ ~ ,X"<",' A'" - ~{""""J. '1''''~ 1 '"). ~ <"i1' <"::; '"fiCa ~ ~v't,.. ~ -:: ^, ,." ~-..... ~ 'CONTRA.'cTOlf INSTALl:AiioJ.i ONEY: 2. ~,.. ~ .... " ~ ';'A "'" ':..l:',:"z. '...:~j ~l 1 _ !..:I)~~;,.;.....'>-~:h~~ ,If . ElectrIcal Contractor Address OREGON ELECTRIC SERVICE P.O. BOX 2237 EUG~NE, OP.WoiQ2 ~t{~ - I bf?'/ City Supervisor LIcense Number 1r3 C1~ S Inspection Request: 726-3769 , ,~A ><: '1 ~-r>..::JJ ...,,~ ~<<'V4""" ......,~ifli" ... I' '- ....... >';-~. ,,,>"rT:-~""~~ ~ ~~ ~ -....' ... A. "-N e~ Reside~~~J,~_0S!~gfto~ '~p)~l~ a~.~ly p~r 'dw~,1iing 'u nit. v:, _~""'~_ ~~.... x_ ",4, ..... .....~{~--"'....\... .........1_ ...,.. _ ....:i..~'l." ~'<i..t~... _-.I: '" _....~ . Service Included 1000 sq ft or less Each addltlOnal 500 sq ft. or portlOn thereof Each Manufact'd Home or Modular Dwelhng ServIce or Feeder $11700 $ 21 00 $55 00 ;:;/~~' lr :V')I"'>~l~r" ":-;,..M-~"'5-~i,-;;: .:{~~.v,~ i*':l7:, > "f~~':~' I -:..~"""" B. : -Services or Feeders':.::.lnstal\ation;:A:lterations or Relocation: ...s.;,;f..1:~""t..1!~':~IJ'..:.::.,J ~"';'f.~..j.t~lt'__l.i.h..-....J..~.;:tl";].:;..,."\t:.K'l:""I-"2..'...:''':!JS;~ 'l< r: J"(d:~ ~ .h'" 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I $ 70.00 70 It...<J $ 83 00 $13800 $18000 _~__ $41300 $ 55 00 u.r'f"l ;-~:- t,0~'-'; ...,/'".},-.;>-t^-:~-~:">"'f'"~~""""'''''~~'':J\~"''t.....t~<::M\.(~~-.\~~f:>--:'''(~ ~"\""~-'''-,"'-''''' v--"-'" ~ Co ,',.Te'mporary'Services or Feeders~, ,..'< ",' :;;!:.., ~, ", } _~,," ....... 1;r,.,.M,;;~~l.. <. '''''_~, .:"'5~".,"'>&~~~ r.;.';...: ""'A..~'1 ...~.->-~ '''''- '~' ~ $ 55 00 $ 76 00 $110 00 , ' . '~ ' $ 48 00 $ 400 TOTAL 8R cro ",,/ Shared Dnve(T )/BUlldmg FormslElectncal PerInlt ApplIcatIOn 7.07 doc CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00375 ISSUED: 04/07/2008 APPLIED: 03/18/2008 EXPIRES: 10/07/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 447 32ND ST ASSESSOR'S PARCEL NO.: 1702312406300 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Raise mast and replace meter base TYPE OF USE: Repair Commercial Owner: METCO INVESTMENTS Address: 326 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 161518 I BUILDING INFORMATION. # of Units: # of Stories: Primary Occupancy 9ro,u]>::IT'ON. Oregon law re~ftlhV9f:l~ucture Secondary Occupancy,Group:.(:3 adopted by the ~~~9flt'i~~ Primary ConstructioD)1jy,pe.mll Center. Those rUl~f@l R[:th Secondary ConstructioJilllype.:2-00 1-0010 through ~ ~ - ~P.: # of Bedrooms: 0090. You may obtain copies ~ fh~' calling the center. (Note:.t.h~ I ~~'Htllilding. n/a ." I Y'\"\ nor fnr thA nreq.on Utility 0 ITIcatl'6h Center is 1-8?Cff~kIENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-726-2400 Expiration Date 09/2812008 Phone 541-343-1681 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOT'CE~M\T SH"ll EXP\RE \f 1HE Ws ~~~ownspouts/Drains: THIS PER ;, TH\S PERM\T 1 111 AUTHOR\ZED UNRD~: ABANDONED FOR COMMENCED 0 .~iN 1 Qn nAY PER\OD. I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00375 ISSUED: 04/07/2008 APPLIED: 03/18/2008 EXPIRES: 10/07/2008 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. Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.00 $8.40 $3.50 $70,00 4/7/08 4/7/08 4/7/08 4/7/08 1200800000000000318 1200800000000000318 1200800000000000318 1200800000000000318 Total Amount Paid $88.90 I Plan Reviews' 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. l Reouired Insoections I 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, 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 of 2 225 Fifth Street Springfield, Oregon 97477 541...726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00375 COM2008-00375 COM2008-00375 COM2008-00375 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000318 Date: 04/07/2008 DescriptIOn Perm ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Paid By OREGON ELECTRIC SERVICE Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 21691 In Person Payment Total: Page 1 of 1 9:53:44AM Amount Due 7000 350 840 700 $88.90 Amount Paid $88 90 $88,90 4/7 /2008