HomeMy WebLinkAboutPermit Electrical 2008-4-2
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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'
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1. LOCATION OF INSiAiLATION::~ ',~< 3, "COMPLETE FEEBcHEDUiE:BELOij?:', ~~. < . ,,.," ,
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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