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Home My WebLink AboutPermit Electrical 2006-10-17 . . . . LD2- \0\\'""1\0<:" N "-'\ '., ..... YV'\(Lr')5,v>',.:'J;. :~Hht."tl,'t1;.:::r- r- .~ . '. .;..' ":,::'(\;L::',;!:':,~:T":;:;,~1~:ttD. , __ '~"o ,.." ,'. ..., "",'~:,',':",:'~'"';":.:::'.,'.",,,.:.1_'.'.,':'.;......'...._....,..:.)_~.>..\;~......;:,.....:..'.;.,>,:,._:.~.~.~.:..::~.,.:....,::'..:~.':;..":.,:.~...,,..,.,.',..1.....,. :' ;~;:].:~:'sL~;;.ll[~.{;~~~L . ,-~ : '" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689i(~i' n.F{,j'JUl.'.iV- PEflMrr.4PPUc.-1TION City Job Numbe~LC1Y b - 0\ 3:::1& Date I (:'.J n / 2. /'roc" :'lecl~:~:'::~:~:::~('jC~~1itEI;;;~~ :k20::::so::~:eders -Installalinn,/"ral~\:';.~: n;~'II; P'D (J~. 1//# J' 201 Amps to 400 Amps "I~,Jt(!Qll\J Address PV X' 'f() '- 401 Amfl.~tl'~~~Iilj\s:Oregon la'~ . v~:~$bt~iQQi\itv ~ ~ 7"l -,1 601 A"llJl\\9J!QQOrAmPslopted by ''''::.;:~ ~19~'QO lortt Ci 'V e Phone '1 - 22~ 10 Over .tP8Rt.H!!Jlil6Volts~nter. Th~~v '::-':"9MflMI0.001 .' RecOl\necl OnIV\52_001--001 0 \"'vv,,.. .. 1 $150.~gl"" b\ In uAn":;7 . CO}Jlg.-;t v l 10 ~s nn90. you may obtain ~ . the telephone . Supervisor License Number . ~ . C. T,nl]l1or:\ItntiCJ'\jrI!iS;mTl!ard~r~ote... Notilication . I 0 . ca Y lor the Oregon Utility Expiration Date I 07 Installatlo\l!1A'l~ratlonor'loelo.8tlo~.32-2344). . . LA:HHth s. . ~~ L /0 . 200 Amps or less $ 50.00 \'II/ 201 Amps to 400 Amps $69.00 II I Dl, 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Bt'tUh:h Ci,"('uits 1. IDi.'.1.,.rON OF /i\'S'/:.\U.\110N 3, <..."5-0 ~ \2. .u Q 0(1:2-0 tvd.. LEGAL DESCRIPTION II ()-~ -"':S1 \40 .......... JOB DESCRIPTION NB.u ~~ ~n.VL.- W/-4 O('CU-<.--t>:""-Cli m..l~~ (;;ll./-:H-~ ,ll.-'j; (j) ~~~ . Permits are non-transferable and expire If work Is . not started within 180 days of issuance or lfwork Is Suspended for 180 days. Constr. Contr. Number Expiration Date >a:~ ofsuP~rvQg ;ctn~ owne<SNam~b/.. ~ Address c& ~ X~~ e' y fYj/"L-- c~~ Phon;t1W-03Q~ OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Inspeetlon Request: 726-3769 COHN.liTH F1iI!SCIIH)W." IIm.OII' A. !\c"?tfsidcl1ti'llI-. Sjll~lc 1,1" \ltllli.r"I1i'li1r Pl'" tjl\'l'Itill~ III I. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder . $50.00 New AllJr\I;;;.Eor E~tenslon Per Pa~el IF TrE WORK One C\1'ffi~ PERMIT SHALL EXPI t 43 O~ Each A.(W'iQ?~~~jl"Bi\l'Il1Sl!\j\ THlti lAryNlllS eT/..... Serv,ce,orlFeetlerPermll R IS AB~e ~(ffi .::::0( COMMENCElJO . E. ~IiS~M1"~'80 ~~\<:J\l.!tIU,QD-'I\<I1 illc!",kd) -Earh In.<lall>l';"n PUmp or irrigation Sign/?utline Lighting Limited EnergylResidentia' Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges 4. 6(!R1~ Of~IOVIi <JI; '15. ~ 8~tateSurChargpz..~g.-/ //- ~ ~'7S 10% Administrative Fee q? ~ S ') Ie 'LJ. i:) . L. / ,.::.0 TOTAL ~ . . Shared DriVe(T~n8 Fonns~PPli<ation I,06.doc 215 Fil1h Street Springfield, Oregon 97477 541-726-3759 Phone . L;~~~ Wit. . C&of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1326 COM2006-0 1326 COM2006-0 1326 COM2006-0 1326 COM2006-0 1326 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 10/17/2006 2200600000000001451 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee , Paid By C & SELECTRIC Item Total: L'heck Number Authorization Received By Batch Number Number How Received njm 013114 In Person Payment Total: Page I of I 2:37:42PM Amount Due 63.00 12.00 3.75 6.00 7.50 $92.25 Amount Paid $92.25 $92.25 10/17/2006 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01326 ISSUED: 10/17/2006 APPLIED: 10/13/2006 EXPIRES: 04/17/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 562 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703341401000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: New meter panel w/4 circuits Owner: WATTS JOYCE KATHERINE Address: 564 KELLY BLVD SPRINGFIELD OR 97477 Phone Number: 541-744-0393 Contractor Type Electrical Contractor C & SELECTRIC I CONTRACTOR INFORMATION I "T -N', Il lIlol'Ulegon law reqUire:; yuu lV AI E Lic'ensced byExpirationrDa'tety Phone foIlOW~ul~~~~~~: Th""~ 'r:\I~!!-112008et lor\l541-741-2236 BUlLlJIl''; iNFORMAT.U)N'I001 0 through OAR 9~~-UU ~ 0090 You may obtain copies 01 the rules \ # of Stories: j'lin the center. (Notfl';oi1Siie:ie?ho~e Height of Str~~ :!J'~r for the Oregon lSqlF, ISI1Fllfoll!IOn Type of HeJf!lm tl Center is 1_800-~q~I1t:~Dd)Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Uoits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoodary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NU 11111:. REQUIRED PARKING overfa'Ylfii$lERMIT SHALL EXPIRE IF THE W-PJl~: # Str~!\!m"!l~mtl[d,] UNDER THIS PERMIT IS iWi'liicapped: Pave~'B\"V~~~etD OR IS ABANDONED FoFfompact: % ofk~~cl085rj)ljt'~ PERIOD. I rUOLlL IMPROVEMENTS' Street Improvemeots: Storm Sewer Available: Speciallnstructioo: Sidewalk Type: DowospoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ PerSq Ft. or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01326 ISSUED: 10/17/2006 APPLIED: 10/13/2006 EXPIRES: 04/17/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.,~ P.'lW Fee Description + 10% Admioistrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $7.50 $3.75 $6.00 $12.00 $63.00 10/17/06 10/17/06 10/17/06 10/17/06 10/17/06 Receipt Number 2200600000000001451 2200600000000001451 2200600000000001451 2200600000000001451 2200600000000001451 Total Amount Paid $92.25 I Plan Reviews I 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. IRp.nlli~ Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover 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 aoy and all work performed shall be done io 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 ohny structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project. I further agree to eosure that all required iospectioos are requested al 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 Pa~e 2 of2