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HomeMy WebLinkAboutPermit Electrical 2003-12-10 Cl as ~i1b'niltted' has' the following not re.quire specific land use ;.. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX1~g~~26-3689 ELECTRICAL PERMIT APPliCATION Zoning City Job Number COWl ZOOs - 00 9 D9 Date 17/;0/0 .1 Date ~ ,,,. '... , '0 CITY OF SC .lNGFIELD, OREGON ,<-~! 1. llfJ1(ji"'W:T>idjjt@liiJii!is;l@I!A'lJiieN~ ~.I'<'U'~-.J~_~;:_~.'~~:'( i,(""",." /. ,",J...~ I"'::.:::0. if:J ~"..-ff!.A ~,~fL . LEG1#,_D~.S9,~1J9~"~'?'~~1"r:f..~~t~"1'r~?T' ~'.7;;;r:./:"'~ Jlnc.;' R~esia~ijll "j~I~"OI '.'."":'h:~' Illtril~ e~\aJ!ij.~~~'1 170";S^ 'i>g;!"<~.'l'y'" .~"- '"tt5,' "2J'~""'=-' .",l'\,"~I' !"",.,,,, " '..'" "......,.' "", "cJ;'<' , ,. ,- ".. .,. ,'., ,. ~n:;r- ,.";:'7, ',_t1~" ;,g,-;!:t'i '-(' \. t~.. Q ~1O'~";l,:.l.~,t ...'l.~.!. ~ W J,"''''::~~ -.lL...... ,~. : J'" .' '..; )~~~~' .:-,f 'V..;~",/i" ~T . ',i' :. '"r::r~ .~_ '~:~~~~ 'L' -',~~' ..,.... ..~ ~'.' ~...-...,:.~ ... ""~..~, .",,:,,~'S~ry~e..In~!~ded' !~f:~':~' :~_:.it.';~'l~.:j:'r ;~~.~~~~I,~~:{.'"~;;.. t"~1 .~. ..~" "" . ~.r.,.,,;1.;....T~.. ".' '.......... .:. ."..~';...:."'~ . __ ........., '......................,__ ..(.l;.e':t....__"'-"J;;:.,.~..,' ".......................~~...,.~... ~ JOB DESCRIPTION ._. --' .". - . -,- '1000 sq, ft, or less $106.00 Each additional 500 sq. ft, or L. 7Uvl- h ~ portion thereof $ 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. Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 Electrical ContraWlfGON ELECTRIC SERVICE PO, BQt2!JI Address EUGENE, OR 97402 City Phone...:l,I1~\ \0)( I 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only'" " $ 63,00 $ 75.00 $125,00 $163,00 $375.00 $ 50.00 Supervisor License Number \ ~Q,~S ,',:' ?;:::'~ " :.C '.;'. C:~~~~~~~~ .',... . I .,. Exp~ti6n Date \'f) - 0\ -'--\ .,. .;. ., ~. ,j I Installation, A1teratiqn or Relocation , ,. . . 'l. ., ." 200 Amps or l~s~ .. 201 Amps to 400 Amps 401 Amps to 600 Amps ,'''. I: Expiration Date O,-t'-\-04 $ 50,00 $ 69.00 $100.00 Constr, Contr, Number' . .':l.,<g no \ Signature of Supervising Electrician " 71A'hU'vW~j~ I' ~?~""at-I"Y\GI+~I-7 Owners Name ~ IJ ... _ ') ~ i:A::;t-, I '6 10 Is--I-I..... s t- . . ~Q City s>P A Phone \i ~~"i\l91gation . ~ t'l-\'\\\\t\\\~~~line Lighting OWNER lNSTALLATI01~\)1\t~. '''.\' ~~t>-\\\ ,~\~ "o~~ea Energy/Resi~"!ltial " ~W" ~Q ,tl.o.t>-~'v L' , dE .nrC'4U ...." I The installation is being man.'>\'c,: ;""d\, .w1,l;:,,1f''' lImte nergy, ommerCla -\~u' ~Il'>-"'":: ,t' '\'" ,,'\I ~"'''' <:xOII ~ \Qt' is not intended for sale, lease '!N<;n.. c._lc,t\) C.\\\O\), Mininiij~Electric(hrmil'Ihspection Fee is $45.00 + Surcharges . +.- ~I\~\..\'" r\'(?\.o 11,l'O'('=''a. k'-I \H';"" ,,_~ 111''"''':, ...0,.-,-)\.1 , COl" "Inn Or' ....\.o('\O\~. 01 ...,Lh! " I' ~~"jk III,.., j~'ll Ii'. ''" Owners Signature: :i ..I> ~€I-l I 9.0'4, 'S !J1(i)il1.'m' ~ ' .':C' ..."L.'T.. -~ ,.._p>.\O~{i.l\~Sce{\\e,~o"" \OS'" \0~~w" {\ \0\"~9-\\0(\ OO'\-Ot'7'y. ~,tate%l\I'C/targ~ ,'\\C9.\IO ~o,... c 95?-- "D'i'I\O~~~ \\,,~~!'l: '"",. . NOE'" Op..p ~a;, '0 waIDISuatlve ee , '{OU e(\'''' 0(\ v' '2.'3ti'" I" 0090. X(\Q \\".8 C\'l~T0~,ll::;'3'2: ca.' 'ne( \O( ~.r';c '-' . (\U~~ r -,- Shared Drive(T:)IBuilding FormslE1cctrical Permit Application t.()J.doc Over 600 Amps or 1000 Volts see "B" above. D.~~~~~~ New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 43,00 4...3 6-{) '.J.. 7 0..0 C? $ 3.00 Address E. $ 50.00 $ 50.00 $ 25.00 $ 45.00 '---.. .0-0 In . cro -4 . ,lIlD y\ <10 Inspection Request: 726-3769 . . Lu t OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00909 ISSUED: 09/17/2003 APPLIED: 09/16/2003 EXPIRES: 06/10/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 12221/2 Kelly Blvd ASSESSOR'S PARCEL NO.: 1703274402700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Upgrade service and wire house " Owner: R P INVESTMENT REALTY Address: 1810 15TH ST SPRINGFIELD OR 97477 Phone Number: 541-726-2400 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 38001 Expiration Date 09/14/2004 Phone 541-343-1681 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Siructure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 '\ SETBACKS I U'" "-LOPMENT INFORMATION , REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Total: Handicapped: Compact: Rearyard Setback: % of Lot Coverage: . Solar Setbacks: NO~'~~~. "T cunl' FXPIRE IF THE WO~~ . ~UTHORiiEO UNOER ni~llrc,~~oVEMENTS l"""'ENTION:Oregon law requires you to . NeEO OR IS ABn'w'C \\.J . \I I '0 Ufrty Street ImprovemeifluMME follo""S.i!!e!v.alk,T~p'e:d by the regon II, MN 180 OAY PERIOO. 'f . "M ron''''' Those rules are set fOf' Storm Sewer AvailanlE!: ~Otl IC'DownsjloutslDrains: hOAR 952-00 Special Instruction: ,n OAR 952-(;01-0U1 U mro~g 0090. You may obtain COPIEl~ of the rules I Notes: calling the center. (NOt3: tne tel~~hol~e nllmber for the Oragon Utility Notification " I, Valuation Descriotion I r -' ~....~ '-.'jlll-,'j." "-~..,,.t'1'j. Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa~e 1 of 2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00909 ISSUED: 09/17/2003 APPLIED: 09/16/2003 EXPIRES: 06/1012004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " I Fel's P'IidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 $7.00 $4.90 $43.00 $27.00 9/17/03 9/17/03 9/17/03 12/10/03 12/10/03 12/10/03 12110/03 1200200000000002145 1200200000000002145 1200200000000002145 1200200000000002577 1200200000000002577 1200200000000002577 1200200000000002577 Total Amount Paid $155.61 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. I Reouired Insnection'iJ 1 Electric Service: Approval required prior to utility company energizing service. 2 Rough Electric: Prior to Cover 3 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 readahle 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00909 COM2003-00909 COM2003-00909 COM2003-00909 Payments: Type of Payment Check ,)' __~.,.u G..!'I_._. m,' _ ",'.. ~-!~.. , , . ", ' " .i .,',.,'.' , , ~, { , ,.~,..' ,. .-'~'""'" ,., - Receipt #: 1200200000000002577 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By OREGON ELECTRIC SERVICE Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Departme~t Public Works Department Date: 12/10/2003 8:54:llAM Amount Paid Item Total: 43.00 27.00 4.90 7.00 $111.9U How Received In Person Payment Total: Amount Paid $81.90 $1I1.9U . .