The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-6-9 -. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00674 ISSUED: 06/09/2004 APPLIED: 06109/2004 EXPIRES: 12/09/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1222 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703274402700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Service Upgrade Owner: Address: Nnrlrs:. LAMARCHE 1993 TRUST THIS PERMIT SHALL EXPIRE IF THE WORK 60 GREENV ALE DR ATTN SYLVIA & V LAMAlmJff.l~I.'..!t~!~m~, '-HIS PERMIT IS NOT 97477 COMMENCED OR IS ABANDONED FOR 60S~~~~ 1U t~Mf::NCSYLVIA & V LAMA~il'E1 ~~~'b~ft)I,WJt 97477 ALAN BENNETT 12222 KELLY BOULEVARD SPRINGFIELD OR 97477 Owner: Address: Owner: Address: I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 38001 Expiration Date 09/14/2004 Phone 541-343-1681 , BUILDING INFORMA TI?N I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: RearyR~l'etb~I' Oregon law requires you to SOlarf~etbi~hf.a~ ~dopted by tile Oregon Utility allOW I... _. _ _ ~. .1....,.. ~..o e;pt forth ~otitIC:~~~_~~;':~01 O't;;~~ugh OA.R \:j,/Pf:lBLlC IMPROVEMENTS I Stre~~~~enY;lJbtain copi~s of the ru",~ "' v ,', . nter (Note: the telephone Stor?, ~b\\lll'i'lfR~br~gon Utility Notification Specla~~tlmI. . 1800 """-2344). " Center IS - ~ Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Paee 1 of2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Fpp~ P~id.l Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 Total Amount Paid $73.71 I Plan Reviews , 6/9/04 6/9/04 6/9/04 . CITY OF ~rKll'1ld'mLD Building/Combination Permit PERMIT NO: COM2004-00674 ISSUED: 06/09/2004 APPLIED: . 06/09/2004 EXPIRES: 12/09/2004 VALUE: Value Date Calculated Receipt Number 3200400000000000098 3200400000000000098 3200400000000000098 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. [Jeouired .\ump~tio'1~ 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 ofthe 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 tbe 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. tic. () U ~~ bu" ffi02k) . M., Owner or Contractors Sig~atu;eG Pa2e 2 of2 lo I CA (OC/ , Date 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone . .pRI~",,~_,_,- ,'.. tAa.' ~.! Job/Journal Number COM2004-00674 COM2004-00674 COM2004-00674 Payments: Type of Payment Check 6/9/2004 RECEIPT #: 3200400000000000098 Description Penn Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By Received By OREGON ELECTRIC SERVICE njm Page 1 of 1 1IilY of Springfield Official Receipt .elopment Services Department Public Works Department Date: 06109/2004 Item Total: Check Number Authorization Batch Number Number How Received 17693 In Person Payment Total: 9:54:34AM Amount Due 63.00 4.41 6.30 $73.71 Amount PaId $73,71 $73.71 _/~~ .JJ~.~ .A(..." d. . LEGAL DESCRIP'FI0N~~~-~--> .",. ' ,,_....A.JIlNJ:rl1RTs'i&'i1ll'tiilil!!l's,~'g1~1'O'r.IM~lti!E:lil.i.J~ e1.'(l~~iti:i'g'\~ilitl l' -j.;"1ln;.~ ~ "'~:v..~'~.l,;.'i.tt.oDl"'w:~.iPA..c..";;-,",.1;~:", '"',;,'_:~IWiIi_.i.;.~-"--.uII&iW~,,,.,/. ,"iI.1 Ii 1. I 7 03'.0-'-i~.:~ 'zt':Od?7.djj;~,~;i't,;" :, *i1t,;: :;':se~~4)!fi~I~~~~:(i.~iii}'.~, !~;OQ!~~J~VO"09'eANv.jiy~~:?-l JOB DESCRIPTION ,,.. -.--'---'-.-"-----...~..,.",", '.'.lo6o;~..~:~N"Q3NOQNV9't-Sr&O'031N3~lilOOl h'14 --> I I ' Each allffilJonAI~O'OlSq!cftS:lHll:l30Nn 03ZIllOHlnV ~~lU. LA(.JC\,-o do, portio\l!!!>~gHl ~13llldX3 ,'lfl-l<: IIW\i3c!l ~,qll Permits are non-transfer~ble .fud expire if work is . Each Manufacf d Home or :3::1110 N not started within 180 days of issuance or if work is Modular Dwelling Service or s.f!plJiJ~dfdf\18~rd'ay..n law requires you to Feeder tal IAI doc ~, -:^!=\\ot1 IT' tzro. '\t' 'lJ,ri ,... :"" ',...,- ,-;~...........~ ... ,. , ~, ~.. ~ . . City -Supervisor License Number:7 E9:::J.:"'~"- -ExpiratiOn Date ': I ()- I - 0 L( Coristr. ConU:: Nurr;b~~ '"d 01./.10 (' Expiration Date (0 - I - Q.;j 7r~0=:g;~C;k_ OwnersName A~ &.A.~.Jl.-=f::6 Address City Phone.?.t.t S - ::&Q." OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners,Signatifre: )lfhs..'.I:"~,l C'~ .,~,. :,:n;li...... Inspection Request: 726-3769 ;;: r-l, ~ " project .s~ubmitted has the following 09S not require specific land use fa - I _ t) {.- Zoning. IJ)~ Date (p -'1 -Olf '3. ~1@~~~.lM~~_ $50.00 200 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 f.o.E., ~ $ 75.00 $125.00 $163.00 $375,00 $ 50.00 I c.~ ~~Jilp';of~~~~c€sl9.r~1e{ievl-s, ......._. :..". ....... ........'. , ~. '~'''''''''~1\j,.~ "'f,;~....~~I......t:~~:{-;j.b~.J~" ~G In~iallatioi(AIterati~m o.r R~locatio~'. 200 Amps or less"",' . 201 Amps to 400.Amps 40 I Amps to 600 Amps ' Over 600 Amps or 1000 Volts see "B" above. ~iIItt~~"'" ' "'WllWI!' D. Bra cn @r. ui "Of; :>' $ 50,00 $ 69.00 $100.00 I ,~.i.... .,.,"'~ .' ,-' 1 .,......... ,- ~r' j" ~ .t....~... '\.', . ,'~. '. \.. t."f'f.r"{I",,"',;\./'" ~,.o'.r.:'l.~~.:t" '<>;'1' '~5~'l'<~J,'f!i.w~~j New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,Ou $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited EnergY/C~mmercial . $ 45.00 MinImum Electric Permit Inspection Fee i8$45.00 + Surcharges wo...o . 4~1 .(-,,'30 1311 ,-:; 7% State Surcharge 10% Administrative Fee TOTAL ~<et7Yl 8-e clc2.iC., ~ V\~ ~ "h1~(2.su-t' CQP'1: Ot) a.J:::;to",...J-..,C9....... ! (k<..c.Jt<,.. ~ ~it~G'S~ N.IV'.. ....._..,.. Shared Drive(T:)lBuilding FormslElectrical Permit Application 1-o3.doc '. /' '\/ O~EGON-E{ECTRIC SERVICE p.o. BOX 2237 . EUGENE, OREGON 97402 \.../.?' - ./ '. ~. .(~\- -~'~~~_..- :'GREETlN(~ ", .: . . .' FROM' . )- . Far Far Awa:,i :& ...~."~ i2 ~ ~ . Ioj~. ~I) ,--..- ..-..... ~(\ ~> "" , ,,^t \ V ';~~;'\ ~ . ~ ~j ('111 / . '37477./ 4::::305 11,1"1:"1;1,,11,,,11,,,1,1,,1,11,,1,1,"1,1,11,",1,1,1,1111 - 1.\ " . ......:" A . OREGON ELECTRIC SERVICE, LLP P.O. BOX'2237 343.1681 . EUGENE, OREGON 97402 ,. U,S. NAnONAL BANK OF OREGON EUGENE. OR 97402 24-22 1230 ... PAY 1.s~1 J I 1/~j6()(J~~ I . I I I I I 1_ o~~Mk~f~73 BOiS 7 I CTS ,17693 :;;;; ~~\:o:- h-~::;'tllllr~..""^::;~brc NO$i - .",.;L :sfl~ _, (~~m'~~'.LLP ' ,,,Q<l,OQ "'l4'Tl ~CJjlC," 1/00 ~ ? I:. "131/0 I: 30002 201: ~ 5 3 1:.0 ~ "182" 701/0 DOLLARS . -. ",,__u_,__ _ .___ _~~_ _ _. __. _______._. ------.--....-- ..-