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Home My WebLink AboutPermit Electrical 2006-1-6 ~c;:'~,1~ted has the following . Tne followmg prol; to ~cific land use ldflmg, and does ~"Plov~1 I J (t? I DCa .. iMI':\ . e4ilillv, e e Zon~\lH ~Fi~w> ~,., "'. .Oii. '....'" . . , - 225 FIFTH STREET. . SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX, (541)726:3689 - J.~',-6t~>;&<i(~;t;i~ . ~ /.._,,,0,,."0 ~\llJl""""11f "cIJ[r:A! )'>ClJ. r U ELECTRICAL PERMIT APPLICATION . ;;j,~"",l1i1", i'I.~'""r City Job Number eOMZIYY".OOO2.~ Date I /ro/Ob . I.' LPC"ATIONOF INSTALl.ATIoir/'. :'">;;: .' ,"'., .' - , . 'I "_ . ,',. .','.'" ~,' ,,_, .,' .,"'C' .... .' ,I. '" 15"1" [jtido, ....... .... ...... LEGAL DESCRIPTION II n3 ;;7.~d. JOB DESCRIPTION . 4ClmUl'ts " () .;2300 Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t'coNfMCrc)'RINsf1L'V.'TIo'Fl oNiiJ 2. ~.". t;~,' ,~.d,"-:'t".!;r~.":~':'::".'..:i*'~~~\~,;""":::",'l~,iJ.'~"''';:'~'''~f~'-: Electrical Contractor (2. ~rJ<.'Al5 E/&.ftf,l~ Address po. //93 Bc"X City t!.-t<t".~ W~ ) / Phone 1'9.5 - 'Y1;f td. Supervisor License Number :J.. 97 t/ - S Expiration Date ILJ- &1- a.7 Constr. Contr. Number /5: '1.5'.. =? "7 Expiration Date lj-i.5-{)fS Signature of Supervising Electrician f!luri2., -P~ Owners Name prfaJ1 Mtl:>ye" Address /~ IL1l1!eb City f,prt''j6elt/Phone ~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, fease or rent. Owners Signature: Inspection Request: 726.3769 I 3. 'cOMHEli FEE SCHEDUiE)3.iiL(hv;?~')17'<<t~]~~'~:~'" ,,1. .' ,. ..~ .. .:....::. r', ',;: , .' n',._,_.,:. '.'. .,....1;",.., ',,", ,.': .' :_.~-i__';o,_~. ".'liI":-.,~.;;:t,,,,'J:',<,;P"~"..L'.:'f.,;, .. . :..' ""-.-'" _,: . ,", :""'.; "."",,~,,~...\.;~-:~~:::".:':: . ','t,. _'''J~:'f_~u\t1tdj'':.':'!"~::_'-~'; .<!'.I.... ,.'7, A. ;;, N e\~;.. ~esidential,:-? .S.!ng~~:iir.J\~~I.tk.~ a"1n !!y~,per..d~:elli~g.t n,it:.~~ "'.:L' '.'._.~..'.; '~.'~'H'" .".'.,"..._\-,,"'~..'....~.. """.,..... ..,........"'_...:.>..............~~~~..,,;,.;.;.\._.;;.:;~.. Service Included I 000 sq. ft. or less $106.00 Each additional 500 sq. ft. or l~triWE:eof $ 19.00 1il'lf!lItf[iiWAl:1'4JWII!.<loEXPIRE IF THE WORK ~{GR?~tiiMm. er~ls PERMIT IS NQ!o.oo CO"M'MENCED OR IS ABANDlJNtU tUK . B.Ar'Stj.\~sAY~mtOti~1{i~il~fi'J~r~lf~~~{t~~~~6~{~>etg~ii/i~;i4~; ~",,-\';:,:;,'-0..'.;.!11~'!~'.'~'~ ,." ,-::...~~.?_..,!lO~IQ.'.b"......,c":'~..:.... r;,;."~:. ..-...'1",..:.~.cl..o.':<J::W:..'ii6~_'(;'~..-A.:;..~..4}Y3_ 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Ampsto 1000 Amps Over 1000 AmpsNolls Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 P"'~l'!''!-;-':-''''';':$~..........:;;o::..~~.l!~;:f'''''o/''f::':~~'f.@iiY~r~, .., ., c~ c. .~Terirporary .Ser.yiCes' ~r. Fe~ders~~-it1f"~~ -,' "''''.:.~-.~_i!~ir,l;i~~ [....,h."......,.."".:.'.~,.....<"li'....~I?....JI"'::'O:......_~.,.......~io,I;~'4".,.. ,.. '. ~,,~I ' Installation, Alteration or Relocation 200 Amp/'oTTfs1'lTION: Oregon law requS50.0Q1U to 201 Ampt't~r,r6brA'~Psadopted oy tile ur'$[(WooJl1I1lY 401 Am~rtwtoo'iR!rlrsenter. Those rU'''~${6'o~t IVIlII In 0;,;1 852-001-0010 trllvuy" uAR 952-uu I- ~~,:r,~OO;,~P's)~l' !S,~~~~~~~';?~~~~'.~k1h..m{HIg,?~itd.,.'C:,f,$"" D. '. .JJr~nc~ c:t rcu It~'\'';~i~;;J;zf;l,~iT'''''''~'''';=bi'"'{(t";toi;~''t',,,*,,,,*,~ ,......_, .__;..~"~"""'" ....c~-:i::ti_,\:Otn..,...""~r,.U.L\;O'.tu,~~~ll~1J ,~lov..J..~~~,.. New Alteration or EXh~nsio'riiPer'Pa~~iility Notification One Circuit C<: :~l" is 1-c:c;033l23Sf43.00 43.00 Each Additional Circuit or with 0 Q~ OC> Service or Feeder Permit $ 3.00 (, ",'f'! '"'.";''j '!'.,;, -',' ': ',..::,,':;"i:.~' .~. :-:!,'.,I; '.~;~:.'~i-,::'::->:; (j"t.!., -:i,;'";il:;:~i'''.';'',c-~~~,,':;'' ;".'__~~..."":-~,,.:t:.lllf<Z<:\5 E. 1.1\-liscellaneous (SerYicelfeeder'.not'included),'~E':ich .Installation': ,'j;':c ~): .- .... ,....,;:.. 1".:.~... .:.'>'..-"... ,~<_~::.~,:.:..~'.~ '-b~.{~..... :':~.;,;.,-:t;-<< .,,:.;:.;1 .-,L:.,' ,..."':II-.....,.,.~ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~;~:~:;<"1~~Eh,,~~:,1ff~; ~~ 10% Administrative Fee .5 .z.o TOTAL (0 I. 3fp Shured Dri...e(T:)/Building Forms/Electrical Pennit Application I.03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIr'lu.l'lJ'.LD Building/Combination Permit PERMIT NO: COM2006-00028 ISSUED: 01106/2006 APPLIED: 0110612006 EXPIRES: 07/06/2006 VALUE: SITE ADDRESS: i511 LINDEN AVE ASSESSOR'S PARCEL NO,: 1703273202300 PROJECT DESCRIPTION: 4 Circuits : Owner: ~ Address: " Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential NU III.e; THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ft(X:!.![t!~~r r~. ~r .".~.".~~~~~~~~ ~~~ I CONTRACTOR\INFORMrl'I3~fD. MOORE BRIAN C & JACL YN S 1511 LINDEN AVE SPRINGFIELD OR 97477 Contractor Type Electrical y Contractor C PERKINS ELECTRIC INC Phone . 541-895-4466 ., , # ofUnlts: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: '. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: , Storm Sewer A valJable: Special Instruction: Notes: Description Type of Construction License 159537 Expiration Date 04/1512008 I BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure . Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: ATTENTION' 0 Sq ,Ft Other: t S . k1 dB 'Idl -.., . reg,O'" idW r"I~JlreilS you 0 prlD e Ul ng: II I wad t ccupant."oa: Ut'I't ,0 ow ru es" op ea uy .ne ureqon r I Y I DEVELOPlh"j'l uuORMATiON tnter. I hose ru~e~ a~e set torth .. - - ~ U1-001 0 througREQUllft1fP'lRKING G090. You may obtain copies of me rules by Overlay Dist: calling the center. (Note: t';I;2t~J:ephone # Street Trees Rqdil~'l':.;er for the Oregon Util.'il,a!,..!js~eR~1tn Paved Drive Rqd: Center is 1-800-332~~'!,'1?~ct: % of Lot Coverage: I I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDralns: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Palle I of2 . . CITY OF ~rKJ1~uFIELD Status Issued Building/Combination Permit PERMIT NO: COM2006-00028 ISSUED: 01/06/2006 APPLIED: 01/06/2006 EXPIRES: 07/06/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line Total Value of Project L.Fp.p.s PairlJ Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid Receipt Number $5.20 1/6/06 2200600000000000021 $4.16 1/6/06 2200600000000000021 $43.00 1/6/06 2200600000000000021 $9.00 1/6/06 2200600000000000021 Total Amount Paid $61.36 I Plan Reviews , " 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. ~p.p.tion\J Rough Electric: Prior to Cover 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 readable from lhe I . 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 SJ1'ringfield, Oregon 97477 541-726-3759 Phone . , J~b/Journal Number CpM2006.00028 COM2006.00028 C0M2006.00028 , CpM2006.00028 Payments: Type of Payment CreditCard :\ :1 , , 21 :1 :1 :(~ ,. :! :\ i \, '9 :J :\ :c, ~ 'r ;, ~I " " 1/6/2006 :c . I RECEIPT #: ..j"~~~ lIii=. .rity of Springfield Official Receipt "evelopment Services Department Public Works Department 2200600000000000021 Date: 01/06/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Item Total: Check Number Authorization . Received By Batch Number Number How Received ddk 020766 In Person Payment Total: Pa~e 1 of 1 10:38:30AM Amount Due 43.00 9.00 4.16 5.20 $61.36 Amount Paid $61.36 $61.36