The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-5-7 ~ Installation, Alteration or Relocation 200 Amps or less' $ 50,00 Constr, Contr. Number N~3 7 . 201 Amps to 400 Amps $ 69.00 . THis P,ERMlTcSHAll E 401 Amps to 600 Amps.. $100,00 Expiration Date. Mli14eR1Z€f:lJI'- _. XPI.RE IF THS"N@lJ.O(AmP,SOrIOOOVoltssee"B"abo,ve,. ~Signatu:;fs;erv, ~ /J:~~~~~~~ ~E~~~~~~tJ~~~~~!::~~~~~ (2v& -t;:~^- One Circuit $ 43,00 f' Each Additional Circuit or with W. \ .1'\ ,OU f J\( 0 . Service or Feeder Permit $ 3,00 .lL,!) C;~ ,. d ,~~t1 E~~::'!pJfu~ \ \ Sigp/Outline Lighting $ 50,00 OWNER INSTALLA~ON: o..........-r-ad EnergylResidential $ 25,00 follOWNleS a~'" ~ . , The installation is be~~ .ubi~ill:Iea... Energy/CommercIal $ 45.00 is not intended for sa~ ~_';;~OtJ\roUgh ~).,ctric Permit Inspection Fee is $45,00 + Surcharges Owners Signature: 0090. Voulllll1ob1l11nOlltlI8Sor_~~~-fOF&iB'OYE-'t~,... '~ .\il 1l.. ci) call1ngthecent& (Not8:the ~~~~ ' t.-..J. number tar VIe Oregon UtIIlIy NntifIcatlan . Q.. .,,, I ""'~ Ie' O!lT>>12~:~~:~:::~ee Fee . ~ ~.ql 1. ift-D'alWN.OFmSi:, :;r~TION?!.:!l;r.~,:i &ti"'iI!t<'i')-.,..-.....?lllfl.&;....~It,...~"Y..~~~ ' .5:2-D if II, Q J. hMJI<s 2.d. I LE~~().OD40/ /' E;rol;r~+ 0 i ~\lltJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, ebNfAAetc':)'WiNST;'Trf.'A."TIONPNE~! 2. . .,-.",-. .-: .. ~. Electrical Contractor (!.. ~~ J(, A J S fjp;::J;;;..;Z;;c. Address f?o, Ui,.,)( //9. '< City (P ReCaJe.(/ Phone S'I/-f95 -/f$lt;t:, Supervisor License Number .:J.i7? /)..,g 'ExpirationDate /a-P/- a Y Inspection Request: 726-3769 ate 3, ~:~9:~LE1:t:FEE1SCHED(lliEfBEWFi~~~ _---<.~~Jl~~i.k;..:.a.~:l:;i.$~....,~~~:." . ~ A, ~,'~;~:Re,sid,:~Wl!g'(il"'~or:fffffffil~Jle~;(h~jj;'lrg~nrt;,~ ~.JL.~t:..&;'~"'~J~.~~'.1"'~,~~of..);f>~I;l~,*~ Service Included . I 000 sq. ft, or less Each additional 500 sq, ft. or . portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50.00 B.'; s'llvic~~F~g:E..~~~fu'llittfifIi~Ait~1fi'tl'ReI6~~D -H<' ... -.. . . ." '"l, ~","l~~~';&.,-"''-'~':t:'''''~~ lo ~.CO 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only ---L- $ 63,00 $ 75,00 $125,00 $163,00 $375.00 $ 50.00 c,lI!if:m-6r3'''i~~1~~FF~{ae~~_~, .,l\t,-lI~l&L~~ ~..,.,p.,.,~ry, ,__,,., ~"~,,,~t; . , .. ~'l<I'Eli ' TOTAL Shared Drive(T:)lBuilding FonnslElectriC411 Pennit Application 1-03.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00543 ISSUED: 05/07/2004 APPLIED: 05/07/2004 EXPIRES: 11/07/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5204 HIGH BANKS RD ASSESSOR'S PARCEL NO,: 1702280000403 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Industrial PROJECT DESCRIPTION: Service and Circuits Owner: BALLENGER CO THE Address: 1084 S 39TH SPRINGFIELD OR 97477 Phone Numher: 541-747-5517 I CONTRACTOR INFORMATION'. Contractor Type Electrical Contractor C PERKINS ELECTRIC License 159537 Expiration Date 04/15/2008 Phone 541-895-4466 BUILDING INFORMATION 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS CE I DEVELOPMENT INFORMATION I NOn : THIS PERMIT SHALL EXPIRE IF T~E WORK AUTHORIZED UNDER T~~rJrwf~~9T COMMENCED OR IS ABpawIIJf:l~~elR'<lII: ANY 180 DAY PERIOD, % of Lot Cov~rage: REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Descriptiou Tvpe of Construction I PUBLIC IMPROVEMENTS' " . Sidewalk,Tvne' you to ATTEN'IIUN:urego" 'ClVV'I"'l""""" Tt follow rule6 adopte~\\lli'spQMmf-\lil.W I y Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0090, You may obtain copies of the rules b) . .~II:...... tt1e ::-....... ~Mnto. thA tele~ho~e I h,tn t~ Oregon Utility Notllicatlon Valuation Dl!!7Crmr~~,JiS 1-800-332-2344), $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Street Improvements: Storm Sewer Available: Special Instruction: Notes: Total Value of Project Paee I of2 . . LIl ~. OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00543 ISSUED: 05/07/2004 APPLIED: 05/07/2004 EXPIRES: 11107/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fl'l's Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $12.30 $8,61 $60,00 $63,00 5/7/04 5/7/04 5/7/04 5/7/04 Receipt Number i200400000000000494 2200400000000000494 2200400000000000494 2200400000000000494 Total Amount Paid $143,91 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 Reouirl'd Tns,pl'l'tinns 1 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 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 witb ORS 701,005 will be used on this project, I furthcr 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 of2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00543 COM2004-00543 COM2004-00543 COM2004-00543 Payments: Type of Payment Check 5/7/2004 . RECEIPT #: 8j:~~~~ war. ' M.ty of Springfield Official Receipt Whelopment Services Department Public Works Department 2200400000000000494 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add , + 7% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Received By LLH Page I of I Date: 05/07/2004 Item Total: Check Number Authorization Batch Number Number How Received XX In Person Payment Total: 1l:36:44AM Amount Due 63.00 60.00 8,61 12,30 $143,91 Amount Paid $143,91 $143,91