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Home My WebLink AboutPermit Electrical 2006-9-18 Date ~' n-t$-dR ' SPR'NClF1t!.\.:~'~~ ~j ...A~~~~'~':N N;:J;3...J ~;;&~~," k., ';,~, ~'""~,..~ ~~e..ob 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54J)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 'City Job Number ~~~ OU z..a:. . ;"'.~.", < ~ 't' .,....~~':q. e;: ,_....., -;.." -;-.. -j. ',. '''"1"'''',,;'~,'!0~~"''~ I. ~L09A~ION.OF'I!f..~I1LI.07]PJo[+* ,"';:: fj W~"...' _.,--.... "0 _...._,.."'.~__..(<o,........,'__.' ,,",,_ ..:l;;."'"............ ._.?.,...._"'~ 527/ HIGH6/\NKS LEGAL DESCRIPTIO~, - U , 17()ZZ-l5~., JOB DESCRIPTION tZL.::w'l i..tr 00800 ';.----' S~ rf.,..u€ Permits are non-transferable and expire if work is not started within 180 days of issuance or jfwork is Suspended for 180 days, r!",'m.r:~f.1'~ r:..... ?,'~'"l~~1!\:~'?"'7 ::-'":'t, '7"C?: .:",~'~~ ::!U::"'~~ 2, lE!1!Y?3.0~2~~:ifJi~J2~~!YfYie: u 7") 7 r--.. "."";"';' 'G~~i'9':.q-,,~~,~,,;< "'_"'l".,..H,,:r~-::,:tr;-;';~""~~'~'~"'-l Supervisor License Number ., of., 5 c. lI~'!JP~~/'mryj~e~_.o~'feed~rS:-l'- i::..~,:rt~_~'t';;.-t'\~>~-r;,,(~" :~~)')f.::; " :\'", \jF \r 1\1r. wo 1\ I ()" 1-\ 0'77. ' ;,\', H-'i.LL \:.)(,P\ Installation;:Alteration or Relocation 1._- n... _ :"'In, C. Pt-\iW\\ \ ...... .. - . ',iii;) r '--~\'I"\:' D IJ"D\:R 1\-11'200:Amps or'less " - ""On "^t"\\J\~l:""Y" -- Constr, Contr, Number II TYJ70 "d.rn nR IS 1\\)" 201 Amps to 400 Amps ' CUivl\V\l-"YD~~ i'\:.I'\IQD, 401 Amps to 600 Amps I ()- 0'1' 0\y{ I~O Electrical Contractor Address '3 ~ ;l, 5' 3 City Sf ~t.,D Expiration Date Expiration Date fASTS/Dc t.U:.C'rteIC 805GAG-E I.-Iv. 97'17'6 Phone 7l.f (- /Y9Q Signature of Supervising Electrician New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Owners Name ~.... ,.-\ 1::..e~ ~~=~~,;:::e~.:::::~~,. ~ :,,:,~ 7"T.~,;:~~::-r;;c"~~'~1' Address 7 (z:t. \ c::> ') t t.Ey ~cl E. It\~s~e,lj~~eous_~,~~f.~1:cd,....,~~?!..\~~d~d),:t.E~~~;I!.stalIa,!!~~ City (J::/r,~",,-. Rc-,9A 1<4 "''t'...... .,'\~...."..~.4",...'...\.J,.,.~" "::.-~..."~:'~...~~...l'; ~~,~...,... ;....~ -"7"r!\'~'~ .......'x..;j..7~:r.;r<';'l::.tn.r:{Q 3, f W1I1!:!-ET,E fE.r::/)CHED.ULE.BE;LP.lf/;t'4!Y.i;'{~~if"'i,~'11;'f;;} L:..._ J....'""'-~ _____~,,~_ r. ~^_..,j _,. ~.-'" _.......:..:....... _,....._~...t.._._..~._.i..3h.,,~ i:~~,,_\.~""'-.:.., t ~.,t="~::-':-l>J'(<~...; ~~~;,-'"'~.~ 1", ...-=.....r_""::"-:-~, :.~'~-:-l~~.::1Y~:S~\~~':1;.7""'!\"'::..~r:~ r A. ? r; e,,:; Re,sid~nti~.I~d,~i.nglr,!Or~"!.u~ti;_Fa~.i1); ,p~el-9~'~IH!1g'unit.~;;' ? ;:! .._~~..o:;.:;.........co:...~__,..... .~.......__~__~+~.".,,.... _'_'_'."';"" rOb $106.00 ,W L Service Included ~\ 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 . i"'!,,". :.?:~::-:"7:;~l]f~--;;~~;(;;;'-:~"J.T~~''''-;.:'-:'~.:r:'.~~ '~~."~7 'r--'-:Sf:r.;r~,~ B. ;f. Services 'or F eede rs":': I nstn lIation ,'Alterations: or. Relocation :.):_~ (' ~,;",..':,,,,~;:'_f..:'::~,\.'::';.~ ":;:;~.['.;_., ~";..'-''''~ ~; -'.->:--li.J.:..,~;:"-~~'':'':' 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125,00 $163,00 $375,00 $ 50,00 $ 50.un--, $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above. n"~'-"""":l-"':"J,'(<.,,:,_:.,:tt"';-r:r-"""-""'s ""',~"""""",_ ." '" ......."~~',..........,'~~"'-."l~ D. }1Bfan~'h~Circ'uhs';;)f';,':;:fi.1><~' ',' )::-;"- ~-;:/J;"~Y('f}:~r:X~j;\:;~':;:~...'~.' .~. '~:.~'1,{,') ~ --,"";,;.:.,~'.i.....;.1owi~G.~"";,,,,;/<Y' ",.."'.d:\:J.:t_~':;;I.~.....;j-.,;:..,.";i..~t.,;;:,,~:.;,..., "-. '- ,) ~ $43,00-' Phone PumB'lor..irrigatioll law ("4 'v~, . A'TTENTION: Oregon hSign/,OutlinetlJ:ighring " d by t t) CJ v,,~" " OWNER INST ALLA nON 101l0w rules adopte e \-~'l'J~<hEnergylRe'sTI:iential $ 25.00 " "nn Cenler. Thos " .. d - nO'" e'\\i . $ The installation is being made on i>rope'rty'1flown which-.,0 throll--~I)1't~ IEnergy! 0 merclal 45,00 , , , OAd 952-0U \'VV I " tho rUleS by IS not ,ntended for sale, lease or rent. "n bta'I\Minimiiii,cElectric Permit Inspection Fee is $45,00 + Surcharges Y may 0 ... lonhOIl'" , 0090" ou r. (Not,e:'tl:le~~ ~~:7'!'''_.'''l';" '" .. -:. ~ ,^,'--:<:;' ",..,,1 / Owners Signature: calling the cenle 4'nJ,.sUBTO'FA2[;~OErxBOVE, c " ^~,".'~. ,~':'~ /010 number1ortheoreguo'~~:~Hiii'j':~ ". -.,,,::.,,, .:..,L' '-", .,., 1(& Cenler IS 1.80 '8% State Surcharge B 10% Adm~strative Fee 4> 10610 >(0 ~~: S:7 d,"?;-., ~ TOTAL ; ~~____ Inspcetion Request: 726-3769 $ 50.00 $ 50.00 Shared Drive(TYBuilding Fonns/ElectriCllI Permit Application 1-06.doc a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01128 ISSUED: 08/30/2006 APPLIED: 08/30/2006 EXPIRES: 02/28/2007 VALUE: . -iji Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5271 HIGH BANKS RD ASSESSOR'S PARCEL NO,: 1702283400800 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Replace 8 fixtures and rewire house TYPE OF USE: Remodel Residential Owner: CUMMINS INVESTMENTS LLC Address: 31221 OSPREY RD LEBANON OR 97355 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor EASTSIDE ELECTRIC INC JOHNS PRECISION PLUMBING LLC License 117770 158279 I BUILDING INFORMATION I 'i.'\ ' '",~ \0 ,\-It 'NO"''' #ofUnits: ')lh \j~, 'h!\lllJl:o~Sto~g~~\T IS NO! Primary Occupancy Group:i \-lIS PErRY3 "\ ~NOtR~~igh'i'of ~c'~uctug Secondary Occupancy Grou~ln\-lOR\1.E? IS rJ;~!~~l~.r_Heat: rU Primary Construction Type r MMEY.~tD OR [~ater Type: Secondary Construction TypeP y \ BO O,\y ptRIO'Range Type: # of Bedrooms: I\N Energy Path: Sprinkled Building: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 10/04/2007 01/13/2008 Phone 541-915-9828 541- 736-8690 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Fl Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS J ATTENTION: Oregon law requires YUUt)~y Sidewalk Type: d ted by the Oregon 11 follow rules a op Th e rules are set forthDownspoutsmrains: Notification Center. os hOAR 952-001- in OAR 952-001,0010 throug I by . 0090 You may obtain copies of the rUh eSe ' , (Note' the telep on calling tfhe ctheen~;~gon Utility Notification number or 4) Center is 1_800-332-234 ' Street Improvements: Storm Sewer Available: Spcciallnstruction: Noles: Pa2e I of3 -ii~ . ~Ill' OF ~rKll~t.l'lI'.,LD Building/Combination Permit PERMIT NO: COM2006-01128 ISSUED: 08/30/2006 APPLIED: 08/30/2006 EXPIRES: 02/28/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V _Iu_tion Descriotion I DescriPtion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Fpp< pqilLJ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $11.20 8/30/06 1200600000000001358 + 5% Technology Fee $5,60 8/30/06 1200600000000001358 + 8% State Surcharge ' $8,96 8/30/06 1200600000000001358 Fixture $112,00 8/30/06 1200600000000001358 + 100/0 Administrative Fee $10,60 9/18/06 2200600000000001308 + 5% Techuology Fee $5,30 9/18/06 2200600000000001308 + 8% State Surcharge $8.48 9/18/06 2200600000000001308 Residence Wiring 1000 Sq Ft $106,00 9/18/06 2200600000000001308 Total Amount Paid $268,14 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~ Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Electric Service: Approval required prior to utility company energizing service. Paee 2 of 3 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01128 ISSUED: 08/30/2006 APPLIED: 08/30/2006 EXPIRES: 02/28/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 3 of 3 225 Eifth.Street Springfield, Oregon 97477 541-726-3759 Phone eiirllt CiJMf Springfield Official Receipt D.opment Services Department Public Works Department Job/Journal Number COM2006-0 1128 COM2006-0 1128 COM2006-0 1128 COM2006-0 1128 Payments: Type of Payment CreditCard cReceinll RECEIPT #: Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROGER KING 2200600000000001308 Date: 09/18/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02516B In Person Payment Total: Page 1 of 1 1 :22:36PM Amount Due 106,00 5,30 8.48 10,60 $130,38 Amount Paid $130.38 $130,38 9/18/2006