HomeMy WebLinkAboutPermit Electrical 2007-4-2
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00465
ISSUED: 03/30/2007
APPLIED: 03/30/2007
EXPIRES: 09/30/2007
VALUE:
Status
Issued
,225 Fiftb Street, Springfield, OR
541,726-3753 Pbone
541,726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5533 HIGH BANKS RD
ASSESSOR'S PARCEL NO.: 1702284300300
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install new panel
Owner: SA YRE GEORGEANNE M
Address: 5533 HIGH BANKS RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
K & K ELECTRIC INC
License
87202
Expiration Date
04/30/2008
Phone
541-741-2663
BUILDING INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Heigbt of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type:, t: Sq Ft Garage/Carport
., IV
EnergYiPath: ' ".,;'" v Sq Ft Otber:
....."1 'II!' ,.." 'lot, '
Sprinkled/Building:S atlopt 'n/a' .,,"" , Occupant Load:
'....u ICati",..,..., eO h:/.'_ -_...,u,.c:s II
I DEVELOPMENTINFORMAT"ON-;I)se~~/~;egon t .. -
-. ,uumalf b"VtllrOughO ar~'R_EQUIREDPARKING
CaltioC'I' ,0 tain c' AR 9""; ~ ,,"
Overlay, Dist:' , ,i? Cent OPles of 'h 'Total:!
. I..t,<>,. ,'. Sr. (Not 1 ,e rc .
# Street Tiee~, Rqd:lo Or"" ~: the tel Handicapped:
, Paved Drive Rqd:Mi"" ....."'on Utilil"" e,o/),00mpact:
. ... '..>.'f'"r, I") ~,IIJO'if'l"\ -
% of Lot Coverage: ''''''.,32_?' ":.;;mon
, - "3'4).
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NonLPUBLIC IMPROVEMENTS I
THIS PE~M Sidewalk Type:
AUTHORIZE IT SHALL EXp DownspoutslDrains:
A~~~;~~gp~EZ~%~;:~~~O~N:~~~s~oRt
RIOD ED FnQ
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00465
ISSUED: 03/30/2007
APPLIED: 03/30/2007
EXPIRES: 09/30/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees ~
Fee Description
+ 10% Administrative Fee
+ 5% Tecbnology Fee
+ 8% State Surcbarge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.30
$3.15
$5.04
$63.00
3130107
3130107
3130107
3130107
Receipt Number
2200700000000000436
2200700000000000436
2200700000000000436
2200700000000000436
Total Amount Paid
$77.49
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~{lUired IjWlections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, tbat I bave carefully examined the completed application and do bereby certify tbat all
information bereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance witb
tbe Ordinances of tbe City of Springfield and the Laws of tbe State of Oregon pertaining to the work described berein, and
tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project. I
furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe
street, that tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on the site at all
times during construction.
l
Owner or Contractors Signature
Date
Paee 2 of2
r 225 Fifth Street
S'jI"ringfleld. Oregon 97477
541-726-3759 Phone
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C~f Springfield Offic!al Receipt
~opment Services Department
Public Works Department
RECEIPT #:
2200700000000000436
Date: 03/30/2007
I :57:47PM
Job/Journal Number
COM2007-00465
COM2007,00465
COM2007,00465
COM2007-00465
Description
Perm ServlFdr 200 amps,or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Paid By
K & K ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 013732 In Person
Payment Total:
Amount Due
63.00
3.15
5.04
6.30
$77.49
Amount Paid
$77 .49
$77.49
cReceintl
Page 1 of I
3/30/2007
.' .
. (?'" ~-225,I;If!H?~FT r, ., r" ,:j ~";~71 ~l ('-"\ EL..!=AL"PERl'v!ITfJ'PLICATION:;-~:',
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~ ./"" .INS~ECTIOI)l REQU,E~T:, 726~3~ 6~:-:1 'S:"l' I; ;Cit). ~ob l':h~mlie,<.;(9'.f'YC b<;1v.v 7 -"C;' , 7.,\ ::
'<_: ')' OFFICE: 726,3759 ,i 'I \ ') j '! .>!., ,:) J; ~.' ~ '.' : '", ;: . .
~;~l:, r i (1/1,\ ,:j\:, \:;,)1 C, 'j+~,'3':'~9lvfPl;ETEFF;~SCHEPULPELOW .'
'0!:{" _:! I, .~2:~:~?;i~Q~1~~N 1~~,~Ydl~:N~r~?~~~:~:&~~5~~~~~:rellin;L:t. "
Senice Included:
jEJ;;t}.I,.J>ESCRIPTIO.rs: ")
. -; U,d.. #. cJ'~ :.3 (fb ...:,(rv
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Items Cost
j'-'.:~':~ JOB DESC\liPTION . 0 1000 sq.ft. or less
,_ -:;',;;: :fwoi:fatr JVe<..J R.T r"NEL- r- Each additional 500
;""j";'j,, sq. ft or portion
(' i .;.c_j Permits are non-transferable and expire thereof
\:;;2./,,: if work is n6t'started within 180 days Each Manufd Home or f:' .:.',
.,:.:,:'-i' of issuance ;~~f work is suspended 'for Modular Dwelling .,l,:::,~:.; ~\
r'.:"j 180 days. ::.." SelVlce or Feeder I,',." .~,'.";~ $ 50.00
!: ; ..,t '_', ,-.- .'- .
:.:': 2. CONT~~~OR[~STALLATIONONLY B. Sen'icesorFcedcrs /::. :",.:.:;:' \.",
~:.,l:',.'.';...":':"":-:: i"'c,\ /..k--II/ J~-/ .;2" -r Installation, Altcr/ations or .' '), (: .J
'. E[ectrical.t~;;ttactork..'>K- 'v(""V{ ~jCc... Relocation: I':.'\"'~ . ,'~ i:':~:,\\ : ',i;::
(,.~:,~j Address ;~;ij ~-~tie~ /~>>. 200 amps or 1e/ ,.~,. . . ~j}~~\0}63~
(';.", r~':;'\ (,..{).\ A'Ri./..,-.H::.i ~ 20Iampst0100~mps,'.:.'" ", '::$$172)):.0090~'.~
. . I Cit)._, ut..<Y P!lOne, ""'J'~7- _J~ . ',401 amps to,600 amps .' "
I.'.; I .'\1 (7.'11.-....'6-:>... ,f "'=--$163.00-;
i .', I ,/ \ /. C7";0.,) '6QI amps 101000 amps I
"j:Zrj supervisfr~i~e~yrm:be:.~IY, . .~'-f~ . .'~~~:~;~e~~b~::v;~~". ,,- $3;~;gg. '.';
C;sl ExpiratibnDal~'" Id/e;?"::'!: ....., :"it.:':.\<~fW:'::. ,::QF':,i::l~,~ ' ~~
t ' C- . ",.,1., '. \ :~,~(,:,>';,C.,T~111pOrar);~cnic~sor_F~eders., " ,~,:~.:; ',-j
: . I Constr_Contr. Number' ff'7:70'~ . ,;'Iot;.;" :"'In~tallation; ,o\.ite;'ation o'rlRelocation . :t' ",,: .:. . 'j
1\ ..: "l ---~~~. ,':. ~ ~ ' '" . ~ ';;_>":<:._:;:ll~',': \~':?Ui;t~1~-<~\f,<n,;,:(,,:~<y:'>:,:{" . '_:;'~~':>.;>:tR~i'~~~:'~\'$.\i~; c. 'T ~'; '~:!f
f~. :.:':: ~E~ration Date~ti7"'>>(fQ..?' ':'~::'::, ~'..:','~:200 aulps orless:::.,.,,';~'; '. ..'$5000 "~
:'...\~', ,'...~ ,:,...... ~>: .~,2Q1ampst0400an;'ps. " ,.~$6~.OO~.
V':~:{,,;~~gn.\lt~~c.~f~~~per\'ising E ctrician ~~!S.40110600. ~mps. '. <. ',;;1' :. ;.$,10,,0'90,',}
': ",<".. ".~:" '~""." .j6...'..'... Over 600 amps.o.L!,O,QO;yolts see,,' '.. " 'A.d,',' ,:,', )
:':,:i!,1' ":,.<.,',' , '';-- ..... ~. "B" ab/o,\,e ~)'>'_ .t';" ,;
, ',:, '.", :." ~." (};pt.'-V '. '... . ,"', ''c. ,
. .. " ' .~~
!.-,,-?~:,,_,.~,:,:,,:,;,~_:,--\,,( . -~ .-::,.;,;_:'~::,'~ ~'s-,;.-..Ji:?~\ " _ i D. Branch Ci~c~its - I" ',.' ,i' '.' i
r::~~~:',><"O\V~lerS Na~e_~~ Nc~terdti\n Of~~I(enSion Pf,~an~1 .,' ~
[". "Addrcss (..,""~i31:Ai\ 'lw...fr.. Pry, One,(irc~it \ : ~:;~. '$4306.~J
, ~ 'd;!;}.:' ,"City .fv.,~.0;{;! "Phrind tyl - X'7l7J /!Ir,:ci~N;oI)Vti~C~ or wit;~~ivi~e _,~ i~:' , ': ..: ,I
f:'.;.:'. ..~.-:_'1 t.~,. ',,'0\' .:.1 6i.FeederPermit.-.-_~:~\ ~$}.OQ';~
'-.,' OWNERINii'rALLATION,( /!I : '/';"---":~)'I \.;.....:.
"," The installation is being made ori " E. l\liscellancous (Scrvicclfeeder not included) '. '.' -.. ','
~';; ,!:-.,piopertYIO~Vn,vliicli;s~otintend~d.'" I. J-Eachinslalhiti~h U \'" ' ':"'"
fotsale, iea~eorreni.. .;~-~. ..' erl1mp'~1;~~igatibh-:-'^'J;\ ~;$5o.bo'~
" ( ?ignlOutFne Ligl]lil'g:; ,: .. $50.09 ~ .
.~. ',' t L~~2jte~,Energy/Res. ';1 ~,; $2~00 ~,
.. '. \.LlImted Energy/Comm ' $4).00'" .,,'.
',' .:-{,,\. ~~-,~ 'l'/,~-.':~' :. t~':~~:'.,'~,.
Mini"!~m ~~cc0J:Pe..m)!.lnspcction Fee is 545.00 t Surch~~ges
<.5 *'. i 7JL{.1? ~" '3.15 t.?> 3.,pD
4. SUBTOTAL'OFABOVE" 'J .',.
~% Stat~ S~rcbarge .. -' , 5 . C> 'f ,..ftt. 7 I, ..,..
,,,% Ad;'unistraiive F{., .~. h. '3 ()
" TOTAL- 'J:/Jt1J. Jf7
$106.00
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;.;,: '::;
$ 19.00
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