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Home My WebLink AboutPermit Electrical 2006-6-1 ';:)>~(F':\"t : >~,~~",," ......~';"..,.~>,,~.J.~t,., '-,,,',' "';' ".. "."~,,, ,',;'- .....". .,,: ".~.",y.;j,"'--'-c:rp{OFc;' 1IN "OREGON,"',> ". " -i~:'-;-.~~~,:,_..:'::':.~~.';:'):~: ~'1:..;.1'~H-;'-'~:~', .J .rr~ ,.. . .... ..__':,,;~~:~';~l'. .:. '. . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERWIIT APPLICATION , CityJobNumberCOot.1ZOC5"b_OObSK Date ro -01 :"'0& 1.: .ioCATIdlVO.F"iNSTArT-XTIOM;~~~~~I~:;j 3. lqg:~~~!];.'fEE~EERn~Bgo~~~~~ft;~]""~ ~;"'~7'/~;A;;;-~'?~" ~.~.~ -~J Each Manufact'd Home or Modular D,\~J1ing Service or $50.00 Feeder ~o'" , '\I.~ ,_~P.~.."".':<'k'~ _ __._ ., .~fe(iNTiBicroRTiNsrA~~~~~O~~NEF~ B~t1~~i~~~:;;'~~'~~~i~blritib~r~Ait~tiri~~o~R~lliia1fciif~~ -. .D:'!-.":i:-;" ',;.......;..'-~;i~~-~";.....!'~I..,~: ..~.". -...- ;.... '~.' ".'="- r- \'Q.~ ' e~'I-~'~J~~i~ he;-.;:\,;.t7',",",~'d~"~.t:;;;;.;....'-,,:' .,.,~_.. ,...~. "."~--::: o'....;...>,~~".."w-~~'._.r...:.,...:.Zd ~ . 'C.\_..;.,rP \~ '1':'" 0,<;\- ,~"''O Elecnical Contractor , (\11 1r:'i5 L- H;JJ\'(,10 200 Amps or le.ss' e $ 63.00 I ~\ ~ '1..ev S"" ~ '" "e' "r- , -<\0'" AO~ ",\,<,0 201?Amps'to 400'Amps $ 75.00 ........ ~c {4"'\. ~ ("'\C\ "'~"iJ ... 'Q.v ~ ....'01."v. r.S '-' ~c>':--r.o~ ?>-"\.,. Address .-x \' I'"CJ .l) ,'" -<-<,17\ ,t"'. ..<\\e ;",()' 40h\Amps,to'600,'!\:mps $125,00 1'" ,\'l" V" D" , c.v' . \.-' ~0- 'O~\O 'i,\0r- 0.'0,. ,,\'/Y-r- 6o.l~A:inRs'io 1,009 Amps $163,00 "\ ,'r~ ....1-':_ ~O\J \\ \\\: f"r:/" Phone ~.':<l'2;)'->l,~J ^\e~' Over 100Q:Ainps/Volts $375,00 " e," ~V\"" r~J ':r- or' ,\o\)' e c. OWecoimect Only $ 50.00 ~ f?j()' \~ \,<,e \''O~ O\)CJ t:""~~\(\Q,e:<" '0\ ~ef..\S '''..''"'~,..:-''~~.r-'. \0.:1 _'I~- . ''''-~~~'L,;..:.yi~"",,'',,"i>!''''':';~::''-:':l'_f'':'..;;."';\~~~m Supervl'sor L,'cense Number lc::... ~ \:7c.;:.J'>.y-.. re(\~ C. 1.TempOraf"V"Ser;vIce$or:Fuaers'-~::'3;.;;;;.cs~t:.~t.f..~:.:;;.~~"';.~.\~-:'.i?,,,~t~;-~~:.:t::l '0'10 ~r:::x '-'r<\V, _"""'"_..._" .J..~ _.. ~'"',~~~.:;;......~-:...;~~ \,.... - ID'I,OI LEGAL DESCRIPTION /70] 241.( 7 JOB DESCRo/TION Add "] OZ7l{b c\rc..,,^~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City eL~9nl' Expiration Date Constr. Contr, Number ;::::)(';.\",-;sc..... Expiration Date ,.. \-C,0J Signature of Supervising Electrician Q~--L~ d ' , ( #ersName g~ rJJ/~cxJ I A6( 'vhJn4- AI.. ) . S? F '!\ Phone '747- f3 :;t Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ :".--:.:--:._-,~-;'C:.-.~~:~~~,.~:t'_=;,;,,,:-':\';"~'i'k,~..~~~~:'.'":':;;'~';;-:;'-'!";'~~"~~1l':1 A.' New Resideriiial''::Sitigle,orMulti-F:iiiiiIYpei-:dwellliig.uniE::#~ ;:...,-;.....;;:....""\-..;0,.;.... HU.::.;..,;.;;.:~_ ',"-"" '_.:~.;;:.::=;~.~.~~-....,..,-.=.;..;;.:.;.;., ,-.,', """>', Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or ponion thereof $106,00 S 19,00 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amos or 1000 Volts see "B" above, .{:;"":'":~",_"'t:.>;- :"~:~;-~.~q:;::lr3:~.t.:;t~}~;i:g:,;:.:!~~~~~,~,,~~_,~-;::~,.,,';"~.:'':;5;'''r:.:7,:,~.rY;;f'.F't'?1 D. :~ranC~!f}~cu.~~;",::':;;~~,:k-'cY~~I!'i~~~~~l;,~~I:~~~~i;~~;;i1!-ii..~~~'i21 New Alteration or Extension Per Pan~!~ S ",<J One Circuit y \X ,.,;!.,\ \$'N.OO l./ J Each Additional Circuit or 'i\h)\~ 'Y,'<.-'<:'~"''0 >;\.l , I Service or Feeder Permit~ \0"0 J\~'(;,? $ j,OO b .: ," ,-,..-~~~~.r.~~-~~:,~~~~~.,~v-~.:::.' ,,-.~~:.~- :::";~~.'0~~i.'-;~r~';~~'''fl1 E. i\1i~ceJlane'lUs:(Ser..viceJr.~er;!,otilncli1ded)-KaclHi1s"iall;'tio~;~ \:~\s'Y,~~t-Y<;) <J'0'~\)W'-'-'-" ..... ."....~.~'.,..,~. Pump or inigation~"\:; ,I 'Y,\:; $ 50,00 , ,\)' \,11,,'. "'~ SlgnlOutlme).ilgntmg) S 50.00 L' . d E"\.J "/"\RU~d 'I S 15 00 1 mile nergy eSI entIa _ . Limited En';'gy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is 545.00 .;. Surcharges $ 50.00 $ 69,00 $100,00 ..- . :.";-'.~~~:"~"" - ,',-' '-"~':" 4. .'S~9.::.~:~~~~g~~'.E~'i.,~H;/L.. L1' 39Z. I.f,o 57 8:l= 7% State Surcharge , ~ i 0% Administrative Fee ~\<\~C\ TOTAL ~& ~9:f\j Shaceo DrivOIT:VBuiloing ForrnsoEleccical P'mUl Aopiimion \.03,ooc ~~ Inspection Request: 726-.3i69 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00658 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeclion Line SITE ADDRESS: 2257 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO,: 1703244202746 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump Owner: BRUCE WILSON Address: 1861 YENT A A V SPRINGFIELD OR 97477 Phone Number: 541-747-1358 Contractor Type Electrical ~r"J:::." I CONTRACif.oR'INE6RMATION I . wVl/~' . ....IC'~ . '-'YO . ICali 'ado' f) law Contractor If) OAR Of) Cef)t iCll!ctnse req!!;;Xp"i~ation Date REYNOLDS ELECTRIC 0090, vA9S2-001_n:: 172~lAl/Je Orl'>,..:'02/08/2,007 BUlLOING:INEORMA;f,ioNIJu;;;'g are ;'2~liIiIY "ver fo -q /ler. -vPies 'AR 9"i;> fOrth # ofStories[ lhe Orn (NOle'I,'] Of Ihe rLotSiz,,: -C'nfJ::j' <';:90 . e t l"t'::J_ , Height of Structur~8 n Uli/ib \ ,aI11)',~AFf1st Floor: Type of Heat: 00-332 ;;, /,' ", ,Sq Ft 2nd Floor: Water Type: -"'&.;"i-). ''''Sq,Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-343-7297 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN I DEVELOPl\-lJ',l, 1 ",..ORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: No~'W~~t Trees Rqd: THI~aved'Drive Rqd: AU o/lo'fli!o'(c~verage:EX THOR/ZED u' '''C~ PIRE IF THE r.n^,,,~,,_ NDER T/-JIC' ,,^__ WORK I PUBL1€-IMiiRO_V:EMENl'S'110NEO' ~ I::; NOT ""uu . OR , Sidewalk Type: DownspoutslDrains: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description TVlle of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . .CITY OF ~rK11'luNJ<.LD Building/Combination Permit PERMIT NO: COM2006-00658 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 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 L.Fm P~W Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.90 $3.92 $43,00 $6.00 5/31106 5/31106 5/31106 5/31106 2200600000000000701 2200600000000000701 2200600000000000701 2200600000000000701 Total Amount Paid $57.82 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. l""Bliwlirl'rllnsnl'ctions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 he 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 Pa2e 2 of2 225 Fifth Street Springfield, c;>regon 97477 541-726-3759 Phone Job/Journal Number COM2006-00658 COM2006-00658 COM2006-00658 COM2006-00658 Payments: Type of Payment CreditCard cReceintl RECEIPT #: ~ .~ ca.of Springfield Official Receipt "opment Services Department Public Works Department 2200600000000000701 Date: 05/31/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 088164 In Person Payment Total: Page I. of 1 2:40:16PM Amount Due 43.00 6,00 3,92 4,90 $57.82 Amount Paid $57,82 $57.82 5/31/2006