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Home My WebLink AboutPermit Electrical 2006-11-6 11- (; -cb L'\)2.... SPR'NCr1~ ~~~ ( ,A. tuo,". '~ ' :iL-:::.".~~..,~~-~-:J'~2-~":';'~I~ ;:;-,"",-.= ~<. '~ "j .,~,,,,,,-,,,'-"-'" I - " ,- 15~~'T:~JT"\,-. If., -.\;. .. : '~r; """ '.', " ..... -. ~ ~~."'- ',' .~-,~ " , '. ,.",,, -.>-. ,':l~:"''':>-''>CITYOF:S: INGFIELD OREGON '.:- , ". c :~-.-:;lj" :'.:. '-~'-.":'" _, ~2~__,"'-i""'-'t.._ .~ - .,-'. '"'' '. ..' '. -' , .---' ,,-' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FA-X: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number QlUA 2.DOC _ OfY Z. \ Date 1, ~'iO€ATibN""OF'iNST;T.F~TIOM,,'f,'j!N:-J*-,:1 ...:.;:,.,.....'.:.1_:;..~-":---" -~._--""".t-:~,:~.:~~"',<.....~~~..,:,'~.:4 3'CS- I~ ill.. 200 Amps or less l $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNollS $375,00 Reconnect,OlUy/: $ 50.00 c~.;t~~1..t'-"~~i!~;:r.;.!"~'Ji!f-'""""""""_"""iii.4=!l!'! . >T;.,.e~~o_~~esl~€,..~~.~fi~,o;!.>);};~'t'~;:i:~:t;~~'F~!~"Y!"f;,,'iib'E!.-i;..~~~~ ~USO'TF'T S;OI) (''lO'n "'(9 Installatio'!, ~teration or./RiRlk:uion ). 1:10;.. vv... va "f@ fi:'0' -'q 200~~mp..s ,~{e~j..- "00 ~ r~ 6y I.!,z. r~ $ 50.00 201 AliYP,bto~4&10 AInPs'00 0.s'(9 'I", r'\ Y{11i-~$ 69,00 401 AQ"sro.60~'iXm'p~i) ~ "'0,. 'VI",~'(90~''SMlO,OO ""'II. '<>' -, .. ....,9;.- ""'v Expiration Date ',- \ - n l" ",~ O~ . 1",>1, 00; '1- - "'~ -I) u. '0 S' fS' , , , D O':B-~,~o:t'~CU1~~~~~;.r~~~~~~~~;l~f~~.c""fiC"'~"!&%1 tgnature 0 upervlsmg ElectrICIan . , rancw~~~~':-+~~~i'j:.{~~:":::'7~~:'_\9Jr~~~ 2:: k ~f~~ New Alteration or E~.r~;~!l;~-p.lm2'1(9 ,a'?JO, /.' ~ -- 'I/O <0;;>. vI.' '10 Yh. :'__:" '_ _~- ~ -- _,__ t.(C'.OneCircuit "'\l'~ I~C, :?", '5'43,00 ~ Cl 'Vr,y, ;9,' Each Additionai Circuit or with . "'01) o rs Name t6t",~ ~~~?{~J~~.~~~~:~::e:-'f~;"''''''''''~''~<''''"~'~~~.''"'>;"c"',Fm',~ Address 3 90 r I~d t?N I?'P&;~ t4'u;;c~}~~lISiS.~,~i:"fI~,~r.;l'.?~~\~~~~~)-:-E~.5f:,~~~,1[a.~2inJ City S-?t="b. Phone ~Yp<s ~H~ oYW~~ $ 50.00 i9,t~~~~~ 550,00 Limited t>~~Ji~~ 525.00 Limited En;"~~~~ $ 45,00 Minimum Electric Per~t Ins;t.ction Fee is 545.00 -;. Surcharges LEGAL DESCRIPTION J"X,) z.. \ <t L( I o z.. 700 JOB DESCRIPTION .A~I ~. ~EIt..III<..(:""" f2t:#A-cl:r Permits are non.transferable and expire if work is not started witbin 180 days of issuance or if work is Suspended for 180 days. :;,tii:Cj'N:i'fIDt'EioRfiNSfJriJiiii!J;!e,JNioiVE'E:J 2. ;1,:<!~~~;A,:~"'-'~~o~'lUUi.';;;;'t!;'-""Iik"-::::"",,-,,"_J,.~~..."'i.,,_.!~'_'r<,,,,'}-~ Electrical ContractoT f.o,: (\n \n,::, c.\ ?'c:tn <- Address d \lS 1.0;::;2 0C\ A \J e City eL"j9\\P Phone "~ :l;::;)q l Supervisor License Number ;<SOlCl S Expiration Date 10.\,01 Constr. Contr. Number ;:::) (',. \ ":'Jc, G OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: i26-3i69 ~\~~ ~ ~~6dl_ 3. i~p~~~~~fE~jEE'T~)JgQ~1:.r~'f~f~~r?~li~ A. I~~~~~~~i~~~ll~~~!~}iffti~i~r~I~~~~f~~"gfi;~ Service Inclnded 1000 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 .~-""~l"'''''~ '. . .~.....- B. _~s~g;ic;;~~~P~~'ti~ii~~tfUiti6~~Aitt~titi~'1~~;~~~tf~~~1:1 ~:;:.'~...:.:.i".1'_;s:.;.;:&:~.'.:!~ ,,:.'l1;""il;d~-'''-'''''~:..r;-'~ "-".~~"'.~,:..~ -:. :.....,.""....."",...".,"~-.;~,~ b:S 4.'s~~~~~~._~::~g~;js:L.;J;;~;..~.' ' 8\/0 State Surcharge 10% Administrative Fee I 0; % Teur F'U- TOTAL 63 sol.( , b TO / J I,) 77'19 Shared Drivel.T:VBuilding FOI1T1SlElecoic::1l Permit Application I.03.doc . a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01421 ISSUED: 11/06/2006 APPLIED: 11/06/2006 EXPIRES: 05/06/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 3905 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702194102700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace 200amp service Owner: KENNETH KEELER Address: 3905 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License Expiration Date REYNOLDS ELECTRIC _/rrTE:NII,17.~52 02108/2007 BU1LDINGrlliiFORM;'V]llON:..~;gO" law reqUire in OA - -~'Vl/ t;eme ed by the art> s You 10 # of St'!rle~b ~ 952-00 1-0~' ThOse r!t!tl~fe7n Utility Height ofStructure'l1ay ob 10 throU,Sq.Ft l'st Floor"'rt. "'::I'1i ta'~" '~!')r. . I Type of Heat: ng the"" In cOPie Sq 'Ft 2nd~E1nor:, !JI/""b weimer ( " 0' .~ wv Water Type: er for the . Note: 11M ":~ Basemli,n!h Range Type: Cent . OregOn Utl'/'tSqtFt(GliragP/Carport er IS 1 I ",' , ' -.-e Energy Path:' -800-332 Sq\Ftl0tltero: a2"A.., If n Sprinkled Building: nla Occ,!pant Load: Phone 541.343.7297 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NO 1'11' O'fft~y 'Di'li,. Total: # ~t!'e~iIf~IJltlg: Handicapped: PiI#/ilQJ-!r,'Zr-.'I~' HALL EXPIR Compact: %a.~?tfi~.veta~~{OER THI E IF THE Wo ANy 18n f11~~-~~!S ARA~~ERMIT /~ AI;:~K , PUBLIC IMPROVEMEN~ IVtD FOR REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage nr Bid Amount Value Date Calculated Paee I of2 Status Issued 225 Fiftb Street, Springfield, OR 541.726.3753 Pbone 541.726.3676 Fax 541-726.3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Snrcbarge Perm Serv/Fdr 200 amps or less Total Amonnt Paid . Amonnt Paid $6.30 $3.15 $5,04 $63.00 $77,49 Total Valne of Project Fpps P,~iil , Date Paid 1116/06 1116/06 1116/06 1116/06 I Plan Reviews I &-11 i' 011 ~rKll~t.dELD Building/Combination Permit PERMIT NO: COM2006-01421 ISSUED: 1lI06/2006 APPLIED: 11/06/2006 EXPIRES: 05/06/2007 VALUE: Receipt Nnmber 1200600000000001611 1200600000000001611 1200600000000001611 1200600000000001611 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 Rpllllireil I nsnections' Electric Service: Approval reqnired prior to ntility company energizing service, By signatnre, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb tbe Ordinances of tbe City of Springfield and tbe Laws oftbe State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I furtber certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from the street, that the permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 2 of2 Date 225 Rifth Stnet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006.0 1421 COM2006-01421 COM2006-0 1421 COM2006.01421 Payments: Type of Payment CreditCard cReceinll RECEIPT #: .~- C.' f Springfield Official Receipt D opment Services Department Public Works Department 1200600000000001611 Date: 11/06/2006 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 007541 In Person Payment Total: Page I of I lO:59:36AM Amount Due 63,00 3,15 5,04 6,30 $77,49 Amount Paid $77.49 $77,49 11/6/2006