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Home My WebLink AboutPermit Electrical 2008-7-16 . 22<; F1F111 STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number LOllV\e',OO g- -0/0 6S- ] I LOCATION OF INSTALLATION: ~~ -"--~ ~-~. I)~:\ ,\ . - -ST LEGAL DESCRIPTION 170>"55,( JOB DESCRIPTION l::>2~OO p~!:t;:e a:-tr=~~(a:d ex~ I~:lS not started wIthm ]80 days of .ssuance or .f work .s Suspended for ]80 days 2 [C~I:'!{RACTpilNSTAL!:ATION O~!~ Electncal Contractor If\.}1 ~I e ctY' ; ( 11\ ~ \ l\) G- Address '3a31 ~ R~\e\J ll4l'Je CIty Cb1fli.~e~f' Phone 7J.Q -{ 45~1 V Supervisor License Number :3 q 'J..:S 3 ExprratlOn Dale I'D I (O , Constr Contr Number 1'!J7 ,<)1() b Exprratlon Date Jl I t/i ?:o'~:i5't.~'C~ Owners Name Jvf,c-~~( C,oc...lU--L SCf; S 6ai-t- fL ~ +>F~ Address City Phone OWNER lNST ALLA nON The mstalIatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent Owners SIgnature InspectIon Request 726-3769 Date 3 A New ReSIdentIal c. S.ngle or MultI-Family per dweIlmg uniL ..-" =~ ~ ~ --~--" Serv.ce Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DwelImg ServIce or Feeder $11700 $2100 $55 00 B : Servtces o~ F;eders -. InstalIatl(~n, AlteratIOns orRclo~t~n--- ,>> .:0 ',,- _>>_ _>>_ _ ,_ _>> ~_ New ~lteratIon or ExtenSIOn Per Panel One Crrcmt Each AdditIOnal Crrcmt or WIth Service or Feeder PermIt TOTAL $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 ,>, 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts \Q Reconnect Only ~U\t~ 'IOU 11'rt I tI \aVl ta allOtl \)\\ "h 'tJ.. Ot~~go- - ~~~..~o" " .t'r\O'reD/ e 1" \-. '. "'"E.\..... 'SaD ~a -OJl.~ ,.,- 1o\\OVl t,:,\a Q~~~~U1!~Ug" ^fJQ.~1~~ tlot\\lcat\IlI\~~ ~'CO~\(/'t~~f Oil-I'> ~:~::u:,'1l ~m\o\a" W9 ~ o'Uf.I~\ot\ \~(), ~i~tl~. \~ \i\\t~AJ,). ca\\\l\':J ":'~. e .'~ ~ i\&l\i ps till c;e Over 600 Amps or 1000 Volts see "B" above ~ ~I""'''''~- -~~~- D, Branch CIrcuIts' L.~ -- ~~~ - ~~~- E MlScellane~~s (Se.y~",feeder.n.o,tI~f!;~~~}~S!a!latlOn ~ Pum~-Giim S\\r:..\.\. ~\1l.~~~~\l~ ll\91 SIgn!'t'/\\e~~ \l~tl~? i\\\tl Do~i~Olf{)8Jo Llmlt"fi.'lJ' ~I't IS ABt-N $ 28 00 LImite pal.IOO. $ 5000 MID,mum EI~c ~\1Jl nspect.on Fee .s $50 00 + Surcharges 4 [SUJJ,!()T~OFAnOVE - ~~-~~ Ss- 12% State Surcharge 660 10% AclJmmstralive Fee .5 JO 5% Technology Fee -Z 7' 67 ~. -. -. $ 55 00 $ 76 00 $11000 $ 48 00 $ 400 Shared Dnve(T )/BUlldmg FormslElectncal PermIt ApplicatIOn 1-08 doc Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-01065 ISSUED: 07/16/2008 APPLIED 07/16/2008 EXPIRES. 01116/2009 VALUE. SITE ADDRESS 1133 J ST ASSESSOR'S PARCEL NO 1703351102300 Spnngfield TYPE OF WORK Electllcal Work Only PROJECT DESCRIPTION Replace servIce mast TYPE OF USE Owner MICHAEL CROCKER Address 549 S 68TH PL SPRINGFIELD OR 97478 Contractor Type Electncal I CONTRACTOR INFORMATION I Contractor LIcense MY ELECTRICIAN INC 87506 BUILDING INFORMATIONJ # of UOItS Pnmary Occupancy Group Secondary Occnpancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Front yard Setback SIde I Setback SIde 2 Setback Redryard Setback Solar Setbacks Street Impl ovements Storm Sewer A vadable SpecIal InstructIOn Notes DescnptlOn # of Stones R-3 /_-,.,_ HeIght of Structure 1 {' '-Type o,f Heat .... 10v/ I U' ~,..,.'"' VBNOI' I UIM;ater Type:J law r 111('at qt. Jhl"'-:;',.J eqUJ In OAR lorRll.!I,g~e7Yiie:'Jy the Or res You to 0090 y;62 Elg~r1W ltJiise rUles egO" Utility _ cal/lnp t~~WHaln ~~dg~O';~~~t ~l'ih -'~"\!E,,-,:ritiP~q~fi&Mi"fllI1l~; !, ,,~ns 1 ~ -!. Utility N -',erfJ1Ie -800-JJ2 OtlflcatJO Overlay Dlst -2344). II # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS' Repair ReSIdentIal ExpIration Date 11/20/2009 Phone 541-729-1454 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrdge/Cdrport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compdct SIdewalk Type NOTICE: Downspouts/DralDs i~~~E~1~~ ~~~i~ ~~~R~E'~J~E/tZ~: liMY "~r IN,' ;-~r.;.,~BANDONED FOR I Valuation Descflotion I $ Per Sq Ft or multIplier Square Footage or BId Amount Type 01 ConstructIon Page I 01 2 Value Date Calculated -ri...~ Status lss u ed CITY OF Srl(lj~uFIELD . Building/Combination Permit PERMIT NO: COM2008-01065 ISSUED: 07/16/2008 APPLIED, 07/16/2008 EXPIRES, 01/16/2009 VALUE: 225 FIfth Street, Sprmgtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect F~es PaId I Fee DescnptlOn + 10% Admm,strdllve Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount PaId Date PaId ReceIpt Number $550 $660 $275 $55 00 7/16/08 7/16/08 7/16/08 7/16/08 1200800000000000782 1200800000000000782 1200800000000000782 1200800000000000782 Total Amount PaId $69 85 Plan Reviews , To Request an InspectIOn call the 24 hour recordIng at 726-3769 All inspections requested before 7:00 a m, wtll be made the same workIng day, InspectIOns requested after 7'00 a m. WIll be made the folloWIng work day. I Relllllred Tnsnechons I Electnc ServIce Approval req mred pnor to ullhty compauy energlzmg servIce By sIgnature, I stdte and agree, that I bave carefully exammed the completed apphcallon and do hereby cerllfy tbat all mfnrmatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wltb the Ordmances of the City of Sprmgtield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and thdt NO OCCUPANCY w.1I be made of any structure wIthout permIssIOn of the CommuDlty Serv.ces DIVIsIOn, BUlldmg Safety I further cerllfy thM only contractors and employees who are m comphdnce w.th ORS 701 005 WIll be used on thIS project I fUl ther agree to ensure that all requIred mspectlOns are requested at the proper lime, that each dddress IS readable from the street, that the permIt card IS located at the front of the plOperty, and the approved set of plans WIll remam on the sIte at .11 hmes dunng construction Owner or Conll actors Slgnatnre Date Paee 2 01 2 225 FIfth-Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 I 065 COM2008-0 I 065 COM2008-0 I 065 COM2008-0 I 065 Payments Type of Payment CredltCard cReLetntl RECEIPT #, Descnptlon Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By MY ELECTRICAN l~QA~ II&: CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department Pubhc Works Department 1200800000000000782 Date, 07/16/2008 Item Total Check Number Authorization Received By Batch Number Number How Received dJb 015542 In Person Payment Total Page I of I 9 08 33AM Amount Due 5500 275 660 550 $69 85 Amount Paid $69 85 $69 85 7/1612008