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Home My WebLink AboutPermit Electrical 2008-7-21 ZON \ fl- .y INITIALS~ ~ DATE'i -'d.?, .-(lj{ SOURC~~7 J Date '7/;),/0 ? COMPLETE FEE SCHEDULE BEWW 225 F1FrH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (';41)726,3689 ELECTRICAL PERMIT APPLICATION CIty Job Number (;0)1"1267)(.... 00'6/5'" I LOCATION OF INSTALLArION: ~~'--f'l/L-'----/2.- Ct-. --- LEGAL DESCRIPTION \i()'2., ';<,c9-Ll-oQboO JOB DESCRIPTION 3 , A , New Resldenttal- Smgle or Multt-Famtly per dwelliug umt. Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof $11700 ~)--8'V -r--~ /~u;7 ~ V Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days $2100 Each Manufact'd Home or Modular Dwelling ServIce or Feeder $55 00 2 'CONTRAC10RINSTALLATIONONLY Ele~tncal Contractor ~ ~ (7 /~ 'ekC' ~ Phone ~ ?~'1-/ScD Services or Feeders - InstallatIOn, Alterattons or RelocatIOn B 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 lor 2- c:1:..a ~, 1 J2.- t/- Address CIty tlLf<; -5 C Temporary Services or Feeders SupervISor LIcense Number /;//0 t'3r'S7 InstallatIOn, Alteratton or Relocatton 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volls see "B" above o Branch CIrcUits ExpIratIOn Date $ 55 00 $ 76 00 $110 00 Constr Contr Number /O//c , ExpIratIOn Date SIgnature of SupervlSmg Electnclan U~~ . I owne~ame~ 1_, J11.I=:.'1' Ad~'D /f'-x'J\[ ?-.q::j t..+6 Clty~ Phone 74,-{m\U) OWNER INSTALLATION The mstallatton IS bemg made on property 1 own whIch IS oN ~'f~~ tor sale, lease or rent O~!lIgr[~T SHALL EXPIRE If THE WORK AlITHORIZED UNDER THIS PERMIT IS NOT i;OMMENCED OR IS ABANDONED FOR 'NY 180 DAY PERIOD New Afteratton or Extension Per Panel One CirCUIt I Each AddItIOnal CIrcUIt or WIth ServIce or Feeder Permit $ 48 00 $ 400 E Mlscellaneon. (Service/feeder uot included) -Each InstallatIOn Pump or irrIgatIOn $ 55 00 SIgn/Outlme LlghtJI1\TTENT/ON' 0 $ 55 00 fOlJ.!llII 'regUI/ 'a~.r LImIted Energy/R~N~mr;;,nU'es adop'''d Il rhL~~tjlres YOu to Llll1lted Energy/~n Center Tho~~,w~eg?n Utility Mlmmum ElectriC petOBli~~~31jf~~MlY:O!~~'ii~~~~ 4 SUB1'01'AL o~e center. (N~feret~~ft~~~fit!B~ 12% State Surcharge C~o;t~~ Oregon Utility N-;;,:r.z~~e~l.,. 10% AdmmlstralIve Fee S 1-S00-332'23~~'~7J 5% Technology Fee ;; "l.1 fo3 ,S,?) Inspectton Request 726-3769 TOTAL Shared Dnve(f )/BUlldmg Forms/Electrlcal Penmt ApplicatIOn 1-08 doc -~ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00815 ISSUED' 06/06/2008 APPLIED: 06/06/2008 EXPIRES: 01/10/2009 VALUE: 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 442 16TH ST ASSESSOR'S PARCEL NO 1703362409600 Sprmgfield TYPE OF WORK Plumbmg Only TYPE OF VSE PROJECT DESCRIPTION Install 65' saUltary hne - Emergency InstallatIOn SeptIc FaIled ResIdentIal Owner WEIST J JORDAN & JODEE Address PO BOX 25943 EUGENE OR 97402 Phone Number 541-747-6020 I CONTRACTOR INFORMATION I Contractor Type ElectrIcal PlumblUg Contractor RALPH W BROWN ROY HAROLD HAUGLAND LIcense 63137 138110 ExpiratIOn Date 02/15/2010 10/1812009 Phone 541-729-1500 541-343-9030 BUILDING INFORMATION I # of VUltS PrImary Occupancy Group Secondary Occupancy Group PrImary ConstructIon Type SecondJry ConstructIOn Type # of Bedrooms # of StorIes Height of Structure Type of Heat Water Type Range Type Energy Path SprInkled BuddlUg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I Fronlyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact St"!eet,.lmprovements Willi!:: ~~~~ffimMtr'!l\!l~t:l EXPIRE IF THE WORK ~U1'1-\trtfrmf'ffiJDER THIS PERMIT IS NOT N6M1MENCED OR IS ABANDONED fOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS' ATTENTI~~.t'jH!{g~m%w requires you to follow rullflbM\~lli/I}tlllesOregon Utility Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain caples of the rules by calling the center (Note the telephone number for the Oregon Ulilrty Noliflcatlon Center is 1-800-332-2344). Paee I of 3 -ii:~ Status Iss u ed 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I Valuation DescrlOtlOn I DescrIptIOn $ Per Sq Ft or multIplIer Square Footage or BId Amount Tvpe of ConstructIOn Total Value of Project Fpp" P~1lLI Fee DescriptIOn + 10% Admllllstrallve Fee + 12% Stdte Surcharge + 5% Technology Fee Samtary Sewer - 1st 50 Feet Samtary Sewer - Improvement Samtary Sewer - Relmhursement Samtary Sewer Each AddtllOO' SDC MWMC AdmmlStratlOn SDC MWMC Improvement SDC MWMC Relmhursement SDC SamtdrylStorm Admm + 10% Admm.strallve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Orc Mmlmum/AdJustment Electncal Amount Paid Date PaId $660 $792 $330 $50 00 $265 25 $348 83 $1600 $1000 $990 39 $95 35 $85 49 $500 $600 $250 $48 00 $200 6/6/08 6/6/08 6/6/08 6/6/08 6/6108 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 7/21108 7/21/08 7/21/08 7/21/08 7/21108 Totdl Amount PaId $1,94263 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00815 ISSUED 06/06/2008 APPLIED' 06/06/2008 EXPIRES. 01/1012009 VALUE' Value Date Calculated ReceIpt Numher 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000001113 2200800000000001113 2200800000000001113 2200800000000001113 2200800000000001113 To Request an IOspectlOn caIl the 24 hour recordmg at 726-3769. AIl InspectIOns requested before 7'00 a.m, wIll be made the same workIng day, InspectIOns requested after 7 00 a m. wlIl be made the foIloWIng work day I Rpll~ptl Tn.nectlOns I Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Paee 2 of3 -~~ CITY OF SPRINlJ'1<lJ!,LD' Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED EXPIRES VALUE: COM2008-00815 06/06/2008 06/06/2008 01110/2009 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By SIgnature, 1 state dnd agree, that 1 have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformatIon hereon IS true and correct, and 1 fnrther certIfy that auy and all work performed shall be done m accordance wIth the Ordmances of the CIty of Springfield and the Laws of the State of Oregou pertammg to tbe work described herem, and that NO OCCUPANCY wIll be made of any structure wIthout permISSIon of the Commumty ServIces DIVISIOn, BUlldmg Safety 1 further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 wIll be used on thIS project 1 further agree to ensure that all requIred mspectlOns dre requested at the proper tIme, that each address IS readable from the street, that the pel mlt card IS located at the front of the property, and the approved set of plans wIll remam on the SIte at all times durmg constructIon Owner or Contractors Signature Date Paee 3 of 3 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~~ CIty of Spnngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008,00815 COM2008-008l5 COM2008,008l5 COM2008,008l5 COM2008-00815 Payments Type of Payment Check cRecemtl RECEIPT #. 2200800000000001113 Date. 07/21/2008 DescnptlOn Add, Alter, Extend ClfC Mmlmum/AdJustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee PaId By RALPH W BROWN Item Total l.:heck Number AuthorizatIOn Received By Batch Number Number How ReceIved ddk 2701 In Person Payment Totdl Page 1 of I 11 32 22AM Amount Due 4800 200 250 600 500 $63 50 Amount Paid $63 50 $63 5U 7/21/2008