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Home My WebLink AboutPermit Electrical 2008-7-21 ZON \ CL{ INITIALS ~'N'-- DATC'i -~';)----c)/< SOURCE~..J . .' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (<;41)726,3753 . FAX (541)726,3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C1)M zlJfYl. - () I ott'1 Date 1 LOCAl'ION OF INSTALLAl'ION: 1&<6 fD. h LEGAL DESCRIPTION \ '"1 0 ~~ 2:6 d,,?:> No{ nr<V JOB DESCRIPTION Quo tIKI l. c)- Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRAC'IOR fNS1'ALLA170N ONLY \ * ~~ - Electncal Contraclor ~I '7 ~ ev r>;, ,<,'-+~L' Address I Sf. I') 1-1, , IV! " .~A,^^- Phone b'if r 7 'i 1 ;, rt1'f. 6'3? &D'1b ? 97S S CIty ~o.. SupervIsor LIcense Number ExpIratIon Date ID---II)~ II) Constr Contr Number 110 z.-7 .5"'" ExpIratIon Date I (; -I 0 - 0 '1 SIgnature of SupervIsmg ElectncIan 7J2,J~ X').. J A1L Owners Name J~ h~ Address / fR f (JJ . D CIty ~ Phone OWNER INSTALLATION The mstallatlOn IS bemg made on property I own WhICh IS no~ fijij;W<@:for sale, lease or rent THI~PERMIT SHALL EXPIRE IF THE WORK OWW[frfl~ltm UNDER THIS PERMIT IS NOT ;:;,:;r;';J1[N3ffi-O;1IG ABANDON::O r:},'l ANY 180 DAY PERIOD. InspectIon Request 726-3769 7 - 2f-Cfl. 3 COMPLETE flEE SCHEDULE BELOW A i New ResidentIal- Single or Mult~-Family per dwellIng UUlL ServIce Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $2] 00 $55 00 B , ServIces or Feeders - InstallatIOn, AlteratIons or RelocatIOn 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V oIts Reconnect Only J.. $ 70 00 $ 83 00 $13800 $]8000 $4 I3 00 $ 55 00 ~. ff.1J) C Temporary Services or Feeders InstallatIOn, AlteratIon or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D Branch CircUIts $ 55 00 $ 76 00 $11000 New AlteratIon or ExtenSIOn Per Panel One CIrCUIt Each AddItIOnal CIrCUIt or With ServIce or Feeder PermIt $ 48 00 $ 400 E Miscellaneous (Service/feeder not mcluded) -Eaeh lustallatlOn Pump or ImgatlOn $ 55 00 SIgn/OutlIne LI~~'JTI0N Oregan la'll re~[jfj.-9Y yo:.: I: LlImted Energjllli'tfWl'l!lNIh adopted bv the tll~~n lJIIhtv LlImted EnerllUtftiiiJ!eM~enter Th()~e~UIgl~<J\oos~t forth MIDlmum Electnc ,~~~tll,Q;k~Jl\!W!)'S'd!#oQf.w.lt~;\/ll~. , ,~ , u~tJ:"toul'may oll'tamcoples 0 lli'e ruTeS'lly 4 SUBTOTAL ~nter. (Note' the lalep.. cJD 120/;5-;"1; surcRMIglPerfor the Oregon Utility tliuuuc.;ae?/pO 10% AdmmIstratIve Fefenter IS 1-800-332-23'l fl. S ~ 5% Technology Fee !Z,7C TOTAL CoC? <6!; Shared Dnve(T )/BUlJdmg FonnsJElectncal Permit ApplicatIOn I~08 doc -~~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-01097 ISSUED: 07/21/2008 APPLIED' 07/21/2008 EXPIRES' 01/21/2009 VALUE' 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 168 W D ST ASSESSOR'S PARCEL NO 1703352306600 Sprmgfield TYPE OF WORK Electllcal Work Only TYPE OF USE Alterdhon ReSIdential PROJECT DESCRIPTION Reconnect Owner BAKER JAMES A & SHERRI L Address 168 W D ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TlON I Contractor Type Electncal Contractor BOB FISHER ELECTRIC INC LIcense 96275 ExpIration Date 01125/2010 Phone 541-689-7973 BUILDING INFORMATION I # of VOlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary COllstructlOn Type # of Bedrooms # of Stones HeIght of Structure Type of Heat, Water Type Range Type Energy Path Spnnkled Bmldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla , DEVELOPMENT INFORMA nON I Front yard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay D,st # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PVBLIC IMPROVEMENTS I Street Improvements SIdewalk Type ATTEfjiHf.i~po'illg,lJJlilhlIlw requires you to follow rules adopted by the Oregon Ulllity Notification Center Those rules are set forth Notes OTICE: in OAR 952-001-0010 through OAR 952-001- W:. PFRMIT ~l-'Ar f F1(prR~ I~ TtlE WORK 00,90, Yo~ may obtain copies of the rules by JT'10RIZED UNDER THIS PERMI~ ip,iv0T In~~b:r i~; ihw~'o;~g~;Ulll~~ N~;'J:~~~~n U: '~,'ENCED OR IS ABANDONED Fa"lualton Descrmlton Center IS 1-800-332-2344). ( 180 DAY PERIOD. $ Pel Sq Ft SqUJre Footdge DescnptlOn Type of COllstructlOn I I B d A or mu tip ler or I mount Storm Sewer AvaIldble SpecldllllstructlOlI Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO, COM2008-01097 ISSUED: 07/21/2008 APPLIED. 07/21/2008 EXPIRES 01/21/2009 VALUE' 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Valne of ProJect J;~~~ Pal~ I Fee DescrIPtIOn + 10% AdmmlStratlve Fee + 12% State Surcharge + 5% Technology Fee ServIce Reconnect Amount PaId Date Paid $550 $660 $275 $55 00 7/21108 7/21/08 7/21/08 7121/08 ReceIpt Number 2200800000000001114 2200800000000001114 2200800000000001114 2200800000000001114 Total Amount PaId $69 85 I Plan ReVIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7.00 a.m WIll be made the same working day, mspectJons requested after 7'00 a m Will be made the followmg work day I Relllllrerl Insnecftons . Electnc ServIce Approval reqUIred pnor to lIt1hty company energIZIng servIce By SIgnature, I state and agree, that 1 have carefully exammed the completed apphcatlOn and do hel eby certify that all mformatlon hereon IS true and correct, and 1 lurther certIfy that any and all work performed shall be done 10 accordance wIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY will be made of dny structure lVIthout permISSIOn of the CommuDlty ServIces DIVISIOn, Bulldmg Safety I further cerllfy that only contractors and employees who are 10 comphance wIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspecllons 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 remam on the SIte at all times durmg constructIOn Owner or Contrdctors Slgllature Date Page 2 of2 225 FIfth Street . Sppngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 I 097 COM2008-0 I 097 COM2008,O I 097 COM2008,O 1 097 Paymenls Type of Payment CredltCdrd cReccmtl RECEIPT #: DescriptIOn ServIce Reconnect + 12% State Surcharge + 10% AdmInIStratIve Fee + 5% Technology Fee PaId By ROBERT D FISHER ~.1i CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department 2200800000000001114 Date' 07/21/2008 Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 671906 In Person Payment Total Page I of I II 40 SSAM Amount Due 5500 660 550 275 $69 8S Amount Paid $69 85 $69 8S 7/21/2008