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Home My WebLink AboutPermit Electrical 2008-8-4 SPRINO,..IILLD ..........._.._. 1 I ~- ZON \.\J~ INITIALS \ i-\. DATE ~ o-A-r--;); SOURCE -45:' 0? rp:. -O~ 22> FIfTH STREET, SPRINGFIELD, OR 97477 , PH (541)726-3753 , FAX (541)726-3689 ELECTRICAL PERMIT APPLICATIO~ or City Job Number Lo~colf-O It .s .> LOCAfioN OF mSTA1.iATloN~'~;t:f'tlf~ ~ -_ ,I _ ,h~' "w-...~......,,},~~l ~ ~"~'l1"i"{,~;/!:Ji",, ~ ~~:A~ ~ ~ f0-r>r- - \ LEG'\L DESCRIPTI.QN /80Z.0 b( t:.{ f070 0 JOB DESCRIPTION ~:~~~;e~w~~~~ not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 , ~ ,~.s' t' ..t"':;-""," n tiP '!''''i''<J:'S1t~-,'Jl''-''''; /,,"f.::tp".j7'l''f':''{' ~ C<:!N!~g~~~~I?~::fBJ!f)l:;~~f!~~ Electncal ContraOafGL1!I, q ~nRlr StmLIC!: PO BOX 22':'7 Address Ml'r~IC_ I1R 9749" 1,...J._..., ..., ....1 , '" City Phone 541-141-1681 Super\. I$or LIcense Number 13928 ExpIratIon Date 10-1-10 ConslT ConlT Number C408 /181997 CCB Expiration Date '1\\ \\.\ / ~-/9 ( CD Signature of Supervlsmg Electnclan J A-1AA-O~ / OJ}&<) Owners ~ame .1LIU..n4Al f'f1J^~- Address 1C?3C, JA-~Pc~ .el> Cltv _ t;1'Fl.f\ Pho~e 0\\ "ER It'oST"-LLATION The installatIon IS bemg made on property I own which IS not mtended for sale, leas? or ren,t O\l,.ners Signature InspectIOn Request 726-3769 Date '7 - ~ q ::>i 1~ !;{ , ~~'},~'~"''f'r<..f''''''1lI'^'''''''''' "'J#rv""""~'t ..", , 4'''''''if'jif~-, '.'''' ( 3 \ COMPLETE FEE SCHEDULE BELOW;;~ ,~~, '_~', oM"''' ",y,.,;" ,~,.l;"w:'1(.. ~"l<"',,'''d.;z",~~....!l'~_''''~ ~ ~.l,""" '-",w...-...~~f.< .'.. A :: N~~~it~i;d^frif:fiI~sili~ft6:11~Iti-F~~I~J;~; ~~~II~~g\'~ OIt " &, ~:!lh'y "'",".,.';f, " ,,' ~,i.~r;;lLlHd ~ 'ft..,~<.n....", ......IJ h ..~l. ~ .... ~ ..~ .. "'~ .. Service Included 1000 sq ft or less _ $117 00 Each ,..<fcI1E9l'~IGiMf ~rflg<m law reqUires you to PortlRl1I\\WetUles adopted by the Oreaon LllIOty)o EacHl~!M1lR1)j ~W!1 Those rules are set forth Mol!i\~1l?rig~1r!>,9J 9rthrough OAR 952-001- FeegQ90 You ifIay o~tatn copies of the rulllSSblJl Q(I,UIJ1,\l,cthe center (Note the teleEhone B ~Sefr.<!~~~~€l'e~offillilii~mUlIWWlyR,@~'\IRelo~;li~n ~ ,,;,. """" "eemet'ts'1-8()Q>332-2344)'.'~" ,~, '- 200 Amps or less l $ 70 00 J (:) ~ 201 Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $138 00 601 Amps to 1000 Amps $18000 Over 1000 Amps/V olts $413 00 Reconnect Only $ 55 00 ~1'tl\IfJ,TI{}F"'!'HY>)'..:1f",t\>"4n1::?q!!.~t~", ('h("A!,v~,li.!"" ,,~,w i:}' "" c ~J!rHl~!PE~'iT'~~~R~~1~~1t"~~~VVO~'K",;H\;" Instal'llJtTdi\O,2Uffi"L\rw~~~nPERMIT IS NOT 200 ..(~qMMliiNUD OR IS ABANDONEDsOOJ'to 201 ~ il8lID~,&ERIOO $ 76 00 401 Amps to 600 Amps $11000 Over 600 Amps or 1000 Volts see "B" above "p" ~p'17..r1f1..,'~ i~~ -,,~?,,<> ~y <1~ ~..t";,.':A,;:> ..; :f-;u."k.."r~, 0:, ~ D ?Braiich CirCUits .I~...,.\!j;M~:qk--'~'D';;'fL,\::-p\l, ~~",d ~'~~'"4,,,,V; .t~~ ~r _ ij!~",~""'" V'!..,...v",,,c.: ~_,.\iA ~ ......~x.>;>.. .. ~ - , New Alteration or ExtenSIOn Per Panel One ClrcUlt Each AddItIOnal CncUlt or with Service or Feeder Permit $ 48 00 $ 400 I~~ l"i \ ~'f~""f-~~"",;1J~~" "';;,;. "'i"I~S'lfr'\l ;~)-""O\~ -"r!:'" '1">'~-~~~, E : MIscellaneous (Servlce/feeder not tncluded) -Each InstallatIOn 'I'" ~_~~^' ~W3 ,...~.. .. ...,,' ~ ,,~,r ,,?~~*;. t<"(' ... ; J 1. Pump or Imgatlon $ 55 00 SlgnlOutllOe LIghtlOg $ 55 00 Limited EnergylResldentlal $ 28 00 LimIted Energy/CommerctaI $ 50 00 l\1IDlmum ElectriC Permit Inspection Fee IS $50 00 + Surcharges liI'l..I"~ ';.f?,i<: ~ "'~"'V..'-' <''1 \ n,Wh- t';!J't'j['.::~"'~ Vl~....}~{:tj..r(' 4 'SUBTOTAL OF ABOVW<I~~,<"~,>,;,'.:fr~-I,t--:, u...1 ';:',"~ 'M.~' /,<M(~"'" ," ,_ .,I;;;I~I4. '-Jrr~t i.':..:fi~L.':1\~ -~ }.iI<f \<l. Wo State Surcharge 10% Admmlstratt ve Fee 5% Technology Fee \~~...o \i.M \ '-\~ ,'" TOTAL \ 9-0 .::,~ Shared Dnve(T )/Bulldmg FormslElectnca! PeTTIllt Apphcatlon 7 07 doc r#9L~ VoJi \ I i~~ CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-0I133 ISSUED: 07/29/2008 APPLIED' 07/29/2008 EXPIRES: 01/29/2009 VALUE: 225 F,fth Street, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme ATTENTION. Oregon law requires you to fnllnw Pille...... ...,.,1,,\_"'_-:1 1..- t\ e . ~Inhf"''''-ot,....... ('\.........__ -,:~ -::~ .i_ '_~VII \,IulUY SITE ADDRESS 3939 J!{l~!l&-oOl-001(j ihr~~g~~~79!;~~11YPE OF WORK Smgle FamIly ReSIdence ASSESSOR'S PARCEL NO 009f60Y~llYW7mPtaln copies of the rules bv calling the center. (Note Ihs telephone "rYPE OF USE New ReSIdentIal PROJECT DESCRIPTION ~@~ ~~ Qrft!iwadltiltqtllblbfMM~fi Csntsr Is 1-800-332-2344). Owner WILLIAM SPROED Address 3939 JASPER RD SPRINGFIELD OR 97478 Contractor Type Electncal I CONTRACTOR INFORMATION ., ContJiRrlCE: LIcense oREq~~[[&f$Wy[<<eIRE IF THE IM1PM8 .t.7.lIvlll<'l:L1~&1"fiOitM ~Q- COMMENCEr :mnG~.(..,lfut,W W~ ~ ANY 180 DAY PERIOO.Stones R-3 HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BuIldmg # ofUmts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms VB I DEVELOPMENT INFORMATION' Frontyard Setback SIde I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd' Paved Dnve Rqd' % of Lot Coverage I PUBLIC IMPROVEMENTS' Street Improvements Storm Sewer Available Special InstructIOn Phone Number 541- EXpIratIOn Date 09/28/2008 Phone 541-343-1681 nla Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact. SIdewalk Type DownspoutsfDrams: Notes 1 ValuatIOn DescrmtlOn I DescnptlOn $ Per Sq Ft or multIplIer Square Footage or BId Amount Tvpe of ConstructIOn Paee I of2 Value Date Calculated ---~ ~ ~ ~~: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01133 ISSUED 07/29/2008 APPLIED 07/29/2008 EXPIRES' 01/29/2009 VALUE' 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees Paid 1 Fee DescnptlOn + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend C1rc Ea Add Perm ServlFdr 200 amps or less Amount PaId Date PaId ReceIpt Number $1420 $1704 $710 $72 00 $70 00 7/29/08 7/29/08 7/29/08 7/29/08 7129108 3200800000000000528 3200800000000000528 3200800000000000528 3200800000000000528 3200800000000000528 Total Amount PaId $18034 I Plan RevIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7:00 a m wIll be made the same workmg day, mspectlOns requested after 7:00 a m WIll be made the followmg work day. I Reonired InsnectJons , Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to utlhty company energlZmg servIce Fmal ElectrIc When all electncal work IS complete By sIgnature, I state and agree, tbat I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance w,th 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 any structure wIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety I further certify that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS proJect I further agree to ensure that all requIred mspechons 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 dunng constructIOn Owner or Contractors SIgnature Date Paee 2 of2 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~1'4 CIty of Spnngfield OfficIal ReceIpt Development ServIces Department Pubhc Works Department Job/Journ,,] Number COM2008-0 1133 COM2008-0l133 COM2008-0 1 133 COM2008-0 113 3 COM2008-01133 Payments Type of Payment CredltCard cRel.emtl RECEIPT # 3200800000000000528 Date: 07/29/2008 Descnptlon Penn Serv/Fdr 200 amps or less Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By TENA BROOKS Item 10tal (;heck Number AuthonzatlOn Received By Batch Number Number How Received cJc 029768 In Person Payment Total Page I of 1 I 49 33PM Amount Due 7000 72 00 710 1704 1420 $18034 Amount Paid $180 34 $180 34 7/29/2008