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Home My WebLink AboutPermit Electrical 2008-8-13 ._,.~ '"' ..mv ~ fNITIALS ~' A!. DATE : .r!. 0JIl_ "AF SOURCE ~a- 225 FIFTH STREET . SPRl~GFIELD, OR 97477 . PH (541)726-3753 . FA..'( (541)726-3689 ELECTRICAL PERNI,I APgLICATION CIt, Job Number \0'6 - \'1.\0 LOCAboN OF mSTALLATlON'i1't"}{$; -\L\ Cp '-'~-(;ct~'~-Rea LEGAL DESCRIPTION \f1h?~1_tn~ J~A;~N \YU\U ~eCuf Permits are non.trans\erable and expire If work IS not st1rted within 180 days of Issuance or If work IS Suspended for 180 days 2 r 't '1'.$'f- c. ~t~<t\~l',n"1.\"}(r:;r~"'J~"t"~".,., -5~?' 1'-;1#"..~~ '. CONTRACTOR-INSTALL'ATIONONEY;; ~~ "" .,.:;L" ~ ..~~"'"J:'!~J\..w.e~"7:....A~~",,",~..l.:a60_...~ Electflcal ContraORfGnI., rl ~rrRlr C~ PO BOX 2227 MrrMC QR 9749n 8.......... ...., , '" ,",-adress CIty Phone <;41-141-1681 Supen 1Sor LIcense Number 13925 Ex.plratlon Date 10-1-10 Constr Contr Number C408 1181997 CCB EXplratlOn Date SIgnature of Supervlsmg Electnclan 7L -AAAA ..'L./ ~ (}1!n. O~ners ~ame ~f\ -\- ~ ~~ -\ddress \.A..~ too '"'S~ CIt, ~rq~etjho-ne lk1~ Date ~:(f6MP'i:ETE~EE,jSCHiL;UL~ BELOl1T~~~~'1~: ;) ;~~ ~ 3 .:(.9.>it' 1.....-"'....(''''....;\I~Jn{lK'lu'_...If,J..'>' ......~........h,"'"")l:I':l\I>~(,I -'-.. ~ .c.-tl ~~ ~..L.. ~l' ",>~, ~.. ...~"f-.'If;lj.ti\f\'''v./1~\"lwa~~~;~~, V\ ~~l;:.."!r";r~.,-r...:\ .r .",.. .. ~~ A ~"New ReSldent!al:,2 Single or'Multi-Famlly per ,dwelling uml ^ ~":ill,," ..4\0:::" ~....Jl1a' J:,IUdr'!J..:~"t."-Ilt.,~ ~"tr..... ,,"~lo> ,....... ... .~_ .i' >-.Iv , Service Included 1000sq ft orless Each additIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $1 1700 $ 21 00 $55 00 ~'t(I"I..~.r'C'''~l'lt't";~~* "'i~rf:'ltRs':L.if'1."""''1'~~'"W"}r~t, /fJt;;l.'l':..~;;; . r,'~ B ;, Services or~~eederslf~ Installation,' AlteratIons or..RelocatlOn cA... 1'1..,. \.~i!>1clt.i/;..."i.:.::'::.lI~'.r"..-"",""e;~;'ho.\tI1..;:o. ~,J.I.J}.s;...-<(" ~.~.......~~:;;,.~ ... $~l~ r;IJ $ 83 00 $13800 $180 00 $41300 $ 55 00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only \ ;f.;.t::~T ),,;~..."M! l'l!~~~~'~I1:~.....Jl"f..~~'G ~:...) '!'.~,~.."" '\'~ ..;~ 'T~-.... ~ ~~~ ,..... -' C rY~Temporary SeJ::Vlces..!>r, Feooers~c:;l.-~i~.~~~~..',j,1;~,l""'..-t '-":!;:}"~lJ ~'"-::' ,l-'~"..~;!II" ..I'~'_"""'~__":'!"~'II<.....,,4C'~9tl:.l.~_".'t ~~\_~.., ~,~... , ~ InstallatIOn, AlteratIOn or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $11000 Over 600 Amps or 1000 Valis see "B" above \t-''->., ["''''I "l'f\"~~\ ll>li:' ,-r("~..J !f1~.J)-"~"WJ::.R<?~ "~...~ ''r~''''j ~,"ii~ D F,Branch Glrcults ld~~ t ~'r~\} 't:;,~!.J:f;},11 !'ii'IX;;~~~~lf o/..1o::W~'_ ~,-.,_...~""''''''!o'r..:<.Ct~.j.:a;~"~ _.......~f~ ;>.~~iI:"v.~.~_ - -' " , New Alteration or ExtensIOn Per Panel One Circuit Each AddItIonal CirCUit or wIth Service or Feeder Permit $ 48 00 $ 400 f~ ,)~l'i$, -><,u,S';;l:I...,J'*~~ ^"i ..~ t:~i !.t~.Ji~J:"'17" r' '" '::' \'"'1~"'" t ~... ~~ E j;MlScellaneous (ServlceJfeeder not mcludeii) '-Each Installalion ,~":.. _1.Z::i ~.,..._.y_, ~, ;: i "tI..." ..~'i!t:. '" ~, h~~--..... I -:..) ~_ \ ....r~ Pump or Irflgatlon $ 55 00 Sign/Outline Llghtlng"- $ 55 00 0\\ "ER INST-\LLATlON Limited EnergylReSldentlal $ 28 00 NOT1..Illi mstalIatlOn IS being made on property I own which Limited Energy/Commerclal $ 50 00 ~, Intended for sale, lease or rent I\tt . ~Or~'IlIVJ~~1t650 00 + Surcharges THIS PERMIT SHALL EXPIRE IF THE WORK fol~ii!\,~,~I.:.:iJli1fl~0"~Qrt'~tji,It!~~.f:~i -1'1. CO AUTHOOIZEOOO5'ER THIS PERMIT IS NOT~tlfi~" 0 'Cllnter:cTlT6se'tuIB8re'SeROiiff<:",,'ih-"'1 1<) . COMMENCED ~r. IS ,'\BMJDONED FOR OAR ,'OO,'l1IMO,llghOAR 952-Q01- ~:\I I:> ANY 180 DAY PERIOD ~ _~. 0 ~f/lItIl&lpres oftbe rules by l . ~ (. . \V call1n~ !fl1ee~IffiY (N5te: the telephone 3 . GP. t'",VI, numb~1Qr .t~e Oregon Uttllty Notification iln ",\ InspectIOn Request 726-3769 vc.J ~ Is HI00-332-23441. 1.1\'(.. \ Shared Dnve(T )lButldmg i!ormslElectncal Pemut ApplicatIOn 7 07 dO<.. ~ 2A~ \~ -iiiC:w. Status Issued 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspecl1on LlDe SITE ADDRESS 146 69TH ST ASSESSOR'S PARCEL NO 1702353205307 CITY OF ~r1UN'-'l'lJ!,L1J Building/Combination Permit PERMIT NO: COM2008-01210 ISSUED. 08/1312008 APPLIED. 08/1312008 EXPIRES: 02/1312009 VALUE: Spnngfield TYPE OF WORK Electncal Work Only PROJECT DESCRIPTION 200 Amp Electncal P dnel Change Out Owner Address HARWELL KENNETH L & B J 146 N 69TH SPRINGFIELD OR 97478 Contractor Type Electncdl TYPE OF USE Repair Resldenl1al Phone Number 541-747-2861 I CONTRACTOR INFORMATION I Contractor OREGON ELECTRIC SERVICE BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Frontyard Setback SIde I Setback SIde 2 Setback Rearydrd Setbdck Solar Setback. Street Improvements Storm Sewer AvaIlable SpecIal InstructIOn Notes DescnptlOn fATTENTION LJrEDl5f1'~6fiTlNFORMATION I allow rules adorf...o oyihe 0. ' - Notification Center Thos~ e reg on Ut'lrty In OAR 952-001-001 0 thro9~#il~tmfflt forth 0090 You may obtam cOI~~~f.Yt~~~~ija. calling the c"'rter (I~ot Pat"ed ih'IVi!'ffif,by number for th~ Or"'--11 ('0/0 b'fC,)'Ift;ll'vmge C "c" 1"'/ 1~(1tJtlcatlon enter,s 1 8CO-3.:>2-2344) I PUBLIC IMPROVEMENTS I # of Stones Helgbt of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BuddlDg I ValuatIOn DescriotlOn ,I Tvpe of ConstructIOn $ Per Sq Ft or multIplIer Square Footage or BId Amount Pa~e I of 2 License 161518 ExpIratIOn Date 09/2812008 Phone 541-343-1681 nla Lot Slle Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basemeot Sq Ft Gdrdge/Carport Sq Ft Other Occupant LOdd REQUIRED PARKING Total HandIcapped Compact Nor/~~ SIlY.MIS"PtijAe D~{jll,P9jjMIl;I6'1-t.I/L I~Ot'VI!/lf 'leff; U "L fx, ANy 78%NCFD O%DfR rH;Rf /F rHf DAy PFR/~nA,8A,ND;f,~~/r /S ~~~' "rUR Value Date Cdlculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-0I2IO ISSUED. 08/13/2008 APPLIED. 08/13/2008 EXPIRES: 02/1312009 VALUE: 225 Filth Street, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme Total Value of ProJect Fees PaId I Fee DescnptlOn + 10% AdmlDl;trahve Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount PaId Date Paid ReceIpt Number $730 $876 $365 $73 00 8/13/08 8/13/08 8/13108 8/13/08 2200800000000001238 2200800000000001238 2200800000000001238 2200800000000001238 Total Amount Paid $9271 I Plan Reviews I To Request an mspectIon call the 24 hour recordmg at 726-3769 All inspections requested before 7.00 a m. Will be made the same workmg day, mspectIOns requested after 7 00 a m Will be made the followmg work day. I ReoUlred Insnechons I Electnc ServIce Approval reqUIred pnor to utlhty company energIZIng servIce By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all mformdtlOn hel eon IS true and correct, and I further certify that any dnd all work performed shall be done 10 accorddnce with the Ordmances of the CIty 01 Sprmglield and the Ldws 01 the Stdte of Oregon pertammg to the work descnbed hel em, dnd that NO OCCUPA"ICY WIll be made of any structure wIthout permIssIOn 01 the CommuDlty Services DIVIsIOn, Buddmg Safety I further cerhfy that only contractors dnd employees who are 10 comphance wIth ORS 701 005 WIll be used on thiS project I fUI ther dgree to ensure that all reqUIred mspechons are requested dt the proper hme, that each address IS readable from the street, that the permIt cdrd IS locdted dt the front of the property, dnd the dpproved set of plans Will remam on the Site at all times dunng constructIOn Owner or Contractors SIgnature Date Pa2e 2 of2 ~1fI CIty of Sprmgfield OfficIal Receipt Development ServIces Department Pubhc Works Department 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 121 0 COM2008-01210 COM2008-01210 COM2008-0 121 0 Payments Type of Payment CredltCard cReccmtl RECEIPT #. 2200800000000001238 1 18 42PM Date: 08/13/2008 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 7300 365 876 730 $9271 Paid By TENA M BROOKS/OR ELECT SER Item Total Check Number AuthOrization Received By Batch Number Number How Received Amount Paid IIh 13635 Phone $9271 Payment Total $9271 Page I of I 8/13/2008