HomeMy WebLinkAboutPermit Electrical 2008-8-13
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22> FIFrH STREET. SPRINGFIELD, OR 91477 . PH (541)126 3153 . FAJ( (54t)126-3689 ~ ~
ELECTRJCAL PERMIT APPUCATION
Cm Job Number COIII'\Z,.OO?- 0 {( 7 0
200 Amps or less $ 70 00
20 I Amps to 400 Amps $ 83 00
401 Amps to 600 Amps $138 00
60 I Amps to 1000 Amps $180 00
Phone 541-14,-1681 Over 1000 AmpsNolts $41300
ATTEF-it;l;onnect Only $ 55 00
fOI/ liON' Oreo
N ow r'!1f.~'f'"I1".'?Fl1.Jall4m~iJJ~,.''''l':r,;::;'w, ",''1:<' ,- ';<;"1~ ,< -;JI -,'
otlfl.c:-.t:; 9a.tt~Sm:Ml~esl)' ~'e6laitR'\lI..ll.i~..;.::-r..,~~'N...~~tl.,: ~...:n ~~1' ....,
c't: I , . ntlt't-VY"-U<9 re'.."...." .~O)'t<'.~e-" ,",.t,_' Co,. : -
~~~0~~:~i~Q!{t~~~~~4:~=
oal/mg futl_~~IOPles of t 952-001.
ConslT Contr Number C408 /181997 CCRUmber~tR6'IIJ'u" r}7tr.~ete~:prhUJ&8OY
I ~ I I C~$("rl$>~~ J ~ Not/fjca~i'"
Explralion Date J Id.l \ .:>,q ID 23..Ll,
Over 600 Amps or 100lrV~ see uir~ above
~r:l.."'",^"'G."IP-.-- ~l ~"'''''''J:1Jt:r~.:f,'''' $'J~~.&'~" -t7~~'1"" <;"~ ~ ......
D J,Braiich GlrcU1tsllrlW<<~\;:l(~i,<t~\'~,11 ~:~.$C?~~''')'l ~ r~
t..u...."._~.._ ....ltf_...f<_.,/U .....j.>:<~ -*~~.JCl... \..:.:...._ ~ <, ~"..:. ;J"/ '" "'''l~
New AlteratlOD or ExtensIOn Per Panel
One Circuit
{ L~ Each Additional CirCUit or with
CJ ~.- Service or Feeder Permit
Owners Name ~... 1~5 D cs ~
A..ddress Jf Z-ll G-c( J: r_~.. ~-L- 'r-J E f;.Kl1~~ii~le~~~(~~v~'kIf~fd~~vEr~~~I~d~d):E1~b~'InstallatIon
l .__ : ~ -\-1'--- ~-:...;.r_.:;':1 ~"t'l~,r_,-..-1 _ ,-..;...M.. ....l'..... '''I<-''~~ "'-'.. , '" II.. J ,~~ '\ "'...
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J ;>l~ E ~"'" -1....' """ 'i! -,r.:.- ~..... ..l~~~." -"'f!"'" ':4:t~~
LOCAFlON"OF INSTALLATION-'i.'t,i~"o;,i-,
_,,~ ~ ~11..,J.f- ,~"",..,'f~;. \ol...........~-..t.;:;:vl,/:=. 'ttl\i1.il'''~~b~
s~~s f"<\o......"':-'- ~r- -tt ~S-
LEG <\L DESCRIPTION
1702. 3>~
C:> I 3 0 t.::>
JOB DESCRIPTION
~~~-
I;;V~,^
Permits are non-transferable and expire If \\-ork IS
not stLlrted within 180 days of Issuance or If work IS
Suspended for 180 da)s
2
,- '-:/~ ,.~?~ ~"'"'.."',7-"lt''T;':....1.."''!>Wf''"....!).,,,..'!::~>1''r;'IU,~~
; CONTRACI'OR'INSTALr!A TION ONBY~ I
_ ~ ~ ~ _Hr" t lo"'~ .:U.~..(.; A/'J.rNJ.).JJ~:J...._' 'J' J:A~rd-J;..~ ~.:r::r.:'t..!"la
Electncal Contraa~Gn~1 FI FrTRI' S~
PO BOX 2227
<\ddress -r.:~~~~, OR 974e2
City
Supervisor Llcense Number
1392S
ExpIration Date
10-1-10
re of Supervlsmg Electnclan
--'~&
ZON \f\(l.
INITIALS- ~
DATE tf?\,?Ob
SOURCE ""~
Date"i{ - "i{ -a,\?,
3 ~COMPI:ETEFEE'sCHiDuriiiELO~~:~)1~:~' ~~-l~ ~
""'JU't'.""....".,""'" ,..",::...1 w... ,MU .N.~~_JijM-<;)lJ$..a,; ~r 1(..(">tlj4\l!~,..."~r",t",..,,
("~~4 :;'''PJ' ;:l 'o/J"~t:'<<"J;~~.l;~\~~.>.1{. ,\- y ....r,~~ RWF~~":~ ..~~, " ,
A ~~s~~e~~de~tUt!~iv~~glr2r~~p2.!I;fa~~'!r E~,~ ~'!.e~~ng ~n,~thk'
, I
Service Included.
1000sq It or less
Each additIOnal 500 sq It or
portion thereof
Eaeh Manufact'd Home or
Modular Dwelling Service or
Feeder
$11700
$ 2100
$55 00
;!;.....~~?:~'l.,.)~'W: ;VJtR"~W....."'~'l,:-~'r,..~"-;:-.,,.;:'~:''lo:,'. - ~'l_--
B ~~Servlces o'~Feeders':.! Installatlbn,~ AlteratIons 'Of,Relocatlon '
t::l..loI 11 I (....!t~~.t"-"-'\..~'J.l-t~~"- >l:tl ,i!....;;:J$l""''ly,. \ "'Ji!. , 1/ ....lrI'.f::... ~ ,~'" ~ ,~ ,.
$ 55 00
$ 76 00
$110 00
LO
~oo _ ~ "-0
$ 400
c",GJd .f6.vE"rc.... rhone Pump or lITIgation $ 55 00
, LB NO Slgn/Outlme Llghtmg $ 55 00
0\\ "ER INST ALLA nON TlCE:Llmlted Energy/Resldentlal $ 28 00
The Installalion IS belDg made on propeny I own whII~'S PERMI;r;I&ll/At.t~"fFlf~ = $ 50 00
IS nol IDtended for sale, lease or rent THP1Ii1J~f!1f ftmlli-J.uAA.f,l; ~n 00 + Surcharoes
COMM~NO~:..1t!~,IO{;/1IV1t ,;IS;N "",w.JK.. 0
O\\ners Signature ANY 180 nAv-;;a~'i~~vOOflflfiF{rR~'J?~~EJ~<! S:;} "-'"
\;;1.11% 'S!llQI!;&.harge l.;:, ~'1
10% AdmLnlstratlve Fee ~ 'IIoJ..U
5% Technology Fee ~ bU
TOTAL I,,'" d-j
Shared Dnve(T )lBuddlDg FormslElectncal Pernllt ApplIcatIon 7 07 doc
InspectIOn Request 726-3769
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01170
ISSUED' 08/07/2008
APPLIED: 08/06/2008
EXPIRES: 02/12/2009
VALUE:
Status
Issued
225 Filth Street, SprlDgfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection LlDe
SITE ADDRESS 5335 MAIN ST 255
ASSESSOR'S PARCEL NO 1702330001300
SPRINGFIETYPE OF WORK MecbaOleaI Only
PROJECT DESCRIPTION Replaee electriC furnace
TYPE OF USE New
ReSIdential
Owner SANTIAGO ESTATES ASSOCIATES LLC
Address 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION I
Contractor Type
Eleetrlcdl
Meebanlldl
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
LIcense
161518
106275
I BUILDING INFORMATION'
# ofSto~'e S yoU to
, "<"'lotI J
Primary Occupancy Group " '" I ')r"C -n HeIght, f t~IU'\yxbty
" - 1a \jUTC h
Secondary Oecupancy GI oup , . 2U 'Type of eall set fort
~" -n -0 'UUlb i:" O'
Primary Constl uctlOn Type - >,\.PI II\Wdter Tw.,'f\ 952-0 ,-
Secondary ConstructIOn Type " , 1_,\,,-,<._001-0C 1 0 \~:liI*~l~l'l\'le rules by
# of Bedrooms \ I,,~~ YOU rnay obt<\lnEiP.frEf.~\\,~\%\ephOne
Ov~ \lIng the CAnter ~Cf'eblfl'J ~\on n/a
ca _.~ _ r"I'Agon _ _ Z\
nurnlJ"'c;~ieDE>VEm-FMENt~INFORMA TION I
# ofUmts
Front yard Setbdck
Side 1 Setbdek
Side 2 Setback
Rearyard Setbaek
Solar Setbacks
Overlay D,st
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
I PUBLIC IMPRO~EMENTS I
Street Imp. ovements
Storm Sewer A vaJlable
Special InstructIOn
Phone Number 541-988-3932
ExpiratIOn Date
09/28/2008
08/31/2008
Phone
541-343-1681
541-683-2590
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Otber
Occupant Load
REQUIRED PARKING
Total
Handledpped
Compact
SIdewalk Type
NOT'CE~ IRE If THfW'tffil('utS/DrdlDs
THIS PERMIT ~~~~~ r~S PERMIT IS NOT
AUTHORIZED OR IS ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Notes
Pa~e I of3
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 InspectIon LIDe
I ValuatIOn DescnotJon I
DescrlotlOn
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Tvpe of ConstructIOn
Total Value of PrOjeCI
'fpp~, ~
Fee DescriptIOn
-MechdOllallssuance Fee-
+ 100/0 Admmlstratlve Fee
+ 12% Stdte Surchdrge
+ 5% Technology Fee
Furndce - up to 100,000 btu
Mlmmum/Adjuslment Mechamcal
+ 10% AdmIDlstratlve Fee
+ 12% State Surcbarge
+ 5% Technology Fee
Add, Alter, Extend CIrc
MlDlDlUm/Adjustment EIeetrlcal
Amount PaId
Ddte PaId
$20 00
$500
$600
$250
$1400
$36 00
$520
$624
$260
$50 00
$200
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
8/12/08
8/12/08
8/12/08
8/12/08
8/12/08
Total Amount Paid
$14954
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01170
ISSUED: 08/07/2008
APPLIED. 08/06/2008
EXPIRES: 02/12/2009
VALUE:
Value
Date Calculated
ReceIpt Number
3200800000000000547
3200800000000000547
3200800000000000547
3200800000000000547
3200800000000000547
3200800000000000547
3200800000000000558
3200800000000000558
3200800000000000558
3200800000000000558
3200800000000000558
To Request an mspectton call the 24 hour recordlOg at 726-3769. All inspecttons requested before 7.00
a.m. will be made the same workmg day, inspectIOns requested after 7'00 a m. Will be made the followlOg
work day
, Rpnlllrpf'i In~nectlons I
Rough MechaOlcal Prior to Cover
FIDIlI MechaOlcal When all mecbllOlcal work IS complete
Rougb ElectriC Prior to Cover
FlDal ElectriC When dll eleetrlcal work IS complete
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-01l70
ISSUED. 08/0712008
APPLIED. 08/0612008
EXPIRES: 02/12/2009
VALUE:
225 Flftb Street, SprlDgfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769InspeetlOn LIne
By signature, I state and agree, thdt I bave carefully examIned tbe completed apphcatIOn and do hereby eertlfy that all
InformatIOn hereon IS true and correct, and I furtber certIfy tbat any and all work performed sball be done In accordance WIth
the OrdlDdnces of the City of Springfield and the Laws of the State of Oregon pertaInIng to the work desCribed bereIn, and
tbat NO OCCUP ANCY WIll be mdde of any strueture Without permISSIon of the CommuOlty Services DIvIsIOn, BUlldlDg Safety
I fUlther eertIfy that only eonlractors and employees wbo are In eomphanee WIth ORS 701 005 WIll be used on tb" project
I further agree to ensure tbat all requIred InspeetlOns are requested at the proper tIme, that each address IS redddble from the
.treet, tbat tbe permit edrd IS located at the front 01 the property, and tbe approved set of plans WIll remaIn 011 tbe site at all
times durmg constructIOn
Owner or Contractors Signature
Date
Paee 3 00
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OfficIal Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-0 1170
COM2008-0 1170
COM2008-0 1170
COM2008-0 1170
COM2008-0 1170
Payments
Type of rayment
CredllCard
cRecemtl
RECEIPT #.
3200800000000000558
Date' 08/1212008
Description
Add, Aller, Extend CIrC
MIDlmumlAdJuslment Electneal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Item Total
Check Number AuthorizatIOn
Paid By Received By Batch Number Number How Received
OJU:GON ELECTRIC SERVICE dJb 012819 In Person
Payment Total
Page 1 of 1
2 49 35PM
Amount Due
5000
200
260
624
520
$66 04
Amount Paid
$66 04
$66 04
8112/2008