The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-8-15 ZON \A..v rNITIALS N M ) .6.!.. DATE ~ .....,~()..... () 2l W1' SOURC~...r ;)rft,R ~ -~- "-- -~~--~." ,,~~ ~-- 3 l COMPLETE FEE SCHEDULBBEWW ' ~""~ ~,,_'"~ _~ ,.,~L, , , , 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION Clly Job Number C-""" Zoof"- 0 I "2- "Z S- "'_ __~__ ,..,. ...._.,-,-,_~r--..-,_~ . - I LOCATION OF INSTALLATION: - , '-'1,i-- -~S-.-- S2 o-L;L~~':V LEGAL DESCRIPTION I I 1701- ~3 3. oz.'S"oo JOB DESCRIPT ON ..T"~ ~ ~ I VI eJ.J S; eoLVic.e Permits are non-transferable and expire If work IS nol started wlthlD 180 days oflssnance or If work IS Suspended for 180 dayS ~- - 2 C?!!RAcrg!<~~~!fr~TJ(W:g~:~ B Electrical Contractor 60 1l CvtJAJEarZ)fVS El8:r. Address dl..ID WALL t.e., .#c 4 ~ tf-fo49/ Clly E= I.) C; ~A.J E Phone Supervisor LIcense Number 304-1----f/ ExpIratIOn Date 10-/- QOID If.. () so 'if Constr Contr Number ExpIratIOn Date 7- /- :zOO~ SIgnature ofSu ervls:g E?~ OWllers Name MA- rt~v ~I s 2-.! 'Sf-- Phone S2D ~ lilS's-L Address l/IL S't'F'),. 5 Clly OWNER INST ALLA nON The mstallatlOn IS bemg made on property I OWll whIch IS not mtended for sale, lease or rent OWllers SIgnature InspectIOn Request 726-3769 . '50~ IbO cd~ ~ ~lot\l\o &f ~ Date -~ ~ __""""''"''Y"'N~,--'"'F-=''-'~::_ ---= ~ ~;: "'''''''ru-----, A I NewReslden~IJil Single-nr Mulb,Fanllly_pe~ dwellmg UUlt. ' L-~_~~~..-:.."~""" .....-.. . ..' .-.. ..........~""__, ServIce Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufac!' d Home or Modular DweIImg ServIce or Feeder $11700 $2100 $5500 "'; ~- ---,.....,...~W'_ -~:~1-......--,-,-- ~- ~r ~~~ ~-.,. ~~~~----...... Services Feeders~ Installation, Alterations or Relocahon. . 4'_~.1" ~." ~ii';;~^,~%4.~~,,",,~ 1L1~' - ,Jf. _.J 200 Amps or less / $.%~ ( ~ 201 Amps to 400 Amps $ 83 00 40 I Amps to 600 Amps $ 13 8 00 60 I Amps to 1000 Amps $ I 80 00 Over 1000 AmpsN oIts $413 00 Reconnect Only $ 55 00 , ' ,-, _ -,+.",,,;.'w: \a\(HeClUlr~s Y~~,;~r, C i Temporary Sei:xIceS,-oTll\eJ'{jj,ts;):\l!\',l{~'Q1.: ~.' _~~L~~_'t."""""''--'' w'" 'alEi set'tonn " lIC pnter 11-)0S8 rules 2-001- Installahon, AlteJetlOnrn[)Re'roClfl.l3~5 \ s by Ih. ;:1~'::'~VV I "" vies Of\\18 ru e 200,An]I'.'LO~lI~s.Jbtam COtP the .alpnhone$ 55 00 u"~" rA'Wm (No e eo. 20J&NnBS\\0?400;iYies on Utility Notlllca\\01B 76 00 4!\lJWl>jis i\lr6l\1l'RciogoO_332.2344) $110 00 Center Isr- Over 600 Amps or 1000 Volts see "B" above D lB~~s~~;r~~;ti~-:;-' "" ,~,. , New Alterahon or ExtenSIOn Per Panel One CIrCUIt Each AddItIOnal CIrCUIt or WIth ServICe or Feeder PerlnIt $ 48 00 $ 400 ; ""''''''' ----r::""~""';;~ --~---.....,--~%- --- ~~ E l MIscellaneous TServlce/feed.iY~ot mchi<!.~d) ::Each InstallatIOn, L ~~ ....~"'--<<.-~_' '''' "J:J""""",,,,Jw, ~ _=~ =_~_...J Pun;~;:~lOn 'r1U~.~ul$. SI~~~E~W$\-\r..\.\. Ft.l"~.,~t^'T lS"blec1 LlIDrt~\~.rtl~~I~\iIIi'" i\-\'"" ~OtIED f~2ll 00 Llml~le ~~e~~ MII\N $ 50 00 Mm~~~Q ~~_~~~~e~~~~~UrChargeS ? 4 I SUB OTALO-!:,AB.O'\.;E" ,:" , 7 ~ 12% State Surcharge -" ~- ~---- -, S7b 10% Admmlstratlve Fee 7 J g 5% Technology Fee :$ ~ 'ZE. TOTAL Shared Dnve(T )/BUlldmg FormslElectncal Penmt Apphcal10n 1-08 doc CITY OF SPRINl..-I'lJ'.,LD Building/Combination Permit PERMIT NO' COM2008-01225 ISSUED 08/15/2008 APPLIED. 08/15/2008 EXPIRES' 02/15/2009 VALUE -, Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 InspectIOn LIDe SITE ADDRESS 412 S 52ND ST ASSESSOR'S PARCEL NO 1702333402500 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE PROJECT DESCRIPTION Install new servIce Owner MATTHEW CLEMENT Address 412 S 52ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor GOOD CONNECTIONS LIcense 160508 BUILDING INFOR~A TlON I # of Umts Pnmary Occupancy GIOUp Seconddry Occupancy Group Pnmary ComtructlOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones R-3 HeIght ot Structure Type of Heat \0 VB WaterlY\leteS )/O\.JU.I\\" r ~ \~\j\I c. On ~\ ., . ~1 ), on RangenT,ype~g '101\1'1 r' ~'" 'J if:. h{"'l'" {e se\. ",f - ,,~ ) !'~g,@'rlla.th~ 5'2-001- . ~"Ilt~\ SprIDkled1BUI/ilI~g'\eS b,/ nla Ii a1'.)I -':::. (\l\~(jtn\O""'::l_....nhefU III o~R ~~~I~P.E\JEL..of~#N"IN.MnON I 0090 t\1e """.. .' J(r.,,~" I. call1llg lot t\1e OlegOIl_33Z.2344). nul1\ber ntel \SOTi~YDlst ce # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage' Front yard Setback SIde I Setback SIde 2 Sethack Rearyard Setback Soldr Setbacks I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer Available Special InstructIOn New ResIdential Phone Number 541-520-4852 EXpIratIOn Date 07/01/2010 Phone 541-434-6491 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compdct SIdewalk Type DownW<<.utslDraIDs E \f 1\-\E'1'JO M01\Cf.~ WIll S\-IM.'- t1.?'R I'ERMII \S NO! ~~~!;~IE\) UN~~: ~:~~\)ONE\) fOR ~~~~\U~~~~~~on I $ Per Sq Ft Squdre Footage or multIplIer or BId Amount Notes DescriptIOn Tvpe of ConstructIOn Page I 01 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01225 ISSUED: 08/15/2008 APPLIED 08/15/2008 EXPIRES: 02/15/2009 VALUE' 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme Total Value of Project Fees Paid I Fee DescrIptIOn + 10% Admmlstrahve Fee + 12% State Surchdrge + 5% Technology Fee Perm ServlFdl 200 amps or less Amount PaId Date PaId ReceIpt Number $730 $876 $365 $73 00 8115108 8115/08 8/15/08 8/15/08 2200800000000001251 2200800000000001251 2200800000000001251 2200800000000001251 Totdl Amount Pdld $92 71 Plan RevIews , 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 working day, mspectlOns requested after 7:00 a m Will be made the lollowmg work day I Re{J,~J1~e~ Insnech~~~ I ElectrIC ServIce Approval requIred prIOr to utlhty company energIZIng servIce By slgndture, 1 state and dgree, that 1 have carefully exammed the completed apphcatlOn and do hereby certIfy thdt all mformatlOn hereon IS true dnd correct, and 1 fUI ther certIfy that any and all work performed shall be done m accordance WIth the Ordmancc> of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout pel mISSIOn of the CommuDlty ServIces DIVISIOn, BuIldmg Safety 1 further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be u>cd on thIS project 1 further dgree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable flom the street, that the permIt cdrd IS located at the front ot the property, and the approved set ot pldns wIll remam on the sIte at all times durmg constructIOn Owner 01 Contractors SIgnature Date Paee 2 of 2 225 FIfth Street Sprm"gfield, Oregon 97477 54h726-3759 Phone Job/Journal Number COM2008-01225 COM2008-0 1225 COM2008-0 1225 COM2008-0 1225 Payments fypc of Payment CredltCard cRcccmtl .~, ~-- - CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department RECEIPT #: 2200800000000001251 Date: 08/15/2008 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee PaId By GOOD CONNECTIONS Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 581326 In Person Payment Total Page I of 1 I 44 48PM Amount Due 7300 365 876 730 $9271 Amount Paid $9271 $9271 811512008