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Home My WebLink AboutPermit Electrical 2008-8-19 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. cOM2008-01238 ISSUED 08/1912008 APPLIED 08/19/2008 EXPIRES. 02/19/2009 VALUE 225 FIfth Street, Spnllgfield, OR 541-726-3753 Phone 541-726-3676 FaA 541-726-3769 InspectIOn Lme SITE ADDRESS 2081 INLAND WAY ASSESSOR'S PARCEL NO 1803112201000 Sprmgfield TYPE OF WORK Electrical Work Only TYPE OF USE PROJECT DESCRIPTION Replace meter maIO add two feeders, plus CIrCUIts New ReSidential Owner Address CLARK DE WAYNE W & SALLY A 2081 INLAND WAY SPRINGFIELD OR 97477 Pholle Numbel 541-747-0081 I ,CONTRACTOR IN~ORMATION , Contractor Tvpe Electncal Contractor K & K ELECTRIC INC License 87202 ExpIratIOn Date 04/30120 I 0 Phone 541-741-2663 BUILDING INFORMATION. # of UDlts Pnma, y Occupallcy GI Oup SecollddrY Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # 01 Bedrooms # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Spnllkled BUlldmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/CdrpOl t Sq Ft Other Occllpallt Load n/a I. DEVELOPMENT ~NFORMATlON I REQUIRED PARKING Front yard Setback Side I Setback SIde 2 Setbdck Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd P dved Dnve Rqd % of Lot Coverage Total Hdndlcapped Compdcl 1 PUBLIC IMPROVEM,ENTS I Street Improvements S,dewalk Type Storm seN(}1\'f}.2~hle Downspouts/Drams Spec,al IQ"slr.9ctJOIl"IT ' r-.::K'''I SPALL Notes rA~T/{oprZED' 'I\"I_'~" ETX,_,P,;RpEEIF THE WORK ATTENTII)~I Oreoon 13''1 rpqL',res you to I U I-ri ,", fotl-'v 'I adr l' (' by ,he OIPr'Jn Ud1lty ~, ~I"~~I~ ~, ,~ ! co. ~,.. R"1fT IS NOT N . ';>' "r', r "V I n' ~ CO," forth ....... ~LL.: .'; .-. ~)I""~""""" I ,-,_V<JI" I'V~luatlon De~fip,tio~ , ;, 0 kl,' C' ,; oJ ,:.c 'L'~S by ''vat' '..... L ,I.. cer....,( (,......)t" l :: l I~ Y'I1B $ Per Sq Ft m.sq\ilif~1Fooi:liercQ<)'l L,,,,,!y ,\U,,,.o,,uon DescnptlOn Tvpe of Const, uctlOn or multlpher or B,&;MIra,,1ft 1-l:l0Ci'332,l:BI~Cj Date Calculated Paee I of 2 _[j.O_;-" ~ ~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01238 ISSUED. 08/19/2008 APPLIED' 08/1912008 EXPIRES. 02/19/2009 VALUE: 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 [nspectlOn Lme Total Value of ProJect Fees PaId I Fee DescriptIOn + 10% AdmmlStrattve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend C1rc Ea Add Perm Serv/Fdr 200 dmps or less Amount P.,d Date PaId ReceIpt Number $24 90 $29 88 $12 45 $30 00 $21900 8/19/08 8/19108 8/19/08 8/19/08 8/19/08 1200800000000000880 1200800000000000880 [200800000000000880 [200800000000000880 [200800000000000880 Total Amount PaId $3 [623 Plan RevIews. , To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspections requested before 7.00 a m wIll be made the same workmg day, mspechons requested after 7.00 a m will be made the followmg work day. I ReoUlred [nsl.'echon~ Rough Electnc Prior to Cover Electnc ServIce Approval reqUIred pnor to uttlIty company energIZIng servIce Fmal Electnc When all electrical work IS complete By sIgnature, [state and agree, that I have carefully exammed the completed applicatIOn and do hereby certtfy thdt all mformdtlon hereon IS true dlld correct, and I further certtfy that any and all work performed shall be done m accordance \\Ith the Ordm,lIIces of the CIty of Spnngfield dnd the Laws of the State of Oregon pertdmmg to the work described herem, dnd that NO OCCUPANCY WIll he mdde of any structure without pel mISSIon of the CommuDlty ServIces DIVISIOn, BUlldlllg Safety I turther ce.tlly thdt only contrdctors and employees who dre m compliance wIth ORS 701005 WIll be used on thIS proJect I furthCl agree to ensure thdt all reqUIred mspectlOns are requested at the proper hme, that each address IS readable from the street, tbdt the permit card IS located dt the front of the property, and the approved set of plans Will remam on the Site at all times dUllOg construction Ownel or Contractors SIgnature Ddte Pal!e 2 of 2 J . - - ! ""'''*9': - l(d,~~Jj)]}~S'R "' ~ ~;:b:'ID,@Rffi)@"@N'*. . . ,., ,iiitt~l~i;J: "j""w~;;,;."m~_""f7tj;jr '$\"';'~ _X~$2~';;-"'''' x'o/:,"*"'''"'''''>" "* 0. ~ .. ",,,,,,,,~~.f.. ~ ",- ~,e""", ""."/,~.i-?;, ~ "''''1- 2_,,-" -~""'~" 225 FIFTII STREET. SPRINGFIELD. OR 97477 . PH (54t)726-37S3 . FAX (541)726-3689 ELECTRIC4!,ERMIT APPLICATION CIty Job Number CrlI?1207J Y -- O/::t"??: r-'- .~_.~_. "~---'-~~-- I. LOCATION OF INSTALLATION: :k/? / -LN ItA 11-~/ /;JII() 9;~{;€ J)~~- LEGAL DESCRIPTION \'lQ2,l \ 'd?.O 1000 JOB DESCRIPTION ~lMdf/f1~1-t~ + haI~ PermIts are non-transferable and expIre If work IS not started wtlhm 180 days of Issuance or If work IS Suspended for 180 days 2 " CONTRACTOR INSTALLATION ONLY" 1 ~,'" J-,"_",''/~ ~~'";." ~ Electncal Contractor 4j:'t;L/~rl1LL, Address L,-h, h. hrfii -PkU-/ CIty H;Y Pbone 1'11-'796.1 SupervIsor License Number .'1 n /J ExpiratIOn Date I cj'IO Constr Contr Number J> 7 ~J " _ ExpIratIOn Date .:zAj ()9 an - , Owners Name /)bWI14Nl!.- c~L J Address -;""J9/I~D L,)~ CIty "Sf-/l~'l1;;U Phone .2..11/ - ooP'L Date ZONLA{ INITIALS T , m DATE ~, i'1 -l,.X SOURCE ~/ g--Jf'> OC? / 3 COMPLETE FEE SCHEDULE BELOW. l.~. . ._"- _. _ ~_~~. .____....__. -,-~ "- ~- ,., ~ ~ -- - l' ~ " ~r ~ A : New Resldential- Smgle or Mulll-Famtly per dwelling umt l- '" ~ _-"'-"'_= ='" ~ __ ~ _ ~ _ ~ ~ ~ ~ M ServIce Ineluded 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $12100 $ 22 00 $57 00 ~~- ~, B Services or Feederf - InstallatIOn, Alterallons or Relocahon- f "'-, ~ " ;):~ ;::~ L 1 ~ ~ 0/ ~"'~ '" 200 Amps or less 3 $ 73 00 ]--Iq fIi.- 20 I Amps to 400 Amps $ 86 00 40 I Amps to 600 Amps $14300 601 Amps to 1000 Amps $18600 Over 1000 AmpsNolts $426 00 Reconnect Only $ 57 00 C I.!elllp()rary ServIces or Feederl\, Installahon, Alterallon or RelocatIOn 200 Amps or less $ 57 00 201 Amps to 400 Amps $79 00 40 I Amps to 600 Amps $11400 Over 600 Amps or 1000 Volts see "B" above ~ D Branch CIrcUIts -------'- New AlteratIOn or ExtenSIon Per Panel One CIrCUIt $ 50 00 Each AddIlIonal CirCUit or WIth (, =< Il It!-- ServIce or Feeder PermIt $ 5 00 I E .,MlSc~lIaneoll~,.(Servlce/,feeder "ot !Deluded) -Each InstallatIOn ~TTENTION OrE'gon law raf' I'M 'f'd' to Pump glFomUylts adopted by 1rQ , ,$ 57 00 SIgn! \9i\we_tmnter Those rules a,,,' $ 57 001 Ll1mtjllI(IlMi~tGnrenm,lO through OAR 9 $"l:2~nlf .MOf'l vn~~laln copies 01 llle~jles bv The mstallatlOn 1$ bemg made on property I own whIch LlmIll!l:l''E'llergy a: (N t- t~^ tolo la2~(J d d < I I C~U!pg, t e cen er 0 0 .. --., , " IS not mten e ,or sa e, ease or rent MIDlm.lIm EWIlItJt!.E!r.'1ill'_~,~,~ !JM~'t m\~~~S:uTcharges Owners SIJMJJ;!CE: ~ ! SUBTOTALOItlh1BB~-332:2~44); , '..)40 _ c;-.J THIS PERMIT SHALL EXPIRE IF THE WORK L. c' c.". ~,~ I _ - -- . ^ ~[~MIT IS NOT 12% State Surcharge I 'L -Lt'::5 /\1'1 HUKILtu ul~ucn Tiil..l r "1O%AdmmlsJratlYeFee z... "\ 1>':S COMMENCED OR IS ABANDONED FOR 5% Technology Fee '-- '-t q () ANY 180 DAY PERIOD. ? I ';)3 InspectIOn Request 726-3769 TOT AL ~ DJ OWNER INSTALLA TION Shared Dnve(T )/BUlldmg FormslElectncal PermIt ApplicatIOn 7-08 doc 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~ war.. - CIty of SprIngfield OfficIal ReceIpt Development Services Department PublIc Works Department RECEIPT #. 1200800000000000881 Date' 08/19/2008 8 16 09AM Job/Journal Number COM2008-0 1238 COM2008-0 123 8 COM2008-0 123 8 COM2008-0 123 8 COM2008-01238 DeSCriptIon Reversal - Penn ServIFdr 200 a Reversal - Add, Alter, Extend Reversal - + 5% Technology Fee Reversal - + 12% State Surchar Reversal - + 10% AdmlDlstratlv Refund Type of Payment Paid By Item Total <':heck Number Authorization Received By Batch Number Number How Received Amount Due (21900) (3000) (12 45) (2988) (2490) ($31623) Amount Paid ONLINE CHGS ONLINE PERMIT CHGS DepOSit ONLINE In Person ($31623) Refund Total ($31623) cRecemtl Page I of 1 8/19/2008 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone -~ ~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department c PublIc Works Department Job/Journal Number COM2008-01238 COM2008-01238 COM2008-0 123 8 COM2008-0l238 COM2008-01238 Payments Type of Payment ONLINE CHGS cRecemll RECEIPT #: 1200800000000000880 Date' 08/19/2008 DescrIption Perm ServlFdr 200 amps or less Add, Alter, Extend C,rc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmlDlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received ONLINE 069889 In Person Payment Total nJm Page 1 of I 8 12 42AM Amount Due 21900 3000 1245 2988 2490 $31623 Amount Paid $31623 $31623 811912008 225 FIfth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~;O~;~ WiL~ CIty of SprIngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-01238 COM2008-0 123 8 COM2008-0 1238 COM2008-0 1238 COM2008-0 123 8 Payments Type of Payment CredltCard cRecemtJ RECEIPT #: 1200800000000000882 Date 08/19/2008 Description Perm ServfFdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmlDlStratlve Fee Paid By K & K ELECTRIC Item Total t.:heck Number AuthorizatIOn Received By Batch Number Number How ReceIved nJm 069889 In Person Payment Total Page 1 of 1 8 /9 OOAM Amount Due 21900 3000 1245 2988 2490 $31623 Amount Paid $316 23 $31623 8/19/2008