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Home My WebLink AboutPermit Electrical 2008-9-9 ZON \. k:P -7. INITIALS _ tki. DATE v..'LA. -D~, SOURCE -+~_),~ 225 FIFTH STREET. SPRINGFIELD, OR 97477' PH,(541)726,3753 . FAX, (541)726,3689 ELECTRICAL PERWI;I:.AP}?lrICc1IION City Job Number \\~'i">- \~ Owners N:~e ~~t\ \\ ~(\ ~\(\~ Xlt (- Address ?-nA '1~~,'aj City ~ r\}-" Phone "?::1\ ~ r /"\~ Pump or ilTigat~on $ 50.00 ,,~Etm6N: Oregon law requIres ~ \ Sign/Outline Lightmg $ 50,00 O\VNER 1.N~c>>pled by the OregonUlfllltyrth Limited Energy,IResidentiil $ ? 5 00 The insta';'~~tjQ ~~b~6'ffi;:~eO=:;01' Limited EnergylCommercial $ ~500 IS not lIlt~~Y~hmays6tlfunter IN(~f~~~h~f ~:~~~~:y Min~;~,:~,~,I~,C~~:~~,,;,~~~.:;,~I:~~:~;f,:~:;~_~;,~~;;;ii~2,;~urchargeS oJ \ OS llffil!{lg I e ce. '.. N Ill' lion 4, .ilS[1BTOTAL,OBABOVE")1~,*~,i;fJi;1.I!.~"*,'5';;j;,,, \111 W wners Ig~umberd~~~~:i~~~~g~~~~~4~). Ica . \9'~~~;~~~E;~':::'~""'~i""3!)~~.a'(~^~'~"" \\ \~: ~ 5'l'Hlsc.TfSHALl EXPIRE IF THE WORlt .""-. .\d;) -Ml:T1i9RIZED UNDER THIS PERMIT IS NOT\~~. ~\ COM~W~IiO~R)l&iAAANQOOEOc~(jJRnil Application 8,06 doc ANY 180 DAY PERIOD~ ~ :'~;'i'l :."p;\> ':"'i'.-, - .,:'.n '",,:,;,"": :;;,~/',ri.~: Y9:-'"Fi.',,,'-"1;~r,"'1J.:'':;(0-~",},'''~'~':. 't.",,:;:','::'[t+' ~'i' 1, ....LOCATION..OFINSTALLATION:,''':,;hi:; . ~'';''''O~~''h~~'''''';'L('''i';'';''''> LEG\~TI~~t L\ O~ JOB DESCRIPTION ~i~e~~~fer~~X~~iS not started within 180 days of issuance of if work is . Suspended for 180 days, ' 2, Electrical Contractor j"~ f: LE c..'T~1 (- '" Ir . , ., Address !flo8S L <3A'Bet..LE srR..E.€T City E..~'::".AJf;. Phone t;l/:'; Id5 7 - r;;'-nO Expi.ration Date 3'~/a ~ S 111111<0 lot.f-q~q 3/ t;; /9-0 U SuperVisor License Number Constr. ContI'. Number Expiration.Date Inspection Request: 726-3769 to\\) ctO~O ~~ , Date 3, ';:COMPLETE'F'Ei{sCHEDUfEi3ELOTV':. .;;0' ''>J':,:> "~':),,"".,;; .., ..... .:, ,,--">> ,: '. , ~,1:'~""~'-~ :'; ',,_\,;,~,;;..t;; ,:t,;"J::i..,.' '. e:r :". .::.J, '. ::: '~J,n-'~:,:~'. .;,.,........,' t!;~':" .,;; ~ '., ';''''', :.':~",>,;<...~." '.:~ A. '1;J~' ~'Y~'~~,sidentHit:'" .Sulgle :or::'[Vl~1 tt.J?,a il~ily'. pe~'.'2 weJI hlg' ~,hit...-:;~' '5:; ,",,,.",,,~",:,,, ".,^--i\-',r!;;~_.c';.' ""'" - '~,-J.'.. "},, ".'''''" .,.." .'<,'.j.... ".,.... I.,.."""" ...... ..~ ,'I< ,,",<. .Service Included 1000 sq. ft, or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or "Feeder $106.00 $ 19.00 $50,00 . J:'iI:/'B"#-7'1"!.f~'?tFPffcl'f:':?:'~'TXf1;;'Ftrt(~0-it\'!%?kl'j.;,!!Yt-:,?!~-,'-i7$~~'W;tf;t't'l;_~+'i"l.~~'\';~*~~71l9,'~ B. ~:S"er~ices;(ff3'jI~eueFs1 gflhStalial{~~;'Alt'rt.:~1i:rli~(BP'lreib~atiO;ifj~ . :;;Xj;:;ij;:;;,M0:t--';-:;:0E(,\i~f:idffc;\;~.~,,&.,iff:Ih";ii!i?1.t::i4@'!0X;:dAi,(;i-~\;~&L"l.t~f7,.'!It~;jj;~t';-0k.."Jti~-I:f::r.U , . '2. (i) 200 Ampsorless . \ $ ~O "\ ~ J . . 201 Amps to 400 Amps, $ 75.00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 Over 1000 ArnpslVolts $375.00 Recomlect Only': $ 50,00 c, Installation~ Alteration or Relocation 200 Amps or less ,20 I Amps to 400 Amps ' 401 Amps to 609 Amps 1000 Volts see "B" above, $ 50.00 $ 69,00 $100,00 D, New Alteration or EXtension Per Panel One Circuit EachAdditional Circuit or with S~rvice or Feed,~r.Permit $ 43,00 5 $ 3/0 4:) . r::J:) E. Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 304 23RD ST ASSESSOR'S PARCEL NO.: 1703361405800 c CITY OF SPRINGFIELD Building/Combination Permit P.ERMIT NO: COM2008-01360 ISSUED: 09/09/2008 APPLIED: 09/0912008 EXPIRES: 03/0912009 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Change electrical service and add eight circuit Owner: SINCLAIR SHARON L Address: 304 23RD ST SPRINGFIELD OR 97477 Contractor Type Electrical Contnictor JB ELECTRIC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Residential I CONTRACTORINFORMATlON , Expiration Date 03114120 I 0 License 104929 BUILDING INFORMATION I" # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: . Sprinkled Building: Phone 541-687-5770 nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT I~FO~ATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPRO~EMENTS , I Valuation DescriDti?n 1 $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 REQUIRED PARKING Total: Handicapped: Compact: , Sidewalk Type: : DownspoutslDrains: Value Date Calculated Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectinn Line Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount P~id $11.30 $13.56 $5.65 $40.00 $73.00 Toial Amount Paid $143.51 Total Value of Project Fee,' P~id.1 Date.Paid 919108 919108 919108 919108 919108 Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01360 ISSUED: 09/09/2008 APPLIED: 09/09/2008 EXPIRES: 03/09/2009 VALUE: Receipt Number 2200800000000001357 2200800000000001357 2200800000000001357 2200800000000001357 2200800000000001357 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reou ""eel Insnections I 111.'111111 . , Rough Electric: Prior to Cover Electric Service:, Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I,have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon p~rtaining to the work described herein, and . that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employecs who are in compliance with ORS 701.005 will be used.on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that tlie permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ' . Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 54 I -726.-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Departmcnt Job/Journal Number COM2008-01360 COM2008-0 1360 COM2008-0 1360 COM2008-0 1360 COM2008-0 1360 Payments: Type of Payment CreditCard cRcccintl RECEIPT #: Date: 09/09/2008 2200800000000001357 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DANA ALONSO Item Total: Check Number Authorization Received By Batch Number Number How Received 030416 030416 Phone Payment Total: IIh Page I of 1 8:33:24AM Amount Due 73,00 40,00 5,65 13,56 11.30 .$143.5] Amount Paid $143.51 $]43.5] 91912008