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Home My WebLink AboutPermit Electrical 2008-9-9 SPRINGFIELD ZON ~ 1--~ :~S ~\-\.. ~ 225 FIFIH STREET' SPRJNGFiELD, OR 97477 " PH:(541)726-3753 . FAX: (541)726-3,689" . IlIlIIIlia.. ,_ SOURCE f'A ~{V c ' ,Date 9/?~~ 3. ~E7;;.€@"'MRUDiJEiT1z;:;rF"'-clfclf'f']seHEDi9:l!E1Bi'illOm-P1iI1Ii!-~ ~i'*ttt""";"""''''''~~'''''''''_'''''''0",,""~iW_1ir_ "~ ~ill~ ELECTRICAL PERMIT APPLICATION r"" ~ - ) <: 2/n City Job Nnmber 1. f!Ir'eAiFI0NfrOE1iNST~ON~i\i!iiil(.1l!a' "i;gt(~Oi"-"",#@F~","",,'~:::::H'_'@-"""":"f"'~~ S'{t3Y\JS'-,~-' . LElrl~~B O\.\CB JOB DESCRJPTION: Pt:rv<LL ~J~f4--~ Permits'are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~~OW4~Q1tfmSlAE~1l\()N~Om:Yi~ 2. ~~4+,,,,,,-v-"+b'-'00JiV\hdt*l1*tri'ir~*b1"~Jcd?,,,_"%"~"'0"'1 jj em Electrical Contractor \' A" C~~ S~ i Address f, 0 1 ~'i. 2 GL.( City ,^,l?t-tkM;(~ Phone S0i-2- '117'1 Supervisor License Nnmber .;, ~G (,,-$ Expiration Date (0/( rJ /(0 , I Constr. Contr, Nnmber 4r? ?/Yt) Expiration Date ( I) I ( 0((0 'j["'C:;:;"'" OwuersName ~(5'j(I( /.-. Tf'/VA/L..O Address q 4- g . ,C;-<,~ 7]1 s.f; City 7~ - Phone OWNER INSTALbA.TION .' I " . ATl ENII 'N: uregon aw reqUire, YO'.. 10 The ins!a/Lqruw js.k@iplll!!ta,g~';Q/lIPJop,el1Yil(o~wniwhithj is not intwm!bfP.rcAAl!;4~,on'~_nJe rules are set forth , in OAR 952-001-0010 through OAR 952-001- Owners tiillm':tuwu may obtain copies of the rules by oalliR!l tl,c "".,ter. (Note: ,the telephone number tor the uregon UIIIIlY l~oIITlcatlon Center is 1-800-332-2344), , Inspection Request:.726-3769 A. ~~~tR~ia11ii~lfkI11~mfiffiLR:.iil~r1~~~u~0Bi~" ~il'""'~","'~__"""'<r"""""'''~iWM_.im:~,=g',^"'''._i1''0iiNi""v""",,hi0'.i''k_~J/J~;~"ci&""""_.~.gh'''",_,,,,,,", .. ,. Service Included 1000 sq, ft, or less . Eacb additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $121.00 $ 22,00 $57,00 B. - . 200 Amps or less 201 Amps to 400,Amps , . 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpWolts Reconnect Only " . 1 $73,00 , 7~,~ $ 86,00 ' $143.00 $186,00 $426,00 $ 57,00 C. Installation, Alteration or Relocation 200 Amps ~tQ}lT~CE:.. , $ 57,00 , 201 Amps!ft1\QP~IT SHALL EXPIRE Is 191m\fvUt'l1\ 401 Ampst,!l~9!l1~D UNDER THIS PE$Mhlo\P NUl Over 600 A'InpM:\I.[blfu@,h)gJe'H3g~O.QNED FOK u, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or.witb Service or Feeder Permit $ 50,00 $ 5,00 ~~p.illiJ0~#!-Jill?~S'TI@fi0::RjA'f?'''Effiii'~'t;m'!!;g-a\ifi01Zi''''S0~jt~~~~:mgr .. E. l!~el""l!epl!S\(~~~i'~~~.!!l~~,~t!!'s.!!~!!!:ilt1i1ach'I,pS!3!l~ti~il ~ Pnmp or irrigation $ 57,00 . " Sign/Outline Lighting $ 57,00 Limited EnergylResidential $ 29.00 Limited EnergylCommercial $ 52,00 Mini,"um Electric Permit Inspection Fee is $52.00 + Surcbarges 4. sooriOO'm()71BO:m~Ki~IUL'!:..R _m.. '," if"" n.. "!<r;;"JI~M'(.dIiiiJ2'iilikB~~~ 7""5 H d; y" 12% State Surcharge D' '" 10% Administrative Fee 7. S8 5% Technology Fee 7.6,) , TOTAL <} ;? ~_ '71 Shared Drive(T:)iBuilding Forms/Electrical PennitApp'ticatioo 7-o&.doc Status Issued CITY OF SPRINGFIELD ,Building/Combination Permit PERMIT NO: COM2008-01326 ISSUED: 09/03/2008 APPLIED: 09/03/2008 EXPIRES: 03/03/2008 VALUE: 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 548 55TH ST ASSESSOR'S PARCEL NO.: 1702331301103 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE:. Alteration Residential PROJECT DESCRIPTION: Electrical service change Owner: MISKILL TSUY AKO J TE Address: 548 N 55TH ST SPRINGFIELD OR 97478 Owner: TSUY AKO J MISKILL FAMILY TR Address: 548 N 55TH ST SPRINGFIELD OR 97478 I CONTRACTORINFORMATION I Contractor n'pe Contractor License Expiration Date Phone ,,;1 BUILDING INFORMATION I # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: '.'" # of Stories: Height of Structure Type of Heat: Water Type: Range Type: , ' Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT I~FORMATION , Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: it Street Trees Rqd: Paved Drivc Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 'i I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: , Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT is NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERiOD, " Sidewalk Type: /' I I c" T1v,~: Oregon law requires you to D6\(,:nsplitttsffinail!s:ed by the Oregon Utility , NotIfication Center. Those rules are set forth , m OAR 952-001-0010 through OAR 952-001- 0090" You.may obtain copies of the rules by , callmg the center.. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). . Pa2e I of 2 - Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01326 ISSUED: 09/03/2008 APPLIED: 09/03/2008 EXPIRES: 03/0312008 VALUE: 2i5 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft, or multiplier Square Footage or Bid Amount Value Date Calculated . Total Value of Project Fm P~idJ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid, Receipt Number $7.30 $8.76 $3.65 $73.00 913108 913108 913108 913108 1200800000000000938 1200800000000000938 1200800000000000938 1200800000000000938 Total Amount Paid $92.71 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~e",u,i,re~ T ~,~nec,ti~n~,1 Electric Service: Approval required prior to utility, company en.ergizing service. 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of.any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project, I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street" that the permit card is located at the front of the property, and the appro~ed set of plans will remain on the site at all tim1:nc~n~ . . O~ner or Contractors sidnature 9( rJ ~/d 7J Da;J / Paee 2 of 2 225 Fifth Strcet. Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Uepartment Public Works Department Job/Journal Number COM2008-0 1326 COM2008-0 1326 COM2008-0 1326 COM2008-0 1326 Payments: Type of Payment Check cReceintl RECEIPT #: 1200800000000000938 Date: 09/03/2008 Description Penn ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By GLEN A CAMPBELL Item Total: Check Number :Authorization Received By Batch Number Number How Received dim 4261 In Person Payment Total: Page 1 of 1 3:02:56PM Amount Due 73.00 3.65 8.76 7.30 $92.71 Amount Paid . $92,71 $92,71 91312008