HomeMy WebLinkAboutPermit Electrical 2008-9-9
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DATE ., - .0..""
SOURCE
.,n QIl'Y OF SPRINGFIELD, QRE00N
. W - f .
225 FIFTH STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753, . FAX: (541)726-3689
'ELECTRICALP~ MPLICATION
City Job Number l'.1 '6 - to Lo",
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JOB DESCRlPTION:
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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City
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Expiration Date
Owners Name !/ JU.I k/
, /,
Address d <'.6 ~ E
,City ____ c:iC I cP
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SPRINGFIELD
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Date'
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'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
$121.00
$ 22,00
$57,00
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, ~fJ,'Ej\~W."'1iYi'.",W3i1cl'0W#I\!$f'r0.&<lt~,\~ai;"'im!:;~W""'~1JiW"E\;'~W.'i04i;v;;;w,):i*i>ii~'~i, ,'.
200 Amps oriess
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 73,00
$ 86.00
$143,00
$186,00
$426,00
L .. $ 57,00 5\..~
c.
Installation, Alteration or Relocation
200 Amps or less
, 201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 57,00
$ 79,00
$114,00
Over 600 Amps or 1000 Volts see "B" above,
D.
New Alteration or Extension Per Panel
One Circuit
, Each Additional Circuit or with
,Service or Feeder Permit
$ 50,00
$ 5,00
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. .~ "lSCe IiIDOOUS " el'iVl~;L~er;mO:lDc Due ; ~aCt usa a IOn.
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Phone 736~.yl1r; <; Pump or ilrigatiOli $ 57,00
~ Sign/Outline Lighting $ 57,00 ..
OWNER INSTALLATION Limited EnergylResidential ,$ 29,00
The instaI1ati!,n is being made on property I own which Limite~~~n law regulres '0l1.tI:ll " ' , '
is not intended for sale, lease or rent., Minimum, 'fl 'J;w~@ ~!NlltJ~ilYcharg' es- , ,
, , . NOTICE: '," -- rth cD
Owners.Signature: THJS PcERMIt..S:8ALL EXPIRE IF 1+i ,01.E5'\.
/f)/J; r -'- tI,rl,f:n~W~I'l:1Ij'f.lnFR THIS PERMIT 1& " Jl!ElY 0 aID COPI~S 0 e rUles by
/ . OR IS ABANDONED FORo/, AJilimlfH IfetJllr.lter. (Note. the telepho""
COMMENCED . . !lIf,l6Wl~r' 9r the"Oregon Utility Nolificali","
'i\IY 180 DAY PERIOD, 5Yo Tee 0 0~3\\'ier is 1-800-332-2344). . () !J.. 0\
,Inspeetion Request: 726-3769 TOTAL 1'L. . V \
. , " Shared Drive(T:)/Buildirig FormslElectrical Pennit Application 7-ll8,doe
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01369
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2505 E ST
ASSESSOR'S PARCEL NO.: 1703361401300
Springlield TYPE OF WORK: Electrical Work Only
TYPE'OF USE: Repair
ResiUential
PROJECT DESCRIPTION: Electrical Service Reconnect
,
SMITH WAYNE MILTON
2505 E STREET
. SPRINGFIELD OR 97478
Phone N~mber: 541-736-5463
Owner:
Address:
'J
I r'
I CONTRACTOR INFORMATION ,
Contractor Type
Electrical
, Contractor
OWNER
License
w .~
Expiration Date
Phone
BUILDING INFORMATION I
# of Units:
, Primary Occupancy Group:
Seco'ndary Occupancy Grou"p:
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 INFORMATION'
. I .'.'
REQUIRED PARKING
Total:
Ha.ndicapped:
"' ,Compact: "
Front yard Setback: '
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
"',# Street Trees Rqd:
., ,Paved Drive Rqd:
,% of L6tCoverage:' ,
" ,
,..
" J . j ," '" ~
..
(','
Street Improvt;m_ent~:
.' I PUBLIC IMPROVEMEN~t:~:70N: OregOn taw requI
.. , .' , .. I~O~lfjcati~S ad?Cftd \lY ihe Or:es YOU. ~O
b~~tR,,~~~~%~b~~;:~:!~~~~:~~
catlmg th yo tam Copies of th 001.
e center (N e rules by
nUnJber for the 0' ote: the telephon
C .. legon Utilit N __ e
emer is 1-8u"O ~, Y o!itlcation
-032-23441
Storm Sewer Available:
Speciallnstruction:NOT",7
T, CE.' - -,.,
Notes: 4~/S PERMiT
_ THn{:)f~~ SHAI t ~
VUI'7!n,- -~& UNo . ~:\-'n".
/ wfeMe ERI '~~c..I{J:. I
AN}' 780 D ED OR IS TflA'] Pfl'F,~I~cription
4'( PER ABANn ,/,// /s N ~
190. '$~lE~""B Or Square Footage
Type of ConstructIOn I~I' B'd A
or mu tip lef or I mount
Description
Value
Date Calculated
''''
paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Total Amount Paid
Amount Paid
$5,70
$6.84
$2.85
$57.00
$72.39
Total Value of Project
Fees Paid'
Date Paid
I Plan Reviews ,
919/08
919/08
919108
919108
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01369
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
Receipt Number
2200800000000001360
2200800000000001360
2200800000000001360
2200800000000001360
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.
Il.("'nire~ InsnectionsJ
....._1 ,
Electric Service: Approval required prior to utility company energizing,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 co-rreet, 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 pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005,will be'used on this project.
I ~urther agree to ensure that all required inspections are requested at the proper time, that each address isreadable from the
street, that the permit card is located at the front of the property, and the approv'ed set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature.
Paee 2 of2
Date
225 Fifth Strcet
Springfi-cld, Oregon 97477
.
541-726-3759 Phone
Job/Journal Number
COM2008-0 1369
COM2008-0 1369
COM2008-0 1369
COM2008-0 1369
Payments:
Type of Payment
Check
cReceintl
RECEIPT#:
Description
Service Reconnect
+ 5% Tech~ologyFee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WAYNE SMITH
City of Springfield Official Rcceipt
Developmcnt Services Department
Public Works DeP!lrtment
2200800000000001360
Date: 09/09/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ilh
2139
In Person
Payment Total:
Page 1 of 1
I: 11 :37PM
Amount Due
57,00
2,85
6,84
5,70
$72,39
Amount Paid
$72.39
$72,39
9/9/2008