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Home My WebLink AboutPermit Electrical 2006-5-8 ~~':~if;' I r~';~ Ll;:~~::::!.'~-:~'l v 225 FIfTH STREET 0 SPRINGFJELD,OR97477 0 PH:(54I)726-3753 o FAX: (541)726-3689 I ~.-:--, . EtECTRICALPERMITAPPUCATlON IE'/';:' -"-. ~-----" City Job Number COM 'Zoo f... - 00 os: 3. tf Date s: ~ "6- I. LOCATION OF INS1'ALLATION ,\\t. ~I.W\~. ,- cOMPdiE FEE SCHEDULE BELOW ~ ~ ~8' JM~~~ W~(Dc;, ~() LEGAL~~~.f_ ~iwlil~ ':li\;~~ ,\\\':l t ~t.\) r\,)l\ A. New Residential ,.Single or Multi-Family per dwelling unit. I 70)~ \~ ~':\ Ie; ~'O~~ -oS 00 J08 DES~\Ki~ct\l ,,~~\OO. ZOc::>4.~~\ ~~~~L C~,4V$'~'- I Permits are non-transferable and expire if work is \~h Manufact'd Home or not started within 180 days of issuance or if work is eS 'IOU. ular Dwelling Service or $50 00 Suspended for 180 days. -N leo.UII 0\\\,\\111' reer . 0\\ \Il: ., Oleg set \0\ ' '^ , . . 2 CONTRACTOR INSC5~TIO~ONLles a:1e 98~.cSl,\'''iCCS or Feeders -Installation, Alterations or Relocation: . :I)~~\\ (ii)\09\e~;ose 1\}~Qfl..~ ~~leS~) . . Electrical Contract~ \;,.~~;:'~\~r.~,Z:i;PCiJY\\,(l. ~2f\\l.~mps or less I $ 63.00 b '3 \OI';IC ,:,,< oJ~' ~.,;\l'':^ c09""':",e\ele?,.2Q!\'A'ft\ps to 400 Amps $ 75.00 "-1 ....\~\ n_m..l J:\l.o..\~l . \.\' :\.\\\u...- '''' Address \bL"\ \..c:;_~p,=..:J(,_"\IIt\-v "'-'NO\e. "\\'1 ~O 401 Amps to 600 Amps $125.00 \\\ ~9Q. :O,\~e ce\\""'~~o(\ ~~~.2.:#o\OJ Amps to 1000 Amps $163.00 City ~X\t9 ra\II\"P'6~~51~q\~ Over 1000 AmpsNolts $375.00 \\$~~e Ce\\\e\ \~ Reconnect Only $ 50.00 .( , I', Expiration Date 2'll\LS \D/l/ol ttD1 JS Supervisor License Number Constr. Contr. Number Expiration Date /i ~ \ : "~.~.~~ c, /' Owners Name Qi<l..l.-\ ,1lL1.!:1 Tl;J7I Address Z$;ZO d1M~ ~(L <;. t>F j\ Phone 335 - ~ 733 't. ~ City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: Inspecllon Request: 726-3769 Serviee Included ] 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $]06.00 $ 19.00 C. Temporary Senices or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 A~psor 1000 Volts see "8" above. D. Branch Cir~~_it~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. Mi5cellaneous,(Service/f~('dcr not inclu~~d) -Each .Installation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE b? SOlf b70 7f.{ 7" 8% State Surcharge 10% Administrative Fee TOTAL , Shared Drive{T:)fBuilding Fonns/Elecmcal Permit Application j-06.doc -iii" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2520 MANOR DR ASSESSOR'S PARCEL NO.: 1703233301300 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00534 ISSUED: 05/08/2006 APPLIED: 05/08/2006 EXPIRES: 11/08/2006 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp Sel'\'ice change Contractor License Expiration Date DOUG PALMER CORP 90725 Pl'lIJ~~ BUILD1NG~RMATlON't.~\'\~t. II" ~\\ \S ~()\ I'IU' - W,\\ ':lnt'~ \\\S \'t.\\ ~ # of ~tp.\%p.t.\\ \\~\)t.\\ i \)O~~ ~lte: Heighh;~~v~li-~ 0\\ \S t\'Ot\~ Sq Ft 1st Floor: Type of llt~Ct\) t.~\0\). Sq Ft2nd Floor: WaterfJ9 :, ~(l \) t\'{ \' Sq Ft Basement: Range ~~: \ Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Bnilding: n/a Occnpant Load: _.dn I DEVELOPMENT INFORMATION I \\ \a-N le(\\lile~~ 0\ili\'l ". O~"U\~"O '0'1 \\,\e OlegRE~IRBD PARKING , \ eN \ \ -'oll\ed uleS a:l" ~~".oo\ Overlay Dist: '. l\Jle& au _,< ,\,\ose I ofl.,TotaT:" '0" # Street TrkSl~d:iO(\ ce(\\'J~~O \\'\IOUg\'\ 0\ ~aDdi~f3'p'ed: Paved DriverR&if:a\9,,-,,_oo~-jiV 'In cOllies Comp~~l!a \ . .o."c.. 'O\a: .. \"e "". -, "on % of Lot Cl!veage~O\l ~a'l 0 I \~O\e-, "O\i\\Ca\> ~ 0090. \\,\0 ce\\\e. 0(\ \,)\\\\\'1 __a,) _~\\\r\Q ..._Oleg ::n".?..,..... .. I PUBLIC IMPROVE~!j)Nll'st;n\el\1l "\.BUU~- Sidewalk Type: Owner: CHRIS MELTON Address: 2520 MANOR DR SPRINGFIELD OR 97477 Contractor Type Electrical # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciai Instruction: Notes: Description Tvpe of Construction Phone Number: 541-335-9733 , CONTRACTOR INFORMATION I Phone 541-434-5600 R-3 VN DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace I ofl . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00534 ISSUED: 05/08/2006 APPLIED: 05/08/2006 EXPIRES: 11108/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P,llWJ Fee Description + 100/0 Administrative Fee + 8% State Surcharge Perm Se",,/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $5.04 $63.00 5/8/06 5/8/06 5/8/06 1200600000000000615 1200600000000000615 1200600000000000615 Totai Amount Paid $74.34 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~uirerl lliI,nectinns I Electric Se""ice: Approval required prior to utility company energizing se""ice. 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Se""ices Division, Building Safety. I further certify that only contractors and employees 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 the 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 Date Paf!e 2 of 2 225 Fifth Street - " Sp~ngfleid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00534 COM2006-00534 COM2006-00534 Payments: Type of Payment CreditCard cReceintl RECEIPT #: ~ ..~ Carr Springfield Official Receipt _Iopment Services Department Public Works Department 1200600000000000615 Date: 05/08/2006 Description + 8% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or (ess Paid By DOUGLAS PALMER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 04444] In Person Payment Total: Page I of I 2:27:53PM Amount Due 5.04 6,30 63.00 $74.34 Amount Paid $74.34 $74.34 5/8/2006