HomeMy WebLinkAboutPermit Electrical 2009-4-22
_~ SPR'NO"ELD.."..
225 FIFTH STREET '. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X, (541)726-3689 ~,~
ELECTRICAL~IT APPLICATION
City Job Number ' ) -(J1-fi -- aJ5~;)
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LEGAL DESCRIPTION:
nO~ .'?(o '3 \ 0 L.j(003
JOB DESCRg'TION:
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Permits are non-transferable and expire if work i~
not stnrted within 180 days of issuance or if work is
Suspended for 180 days.
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'-CONTRACTOmmSTALIlATIONONBy.,r
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Electrical ContraOIU:GDili ~I ~rTR!r. ~
P.O. BOX 2237. '
Address ['f1~~Nr nR go, 49~
J..~__"E, .. r' '"
City
Phone
S41-141-1681
Supervisor License Number
13928
Expiration Date
10-1-10
Constr. ContL Number
C408
/181997 CCB
,F.:,:'piration Date
Signa'tire of Supervising Electrician
~7~-^~_o , dJk_
Owners Name Q...vl2. Q~Yt:.~A1) LLG
Address IS; 54 A-:51
City~.J).(l~ Phone
OWNE~ I~T ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent,
Owners Signature:
Inspection Request: 726.3769
~5-0--\O
Date
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.lNITlALS IV tv\.
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DATE
SOURCE
3. ~~QMJii~f[~~~.~~f~I~~~:~fQmlt;~t.fti~~;1iK?~;:!ib~~i}:S:"
~;$~;~~'l~fiV:''':~:;;:tW~;+\~{?~j~~~~~,:;''!,>;;;~::~m7F.T'~'>;;;';:;~'l:'\~"~~;":":'"",.:,::-:
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Service Inclnded
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117,00
$ 21.00
$55,00
rft};i~;'P:;:;);st.':i::'$';:~~~l;:;N}!~1iK:{i!ifr2fui~f5!~~2:~f;z;,~:y~:r~'tl~:;~~~,)~.'-.:;~.,;,~."::O~'~";'i~:';''-\' ~..
B. ~_~Service's.:o'r,;Fee<lerS~;f.'Ins'faUatiori,~'Alter,atio'ns'oT.',Relo'cation: ~. .
\S,j;:;';i',:,;i;::rol::~~I&;,.%ii/l~1.-":,1;.utt.te~-l:':':;,L~I:.';\,i)lj:tt;;.'<.'I:~; ;d\:di-~;fOi\:;,.j;;'..:,;r, "':'r}:':';-_,..y:C.'.,\.',-'-" ....
.' . ' . .>rl.()l>
200 Amps or less / ~O
201 Amps to 400 Amps . . $ 83,00
ATTf,^'T'O"I' OrpfC("- , '^ 'c
40 I Amps to 600 Amps ~, $138,00
IOIIOW ruws adtlf):pf,. . ~;-. .....j ,..1 ~
60l A'1'P3t\?,d99M'El'.11ter. TI'~~D ,."",, ~~J~I2:P9J,;h
Over I DOO;Amps!y-oltsI1-001O thrnllr;h OAI$4)'3~OQ01-
Recolll(e:tnOnIYou may obtain conies or H$j55,!o.o3 hv
~'1i':,~%~~~\~~?r"~~~F~*~m~: ~i?";,\11~~~e$"~lrL.~'""",y-3';:"..;,, 'l,,'"
c. j.ttl.emp>~'t'a'_I,y,;,",er'V1ces;or,.. e~ersAt' '~F'i\V1':' ,t9\1.'J <;1~,~I~".:~-::f,;t:'J;i"'h\,~~~t.::.
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Installation, Alteration or Relocation
200 Amps or less
r,-r"~-rro
20l Amps to 400IAmps'7:. $ 76,00
401 Amps to 6001\'!'I'.~;vti SI- $110,00
D O;B,%&g".g.'hrr~c,f'i~~;t:~~~t~;.~~~.l~,~,€." ~~.~rln€Y';(.9RK;.
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One Circuit $ 48,00
Each Additional Circuit or with
Service or Feeder Permit
$ 55,00
$ 4,00
"~~';)(fiF,~\"t':':W~;~;:i!;i'Q'1.;!,'t'>:-:~~;7't';it-~~~,~~~'y:;rt.i'h:l;,?,'t:;-::~:.;;:+.\r:~~.,,~l'\.1v, '", ~:., ~ .c. ,
E. f1Misceilaneo'us"(S~r.vi ce/f feder iiOthiClu dediL-Each ~ Install a tio n
t~-:'~:::~ -:;;;.~.;;'.);;c: .;':.~<:"'-1;':"~ ':<;'.r;l:.....:;,;:.;g";.,.,;;A.;~~;:,'f;;,~:,;j :,~/~'i;,,_.,.'t!;::,;.. ,;~::-;;.,; ..~',"'..,:".. !t:.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 55,00
$ 55,00
$ 28,00
$ 50,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00532
ISSUED: 04/22/2009
APPLIED: 0412212009
EXPIRES: 10/22/2009
VALUE:
SITE ADDRESS: 1554 A ST
ASSESSOR'S PARCEL NO.: 1703363104603
Springfield TYPE OF WORK: Electrical Work-Only
PROJECT DESCRIPTION: Service Change
Owner: R & R PERKINS LLC
Address: 1810 15TH ST
SPRINGFIELD OR 97477
TYPE OF USE: Alteration
Residential
I CONTRACTORINFORM~TION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SE~VICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
BUILDING INFOR!"lATION 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:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage/Carport
Sq Ft Other:
Occnpant Load:
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Sidc 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
f'J]TiG.t::"
Storm Sewer Av,adable:r SHALL EXPIRE Ie THE WORK
. . T'_ 1<.; .)~\'\\Vl\" '
SpecIal InstructIOn: ER THIS PERMIT IS NOT
fl.U fHORIZED UNO
Notes: COfJ1MENCED OR IS fl.Bfl.NDONED FOR
l\~IV 1 RO DAY PERIOD.
rll I '-11/ 11~'1\j, VIJ:;!::l:.JIIIi::tW lequrres you IO
II'UBLIC IMPROVEMENTS IJI!OW rules adopted by the Oregon Utilit
!'wtificS1de'whlk'TypeThose rules al e set forfh
In OAk 952-D01-Ciul 0 throUClh OAR 952-001-
0090, Downsjl9uJ~/Ilr.~imiJi~s of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
, I Valuation Descriotion ~
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Valne
Date Calcnlated
Pa2e I of 2
_seRINQFIIlJ.,l) , , , '..'"" I
~t .,
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00532
ISSUED: 0412212009
APPLIED: 04122/2009
EXPIRES: 10/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amonnt Paid
Date Paid
Receipt Nnmber
$9.72
$4.05
$81.00
4/22/09
4/22/09
4/22/09
3200900000000000260
3200900000000000260
3200900000000000260
Total Amonnt Paid
$94.77
I 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, inspeetions requested after 7:00 a.m. will be made the following
work day.
I Relluired Insneetions I
Electric Service: Approval required prior to ntmty company energizing service.
By signatnre, 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 certi(y 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 structnre without permission of the Community Services Division, Building Safety.
I furthcr 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 constructioll.
Owner or Contractors Signature
Date
Pa2e 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journ.tl Number
COM2009-00532
COM2009-00532
COM2009-00532
Payments:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
Date: 04/22/2009.
3200900000000000260
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Item :rotal:
Check Number Authorization
Paid By Received By Batch Number Number How Received
OREGON ELECTRIC SERVICE njm karen 022375 Phone
Payment Total:
.I
Page I of I
7:10:52AM
Amount Dlle
81.00
4,05
9,72
$94.77
Amount Paid
$94,77
$94.77
4/22/2009