The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-4-24 r .' <' -.'~ T;'" ~. '- '. ;~~:~'J~.u" CITY OF SPRINGFIELD, OREGON ;, .:~ ..10"" ,1;:". .~'. '. ,-'''"!.-' .. . ;'. j . '4", + _, , '" "-~.....,, " .,' ZON U"J.Z- INITIALS NM . DATE 4 -.L~/-Q'1 SOURCE .en p:s (),C.-/ l{-ZO.O " 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 ELECI'RICAL PERMIT APPLICATION r CiiyJobNumber C<~M "'''lO '7 - CJo5Z~ li:!EOGA'Fi(jN'(i&iNsfA!T!t:;;riifoN:~1l~-I'l 1. pl-;"--'-""".'1l'="'-"'''~'''=-"'~--;'-'~'~~~~'''''''''-'<-''''~~~''''''''~ 2/ I I 7-f'^ ~t Date 3. F\cOMHiili<i~@ffi'1seHF.nULEJBEEiiW"~~~iI!!~~'!i!!l.-~: ~.";-""""-~~<~~"-,~.j;:;;?","",,,,,,,,,,,,,-,,,",,,-,",,~~,,,,,,,,,,,,-,,,,,~,'--'~""'"~-~---''''~~~~ LEGAL DESCRIPTION: /7033b3/ Oz.S6( A. 1!~~m~i[~~~~~~g~~rt~ili!~;riJ~~~wm!ilfg1if:ffi~~:":_'~ Service Included JOB DESCRIPTION: CAP (80X W/~S. Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder l~'f&~~mJ"~'~T~~",-'Y~h2~:"'!~~i"4r-'~m'a.';~mew,&~~~~'ill~~ ~r~~gi~~~~~~w;"~~l~~~~~fr~~1W,r,':~~W"'dS@lf'~~~l~ 2. ~+~~~~~q!i~~r4~ "0~N~@~:ij!~ B. ~"1~~~&~JHt~$n~~~~iI~~U~k~,~~~~w~~~tlg~~~~~~Jl2i~it~ -r,-; 1 t~'" -, "~ . regon law reqUIres you 10 Electrical Contractor I Ur nry) "d,\l.~~JdoPled by 200 Ampjror IOsSity $ 73,00 . -.._-,,";, VG,,,er, Thos26iiIAino'S'tc5~O)i\ln s $ 86.00 I ()C"m OAR 952-001-0010 Ihro))n~ ORR q~0 "0 p !S / 0090. You mAl! nhtain co,40lAJilHS to 600 Wmps $143.00 Ir ,..10';:' U/ lrle rUles bv . ca ~~gt~e cenler (Not601r,~J!lHSJl9.1Lq!l9 Amps $186.00 Phone r81Se'o/:":7tj01J"3Jon 16\il;f,I'OOOfAmpMYolts $426.00 . ~~"'G' '0 1-800-3R~c?mndgt Only $ 57.00 1000 sq. ft. or less Each additional.500 sq. ft. or portion thereof $121.00 $ 22.00 $57.00 --J~ CiiyfA.. Supervisor License Number I.f 77D~ J>t;~"""-''-ki::;;{.~'';'U'~'\''''~-:s~'~*'''''',",-*-''''''mm~~;ii'~'f~~~~~~t<ili%..~~ C. r~~~i:D~..t!!y~_~~gj~~~~li~~x:s"~.~~~~,.. Expiration Date /D- / D Address Installation, A1teratinn or Relocation 200 Amps or less Constr. Contr. Number 1st, .=?t"R 201 Amps to 400 Amps . I 9 40 I Amps to 600 Amps Expiration Date 7- L/ - 0 . Over 600 Amps or 1000 Volts see "B" above. S ..'/'I tn.'~mJCE. ..,."" 'D:'r!i~~WGi~iiiB~~~-i~l'i1;~;~a~lfl)li1Wl uperns g'"tlec tian. ~.""',^M,,__,.,_,,~..,..~,_"~,:.lI&~i.!li'jik,~~~~~_~.:rig~l1Lllit'&Ji~~t&in,~;W",gmL.l /" # ~PERMIT SHAll ~1~1I\fe~~~.~~or Extension Per Panel . . ~/'"' AUTHORIZED UNDER THIS fl~M~i~;~~~ $ 50.00 / - I"UIVIIVltNGI:D OR IS ABANtlOO€~1~onal Circuit or with NA-~I/tNY .wMfl\P&.'~D, ServiceorFeederpermit. Z fl' I 7 +t.... S + E.I!~~r~~~t'<irl~jlW!~lll~~;r~li~iIt~i!!ilT~~ ~f~ $ 57.00 $ 79.00 $114.00 $ 5.00 Pump or iTrigation $ 57.00 Sign/Outline Ligbting $ 57.00 OWNER INSTALLATION Limited Energy/Residential $ 29.00 The installation is being made on property I own which Limited Ener /Commercial . $ 52.00 is not intended for sale, lease or rent. ~i::~,~t.~~:,:'.v~)~~~:,tion F,,:~~rCharg~ Owners Signature: 4. ~~,VJ!~,gr,,~jQ[~,Q~.Ji1Il~'iI.1 S 8 . 12% State Surcharge t;J16 -Hl%-1..~..:e..Ecl;. 5% Technology Fee Ciiy Phone ~ .~ TOTAL Shared Drive(T:)IBuilding FonnsIElectrica1 Permit Application 7-oS.doc zro 6786 Inspection Request: 726-3769 CITYOF SPRINGFIELD Building/Combination Permit I PERMIT NO: COM2009-00525 ISSUED: 04/24/2009 APPLIED: 04120/2009 EXPIRES: 10/2412009 VALUE: $!?iJINGFllIILD' _ ,.:.~.., ">,.,,_M..~ ...., ,...",."",d' :s . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 211 17TH ST ASSESSOR'S PARCEL NO.: 1703363102301 Springtield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Roof collapse- Cap and box wires TYPE OF USE: Repair Residential Owner: Address: ALDRIDGE NATALIE. 211 17TH ST SPRINGFIELD OR 97477 f, "1"'E:All: . 0/1", Ir. , :'ol/Ii . rU/~~'v: 0__ ;1) O/jR'ItCONT<R4.CTOR' INFORMA nON I . 090. 'y; ~u<-OO '.Ifer 'v by" reg , Contract9/'qll/ilgOU I77q.. I-OO;o'l7osell7e OrU'r<l3icense 'f./Ib' "fA y,.." t,L 1"1" en JUl... TURNBO CAR;P"R'EJ;;g~T-RM;: IN<'iJ~:,'eS ",;'(1'5~J,9.80 c: ., - ,.. -, .-' ' , . :. - ,-- . , '.'y el;"~BUil',DINGlINFORMA:T,ION,''t17 .0 I_n-v'f I.. "Ie. .'''r", "VI UnA VI/Ii. leI. "'es - # of StiJ.!jie.s:Y Alo/Pl7ol) by Height OfS'tfli~Jte-qli <;> Type of HeM:' 01) Water Type: Range Type: Energy Path: Sprinkled Building: Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB AJ,,:- 1;"118 ~(,'C.. I DEVELOPMENT INFORMATION , e~liif/o 'ERflvIli S Frontyard M~4t!}1s RI.?tO . 'f/4LL Overlay DiSl: Side 1 SetbatkY.' 78. lI;etD {;II;OtR tJ(Pllt # Street Trees Rqd: Side 2 Setback:. 0 D4y OR IS if/IS p't IF lit Paved Drive Rqd: Rearyard Setback: PtRlo 48411;D 'ERflvIli 't'Ule~ot Coverage: Solar Setbacks: 'D. Oll;to /S ~O 'I( !:". , -n I PUBLic IMPROVEMENTS I Expiration Date 07/14/2009 Phone 541-729-8409 n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft B~sement: Sq Ft Garage/Carport Sq Ft Otber: ' Occupant Load: REQUIRED PARKING Total: . Handicapped: . Compact: Sidewalk Type: , Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Dra~ns: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Page 1 of2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Minimum/Adjustment Electrical Amount Paid $6.96 $2.90 $58.00 Total Amount Paid $67.86 , Total Value of Project Fees Pai.~ I Date Paid I Plan Reviews I 4/24/09 4/24/09 4/24/09 CITYOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00525 ISSUED: 04/24/2009 APPLIED: 04/20/2009 EXPIRES: 10/24/2009 VALUE: Receipt Number 2200900000000000433 2200900000000000433 2200900000000000433 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 7:00a.m. willbe made the following work day. I Reouired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, By signature, 1 state and agree, that 1 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, 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 Paee 2 01"2 Date 225 FJfth Street Springfield; Oregon 97477 541-726-3759 Phone City of Sprillgfield Official Receipt .Developme~t Services Department Pul:!lic Works Department Job/Journal Number COM2009-00525 COM2009-00525 COM2009c00525 Payments: Type of Payment CreditCard cReceiotJ RECEIPT #: 2200900000000000433 Date: 04/24/2009 Description Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By SCOTT CARTER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 058201 In Person Payment Total: Page I of I 11 :07: 17 AM Amount Due 58.00 2.90 6.96 . $67.86 Amount Paid $67.86 $67.86 4/24/2009