The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-4-26 ;r:.:j;..:,r","CITV'OF [ 'dNGFIELD':'OREGbN'- '," ';. :11 :~~. J"~^') ~ , r--" , t "'I>_~)." L LEGAL DESCRIPTION !,:,~._ l70z.. >44(' 07000" - t: ' .~/\, JOB DESCRIPTION.' v C~vl-,^C,V M,q-!u- ()t1S?... .(UIKJ I I 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 2 iCONTRACTOR INSTALLATION ONLY' B. r- Se.:vi~;orFeeders- In~~~llati~~, Alterations ~;Rel~c~iio~; -. . L' _" .,... ~_. __ _ ...J .. --.- ------ ---- ---. Electrical Contractor ~4 ;;6!Rd~ ~U 200 Amps or less / $ 63.00 ~3 5fJ- f) / 1OT1jl\fijl'UIIJ~~rAmPS $75.00 Address t-Zo ~hcFl!.. (gU/ Nf~4\9(.v~9l~~'aWreqUIr- $125.00 In ~~~DorlH!P.-' ~ the Ore;~ YfJI.I b $163.00 Phone 91 '17t' 009',Qt1JfOOfj~mse rules ar'" ~~";,"iV $375.00 cal1Fn2ImilonSO~tain rO~gh OA~:'2 unit 50.00 nU~b' -~he_cente"'i;r Otthe~~~~. ---~- ~. ---- C. Jb~P<!l",:.W'e~.ur;f,~~.. ~____,~. _~__J nter IS 1-800. I,y NOtific;ati Installation, AIterat~-?1l2a4Il1.ation 01) 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 VOlls see "B" above. r'-'.----.. -- -..-.---- ....--,,,------- ------- D. }. Branch Circuits . , .. .~..~._- .__..._-~,--- -,..,~---,- SPRINQFIELD ,-' -.--""\ fl A /~; ,....L>./I....----.-... .: 22~ FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.36~ f --::...,::.::t ~-" i ELECTRICAL PERMIT APPLICATION ~"o?/"1>1< l_~.~_::o.. ~y "-., City Job Number CoWl 7<::>0) - 0 0 C-f )b Date;)-/ IlIlf! ~Q>::10"., ......-______ ______~. __________, .__ _ ..____. '.._____: -----.---..-;...----6> -~.-~.o."o"'~' 1~___t~~1J.l?~:7J~ST1;i_l~~___., 3._C!1MfJ:!!..E.F.E:E:~,,;; u--y.eEl90~.,.,VOH' .- VI:) I'/!fl~ f. & 9" ~ . . - .,,-.....~- ~_ -. -o.-----;-.;-..:t'.....1SI-~.'-- .'~-- A. ;~:~:::~~:al::.si~~le,~~~ ....:Iy P!~~it.i!:. _ , $ "0- oq, 1000 sq. It. or less v. ",-, Each additional 500 sq. ft. or ,~ (9 portion thereof City Expiration Date Oe-r . fYj/ r ;)crv 7 Supervisor License Number Constr. Contr. Number J>7~:> ___ $ 50.00 $ 69.00 $100.00 Expiration Date II ft1~ 7-eo-b ~A Owners Name i:;:..o.JIN MI-h.CY I II!//~f^( <;, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Address bh 8r ) <:;?t~l) Phone r.-,....-. -- -------- _._-_. ---, N ~.t!. ~cellaneous (Semce/feeder not included) -Each Installation . u...;.".-- ____._ ____ ______.. .--. __ __.J THIS.P~RMI.T !'u." , . AUT8FP, j'~ Ef'if,at,',o:,;: ~XP/RE IF TP,:: ~':~. ;;, $ 50.00 CO"Sl~0ut1meiJLighiingHIS PERI\"'l" ." ^'__ $ 50.00 IV/(VJttlJrC[) no "" ,., ..... I . .... "1.11; ANY Lunited'Energy/Keslool,l,l/!!IONED c,\<, $ 25.00 I tJU U~V D~P'''n . w" LimiteCl En'ergy/Gommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges City OWNER INST ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. 7% State Surcharge 10% Administrative Fee -, I b 3 E!12-- {If( b70 'i 3 ?!- Owners Signature: 4. ; SUBTOTAL OF ABOVE Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application 1-Q3.doc . 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: COM2005-00456 ISSUED: 04/21/2005 APPLIED: 04/21/2005 EXPIRES: 10/21/2005 VALUE: SITE ADDRESS: 6680 MAIN ST ASSESSOR'S PARCEL NO.: 1702344107000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change meter base and mast Owner: ERVIN ASHLEY Address: 6680 MAIN ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor K & K ELECTRIC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction I CONTRACTOR INFORMATION I License 87202 Expiration Date 04130/2006 Phone 541-741-2663 R-3 I BUILDING INFORMATION I l#io.f~tori~~:J: Oregon law requires yoCJPSize: 1y,:,~!g~tl!ltS.t!'.I!.i:j\lted by the Oregon ~~'Vt 1st Floor: N(Iy.~'a~tffe.!!!;nter. Those rules are ses nd Floor: in ~)!.W,1!~PSu1-001 0 through OAR 95~ il~ Basement: O(lliU~gfoT?,p,lay obtain copies of the ruSipF&;aragelCarport Enerlffi~~t/1b nter. (Note: the telephS4~t Other: Sfiihkteil Bu!lldilH!;"gon Util:nJ""otificlilililOpant Load: numoer lor tNe Ul~ "T'" . I DEVELOPMEN"-iNiidIiMHION--r"~)' VN REQUIRED PARKING Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: NOTICE: D01knsp'out~rains: K 1H\S PERM\1 S~~~~ V~~ ~~~t:1I1L\S'N01 ~~~f\~~~Z~~D UOR IS ABANDONED FOR ~ ~ ..... ..,/ nCOlnn I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e10f2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00456 ISSUED: 04/21/2005 APPLIED: 04/21/2005 EXPIRES: 10/21/2005 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 Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 4/21/05 4/21/05 4/21/05 Receipt Number 1200500000000000484 1200500000000000484 1200500000000000484 Total Amount Paid $73.71 I Plan Reviews , 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. I Reouired Insne~tionsJ 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 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 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00456 COM2005.00456 COM2005.00456 Payments: Type of Payment CreditCard " 4/21/2005 . RECEIPT #: ~"';m',~,. ".,QIJ,.~ .....'....i.,. " " , ...... : wtr - ',.' ~ty of Springfield Official Receipt .evelopment Services Department Public Works Department 1200500000000000484 Date: 04/21/2005 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less PaId By K&K ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 141212 In Person Payment Total: Page I of I 9:01:43AM Amount Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73.71