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Home My WebLink AboutPermit Electrical 2006-11-6 " - '-l-' <-.. tv/'VI. .'::PRINCF""\'\;t5=- . . J f..) ~,,~fib.: '..::llf i~~~<% J . !'I . " .~ - ~. - , :'; i';' .': . arrOF& lNGFlELD OREGON ,', " -:--::'.. -. . _ '~:~r." ~., , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~,(: (541)726-3689 ELECTRICAL PERMIT APPLICATION CityJobNumber CoMt..OO,", _0/4zD Date /I-l:. ,0(. Installation, AlteratiOn <e; R~ocation ~.O ~ .>. 200 Amps or les'b q, "% o~ ~ 201 Amps~480~~~. ~ ~ 401 Amps t&;Oq:Allips& 9.> ~ ~ '''3 ., '1-. ~ (\ Q> ,;- Over 600 Amps dr;1000 V.olts:see:;'B';:above. '-""'-'~'~-'~$;J~~,~'t~-'-".._..",,,-.,...,,..,...,,= Signature of Supervising Electrician D. .~ BrancfuC~tk<>, ~~~:~~~~~Jit~;: > '.::~.:"~~~~~~ ~ ..?..... ~ G> ~ o. .; ~ ~ "-- .-.- ... ~ . ./ New Alteration;or(ExGmslon'Per',l'anel 0;;;.. /',r --=- . ~~, .. ";,. 0 ~ ~ -& 0 -..., '" ~ .. ~. _""""'-..'/ rC'. One CIrCUIt \lI.. ~ '..::;, n .~ \lI~ ~~ ~$ 43.00 ~ - , ( C> ~2 't, ". ~Each Additional Ci\9urt3r'(5itlJb ~ ~ - 0 ~. .AAIrIl~.. .A".J;'/'):2;,. ~ ~~. ~~rviceorFeederP.!rlPit'/~. ~ ". "'. ~$'~.OO ers Name IIfI t'C".....,.. YYllT~'? 0 . ~Y: ""- .~ (J' 0" cQ \P . '.. >' .).. . ., ."'~q",,,,.-... ,~,:;;::,.,;.,.~.,~,~~...<-. .."-c.,,..."~.~ Addrcss bb ~ l'\1' A-tN <; r:,~ ~', ~E. Miscella~eoos(Se[vil:~ifed~i;'oji~IG'l!!'d);:,;i?a~fr,i~~m'1I~ti~;;;1 . .' ,-<' ...- . ~'''' ...".' "_...~,, ~.."ti-"""'" ~",&'to. ~ -e"'"'~" ....."..~. ~ -'-. (') -(0 () u~ po 0 ~ "'" ~ ~ ~ c;:,. \'" r -P Phone y~ .:'J 0 Pump or irrigation ~ ~. ":1. ~ )oJ 5-;S&.1J0 ) C) ':J Y.... . C' ":00.. -IJ'I v h .~, l' '"Sign/Outline Lighting ce.. ~ A -5 50.00 OWNER INSTALLATION %~ V~EnergY/Residential ~ c' $25.00 The installation is being made on property I own which <? ~cr1Jiit~nergY/COmmercial $ 45.00 is not intended for salc, lease or rent. Min\~~ perm. it I~~:~;i~~ee ~s,~~.;OO '" surcharges_ Owners Signature: 4. ',)~~~%;:~~~g~~..;::__"..~::::..:.~. .5 () l:h ~e~~ge '1 10% AdmiCsrrative Fee f .> / z ~ sYo T&.-. ~ f'<> ~~'5~ TOTAL 6/ - ~ \ Shaceo Drivo\ nlBuilding FomwElectri,,1 P'nn;. Aopiica<ion i ';)).OOC 0X ~ &:COrj) " -.., _.-.....~,~..."...,.'..-,._I~t.,n...."....':'~!":-"_..'''_...-..~., ...",-.,""".:;'1 1. :.!:-.g,~T[P1f o.E',w.~!;1..rF1TION,":1,~f;~ hb ~'1 MA"v 0700 { LEGAL DESCRIPTION J 70"2- 344 ( JOB DESCRIPTION ~\c.E eeC.C.N"'~C T Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2.;'Js~~g-~~'W!t~~~~ilE1Bl Electrical Contractor ~,(\/l \(i~ El.octn<.. I Address d lIS LCl ;:;l ""C\ A V e City e Li':y '\\ l' Phone .~ :l'~C\ l Supervisor License Number ;:;<SOlCl S \DI.GI Expiration Date Constr. Contr. Number ~O. I~Sc-" Expiration Date ',- \-nlr City Inspection Request: i26-3769 ,...~-,,... "~", - ... .-...,.....v,"..v-~~'.'::!!I'!I"=."""",.,...~,.....,~ "'_'._~':"':"''''-'~,_~_.,....., 3.;' COMPLETE FEE SCHEDULE.BELOw:.F';!i;..S!,f,);,~r'::f':'i:;,~ ~'':'. _.._....:-:.._..h. -'--..:...~.04....~ ," ,. - . . .-. .'__. _...::..:....:.__e_",.... ..'''''.....-=-=-.,.~...:! t.-.-:~.-.. ~_....::-.~.<"""'1~~':~"~~'~~i~::::~',;:.:l"~~~.. :;;~;!;':t':~jl:~:~"7r.'-:;";":,,:;.~~":::1;:,lF..) A. ,'..~~~.~~?e~~~"~_~19gt~.;E~l\'1~Iti.r~~;ltR~~~~~~g~nJt~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact. d Home or Modular Dweiling Service or Feeder $106.00 $ 19.00 ~ $50.00 B. ;;~~~~~~ry~!~~~1~~~~~~~~i3~~Fp.~1 200 Amps or less 20! Amps to 400 Amps 40! Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIV olts Rcconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 so I c. .ITtrijR~?_iT'~~~eSi9_rft~dr~1j:~~:t~~~~2S~~~~:E~~~~j~ $ 50.00 $ 69.00 $100.00 -i* . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01420 ISSUED: 11/06/2006 APPLIED: 11/06/2006 EXPIRES: 05/06/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line SITE ADDRESS: 6684 MAIN ST ASSESSOR'S PARCEL NO.: 1702344107001 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service reconnect Owner: MARGERY MARK Address: 6684 MAIN STREET SPRINGFIELD OR 97478 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 0210812007 Phone 541-343-7297 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: -'- ~^ """ .....~' ^ Sq !:,t tst FIoor:(' :./. r/.:.. Vt.. ':.1 Sq"'..t t:2nd'Floor: v/ v_ ..q ..~ '1' /. S,.!!'It.!.B~6ni~!'t~ ~v ?"SiiW! ~r{ge/l(~rP8r:,. 'Sq FhOther:z". Ill.... O^ {r. ...~ ""...-: '".. v -~ ""~ I;,Y. OccupanI'lJoad;~ <9". <9~ '<-_ "'0. Cor,............ v...... AVA. {..; Q.I! 0( 'I,)' V 'O~;. ..- v '?~.~ '?~ ~. oo~ ~ 1;, & _ &.... ~ ,~ ~ l<:) 6 "',,' REQUIRED'I!ARKING"" U'.... ~ "I<: 'h. ~ v~ -1;, r<9 T~tal" o~. 'l9d' ~ 0 U' ~ i90^ ': '0 H nd./, .. 0 '" "".. ~. an Icap'ped: :.0' ,..t\ <9 Co ....,. ~;) '"."(9 ~ .Yn ~ ,;.. (,.. Compact:t- ~ .~ ""~ <9" . 'Ii .~ 'k ~ '" ~ '0 ~ 0>17_ o~.:co" ~/- '0. ~, ~ ~. '''0 Illd' v.... , "",_ ':>~ 6- '0 ':> R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I 4; Overlay Dist: ~. ~\ 4 'r.. , # Street Trees ~q,d0 '0'.0 '<-~ Paved Drive'Rqd.;?; 10 <1; , % of Lot covf"'e~ % ~...... ~~<O<f. .... :.-<'. /' :,.y I PUBLIC IMPROVEME~.yS;'l~Y;i('(' ~ <'%~~~ype: <? ~'fp!!~rains: (?a~ ~ ~ ~ (<'~ O~ ~ 0. ~~.~ ; I Valuation Descriotion I Street Improvements: Storm Sewer A vaUable: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e 1 of2 -iiiF. . .ITY OF ~rKll'l'.d'1J'.,LD Status Issued Building/Combination Permit PERMIT NO: COM2006-01420 ISSUED: 11/06/2006 APPLIED: 11/06/2006 EXPIRES: 05/06/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Ff>f>SP,,,W $5.00 $2.50 $4.00 $50.00 11/6/06 1116/06 1116/06 1116/06 Receipt Number 1200600000000001610 1200600000000001610 1200600000000001610 1200600000000001610 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid Total Amount Paid $61.50 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. ~irf>tI'~ 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 informatiou hereon is true and correct, and I further certify that auy and all work performed shall be done in accordance with the Ordiuances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made ofany strnctnre withont permission of the Commnnity Services Division, Bnilding 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 iuspections 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 Stl"eet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01420 COM2006-01420 COM2006-01420 COM2006-0 1420 Payments: Type of Payment CreditCard cReceintl RECEIPT #: ..~ .!~' wr. Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Service Reconnect Paid By ELLEN REYNOLDS c." f Springfield Official Receipt D opment Services Department Public Works Department 1200600000000001610 Date: 11/06/2006 Item Total: <..;heck Number Authorization Received By Batch Number Number How Received djb 091437 In Person Payment Total: Page 1 of 1 10:58:30AM Amount Due 2.50 4.00 5.00 50.00 $61.5U Amount Paid $61.50 $61.5U 11/6/2006