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Home My WebLink AboutPermit Electrical 2006-4-5 ZON L-Of<... l.~ INITIAL~ 'ct ~<... DATE '.' '" ~ '" SOURCE ,na , J 4-s ~()6 ~ " . CITY OF spRIN( JrELD, OREGON . '-' 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C())Yl;::)() (j (() ~ DO W D:L. 1. LOCATION OF INSTALLATION <,'12/' Ao.II~~d LEGAL DESCRIPTION i7 03 Jot. /3 03 4/)0 JOB DESCRIPTION j2e.y; la c e.. fJaK1 w;rt; f-J ei..0 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor Ge.,arcl. ~'ec..T Address c:3q~<I ffi'(d~ Rv Rd City \JJ{: ,d Phone 7<//-2596 ~; Supervisor License Number c3 ~.51 S Expiration Date /0 -1-0 "7 &//45" Constr. Contr. Number Expiration Date //-/D ~66 Signature of Supervising Electrician A ~ ,,~ Owners Name 3cJ,J,J .JAe.l ztje.-- }-fall&rd Phon84-1-14\ - iPg00 (.,- - Address S::z.{, City fl:, P I d -, OWNER INST 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 SPRINGFIELD Date 3. ; COMPLETE FEE SCHEDULE BELOW . _. .-. . -- ~ ~ - - A. New Residential- Single_or. Multi-~amily p~r _dwe. ling_unit. Service Included 1000 sq. f1. or less $106.00 Each additiofl.~!I. ft. or portion ther'fHIS PEl:R' $ 19.00 , MIT SHALL EXPIRE I Each Manufllcntffil'11~eo UN F THE WORK Modular D'tl1!)ing'~jlf/lice.orO DER THIS PER~~5JJT l~ NOT F d v ",.lil:rVl..tU R IS ^P ^,'nn" U 0,00 ~e er ___ANYJB_O DAYPGRI0D~".".~')_,:,".E FQ,R____ B. Sen'ices or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only I $ 63.00 (; 3 ~oo $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders \ ....'....- ....---.---_. --_.__._--._---~~.. Installation, Alteration or Relocation 20d\Afu'P~!6m~~: Oregon law requires YOls80.00 20ioAffijis'i~'4001\t\rpS'd by tile uregon lJtiNi9.00 4"orWiilpJittr600'j\\!lps Those rules are set $loQ1oo in OAR 952.001-0ul 0 through UMn "",,-001- 9j'S9eEO{6\.T,I1~a.o/l2qgiX2!~p~t~:~~Ol~:esJ)y_--_ ~_-_--, -~ - D. L..8&a,'lfi.\',;Sir~uJ~,lt!;)L..J~otc: I:,e 1(:le!1l1o~Q.._______ N ...., .1"-'I't"Mtr.,.. thcEC'I'to,r.r; n 'p''';lit.p' "In'-tlfication eW'A era ion or' x enslOn' er ane " One CircuiPenler is 1.800-332.2344). $ 43.00 Each Additional Circuit or with Service or Feeder Pennit $ 3.00 r'-'--- ----.----------..-~-----. E. Ll\!isce~aJleo~s (Service/feeder not included) -Each In~tallatio~: Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 M'inimum ElectrlCPermit hispectiouFee is $45.00 + Surcharges 4. IsiJB;:'Oi-ALOF ABOVi- - ,- ' - - -\ I -._~ >_.. _.___~___~ _____~_. _' (03 .riD b 'OLf ({1. ,~n 7434_ , Shared Drive(T:)lBuilding Fonns/Electrical Permit Application 1--06.doc 8% State Surcharge 10% Administrative Fee TOTAL . . CITY OF SnUi'l\.ol'lJ!.LJJ BuildingfCombination Permit PERMIT NO: COM2006-00402 ISSUED: 04/05/2006 APPLIED: 04/05/2006 EXPIRES: 10/05/2006 VALUE: ; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line r . SITE ADDRESS: 521 MALLARD AVE ASSESSOR'S PARCEL NO.: 1703221303400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace panel. Owner: Address: METZGER JOHN R & LISA A 521 MALLARD AVE SPRINGFIELD OR 97477 NOTICE: THI~ PERMIT SHALL EXPIRE IF THE ~O~~ ~I tTWnppF[1.I)NUtK I HI:> n:nlVIII h) "u, I CONTRAC'IORINRORMA<rI(j)NlfjANDONED FOR ANY 180 DA't' P.ERIOD. Contractor 'License G MILLER ENTERPRISES INC 87145 Expiration Date 11/1012006 Phone 541-741-2596 Contractor Type Electrical BUILDING INFORMATION I _# of Units: . Primary Occupancy Group: Secondary Oceupancy 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacks: . .' . -' . . ........ --'. ....::1......,' ........ ,......"1.~,. ~- } - -" 0- I DEVELOPMENT INFORMATIONnlled by tile Oregon Utility Notification Center. Tilose rules ~Qy'rm:.P PARKING Overlay DistOl OAR 952.001-0010 tilrougil O/fl.tiIi~-001- # Street Treiiaij'difou may obtain copies of tHiuliIlcapjied: Paved Drive Rqdiling tile center. (Note: lile tl€ornjiact: % of Lot Coverage:er for tile Orepon U~"ltv ND:,licatlon Center IS 1.800-33223,4), I PUBLIC IMPROVEMENTS I :- Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion I Description TVDe of Construetion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 i . . . . CITY OF ~rKll~ljl'lJj,L1J Building/Combination Permit PERMIT NO: COM2006-00402 ISSUED: 04/05/2006 APPLIED: 04/05/2006 EXPIRES: 10/05/2006 VALUE: Status Issued 225 Fiflb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F..... tiWU $6.30 $5.04 $63.00 4/5/06 4/5/06 4/5/06 Receipt Number 2200600000000000429 2200600000000000429 2200600000000000429 ! - Fee Description . + 10% Administrative Fee .. + 8% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Total 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. IR..~ ~ Electric Service: Approval required prior to utility company energizing serviee. 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 tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from the street, tbat 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 ,,-" . 'Sprmgfie1d, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00402 COM2006-00402 COM2006-00402 COM2006-00403 COM2006-00403 COM2006-00403 Poiyments: Type of Payment CreditCard ~ , ~ " I ~I... ;C .'\ 'a' .~ ' ,) " f.\_ ,\ .'. 'a .; .. {~ 4/5/2006 . RECEIPT #: ~l lliiity of Springfield Official Receipt .ve1opment Services Department Public Works Department 2200600000000000429 Date: 04/05/2006 10:30:39AM Description Perm ScrvlFdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Service Reconnect + 8% State Surcharge + 10% Administrative Fee Paid By G MILLER ENTERPRISES Amount Due 63.00 5.04 " 6.30 i 50.00 4.00 . 5.00 $133.34 Item Total: l:'heck Number Authorization Received By Batch Number Number How Received ddk 089257 In Person Payment Total: Amount Paid $133.34 $133.34 Page I of!