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HomeMy WebLinkAboutPermit Electrical 2006-6-26 ffilYL r~~Wg1~~ 225 ~JFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA:X: (541)726-3689 ~~ ~r:;O~~~~~()::~~~;[;~C:JI~~ i~;b '. ~fr 1. .....L.O.......CA.-_. .:'_:ITO,yQIt.1N._~_~...'S.-..i._:;{_T!'_'1TION:'Pta-:lJ1 3. '-,"COA-IPUTE FiESCJ#:ijlri'EBEiOW;;;;::igfjf.,,~~, _ . _ _~ _"" ~ ~,..:;,..:"'..~"..;,:;._._...".~..",-o.....";:;_...~,_;;.z'" "-',~....:.~........,,.::::1.:.:;~~.~a:~;,;_ .'-:: o 30L{ YJ4AIN";)T " \.,~(.--'~..:. -~.;.: :>;--":-"";'?'i"Y~'7.'~~:i~:';';z-;::;'-;~'!"'~~;.._:;'-<:~~:';"<~'~""~~~'~':v'~ A. ,.:~~~~~~~.?e~~.?~,j,~i~j~~._l\Il~l~-K~~Px;.~,,~~~~~g~u.njS~ ... Servic'e.lncluded LEGAL DESCRIPTION 170214"31 JOB DESCRIPTION~\~~:,\ .0 ~~~v zpc AM-'\" Se-r"H< i 10 ~::t~~~'S ,I ^<<." ~" <<.<:::5 Permits are non-transferable and expire i.f;~,k:if {5> Each Manufact'd Home or ~~~~~:~:.:,~:~~~_~~~~~~.~.f~:S~U~~~;~~~ ~:~~:t,:,::i".:~e::~~~r. ~~~1f"lt:~_...._~ -W~ 2.{C:9~g;9~~.. ./ ~2.q~.,~I~~ B. ,;;,~~~!~~ -'rv.~~~f.s:GI~~~!fi,!.a '. .~r;,~~!~,9.>\f~~0~':~ ..-..---"'"'-- -~~~ --~ - -- ..-....-- --... tr- n9j .oiJ . ~- 11 " K:::fj ,~-,.~ -I- -"~ ~q; ~~_ &", 'll"> III b ., ElectricaIContracto~'V . ~y~vt::Avr,n(. 200Ampsorless ~'-c.O ",'i:-'1f,~-:;~OW._~ ...1 -'1\ '-~ ~,~....~'\;)'t- 201 Amps to 400 Amps ~'1f~>s' ~~oo,.:i7if9Jir Address ;;) 11S I .\?'1~\.~ A \J e 401 Amps to 600 AmpS<b~ ~'Q 0">'0 _"CS 'i-> 0' ~i~ " v _" ()<; ~q; ~ ,,- ,-v "&-':.,~ oi>:\' . I, ~~.' .. 601 Amps to I 000 ~iJlP~~ 1-" <::) '$' S'~;}. ~~~~ City 6 LiCj9 y, P Phone ,~ '1;)C\ lOver 1000 Amp~l~ ~ r;:,<::)" ;So ...",0 ~$WOO Reconnect Only'>'" :y<b CJ<b r;:,-: #" .. '("&' ~~O.OO ,,"'-'<' ~<; .0<:- \:s '" ~v <b-'~" c. Iffipi)fi;-r;rS"$i~~~~~{~~11,;::~t'WVr'fi;[2:fhf~ ~F o'?". ~ !0" ,& ,.,,<t- Installation, A1teratl~ lif\i'eio,,,,,'i;n <::>...... .O'..~ "'V. 200 Amps or less (j <:-.;:,~ 201 Amps to 400 Amps 401 Amps to 600 Amps 7% State Surcharge ~~ iO% Administrative Fee ~ {\l& (\ TOTAL ~ ~foa ~Q 0'3"02. Supervisor License Number ;<S?l() S \0.\.01 Expiration Date Constr. Contr. Number ~C. \~C,G Expiration Date "I - \ - n lr Signature of Supervising Electrician (/-- -/.~~- /' -<; oaame STtftle1v 1S~~'" GlfOC{ Si>P). Address lNtA-tN 'i.r Phone 7/1{.31.6.0337 City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: Inspection Request: 726-3769 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $ 50.00 $ 69.00 $100.00 Over 600 Amos or 1000 Volts see "B" above. .,;,~~":"":--.::",, :~':" '~',~';;;p;:~;n~~t;pf{::.~;~;;:'':'.-;:''~'':'ti~'i,:~,';.t-''!~l,:.'t::i:'f""'"illJ>>:t D. .Brancfu€lrcwts.., "'x:;-1'''f'\-;;'~'(':~~~~'''''1 ;tit..,....:.. :.."\~..';...' ''';_'I''!r.\l'~',""J:~'::''::. ."', ,":C,"'''''',','''''':. '~':<i:;;"'.~...'''''~c...'i;;;Q~' New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 10 $ 3.00 30 ~'. 0',." .,,":-~';OT--.~to . '~':';"C"''''''';''''''~f,''L''''~'''''''-'~': _.~" .,"~~~;;:".J !""-F~;'IT:: E. Miscellaneous(;ServiceJf~~i"'noV [nc1i1ded) :-Kacl<,~i1Slal~ati~D'j - .... .. ;_..". .o_...~... ~..'_..__~._ .....~_._. 0 o'.....~.a:.__. ."",",',.",--. Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 S 25.00 S 45.00 Minimum Electric Permit Inspection Fee is 545.00 ~ Surcharges "":~'~-"'-:-;'::"~'" . .-" . ":'-'.' 9J 7~'f 9'10 I 0 '1 '!!. 4. . ST!lBTOT.AL:OEABOVE:....; . '0'. .';h ._"..."".~..~..._._._.._ _-'_. '__.w'..' -..... ~,~,--"""'......--.;.....,~.:-,. ~hared Driyel.T:)1Building FotmSlElecmCOlI Pe:rmit Appiication j.iJ3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00790 ISSUED: 06/27/2006 APPLIED: 06/26/2006 EXPIRES: 12127/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6304 MAIN ST ASSESSOR'S PARCEL NO.: 1702343103002 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace damaged panel and add 10 circuits Residential Owner: STEPHEN BROWN Address: 6404 MAIN ST SPRINGFIELD OR 97478 Phone Number: 714-366-0337 nO! I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02/08/2007 Phone 541-343-7297 . , BUILDING INFORMA 1JqN I , . -I' INO?'" ~:~ # of Units: . PI?'\; l(iolStor\~s~O' .) , Primary Occupaucy~cuqqii:'C:. ,S~l~J. ff:. s p!J~ijfill ?t'S'tructure Secondary Occupan~y, ~5n.UI!'i\~1 Il\\\\\;\'- ,\-II rYI'~~fi'H~t: Primary Construction\"'T~Ih'\)\'-ll\;D ~ IS P.\)1\l'\\\V~ter Type: Secondary Constructi'll\i i:'~He:l'\C\;D '" \,-I()\) Range Type: # of Bedrooms: cm.J\I:'~() D1\'i pc . Energy Path: p.l'\'i \ Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 'l()l.l 'to On laW tequltes UtilitY ;-'" ",ea -\ _ ",p'oon I~" I PUBLIC IMP-R6viMENllSle~:~s~';ules ale ~~~-oo~. ,V"- . vell'v" nb OPoR bY \'lotilica\,on "I -00"1 0 'Siilewalk T~,I!!!:IUles R 952-00 . ,-o\l,es 0 .' ,,':lOne in oPo 'I u ("l\a'i obta,fOownsR9.utsmrains: on OOgo. _ 0 \\"\e centel. \NOl~ti\i\'! \'lo\illcatl ca\\,n9 101 t\"\e Ole90n_332_2344). nU("l\oel tel is "I _8CO Cen Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00790 ISSUED: 06127/2006 APPLIED: 06126/2006 EXPIRES: ]2/27/2006 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 tiWU Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $9.30 $7.44 $30.00 $63.00 6/27/06 6/27/06 6/27/06 6/27/06 Receipt Number 1200600000000000968 1200600000000000968 1200600000000000968 1200600000000000968 Total Amount Paid $109.74 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. , ~(~mljrerlln.n"l'tit\n.. .'llrill~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne 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 ofthe 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 Pa2e 2 of2 225 Fifth Street Springfield, Olocgon 97477 541-726-3;z.59 Phone Job/Journal Number COM2006-00790 COM2006-00790 COM2006,00790 COM2006-00790 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: . ~.. ~ ~.~"., . <;;a of Springfield Official Receipt .Iopment Services Department Public Works Department 1200600000000000968 Date: 06/27/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 003023 In Person Payment Total: Page 1 of 1 8:25:03AM Amount Due 63.00 30.00 7.44 9.30 $109.74 Amount Paid $109.74 $109.74 6/27/2006