HomeMy WebLinkAboutPermit Electrical 2006-6-26
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225 ~JFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA:X: (541)726-3689 ~~
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Servic'e.lncluded
LEGAL DESCRIPTION
170214"31
JOB DESCRIPTION~\~~:,\
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Permits are non-transferable and expire i.f;~,k:if {5> Each Manufact'd Home or
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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~
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. 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
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Installation, A1teratl~ lif\i'eio,,,,,'i;n
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200 Amps or less (j <:-.;:,~
201 Amps to 400 Amps
401 Amps to 600 Amps
7% State Surcharge
~~ iO% Administrative Fee
~ {\l& (\ TOTAL
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Supervisor License Number ;<S?l() S
\0.\.01
Expiration Date
Constr. Contr. Number
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Expiration Date "I - \ - n lr
Signature of Supervising Electrician
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Address
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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.
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
10
$ 3.00
30
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E. Miscellaneous(;ServiceJf~~i"'noV [nc1i1ded) :-Kacl<,~i1Slal~ati~D'j
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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
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~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