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HomeMy WebLinkAboutPermit Electrical 2009-9-24 ClTY OF SPRINGFIELD, OREGON 2lS F1FI1I SlllEET . SPRlNGFlEUl, OR 97477 . PH:(54I)726--J7SJ . FAX: (541)726-.3689 ELEC11UCAL P!f.RM1T APPliCATION City lob Number C9 -- O/~::J--O ~ WN INlTIALS DATE SOURCE Date 1- ~ 2- '-(- () 'l 1. ~Lo'C!A71':;,,' ~,Ly"iA.tr:-l(rrdN:~ 3, r',." I" ,..,..,.",.",,/. ~~.,rJ.. ~u..., ,.".JJ.~a." 1_._'-:- !r>N / / 7~ P/</tC ~ LEGAL DESCRIPTION: 11 r?lJr,., 03 <6 \3A. ~~~IlJ\ii~j~l~Jiij~lWIJ~m.wW~ '.2<-1'1.,-,> b~;;tl~:1.(-e.., Service Included lOB DESCRIPTION: 1000 sq, ft. or less ' $117.00 () lt1 " f\r. A A ~ ./ Each additional 500 sq. ft. or \ X 0 f'l.UA."..O \ ~ / 1IV1J! ~ portion thereof ' $ 21.00 'Permits arltnon-tra~ferahle and ex relfwork Is ~"" tf) .hch Mannfact'd Home or , not started within 180 days of Issuance or if work ~ Modular Dwelling SerVice or Suspended for 180 days. Feeder 2. , ;QiMi~ '111l"lIlrr~~ Electrical Contractor II f~ r + f J... L.. -{,:L 'J:h G- Address /'17c AJ Z-B-rt, r-l- City ~'";":i-C"..J/ Phone 7 '-f 7- 2.2/1 Supervisor License Number S () b:2 5> Expiration Date /0/ I / 20 J 0 CoIlS1r. Coutr, Number 'I L-- '7 '7 "L Expiration Date > (1-J:i /zo 1/ Signature of Supervising Electrician . k~vr--, V"" ,;;- '- - ~~= Nam~ ill tt(Y/\.../ Address / Q~r II ~rL , City~iJ.4 __ Phone OWNER INSTALLATION The installation is being made on property I owu which , is not inle~ded for sale, leas~O: ren Owu= SJgWItw'e: . ~ " " , I.).I"~- ~(;;J' , . V Cd ~~y6';,/ Inspection Request: 726-3769 ~V ~v ~'\\ .~ . COMpIiETE.'JmiliS(J/mi)tli1it'n~ ~ ,..,..11. ,.1.titrt:rt~ ~'~---~IIl-._.Ilr.r:r.,':'""..:..U $55,00 B'~,ift~~~ A!~. "r,,,,,, ="~:uaIII , 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180,00 Over 1000 AmpsIVolts $413,00 ReconnecIOnly . J $ 55,00 '" f' -~ , . ',' /.- ~ 0'--' c. &tefI~~~~~~~~~ Installation, A1teralion or Relocation 200 Amps or less $ 55.00 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $110.00 Over 600 Amps or 1000 Volts see "B" above. D. ....~!li! ",.." New Alteration or Extension Per Panel One Circ!'it Each Additional Circuit or wiih SerVice or Feeder Permit $ 48.00 $ 4,00 E.~~~~~~ Bl;:"f)(trrlP.iEI~' Pump or inigation , $ 55.00 Sign/Outline Lighting $ 55.00 Limited EuergyiResidential $ 28,00 Limited Energy/Commercial $ 50,00 Minimum Electric Permit Inspection Fee Is S50.00 + Surcharges 4.lItlo~~~~~ -.-l>T. <":>.&3, 8% State Surcharge t:f;-r:f.? 3. , ) S- 10% Administrative Fee t '() 7, ~~ 5% Technology Fee :J. l-S 1I1~ 'r TOTAL , I{) '_--I ' : _ S!w.d Drivc(T;)lBuiJding FonnsIEJed1ica/ Penn;! AppJ;.,.,Joo 7.{J7,doc 73,7/ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01428 ISSUED: 1O/30i2009 APPLIED: 09/25/2009 EXPIRES: 04/30/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1864 11TH PL , ASSESSOR'S PARCEL NO.: 1703261403813 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace damaged meter base Owner: Address: TRAN HUYEN 890 W 18TH AVE EUGENE OR 97402 I CO~TRACTOR INFORMATION I Contractor Type Electrical Contractor ALERT ELECTRIC INC License 12772 Expiration Date OS/22/2011 Phone 541-747-2213 BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: ' \\;ater 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction TYP,e: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dis!;. )0;.,,- # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: .- Compact: Street Improvements: J;'~~~-/.,.J.ll 'I~I'J. UIt:YUIII4:l.VV 1t:4UII\10 )'VU LU' I PUBLIC IMPROV '1"Iif~;I~..o" adopted by the Oregon Utility Notification ce~J':liR~. s are setlorth In OAR 952-001-0010 throu h OAR 952-001- 0090. You may~fPtI8 ~f"~ rules by calling the center. (Note: the telephone number for the Oregon Utility Notlfioalion Center Is 1-800-332-2344). . Storm Sewer Available: NtYr!iaL-Ipstruction: lit. ;WIit.Ps~RM'T SHAll EXPIRE IF THE WORK , THOR/ZED V~nFR T/.IIS 121! - (,uIVI/VltNCED OR IS AS RMlfl9 tle" ~NY 180 DAY PERIOD. ANDONED FOR I Valuation Descriotion I Description I Type of Construction $ Per'Sq Ft or rimltiplier "':OSquare Footage or Bid Amount , ,. Value' Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMlTNO: COM2009-01428 ISSUED: 10/30/2009 APPLIED: 09/25/2009 EXPIRES: 04/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid, ' Date Paid Receipt Number $7.56 $3.15 $63.00 10/30/09 10/30/09 10/30/09 2200900000000001239 2200900000000001239 2200900000000001239 Total Amount Paid $73.71 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769, All inspections 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. , Re,\ I~ired r nsnections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed applicatioo and do h'ereby 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 tbe 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. Ifurther 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 dU1Jing c struction. ~/l---'-- /?J~3(F- 0/ ow~or Co ractor~'Signatu!e_/ Date Paee 2 of2 225 Fifth Street Springfield, Oregon 9747?, 541-726-3759 Phone Job/Journal Number COM2009-0 1428 COM2009-01428 COM2009-0 1428 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge Paid By GREG/ALERT ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001239 Date: 10/30/2009 Item Total: Check ~umber Authorization Received By Batch Number Number How Received njm 030989 In Person Payment Total: Page 1 of I 2:10:25PM Amount Due 63,00 3,15 7.56 $73,71 Amount Paid $73,71 $73.71 10/30/2009