The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-1-11 225 Fiftb Streett Springfield, OR 97477. PH(541)726-3753 tFAX(541)726_3689 ~~n~ARfMEm~~~?~~ ;~.[,;Lc~~ }'~',,;-:)c:"':-:~o~L:~:st:{~1:,~~~j pennilnoe\tJ ~qo \ -- \ \- \D I Date: Electrical Permit Application D This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Ir~.~:G:~.4i~Gc;)"V.~BI\(MI:Nfj7'kieIi!J;l.~>U~~~ I Zoning approval verified? u.O Yes 0 No ImIF'A~~14!!iE;G@Roc..~l:l~Q,(;1tiism~ID~ijlQ:~"~~ I Residential, per unit, service included: I ~~~~S:~,j g~=:~O(:h'''''" ;'::: I ~~~~~$~QR~~~~~ll !~~:::::~:::::'~:~;:~:~o:d::ration, relo:a::~OO $ [ - .r~ b'\1.\.gQC) I I 200 amps orless (2) ~ $ 81.00 $f3\.CfV ~'IRR0FifER~4\;0)NNER';!'l':"'e]fii\~iF!f;I"~;j!,?:lf~Yij I 201 to 400 amps (2) $ 95.00 $ I I Name: \f>p~L '".-. . "~>,,-~~~X-0\'--'--"11401 to 600 amps (2) $158.00 $ 1 I Address: \0\0 ~~ \. _ I 601 to 1,000 amps (2) $205,00 $ I I City:~~ ~ d.-. \.XJ I ~n~ I ZIP: Gft\~ I lOver 1,000 amps or volts (2) $469.00 $ I Phone: .,,, ') I Fax: - I I Reconnect only (2) $ 63.00 $ I E-lp.ail: I I Temporary services or feeders: installation!,alteration, relocation I This installatiou is being made on residential or farm property .1 200 amps or less (2) /' $ 63.00 $ I owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479,560(1). I 401 to 600 amps (2) $126.00 $ , I Signature:' lOver 600 amps or 1,000 volts, see services or feeders section above [ F:::~~~NJl1~~~~~~s:j::~~=~A~)*l1fJ;J I :,r;::~o:i:::~~ :i::~i::t:~~::r::::s~~n:,:~::e~r feeder fee I I Address: J30'J. I+- I Each branch circuit I ' $ 6.00 I $' I I City: ff// CIZ'f.~ k.. I State: bIZ.. I ZIP: 91 Y gl3 I b. Fee for branch circuits without purchase afa service or feeder fee: I I Phone: ~<lI-"1'Zt.-'7R'15"1 Fax:5''/-I~"7<1r--1?:~-z.- I First branch circuit (2) $ 55.00 $ I I E-mail: b-i.-t.k1/Wf5 2'- ~ .IIf:;,u ./'dW\ I Each additional branch circuit $ 6,00 $ I I CCB license no.: II j,Z?/ ~ 1 BCD license no.: Zo- nl..c.. I Miscellaneous fees: service or feeder nof included I I Signing supervisor's license no,: :J sS 1- $ I I Each pump or irrigation circle (2) $ 63,00 $ I Print name of signing supervisor: L.., IV tV p"~' I I Each sign or outline lighting (2) $ 63,00 $ I Signature of signing supervisor: ,:/ J) "I.. .. I I Signal circuit or a limited-energy panel, $ 63.00 $ I 7Ift~. - alteration, or extension (2) ;l 0,1, Each addi:ion.al_i".SP~C~~:.(l)_~,_",L__~,1~"",~1 $1\.00 . ~H~~liE~:MIT SHAll ~~I;~";~';; WORK OO:i,~~ !!r_i!~ :~:~: AUTHORIZED UNDER THIS PERMIT IS NOT nUmberC~~~"",b\tIlltItclllll.It\"'J"".'"rOUgh C): $OA; :-,,11 COMMENCED OR IS ABANDONED FOR .' aJ-332-at4,. , -, ." ~ I I ~_~X41Ago9MJ;'ERIOD. Status Issued CITY OF SPRINGFIELD .Building/Combination Permit PERMIT NO: COM2010-00036 ISSUED: 01/11/2010 APPLIED: 01/11/2010 EXPIRES: 07/11/2010 VALUE:, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1010 DONDEA ST ASSESSOR'S PARCEL NO.: 1802061307600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Electrical Service Replacement Owner: STRASSBURG LEETHA J Address: 38120 HWY 30 ASTORIA OR 97103 I C?NTRACTOR INFORMATION' Contractor Type Electrical Contractor L YNNS ELECTRIC License 102316 B.UIL~ING INFORMATION I Expiration Date 10/14/2011 Phone 541- 726-7895 # of Units: Primary Occnpancy Group: Secondary Occupancy 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 I st Floor: Sq Ft 2nd.Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS.' Street Improvements: , Storm Sewer Available: Special Instruction: ,'.:.;\',:. " "'l' '., I', Sidewalk Type: Downspouts/Drains: :.~: I Notes: I V aluation Descri~tion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid $9.72 $4,05 $81.00 Total Amount Paid $94,77 .,:;;,' TotarViilue of Project Fees Paid I Date Paid Plan Reviews I \Ill/I 0 I/ll/IO \111/1 0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00036 ISSUED: 01/11/2010 APPLIED: 01/11/2010 EXPIRES:' 07/11/2010 VALUE: Receipt Number 2201000000000000019 2201000000000000019 2201000000000000019 ~ 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.wiII be made the following work day, I R~'l",~.i,,~ed In.sne,c,!ions I Electric Service: Approval required prior to uOlity company energizing service, 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 of the State of Oregon pertaining to the work described herein,.and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that ouly 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 . '~.. 1.>.1 . Page 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone *~; Job/Journal Number COM20 I 0-00036 COM20 I 0-00036 COM20 I 0-00036 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 2201000000000000019 Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee . , ., ::';1 City of Springfield Official Receipt Development Services Department Public Works Department , Date: 01/11/2010 9:57:40AM " Item Total: Amount Due 81.00 9.72 4.05 $94.77 Paid By L YNNS ELECTRIC l.:heck Number: Authorization Received By Batch Nuinb"er Number How Received Amount Paid LLH Page 1 of I 14077p Phone Payment Total: $94.77 $94.77 1/11/2010 01/11/10 MON 11:14 FAX 5417263689 CITY OF SPRINGFIELD ~001 s******************** *** TX REPORT *** s*s****************** TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST, TIME USAGE T PGS, SENT RESULT 1726 95417467252 01/11 11:12 01'46 2 OK Electrical Permit Application C~ 22S Nt. Stree" Springfield, OR 97477 .PH(S41)716-3753. FAX(S<1)716-J689 .~!~~EP:iR;f.MENffu~;f,"~~ $P1UNC"1I!l..J:l ~ ~;.;:.~ i~; ::'}:"''''_'''O;;;.;.-~~_~~~j!~~ ~~ permitno.{'~tJ~UQ I Date: \ -t \ \~ \D This permit is issued under OAR 913-309-0000. Permits are nontransferable. Permits expire if work is riot started within 180 days of is~uance or if work is suspended for 180 days. i ! ~""-~~lIfei,~,.j~GR'~~"""oa;Cl!,1"""".e~8i"""~~~"""....,j ~'(i!~&tt~:l:..~__,._,_,_~_~~."."~jFflX!"m:~.",~,,.:t;I~ i;-Pi;~.~~,.~~ . ~~~~~:=~m~~6~::~~4 I Residential, per unit, service inclnded: ~i!:.7tf;Bg~~.J[I]1~~~M;G!~~~M~~ Il,000sq,ft.orless(4) 5134,gO 5 I. \0' '\') .'- i' I Each additional SOO sq, It Or p<lItion . '5."" . Job site ..lIddress: . \ thereof..... . ~.::,.~~::/I===,.r' ! : ::;: : fJo lC\ ').\( e> ~ ~~~ : I I Servi.... or fecders: installalion. alteratiO~!\reIOCatiO" ~I :::::~:~~ :::; , I ::::-t'~~~~ 0\,\ .: ::::: ~~:0=p~2~2) ::::::: : 'Cjty:~~"'- I State()9- I ZlP: C{'1\~ I Over 1,000 amps or volt:l (2) 5469,00 5 I Phone: I Fax: I Reconnect only (2) $ 83.00 $ I E-mail: I Temporary ,.rviees or feeders: iflJ'tal/aIiQn. aiteratio", relocation Ibis installation is being made on residential or farm property I 200 amps or less (2) 5 63,00 $ owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600 amps (2) I $126.00 $ Signature: Over 600 ""'ps or 1,000 volts, soe services ~r fceders section above ~~~g;i:!!I~~1E!fiaiij!;!'!c~Ii~ji.si;"~J!i~~ Branch circuits: new, alteration. e:xtensiorl,per panel Business name: ~' S fJ&...;r p~t.- I. ~ F~c for branch circuits'with purchase of~ s'ervice or feeder fee: Address: !3D"f. A- I , Each branch circuit 'i , $ 6.00 I $ City: nt-// C/l't~L I State: CJQ.. I ZIP: 97 Y g8 I b, Fedor brancb circuits without purchosciofa service or feeder fee: 'Phone: ~y'{_1zt.-'7B9S'IFax:S"'11-7</,--,.i~--z...... I First branch circuit (2) 1$55.00 $ I E-mail: b~f..!dlwf5 21:. (2 ArsIJ . l"1'Wl I Each additional branchcirouit I $ 6.00 S 1.........._.. _ ,___.. J T"Oo...........- I "".......11............. of...... ...._....... ..... ('n,.~..... ......" i~..I....I..,./