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Home My WebLink AboutPermit Electrical 2010-4-28 1&~~~,:-~1[i~2111F[~~~~~'cE ", " 225 FIFTH STREET. SPRE;'CFIELD,OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PER'vIlT APPLICATION City Job Number C "&Nt Zc::>t 0 .00 S '2- Z. Dale S?::::l;NC7Ic:.:!....D 1. . L~4?:}OF1N~+tIATI~f ....... LEGAL DESCRIPTION _(70'S} 52-4 JOB DESCRIPTION 3. C01v!PLETEfEE SCmD[II,EBELQW o 9 s-o 0 (Zt:?f~ iMt:"UtL I5Me- - "fI.Ee bvV\G- 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is S~spended for 180 days. $ 19.00 Each ManufacI'd Home or Modular Dwelling Service or Feeder $50,00 coNi-RAcroiFJj./s,y.AJ!i!ATfdFiONLyj B. Senicos or fbeder~:'tlii~t~i;hrion: A:lter:itionsorR:I;;~~ti;;n;i;~ :;ecmcal Contractor I(~JA~((f:';kr:/ c 200 Amps or les~"'" t / '~o" gJ , .-ATTENT1MJ0nft~tm~~;~~xt~i\~' $ 75,00 ~ddress 2J I S- /~ ~CP rbJ~IOWrUleaal~~~r~fWaresetforth $]25.00 Noti1lcationl~~R952_001. $163,00 City f:....c.~(2 Phone 9 7vo:J!lOAR952 ~~~~I~~910HherUleStlY $375.00 II 0090, You e t ~e: the telepho~e $ 50.00 calling th th Or~gon Utility NotificatiOn number for e .,......\, ~ntef1i8Jd.aEl.O~-ffl'1ifIFeedm Expiration Date 2'\"20-5 IO!'!:l.()/() , I 7 1-5 2- )...19,/ 0 '7 , InstaUarion. Alteration or Reioc:ltion Supervisor License Number ConSIT. Contr. Number . 200 Amus or less , 20] Amps to 400 Amps 401 Amps to 600 Amps Over 600 Ampsor 1000 Volts see "B" above. D. Branch..Circuits. $ 50,00 $ 69,00 $100,00 Expiration Date Signature of Supervising Electrician "\~~":~,-;:*,i~"k;~;~:r.~ '-- E. tW)T~a:ous (SerViCe/fee<l;~;~\~nTHEc~ofu{h,InstallariOn PuWil1lQ} ~!tMl;r SH~ll ~\S PERMIT !Sslieir.. . Si&l'!,gJf.(I!@glZgfiliM/'lDER BANDa NED Feao;~2ii\; ThOWNERIllNSTALbLATION I~~~ ~;:::~=f~~p, ,'::":;ft~~;~"),' . e msta aU on 1S emg mace on property l\lU _ is nOI intended for sale. lease or rem., k!L;0<:l..~ Mimmum Electric PermIt Inspection Fee is S45.00.;. Surcharges Owners Signature: ~\f -I. S[lBTOT.1L OF.-l.BOVE' ~ I 1 !1lstale S'urcnarge '7 ? Z -t4%--ft-rim-tniS-fffifr~ 'I 0 ') ^ \1. S% 7~rf rcr: 9 ?7 Inspection RCqUest~~2~~6\9~), OS"" ,1,11\ TOTAL I( - \J~ /" I Shared DriyelT::iBuiiriing fOITnSlElec::r1cal Permit .-\~~jic::l.lion i .:)6.rioc 'Cff City (M,,,,,,d6L S'1-l... s +- 5'\1- .. Phone eZI-OC..>'"f New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43. 00 $ 3,00 Address Owners Name ~,^-l 4l..fb s .o/~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00522 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 446 5TH ST ASSESSOR'S PARCEL NO.: 1703352409500 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Replace meter base - tree damage TYPE OF USE: Repair Residential Sidewalk Type: , Doc~nsp(j,jf'YI?,li'i~li~).';,1';""":',: NOT'C~: ., .. RE IFTHE WORK r~. THIS PERMIT SHAll EXPl ERIIIIIT IS NOT} AU,THOR!ZED UNDER T:~~riONED fOR f2dt~ AY PERIOD. . ,.,;"':..'. Owner: MINDER PAUL G & MARY K Address: 446 5TH ST SPRINGFIELD OR 97477 '..1":; . .1,. ,j',~ ~.l Contractor Type Electrical I CONTRACTOR INFORMATION ~ Contractor License NEW REYNOLDS ELECTRIC INC 184921 I BUILDING INFORMATION~ # of Units: # of Stories: Primary Occupancy Group: R-3 H,FNiRe.I\l1ure, Secondary Occupancy GJllIllIf!NTI0N: Oregon 18~hl~re Wity Primary Construction TiolloWruIes $Q9pted by illflir .forth Secondary CoustructiOlNtilifieatlon Center. ~~S:u UAR'lISe-001- # of Bedrooms: In OAR 952.oo1:~ ~P\ lIti\!\'hi.tJles bY 0090. You may n ot SOI"iMEI/ePftOnlting: n/a r"lII"Othll cent~fla"+in" numberfor the. II T INFORMATION ~ Center 18 Front yard Setback:' Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: iI"Street Trees Rqd: ~ Pa~edDrive Rqd: 0/0 fof Lot Coverage: .,'.... I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Speciallnstructioll: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction raee I 01'2 ",', . l~~f fie)' Phone Number: 541-221-0034 Expiration Date 01/01/2011 Phone 541-343-7297 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated '~ft ..'~ ~:..,. i.1 N:. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00522 ISSUED: 04/28/2010 APPLIED: 04/27/2010 EXPIRES: 10/28/2010 VALUE: Status Issued. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax. 541-726-37691nspection Line Total Value of Project , I Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid' Date Paid Receipt Number $9.72 $4.05 $81.00 4/28/10 4/28/10 4/28/10 2201000000000000422 2201000000000000422 2201000000000000422 Total Amount Paid $94.77 I Plim Re~iews I .I",,~ L. ,,,...., To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reauired InsDect~ Electric Service: Approval required prior to ,u1tility.'co~pa.~y en'ergizing service. ':l'~ '. il By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are iu compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. .~...~:'" .,~':~: '~.~.~'. (~'~~t .n;. ~'l ;,...I~,~ii1 i...',,~ , ;, . Owner or Contractors Signature Date "t Paee 2 of 2 225 Fifth Street Spripgfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000422 Date: 04/28/2010 2:33:55PM Job/Journal Number COM20 1 0-00522 COM20 I 0-00522 COM20 1 0-00522 Payments: Type of Payment CreditCard cReceintl Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By JEREMY REYNOLDS Received By '. ~i.~'tc$;t. :"'''', ~1:~{;, 't"r. :';-,"1 .~..;~tft t~irJ Page I of 1 C~eck Number B~tch Number djb (~,.'- L . '~"', ~hl ;,.fl;j~~" " ;~,r~, ". "~"i it:; , ,. Item Total: Authorization Number How Received Amount Due 81.00 9.72 4.05 $94.77 Amount Paid 00261 d In Person Payment Total: $94.77 $94.77 4/28/2010