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Home My WebLink AboutPermit Electrical 2006-5-26 [I ~ S~DeO .-'~^\~~~ ~r{l\ u~~,~v \ COMPLETE FEE SCHEDULE BEI,OW ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PkFMIT A/{J?LICATION City Job Number ~..Q . U1:J \ Date 1. LOCATION OF INSTALLATION ~~~~ ~C0 \E~O~1L5~~ \s?fJ) ~B DES<;RIPTION . ~rol~ l j4 \ r1Jl1'~ 3, A. New Residential- Single or Multi-Family per dwelling unit. Service Included Permits are non-tran fe Ie and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2, CQNTR.4.CTOR INSTALLATION ONLY Electrical Contractor fY)1t\ \3 ~ \~t-\~ -J.V\C..; .Q Address 95'7 (\Ot'"\-~ ,,'-.6'1 ~ ,t+u<2...; City ?~ Phone ~ '~~ol ';, 7" ~ "--' 7Lfl' 7a~ '7 Supervisor License Number Lf-g '7 t .s /0107 ./ Constr. Contr. Number et:# Expiration Date Expiration Date Inspection Request: 726-3769 G<(p.\~tD 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 8, Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only C. Temporary Services or Feeders TOTAL l J6~ $ 63.00 $ 75,00 $125.00 $163.00 $375,00 $ 50.00 $ 50,00 $ 69.00 $100.00 $ 43.00 l o ~(J) Installation, Alteration or Relocation 200 Amps or less Jw.. \ 4.1 '. 201 Amps to 400 Amps .. ,vJ ~ '. . c TH "'.. 401 Amps to 600 Amps /J-ICf-ob "IS PERMit" '':'1, " " . Au i '..I(T j_ vn,.\LLO;Ye.r,6,OOAmps or 1000 Volts see B above. Signature~fSU ervising Electrician COi\!il.'~iC~\j:~~DUND~ T~~~'nl~_~.r!c--\flfSWO;JI" n1 LJ,'.JC!J o.~ .1/0 /-c('/i//, ,... - 1.\ , AN\I 151; .' _. '" ~ IS ~j>'Yi~lteraEi~hJo~.::E~tsl}sion Per Panel - "J, I ( d:RIOfX;ne 'C~PJNLO FOR - / ' "l . Each Additional Circuit or with ~ N\:l t-,()...1 "\ Service or Feeder Permit Owners Name ~'\JJlJLIl..l-/ Ad ess \~ Phone \ \ X ~ - E. Mh,d)a,eou' (S"v1<,/f<<d" ant in<lud,d) -Ea,h ,,,t.llati.,, Ci \A).Ul.J \\ lli Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER IN's1pAL'iJACf:t~N)regon faw reC1lJir2s \lOl'~O Limited Energy/Residential $ 25.00 fellow rul8s 2r-:Ci):c--'-) '')\I "f-, .~.. . '" L' 't dE IC . 1 $ 45 00 The insta~tion i&,b~'I].,gA1a(k '6rt'Jp~~dpertY t c\w&wRich-' .!, 'f Iml energy ommercla . . 'd(h(':c,t...-,C111 ).,:=lm::>{ j'lCl"'" rl""S ~.-, roc - , IS not lilten ea,:Or :~'I-_~, ea~e tf '~ent: ",,, .," '...c ".JMinimum Electric Permit Inspection Fee is $45.00 + Surcharges In Un. , ",.:;2-CO: -00 10 'lhroUri'l "".:' r .." v,_. .." Owners sPJbc:~iW~I:'CL;!.j~a~' O~Jla.in~OPi;~ o~'t~~ '~'c::-~'~ ~~ SUBTOTA.L OF ABOVE ~lu.v-' c"I,% l~l" ce;T;2r. U\OlS: [;18 '~:?rC;::;;;C('3 ~ nUfiJ;J3r wr ,the. Oreoon ! ;';'ili:~1 :\f,':,jI::C;:;C:l 8% State Surcharge · CerE8r IS 1-800-332-2(44). 10% Administrative Fee l a ~ -rl. '6 <t, $ 3.00 Shared Drive(T:)/Building Fanus/Electrical Permit Application 1-06,doc ~ Statu's Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00631 ISSUED: 03/26/2006 APPLIED: OS/25/2006 EXPIRES: 09/26/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1384 MODOC ST ASSESSOR'S PARCEL NO,: 1703253315300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Electrical Service Upgrade and add One Circuit Residential Owner: MILLER MARY ANN V Address: 1384 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MNB ELECTRIC INC License 162191 Expiration Date 11/19/2006 Phone 541-726-8601 BUILDING INFORMATION I # of Units: Primary Occupancy 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: NOTiCE: Total: Side 1 Setback: # Street Trees Rqd: TH .ItllQdlc.alW~d' Side 2 Setback: Paved Drive Rqd: IS PERMIT SHALL Wn\~1- W I HE WORK Rearyard Setback: . % of Lot Coverage: AUTHORIZED UNDER THIS PERMIT IS NOT Solar Setbacks: ATTENTION: Oregon law requires you to COMMENCED OR IS ABANDONED FOR follow nJIp.~ ::!rlnntprl h~1 thp nro~"\n Iltili'f~' ^ t\IV 1 ~') f),^.': rCnlOO. Notification Center, Thosqlp;mBu@IMPR(i)MEMENTS I in OAR 952-001-001 0 throu~r I U{-\M ::J::>~-uu 1- . Street Improvem6~l.so' "0 bt . , f h SIdewalk Type: . ~ . II U may 0 aln copies 0 t e rules by Storm Sewer Avaihmle:ng the center. (Note: the telephone Special Instructiomumber for the Oregon Utility Notification Center is 1-800-332-2344). Downspo u tsfD rains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2006-00631 ISSUED: 03/26/2006 APPLIED: OS/25/2006 EXPIRES: 09/26/2006 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 + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.60 $5.28 $3.00 $63,00 5/25/06 5/25/06 5/25106 5/25/06 1200600000000000710 1200600000000000710 1200600000000000710 1200600000000000710 Total Amount Paid $77,88 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. I.-Reouired Insoections I 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 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 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 Paee 2 of 2 2i5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cjtv of Springfield Official Receipt ~lopment Services Department Public Works Department Job/Journal Number COM2006-00631 COM2006-00631 COM2006-00631 COM2006-00631 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200600000000000710 Date: OS/25/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By MNB ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 219767 219767 Phone Payment Total: Page 1 of I 8:42:22AM Amount Due 63,00 3.00 5.28 6.60 $77 .88 Amount Paid $77.88 $77 .88 5/25/2006