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Home My WebLink AboutPermit Electrical 2006-11-30 ".' L.PG Nav\ \iPl~)OV '"['~~~0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 It FAX: (541)726-3689 ";'/' ;I~'.-"rn ~"-'c~" Ol:,::r' i;"I'P .L\ 6~I}l'l'I'41'1 Oll.! j" .JI, ~ .. t",l\,_," _'. ,,' ,L~,LI, ,I ....I '. _ 'L.... _ 1'- City Job Number rnUV& - n/S 33 Date 1/- <..:?d -- d (J7J (0 1. 10C.lnDN OF 1I\'STlU.,l',nOJ\i <-39/9 IItco/ltlJ 67' 3. CO:UPI.1\TH FEE SCHEDUl.E BIlton' LEGAL DESCRIPTION /70;3 3/ -<!Y ()/&;),~ JOB DESCRIPTION ~~ ~6YrM J~ --fuv 61ucJ- A. I\::w Hesideilliill - Single HI' '\Ill!'li-Fa.nily pd' d'i'l'el!ill~~ Hilit. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for] 80 days. Service Included 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 :',eo~::~"::::::=,OJCi~SrEf;];~ ko::::'o:;~:'d'" -I""''''''"". ;"""~':;~: R"":~' crV pQ\ (J., 11#' 201 Amps to 400 Amps $ 75.00 Address V PD~ J '1'(::) 2- ,401 Amps to 600 Amps $125.00 ~ [I 7"[ 22"JJ 601 Amps to 1000 Amps $163,00 Ci e q,. Phone ...." - l:) b Over 1000 AmpsNolts $375,00 Reconnect Only $ 50.00 Supervisor license Number lOlL, m07 S c. Tl'lllporal',\' Services ill' FC'Hlers Expiration Date /07 . Installation, Alteration or Relocation -:< <f? Lta 200 Amps or less Constr. Contr. Number V ~ -,--, 201 Amps to 400 Amps q! I Dd 401 Amps to 600 Amps Expiration Date () . ' . Over 600 Amps or 1000 Volts see "B" above. D. BnHH:h (';j'('uits $ 50.00 $ 69,00 $100.00 :;;<::~;E~ -- ownersNam~l./ ~back- Address3'l/9 ..41 fI.nJ1/1 J (s'l ci~fd-- Phon,7LJ7-6hM OWNER INSTALLATION -- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or feeder Permit $ 43.00 d $ 3.00 0~cr E. !'\'!iscdLlIicOIiS (Service/feeder nol includc'd) --Fneh fnsulbtioll Inspection Request: 726-3769 Pump or irrigation $ 50.00 Sign/Outiine lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 0? aU 3-<}5 5 .5:2.. h,qo 4. S(lfCO.'1Dl1.. OF.4BOVE ~ 8% State Surcharge 10% Administrative Fee ]04.g1 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: TOTAL Shared Drive(T:)iBuilding Fonns/Electrica1 Permit Application I-06.doc 225 Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01533 COM2006-0 I 533 CO M2006-0 I 533 COM2006-0 I 533 COM2006-01533 COM2006-01456 COM2006-01456 COM2006-0 1456 COM2006-0 1456 COM2006-0 1456 COM2006-01535 COM2006-01535 COM2006-0 1535 COM2006-0 1535 COM2006-01535 Payments: Type of Payment CreditCard cReceintl C;,L. of Springfield Official Receipt l .:lopment Services Department Public Works Department RECEIPT #: 2200600000000001647 Date: 12/0112006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C & SELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 096790 In Person Payment Total: Page 1 of 1 2:42:05PM Amount Due 63,00 6.00 3.45 5.52 6.90 63.00 36.00 4.95 7.92 9.90 63.00 9.00 3.60 5.76 7.20 $295.20 Amount Paid $295.20 $295.20 12/1/2006 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01533 ISSUED: 12/01/2006 APPLIED: 12/01/2006 EXPIRES: 06/01/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3919 ALCONA ST ASSESSOR'S PARCEL NO.: 1702314401628 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 200 Amp Panel & Circuit for Shed Owner: RITTENBACH EDITH Address: 3919 ALCONA ST SPRINGFIELD OR 97478 Phone Number: 541-747-3669 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/0112008 Phone 541-741-2236 # 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 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: Sidewalk Type: NfOJr~CE. . . Downspouts/Drams: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR .~N\i ~ ~O JAr" Fi:",uu. I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01533 ISSUED: 12/0112006 APPLIED: 12/0112006 EXPIRES: 06/01/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 12/1/06 2200600000000001647 $3.45 12/1/06 2200600000000001647 $5.52 12/1/06 2200600000000001647 $6.00 12/1/06 2200600000000001647 $63.00 12/1/06 2200600000000001647 Total Amount Paid $84.87 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. 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 Pa2e 2 of2