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Home My WebLink AboutPermit Electrical 2005-9-1 Xol-/2 <?/.;;/gCJVS S?RIN~~~~ . ~ ,i . ~ ,~.-:}""-'<!'~~~"",'" "\~rJ ~~~~~:J"~C, h ~'"".f;'~';1 ~",.':.;....&... ~JfI .;:j 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C,.OM..\ z.co~- - 0 l ( '7 Date 1000 sq. ft. or less A ' {Each additional 500 sq. ft. or (..A.....7'.Ad<$ortion thereof $ 19.00 . . OO~ Each Manufact'ltlf~e~ON: Oregon law requires y ., Modular DWe]~\fo~rrmeWadoPted by the qr'i~~'bn Utll~~th Feeder 'f' t' Center .IIU:>v ,'..;Ies aVe set.ic II.ll"\tl Ica Ion. nC:fl 00.1 "~,,'=, r.:-, '?,""'*~,' ,,,,:,~,,,,,..., 'IS,',}""', ;I'iI,"~'>n.,"i'!Rll, ,',',ritrrO' tbfOOO, tt-eA. ,R-,""""6-~'"", .:.], ". B. \S~ryi~es':Q~er~~,Wfi~P.;rl1itlOn?..:o\lt~[.afi~QSJif1Hql9~~~':' ',~ ~'-"'''''OOOO-Ytitfma'f'et>tall-lCUf.ue:~..vl,.,~~ . ,'. " '. . (Mnte' the telephoge? 200 Amps or lescalling the center. '(- U'~.o3'P'Jhtifi"~~~ 201 Amps to 40o.lArmp@r for the. urt::~:1 ~!13\71~.p4)" 401 Amps to 600 Amps Center IS I-OUO..., $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 1. "'lCre6tf()J~~7iFiNi;TJ[i.e~'Ti9'#JFl~TYS:i . b-~D~ Ir'SP~::V'~"-- sf'~ LEGAL DESCRIPTION 170-"33Yz-3 JOB DESCRIPTION 200 1'riA^/ OO~O( SGlLVL u:= Permits are non-transferable and expire if work Is not started within 180 days of issuance or if work is Suspended for 180 days. ,,~~,,:,"<...'~t"O:~~r:.':fl'. :r"~'~~:-F-~-~:-"">lc/, 'f""'~:'?..':r7:t'i~~"-".::~;,'~~'Y';';,1<,t;(<.,., .~- ':' ";'CONTRACTORlNST11.LEATlON:ONLY.;A 2. :.:;.::. ,;Ji,",~~j=" -,-' .; .";~':,:.~3..~::...; ..l.':';' ;;~"..:_~~,,:~l:..:i.t.~:...:.v7~t.;;.~.;,.:;;:.s~~~~ II . c. h Electrical Contractor k,(:'d r'"\C' \ (\ =;, r:::\ fro (1(' I - Address ~;2 \ -)'=; L '(.\ ~ ~ f\<"\ t\ \/ {, City 1':""""-- r'l, I,Ci C: )....... k: J Phone -;j+?).)~Cl-) Supervisor License Number ';J ~.~ C 'j Expiration Date \ D / (") \ / ;)C:O J . , Constr. Contr. Number \ 'l ~:::; ';::;{ Expiration Date C' ~I c, '3 J;y. t:C) "\ I I Signature of Supervising Electrician /~ Owne(;;Name ~ t.A-tJ J-J9:r LA.,\. {L 1 Address (; ~ c>h~ c:1V ~ t- City ~ ~ ,= ~ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 9ft;0 r I 3. :~S2~F~t~Ei~1SSl!ji)uEi{!!~.?f!ff.;IjtJ~1fi~'~IiT;;~~J :~~~,:-r- ~'''''\'';-';~;7 ~~."i~~~~ ;':!~~~u.'-~""..y~~~~r'!""::., '7"'1'f~'~~ 'Y{'7 -:"'7~:'~:T,.-:~-..~ ~'~'''<:.. '_:: 1 A.;~ tm:" Resid~~~i~r;;.~_!~gl:e..Q:rJ\1 ultf:-Fa~ilY;i>ei:dw~l~ng ~iJl'.it;' ',:: " ...r.......................,;.,>- ..-.........!OO.;~. .......-._~_~.... "~,,,,,,,~~,,,,,,>;:,,;-,,,,,'''c~'._~'-~-..:;;;...........;........~.:1..__,,,-,",''--''-.l_~J~c.J Service Included $106.00 ~~'3F:~1't'fr':~m:::':':'::,!nn~~~t'/ C. 'Tempor:iry$eryices:' ,J:..~~.~......'=:l.W~"""-~~.l':"""'" . ,,\1, r\ \' Installation, Alteration or Relocation, \/ ',-.' r.' \, ~.\~~\... "... \,\.\ 200 Amps or less ~ ,\~ \, ~ \ , . $ 50.00 ~', \.... \ . \ ....-, 201 Amps to 400 Amps 0" ,':",: _:",\\ ~/\,;\;$ 69.00 \ -.. ~) ,." , 401 Amps to 600 AIT1P~/'_:y\~,;l \ ,,\,,;)' $100.00 ".' ..' ,-)'-' Over 600 Amps,or 1000Volts ~ee "B" above. D'T~;~~m~~1~T;$~~~~f::~:[3]::.~I;~-=Zr=~:::~:=~~J New Alteration or Extension Per Panel . \ I ." \ One 'Circuit 'o)' $ 43.00 Each Additi~nal'Circuit or with Service '~~ Feeder Pennit $ 3.00 ',' ,- -. ~.,:_~,,-~:::~.:--.~~-:......,.~~~:. \-,1"~,?":?:i~J.:::~'t~!'r::.~:.',:""(~,.'~."""~":"" . r:"~.- _0"'"' ,-:::~~.;:,. 'i1<:_....r ~"!:,,,:;y-t'"~-:''' -:v .'" .:"-~'_....'! E. . MisceInuleous (SerVice/feeder not-included) -Each' Installation, : ,t.,......i..,,.,.,"..{",.~n')b'..:...;k;";, .,~~'''',,"',..:~ .";",.':..,j;:,:{~,.l::'::.:~,:.~~',_;" ;\ ~.1~'.~;.... ,~_. ....',1: ,- ,,_ ~i;.~,,",_';-~ '..:. ...... '._ ..~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges . :: '. -';.,.....1'....' ....,~~.:;..'k"'-:<;... ;--...~.' . .,' 4. ~SlJBTOTALOP.A:BOVE:' '.... ,;" ~.- ;.:;". ;~. .~ ~...lo _,-"':' :^.\..N':",)' .... _'" 4..~.~~~.._: ._...:....__ .....:..~~~...:.-..~ b3 L{tt/ 67D 73~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc ~ .!?~_~,J.~~J';I~Ll'!?~ } {1f r [l.. CITYOFSPRING111ELD .. Building/Combination Permit PERMIT NO: COM2005-01197 ISSUED: 09/02/2005 APPLIED: 09/0112005 EXPIRES: 03/02/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, <;>R 541-726-3753 Phone 541-726-3676 Fax , ; 541-726-3769 Inspection Line : SITE ADDRESS: 660 ASPEN ST . ASSESSOR'S PARCEL NO.: 1703342300301 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service upgrade Owner: SUSAN FAIRBANKS Address: 660 ASPEN ST SPRINGFIELD OR 97477 ... I CONTRACTOR INFORMATION I Contractor Tvpe Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02/08/2007 Phone 541-343-7297 VN I BUILDING INFORMA TIONI l\HVHC\t:. XPIRE IE 1HE WORK # ofS!or!~s:PtRMI1 SHALL t ~ot,~ifS:N01 Height~f~ 0 IINOtR 1HIS PtS})^FUstFloor: .' ....u[\RIZt u OO~It:n \-:IIR Type oflHeat: 'to OR IS ABAN Sq'Ft 2nd Floor: WaterlTYP"C':'tNC RIOO. Sq Ft Basement: Range j{~p'e:. BO OJ\'{ Pt Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled n/a Occupant Load: , # of Units: "" Primary Occupancy Group: ~ Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: ,; Front yard Setback: Overlay Dist: , Side 1 Setback: # Street Trees Side 2 Setback: ENTION: Oregon law retJtaV'e\1i.l19t'~r~qd: Rearyard Setback: ATT , dopted by the ~6m;J<mU!ja~rage: Solar Setbacks: fo'.'?W ~u esCa t r Those rules are set forth "ll"\tlflr.::ltlon en e . I 'Jf T' 'jl:I'Lnn1. . OAR 952-001-0U1U l ".lll.\\' . --"" . ". In ,IW~JtlVIENTS ,; 0090 You may obtain I' Street II' g the center. (Note: the te ~~ o~ ca In n Utility Notification Storm Sewer Availablf'umber for the, Drego -332-2344). Special Instruction: Center IS 1-800 Sidewalk Type: Downspouts/Drains Notes: I Valuation Description' Description Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 -1IIr~r~(~gfPl~~! '~""".'~ , " "l , ~i '. "0, ,_.., '.'_.'. '". "_.,' ". .... '3'. '-.. ,- '~~:T , ~ '"'i7'Y",~';;"""'~~,;;r-..r.!t.'.~~~..!.~~ .~"-,, '!": Status: Issued ~~. , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01197 ISSUED: 09/02/2005 APPLIED: 09/0112005 EXPIRES: 03/02/2006 VALUE: Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 9/2/05 9/2/05 9/2/05 Receipt Number 1200500000000001289 1200500000000001289 1200500000000001289 Total Amount $73.71 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. Electric Service: Approval required prior to utility 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 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 wiD 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date \ , , 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726:;.3759 Phone I'"'ity of Springfield Official Receipt ~velopment Services Department Public Works Department . '\ \.. 'Job/Journal Number COM2005-01197 COM2005-01197 COM2005-01197 Payments: Type of Payment CreditCard , I. o.! ~~ \ :( , \ "'" ~. '1' A :t t ,r .~ t, " " 9/2/2005 RECEIPT #: 1200500000000001289 Date: 09/02/2005 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 052098 In Person Payment Total: 1 of I 7:47:25AM Amount Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73.71