HomeMy WebLinkAboutPermit Electrical 2007-9-13
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22~ FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(5-'l)726-37S3 . FAX: (SCl)726-3689
ELECTRICAL PER1lf{T,APpf.l.fAmON
City Job Number ~ 1 1..-- ~ ~ t ) \ Date q -- \ -'S -<:;)-,
Expiration Date J tJ / 0 I / D ...,
, I
Consn-o Contr. Number 10"Z- 31 ~
w.jJi/ Of
Signature of Supervising Electrician
:1: {~~ -
Address ~ s. t?1f)~vQ
... " .-
City Phone Pump or irrigation S 50.00
NOTIC Sign/Outline Liahting $ SO.OO
TtAUif~B it1NfeftJT fft~~ f'm . allow ru ~ on Utility $ 4S.OO
iS~Z~~~~~I~OD~~A~ONED FOR In og~~~. ,.?_.=.~~~S4S.oe +.S. .;;~)
OWriers'St'~;. 0090. 4(0,' .~,
calling the cen e.. ,;. ~
number ~t$t8t~blrSdtility Notification 15..
e~Akirdr&~t&:344). ~ '.
_.R( a.-tO
LEGAL DESCWT~ A
t1D1- 0.,:/\
J~;z~cr
Permits are non-trlasterable aDd ex rt if work Is
not started within ISO days of llOuance or if work iii
Su.pended for 180 day..
.";~";~.~rt4._l_1;r.
Electrical Contractor L~ 5 15. Item I~I-
,
Address ~ A-
City .fdll ~ Phone 7Z/'-1$f')
1.
Supervisor License Number 1- -3S 1- :5
Expiration Datt
lDlIpecttOllA Request: 126-3769
\1l.o':- Jef\S
A.~;
Servke Included
t 000 sq. ft. or less
Each additional SOO sq. ft. or
portion thereof
Each Manufacf d Home or
Modular Dwelling Service or
F ceder
Bf'.l71~,,;"
. ;;~!~:t
$106.00
$19.00
sso.oo
"
dJ
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 J Amps to J 000 Amps
Over 1000 AmpstV oJts
Reconnect Only
~
S 75.00
$125.00
S 16300
$375,00
5 50.00
CW"'.I~,.,l'i..~.J""I''':''''';(IfI''''''!a:lli'1 .'''.JII....'~., ,.J:;.';.,,' '.. ,.;.-; ,)
.. I'......." "!""i#j' 1"1'.. """'"il!]'''''''''''''''
. . . ' I It'''-. 'J j..'''''''\"~' 'tr'l'l" ~~,t"L';i'''I;o~-:"''f ,,"p
: " ." ....'.er '"~.''' :. I; .,,11",.. ';,.__." :.1'. r!;';:;,'~.:;. ;p:--.:.;",:.?:;.,:. ~{.~ ;,.,::j:.j:;..~,.,.f9.<:\:::' ~,~;~
lustanatlon. Alteration or Relocation
200 Amps or les8
201 Amps to 400 Amps
40 I Amps to 600 Amps
s SO.OO
$ 69.00
5100.00
Over 600 Amps or 1000 Volts see US" above.
D. ._~I~ilij!~I';ii!,Hi~Cii~i:1~tI~W:iJ .
');tj.i:~..
:~~. ,
New Alteration or Exten.lon Per Panel
One Circuit
~h Additional Circuit or with
Service or Feeder Permit
S 43.00
S 3.00
E.;:~;:
.,l~, .' '.1~" IldJ >.<.
TOTAL
ShIted Drive(T:)I8uildina FOI'Il1flIEleC1Jiull'emm ApphUlioll J -vilaIX
\\
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01401
ISSUED: 09/14/2007
APPLIED: 09/13/2007
EXPIRES: 03/14/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 445 S 52ND PL
ASSESSOR'S PARCEL NO.: 1702333404602
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Electrical Service Change
Owner: ROS MICHELLE M
Address: 445 S 52ND PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
BUILDING INFORMATION I
Expiration Date
10/14/2007
Phone
541-726-7895
# 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
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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspou tsIDrains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
r--
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01401
ISSUED: 09/14/2007
APPLIED: 09/13/2007
EXPIRES: 03/14/2008
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
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$7.00
$3.50
$5.60
$70.00
9/13/07
9/13/07
9/13/07
9/13/07
Receipt Number
2200700000000001441
2200700000000001441
2200700000000001441
2200700000000001441
Total Amount Paid
$86.10
I Plan Reviews I
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 Reouired Insoections I
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 Ordinauces 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 of2
225 Fifth 'Str~et
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0l401
COM2007-01401
COM2007-0 140 1
COM2007-01401
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001441
Date: 09/13/2007
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
L YNNS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ilh 667345 Phone
Payment Total:
Page 1 of 1
8:27:31AM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
9/13/2007