HomeMy WebLinkAboutPermit Electrical 2007-9-14
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225 FIFTH,STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
. :-le!t:~=:~~Jr;if~~s B.200AmP,Ode"
P III f... C1 7 .' 20 I AIDps to 400 Amps
Address '.. _ . 0 ' ',J[) 'i- LV J . 401 Amps to 600 Amps
\. ' () :1 tJ'-7 -'1 -7 'if I 601 Amps to 1000 Amps
City\~~{) (-J, '\" Phone ~ ';.1' r1 Over 1000 Amps/Volts
,. Reconnect Only
ovrwcmje~;Ml~v
"SfrlLn - I;A-.,~
Address ,"2 'Z-Zs- &- '<,; t-
. City S'P": 1) Phone/l/l/-:- (:rO ') , Pump or irrigation $ 50,00
, , 'I I you to Sign/Outline Lighting' .' $ 50,00 -
. OWNERI~~~~Jt~~n b~~h~~~~~n Utility LmIItfJiTllfJ.yIR"ideotial .. _.- -. iNn 1'1<
!hein,stajij~~iciNlmfu1@~M.oI~tWltli>~$~19rt~ . . LinTi~!PERm: W:b~,[}~~l ~~I ~~~ I LTt 1S4~'d~-
" 00' mt~o~~lb~~~~~~~~~~~ ~ft~.~~:~ Mh'~~~~~fu~\f~~Q~tB'ct. ~9~ i ,j:~~;"rcha,ge'
Owners Siwatting th.e center. (Note: the telephone 4'L~,~.$6~: ,1~~.p,F:(!~Ql~' .~;;,t~.,,,.;;;,;,i'::i,;;;':;{ ~O
. number for the Oregon Utility Notification "8,~~~~,s~~~~~lU:fH\JD"N"H"'''''' v;, S-b..">
.- :er,ler 'Il:; l-a6C-SG2-2044~. 1001/ Ad " ~ . F 7
v II I, 10 mmlstratlve ee .
5% Technology Fee 'J ro;:)
86fE-
ELECTRICAL PERMIT APPLICATION
City Job Number rOuV\'Z.oo7-0 )"Z'Z-~
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1. 1;:LOCATIONOF;JNSrALJATION:
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LEGAL DESCRIPTlq.N:,
)7D33 b(Z-
JOB DESCRIPTION:
581tv( <-e.
OfAtv ft.'" . .
Supervisor License Number Y 7 .~ J 6
. 10 lOI
'?JV 'Lf ~ 0
10/D'7
Expiration Date
Constr. Contr. Number
Expiration Date
Owners Name
c;
Inspection Request: 726-3769
Date
A. .,.[tRtJ~~'~~~i1s~fi~'lj;"~rflli\;;:~~&:'NI,'~X~;f~5i!l?l;~~~W1Y~!!lIi~:~:@r~1!(
. '
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or .
portion thereof
$106,00
$ 19.00
$50.00
( 70
$-6TI)0
$ 75,00
$125.06
$163,00
$375.00
$ 50,00
?D
c.
Installation, Alteration or Relocation
200 Amps oi-less
201 Amps to 400 Ainps
. 401 Amps to 600 Amps.
$ 50,00
$ 69,00
$100,00
Over 6?O~IIlPs",or 1000 Volts see "B" above,
D. t::B(~;l'~h:'c;iii~ilhs
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
E.
TOTAL
Shared Drive(T:)/Building Fonns/ElectI;cal Pennit Application 8-06,doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01228
ISSUED: 08/20/2007
APPLIED: 08/20/2007
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: 2225 G ST
ASSESSOR'S PARCEL NO.: 1703361209500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Rewire/add 5 circuits
Owner: JARED TAYLOR
Address: 2225 G ST
SPRINGFIELD OR 97478
Phone Number: 541-744-1307
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# 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:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements: Sidewalk Type:
Storm Sewe~nffM11Q;N: Oregon law requires you, t,o Downspoutsillrains:
Special InstWJ~J';lIles adopted by the Oregon Utility NOTICE".
Notification Center. Those rules are set forth
Notes: In OAR 952-001-001 ~ thro~gh OAR 952-001- THIS PERMIT SHAll EXPIRE IF THE WORK
OO~~i:!;~t:~~~~~~a'~~~E.'~:~~\~~;~~:^bY ~~!.~ORIZED UNDER THIS PERMIT r~ NOT
number for the Oregon Utility t1flcatloll ~v..l, I:NCED OR IS ABANDONED FOR
Center is 1-800-332-23 aluatlOn Descri t"'c) 0 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01228
ISSUED: 08/20/2007
APPLIED: 08/20/2007
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 J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$6.40
$3.20
$5.12
$48.00
$16.00
$7.00
$3.50
$5.60
$70.00
8/20/07
8/20/07
8/20/07
8/20/07
8/20/07
9/14/07
9/14/07
9/14/07
9/14/07
2200700000000001313
2200700000000001313
2200700000000001313
2200700000000001313
2200700000000001313
3200700000000000624
3200700000000000624
3200700000000000624
3200700000000000624
Total Amount Paid
$164.82
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.
Reauired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 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
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01228
COM2007-01228
COM2007-01228
COM2007-01228
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
3200700000000000624
Date: 09/14/2007
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BURRELL BROS.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 03543B Phone
Payment Total:
Page 1 of 1
1:35:58PM
Amount Due
70,00
3,50
5,60
7.00
$86.10
Amount Paid
$86,]0
$86.10
9/14/2007