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Home My WebLink AboutPermit Electrical 2007-9-18 _,225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co m2Jm7 -0/4;;;2/ 1. LOCATION OF INSTALLATION: I q , 5, '5 (') .'."'-tA1 LEGAL DESCRIPTION: \ LO':l. C:S3 $2 nS.;;J.,tJb JOB DESCRIPTION: C9"^e-~~~ LuL " Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. "coi.tfkACT()kINSTALIATION()NLY 2. Electrical Contractor ~- / / Address City ~ Phone Sup""i,o, Li"n~7umb < Expiration Date .'''--., "~, '\ Signature of Supervising Electrician owne"Nam~Me- ~ Address /4-1 S, 5 b --tM City C ~ll Phone 7 z~ .2&11 V f J OWNER INST ALLA nON The instAJUat1ldtmGNhP~~1AWJleW';~iw\)M~ is not i~~~OO~@~A-'{Jr. I are set forth Notification Center Thhose ruheOs AR 952-001.. ~n 9fi2S:01-0 Ot roug 4. m," tAjn co i s of the rules by . l,.1Y 4~": tH one camng1liH \"'01" . - 'f' t' numb:ri'~~ the. Oregon Utility Notllca Ion Center 18 1-800-332-2344). Inspection Request: 726-3769 ZON CS-/ INITIALS _ ~ \-- DATE C\-,q-CJ1 SOURCE -D\ rc:::..,f2 ) Date q -- /g-D'l .".. ......... "c ",' ., 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. 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 B. IhstaIHition, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only C. TemporaryServices or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1 000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit j Each Additional Circuit or with Service or Feeder Permit $117.00 $ 21.00 $55.00 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 $ 48.00 4l.00 $ 4.00 E. Miscell~neous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energ:tmfr~~1 $ 28.00 Mini~~;i,t;~e:;'::~,~ r.~m:, .~n~~ :rn'f.IJU~~~!AlQRK BU I Hd~'itO'1)'ND-=R THIS PERMIT<!SrtJ(ffi '\ 4..S~Tqf~H!DOR"SABANDONED ff1W 'UU 8% State Surc~ 180 DAY PERJOO. ~.UlJ 10% Administrative Fee e;--: OD 5%Technology Fee d-.. s-o TOTAL & 1-'50 Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01421 ISSUED: 09/18/2007 APPLIED: 09/18/2007 EXPIRES: 04/18/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 141 S 50TH PL ASSESSOR'S PARCEL NO.: 1702333205200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: One circuit for hot tub. Owner: JOHNSON FREDERICK CLEO & VIOLET R Address: 141 S 50TH PL SPRINGFIELD OR 97478 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: # 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 I Street Improvements: Sidewalk Type: Stor~ Sewer A~N: Oregon raw requIres you to SpecIal Instr~mu:rUle8 adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain cooies of t~9 rl,lpq hv 'IiilllnglOe cemer. (Note: the lolt;,ltIUlltl number for the Oregon Utility MBbat' n Descri Center is 1-800-332-23 . $ Per Sq Ft Square Footage or multiplier or Bid Amount' Downspouts/Drains: NOnCE: THIS PERMIT SHA AU!HORIZED UNDi~ ~~~~~IFATHEYVORK JlI/IIVltlVtJED OR IS AS - -:1.\1IT Ju ,vu, tion Y 180 DAY PERIOD. ANDONED FOR Description Tvpe of Construction Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD · Building/Combination Permit PERMIT NO: COM2007-01421 ISSUED: 09/18/2007 APPLIED: 09/18/2007 EXPIRES: 04/18/2008 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' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $5.00 9/18/07 2200700000000001467 $2.50 9/18/07 2200700000000001467 $4.00 9/18/07 2200700000000001467 $48.00 9/18/07 2200700000000001467 $2.00 9/18/07 2200700000000001467 Total Amount Paid $61.50 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. Reouired Insoections I Rough Electric: Prior to Cover 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 Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 54-1-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01421 COM2007-01421 COM2007-01421 COM2007-01421 COM2007-01421 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 2200700000000001467 Date: 09/18/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By FRED JOHNSON Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 018268 In Person Payment Total: Page I of I 12:43:05PM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/18/2007