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Home My WebLink AboutPermit Electrical 2006-9-21 $PPiUN-GFfEl...O !lftA., . ~)f! 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726--3753 . FAX: (541)726-3689 ELECTRICAL ~Ilf J.Pt>gCATION City Job Number \..:J I" \ ~ '::1..{/ Date ~~93-5 /1)- /- 07 ;fji r7 - . /i'~ /6 - 0 g Signature of superv7g~leCtri9an.,./ N O,.tt #;.."' ~PL- ~\1U~=J.lMO !:::=\O~ ~I IlK A,(, ~ ~~~~llQ;irnfIt or WIth / Owu",Nmn ,U~emn. t;lt/J ~~~ tf~1pt~t CAldtydre~ss ,L.aP~_ ~~~'~~.to...1-f] E. -\;)JW I .JmY Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLAT N Limited EnergylResidential $ 25.00 The installation .ism~A on property I own which Limited Energy/Commercial $ 45.00 is not intended f~ri~i~;r::,,~N;eGregon raW requires ~m Electric Permit Inspection Fee is $45.00 + Surcharges o ~ow r~fes adopted by the Oregon V. . '7 Owners Signa~tJflcatlon Center. Those rules are set S r - ~n OA~ 952-001-0010 through OAR 952-0 Lf. I Ii, ~OO&'. TaU may obtain Copies of the rules 00 Admimstrative Fee C;, 2-0 Calling the center. (Note: the telephone 0 Technology Fee L.: IIa8 number for the Oregon Utility Notificatio (/ . I ' 0/ Inspection Request: 72~r is 1-800-332-2344). 'tOTAL if 3, ((0 Shared Drive(T:)/Building FormslElectrical PermitApplication 8-06.doc 1. 1///'1' /;!-I/;(br: /!J!L - 1/f78' Lt~n(rd():; O~~ JOB DESCRIPTION: ;2 #I/dv )::t 7z:I/ZlJ ('ilc(jl!) - ~(fJJ /tN~ C~ /Pla!, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical condJ\lEWIRE ELECTRIC, INC. . P.o. BOX 11 rut) Address EUGENE. OR 97440 City Phone ~ '/'/- '-11 J? Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereo~ Each Manufact'd Home or Modular Dwelling Service or Feeder " $106.00 $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 H'8'- , i("- ~-g- - 4- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01436 ISSUED: 09/21/2007 APPLIED: 09/21/2007 EXPIRES: 03/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1108 LAUREL AVE ASSESSOR'S PARCEL NO.: 1802064202400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Electrical Permit to add two circuits for Dishwasher and Counter Residential Owner: Address: TATOM MICHELLE M 1108 LAUREL AVE SPRINGFIELD OR 97478 Phone Number: unlisted I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LIVEWIRE ELECTRIC INC License 56697 Expiration Date 05/16/2008 Phone 541-344-4928 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: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01436 ISSUED: 09/21/2007 APPLIED: 09/21/2007 EXPIRES: 03/21/2008 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.20 $2.60 $4.16 $48.00 $4.00 9/21/07 9/21/07 9/21/07 9/21/07 9/21/07 1200700000000001223 1200700000000001223 1200700000000001223 1200700000000001223 1200700000000001223 Total Amount Paid $63.96 I Plan Reviews, 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 ofany 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 2~~ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01436 COM2007-01436 COM2007-01436 COM2007-01436 COM2007-01436 Payments: Type of Payment Check cReceiotl RECEIPT #: 1200700000000001223 Date: 09/21/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LIVE WIRE ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 11464 In Person Payment Total: Page I of 1 9:44:47 AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 9/21/2007