HomeMy WebLinkAboutPermit Electrical 2007-9-27
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U~ FIFTH STREET. SPRINGFlEl.D. OR 97477 . P8:(541)716-3753 . FAX: (541)716-3639
ELECTRICAL PEP)'lT AP.PlxICA TJP. N 0
City Jab Number lV J~ \ ~ \ eYJ Date . ~ '1- G\
1.~:;';:~~'" '. '".. ttOlt:::!"'r;~i1:' 3.~":JI?~;m':i,h....'j\t"
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LEGAtD~S~44 00'200 A.*~.'
JO~:rt fur} <uV
Permits are DOD-traasferllbl: aod expire If work b
not at&lrted 'Wtthln 180 days of ft9uu.c:e or If work ill
Su~pended f(lr 180 dayt.
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Ekctrical Contractor L.I.I.:/.& 5 ~lfcfp.-L~
f
AddrC$S ~ it-
City f:.tU ~J< Phone 7Z(,..r1~S-
~ 1~1Jf>
Supervisor License Number J, -3S 1- ::>
Servke Included
1000 sq. ft. or lest
Each additio!Ul1 500 sq ft. or
portion thereof
$106.00
$19.00
Each Manutact'd Home or
Modular Dwelling Service or
Feeder
S50.O<J
B.
200 Amps or less
201 Amps to 400 Amps
4(), Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only \
c, t~Ji~~~~i!~'.;ni
$ 63 00
$ 7500
S 125.00
S 163 ()()
S3'7~ ')0
. ~ --r)':)~
t~~' ";J..(v
:~i'''.,<~~';
""I. .""''',.'
-.rr .~.- ~!
Expiration Date J 0 10 ( L D ..., AJ,,_ h"taUatlon, Alteradon C)r RelctadoD
f i;;;:llCt... 200 Amps or less . $ 50.00
Ccnstr. Contr. Number ..)0 -z. 31 {., A~.t>fl1~ 201 Amps to 400 Amps $ 69 00
. . In J J' ( CO~ VI1~ 1]- ~I Amps to 600 Amps $100.00
EXpIratIon Date u.cr" D~~a cO 1I~~ or ~.O~ yolts SCl~ "~:'.~~"e, ,.". . _
S,....ature of Supervising Electrician 801lfA~O ID. . rll\ '~<.QR.iii'i!llj!!~ ~~,';', I~."; :"j!,:l,~; <i~~ _ ;'~; ~;. l.~ .iit~i~~W'.;,fu;'"
eo< 'IT A "I'( ,,' . ,;, '" ,.. 1 ,,' . ...~R' n. ' ., . ~"1!:"., ,~1~,
~~~, ~/~~!tPe'P"~ $4300
Owners NJ(~ ~(fl\f\ \)~(J .[1!. (\ Service or Fee;;P~t \ 3.00
A A (.- 1 E. ,~."'~~ :~ld'
Address ~. (A. ? z:::> ) ~!!Il',.!I' '.",.!
City ~ .A Phone Pump or irrigation $ SO 00
. Sign/Outline Lishting S SO.,JiC
OW~ER I. A~f'6N: Oregon raw requires to Limited Energy/Residential . $ 25...\':
The inStallatioJ~~_~tNnQr.oiI~11ty Limited Energy/Commercial $ 4S,O')
is not tntende1~W~~~~10~~r~u~~e~~e=~um Electric .per~Blt Inspection Fee Ii $45,08 +Sut':htrga
O~:nerw Signa~P.. YO. u maY.Obta,fn copie s of the ruler,by.&' " '~):4a)
calling the center. (Note: the telephone . ";', .,,' ..' ,-l
number. for the Oregon Utility Notification 8% State Surcharge .~
\Jt::ll(er IS l-t)UU-~2-2344). 10% Administrative fee ~ttf\ 1..15 --0. ~
inspection Request: 716--3169 TOTAL. \ I ~ _
Shated Drive(T;)I8l1ilding F,>nnsIElectrical Permit Applicat '11 l-<l6.dr",
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01468
ISSUED: 09/27/2007
APPLIED: 09/2712007
EXPIRES: 03/27/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 449 W M ST
ASSESSOR'S PARCEL NO,: 1703274403200
Springfield
TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Reconnect Electrical Service
TYPE OF USE: Repair
Residential
Owner: PETERSON LANA E & DAN L
Address: 449 W M ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
Expiration Date
10/14/2007
Phone
541- 726- 7895
I BUILDING INFORMATION.
# 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 _
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 ~mpro~~nts':;"""r':;11 law requires you to
Storni' Sewer~lfailable: q.:; j'pllhe Oregon Utility
Special InstrJLQron: :, i. _ r. 'I; i Lise rules are set forth
;', )52. ..' .I.fj:;; IJ ti1rough OAR 952-001-
Notef. . (au r.. /':>J(ciin copies of the rules by
ring the (\;(IL,:,r. (Note: the telephone
.' .". "'''\..~...-~ 11~:I;~r "d....tifi,,"'tinn t,nTlrs:.
""'''-ce~t~,;, 1-600-332-2344), I . 'IAIIERMIT SHALL EXPIRE IF THE WUKK
ValuatIOn Descrm RIZED UNDER THIS PERMIT IS NOT
$ Per Sq Ft sqpiM~D OR IS ABANDONED FOR
or multiplier orJmlf 4.00my PERIOO."alue Date Calculated
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01468
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 03/27/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Service Reconnect
Amount Paid Date Paid Receipt Number
$5,50 9/27/07 2200700000000001513
$2,75 9/27/07 2200700000000001513
$4,40 9/27/07 2200700000000001513
$55,00 9/27/07 2200700000000001513
Total Amount Paid
$67,65
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 ReQuired Insoections I
ElectrillService: 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 l111reon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the OrdinanCl8 of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCQJP ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certry that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agreeto ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that tllll 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 C()Jtractors Signature
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01468
COM2007-01468
COM2007-01468
COM2007-01468
Payments:
Type of Payment
CreditCard
cReceiot]
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LYNN MOORE
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001513
D~te: 09/27/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
llh 655620/383 In Person
007
Payment Total:
Page I of I
11:18:05AM
Amount Due
55.00
2.75
4.40
5.50
$67,65
Amount Paid
$67.65
$67,65
9/27/2007