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HomeMy WebLinkAboutPermit Electrical 2007-9-27 wt ~V' .0'1 .PRt"'GPIII!L~'W ~. ' \f{<i\~::-'::~j~-;.:;,A~"l.i\1'i.j~iC:.. 'h,;lfr.'$~ :.i~iE~:d'm );)'.'J;lii.i h;,r;'I,t+;\ \ffi:;:(.; . ~t?'R,l'~~;r:1 ~:).. i';::'~~;<'.;"" .;:: ,'),';:\S.~ ~I:<,'>'(.' ,.,oj '\.' .~.\'~l..V' ~ ,,~~ !E,H.!.';I'~~.,,,~J~''lf.aIF~~l;I:!'I'~ I'..~ ;B . ABI"<<>I' I . ,L1\':''iJ\',t~]~,~~.. 'r . ,..#.:.' ,V,,~l '\:t*.",;. y\ ~,J1.~';~~;,~~~:.. '~': 1 :~~,hjtl4:: ;:,t;'j~ (~;;?f~~l~:; ..:--:::it:j,~! ::;t ~ti"'J.<;~\t :)~t;U';":I~~ ~'". }l'~;X~';~'~Y"~!-:"~"". :.::. "~ 'r.; \:j<_::~ .:.:~ . J.~_:/~;~~~. ~.... ;,~ '..~!;?'>;~: J:i./ U~ FIFTH STREET. SPRINGFlEl.D. OR 97477 . P8:(541)716-3753 . FAX: (541)716-3639 ELECTRICAL PEP)'lT AP.PlxICA TJP. N 0 City Jab Number lV J~ \ ~ \ eYJ Date . ~ '1- G\ 1.~:;';:~~'" '. '".. ttOlt:::!"'r;~i1:' 3.~":JI?~;m':i,h....'j\t" Q4a.-;.; ) \A S:f ..,",,,,,,,,~ ~~'''-.. LEGAtD~S~44 00'200 A.*~.' JO~:rt fur} <uV Permits are DOD-traasferllbl: aod expire If work b not at&lrted 'Wtthln 180 days of ft9uu.c:e or If work ill Su~pended f(lr 180 dayt. 2" .:',~(~~J~;~~:~:i lU..../..,;,I", ,.".,r('tl-~,,,,,.~~fiJJ Ekctrical Contractor L.I.I.:/.& 5 ~lfcfp.-L~ f AddrC$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", 1 '~~~w.,f"j,,'" 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