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Home My WebLink AboutPermit Electrical 2007-10-4 ZONlAJQ, :~:"S \ ~ ~\.!':L SOURCE ~~~ Date \\'\ --0'-\ - 0\ 225 FIFrH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~LECTR1CAL ~E!J4IIr ,AP~.r;,g;ATION CIty Job Number l' r ,. \ '0U ./ . -/ 1. LOCA110N OF INSTALLA110N: f{ 5 L 't -rl'-vuJL<;~z,A) Rd, LE\ttD1:~Ol~mq{) . JOB DESCRIPTION: ~~~ovt~y ~le.~v,- Permits at non-trans~rable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY El"trioal Contracto, C ""1hd'f 'ZCe. c;f.1./ Address fl. 0, ,g D ~ 'LV; L( City Sr1d. Phone Ilfl(-o'1o~ Supervisor License Number 3G(j;(P- >' Expiration Date U) / (() / () f<. ( I =' Constr. Contr, Number f[ 3 Of. q S--' 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Mu.I~-Family pe~ 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 $117.00 $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C.Temporary Servi~es or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 755PO Expiration Date J () II. 11, l/l_ Cb -t ~. (_ Over 600 Amps or 1000 Volts see "B" above. S tu f S El' , D. Branch Circuits ignAe-a re 0 uper::g\. e~ctnc~an V\.. New Alteration or Extension Per Panel One Circuit \) Each Additional Circuit or with ~\Ai\ ~ J1 Service or Feeder Permit $ 4,00 Owners Name r l - Address ~ 00)" t.e .. G.(C5-p~iscellaneous (Service/feeder not included) -Each Installation City ~~Ii~' Phone Pump or irrigation $ 55.00 ~ Sign/Outline Lighting $ 55.00 OWNE~MmJ&t.~on law requires you to Limited Energy/Residential $ 28.00 !he insfQl~ltfrf~!N~JrtedntWdj>)et0t.~"ty Limited Energy/Commercial $ 50.00 IS not ~t1tM'mtb)A~~ Cfh6Se rufes are set forth Minimum Electric Permit Inspection Fee is $50.00 + Surcharges In OAR 952-001-0010 through OAR 952-001- ~ OwneaOOgh~M>>ta may obtain copies ofthe r VIj'ft 4. SUB~OTAL OF ABOVE calling the centsI'. (Note: the telep ',' HIJE: 8% State Surcharge nUmDer for the oregon Utility NotificiliGi, PERM't?~:t~ative Fee Center is 16800-332-2344). AUnIOFHZEljl)rorJER~?mE fF THE WORK COMMENt" fR THIS PERMIT IS NOT \ -.-1 1 _<::. Inspection Request: 726-3769 A I vE&mws ABANDOl\l _\0 \. \,(J-:> NY 180 DAY PERI~d Driverr:r~&ttQRnnslElectrical Permit Application 7-07.doc $ 48.00 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01505 ISSUED: 10/04/2007 . APPLIED: 10/04/2007 EXPIRES: 04/0412008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7527 THURSTON RD ASSESSOR'S PARCEL NO.: 1702350002901 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Temporary Electric Owner: CAMPBELL CYNTHIA & GLEN Address: 39040 HENDRICKS PARK RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CAMPBELL ELECTRIC License 73995 Expiration Date OS/24/2008 Phone 541- 7 44-0705 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: DownspoutslDrains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa\?:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01505 ISSUED: 10/04/2007 APPLIED: 10/04/2007 EXPIRES: 04/04/2008 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 Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55.00 10/4/07 10/4/07 10/4/07 10/4/07 1200700000000001274 1200700000000001274 1200700000000001274 1200700000000001274 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. ~Reouired Insoections I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Pa\?:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01505 COM2007-01505 COM2007 -01505 COM2007-01505 Payments: Type of Payment Check cReceintl RECEIPT #: Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAMPBELL ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001274 Date: 10/04/2007 1:16:08PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid IIh $67.65 $67.65 1234 In Person Payment Total: Page 1 of 1 10/4/2007