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Home My WebLink AboutPermit Electrical 2007-10-10 ZON ~ INITIALS ~ ~ DATE I ()..-I () - 0'" SOURCE ~ 225 FIFTH S1'REET .. SPRlNGFlELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATI01'v City Job Number (0~}"f)-r - 0 \ S ~ c:::; / I,. LOCATI0~OF INSTALLATION: lOCf5 <6 2A- ' LEGAL DESCRIPTION: t'lOE> 35 \~O,~C)0 JOB DESCRIPTION: , + ~~~d--vn~ g~{~l 5 Permit!t are !10~...tra!~rcf'ah:e- a!~~t e~:;;fr\; if \\.u~ L~ ~~: not ...t.,.. ~ within ISO days 6f ~u..m~c or ifwtit'k E" S=F,;c.ded ftJf" :!!ro dFY1!.., .... T.[w.>;Jf't~\lJLA'fl() 19" O!'\!J. V _, tt .; . Pil'~tril'..j r''''',fl"~ct<lr ",.. 'I.... V..""" ~ n ~1" ~ i II t'TV'!." . ",. u .-........... _'l.Jil~H_ ....~.. '~Ji ~L...ot,J.el\. .. ..;:>'~\'iJi,\~____"'j ':l....~~cf":JI:I')....r.., ,.,t..'1 __~~""-' . - ~..~ ,~_...~~ 1"'" . ~.. \. -, . ~'"-. .~.".-, .. "\ /,\, -~ ""' A\1~:i '1("")115';:" "-_Y f ! l'nr~':ill". i W-:';""" .. ..-- -- City ~Zd.~~~._.. '.~__._ Pho.!1~ .~~~<::"'-51_~~J) "ll Supelvisor License Number ~"4 d e.;;;, Expiration Date _'_' \Dl_J_IQ.~) '_'_.' Constr. Cantr. Number 1, \ \ ~D il1..oID'6 ~ng ~iaG - -- -.--, - .Pi Expiration Date Owners Name .J'{"O \ ~ .-Ii) Address ILl 2.:" S d\ s?~ City ~' Ph... f:~N:iE!i ~_..:{rfr-L~J~p3 Cliff; iG:it<liiatiol' 1:<; b~illg made on prop,;.rty t own which is no!: inten!kd Ew sa[(',. lea!':0 or n::m. '. ~YV1WJ'l:; ;;',WYlnltrre: b.sfID~f.io:n lreqtle-:9t~ 7Zfi. 3.'7(j.~~ Date ,() ~ t 0 - 07 3. COMPLETE1<""'EESCHEDULE :BELOW A. Newaesidetttial-SingleorMum..Pam.ily pel' dweUing uuit. G... ;,:ee mduded 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof $106.00 $ 19.00 ........ ~... "" "" ~ ~ ....,.. ,;,j:l'~-:J 7"_:~~_~t~inj.~f~,l.':~ ~~"-"'>:lC .~~'>:. Modular L"1-cvcHinl1 t;C,,"iiCC or j"iC''''-1.... $SO.Qtj 8, Sel'Vi;;{;s or Fet'd~rs -.lnst}lUado'!!, j\lfen'iti"m; fH' ft:dnclltir':- .. 1~-EI)F',QN: Oregon law requires you,t,o .. 2l)!)f~IIC\~J t~l~~ ~dopted by tha..Ole~9n tJt~ 201 ~ft.at1mf~~. Those rules are s~ I~.~tl 4;J\~%P.:Rig52.rOOi~f)D1 0 thro~gh OAR 95~~tr;; 60t>~s YlIDIl.fOW(l3.~~~!ain caples at me r~t1l'~~(j Oil'''' "'''(i{nm..tJ;l,erOl'm!er, (Note: 1he-tel~~~ . . -. I:>~- - "".y,,-' , . .. b Utility....N.otifiCi::Uluw- Rect1illlrireb~HY'r the. regon "MAA\ $ jtl,UU Center IS 1-800-33~r-- c. Tempor:H-ySer\ric.es or t>~edew'l1l Installation, AH." at;on or Relocation 2OR&ftCf~ess $ 50.00 2OfiW;~~~~~LL EXPIR€-l~ T~: Wt1flR 40J1&fflbWI~~DER THIS PERMIT 1~1AA1f O~,~Ql?~Ma-a~ ~t-gq4.BMOO~0'roR D. ;~&~'-tS'8jtrAY'spERIOD. New Alteration or Extension Fet' Panel. One Circuit I Eae}: Additional Circuit, or with a Sel"'l1ce or Feeder Pemut . L ~ $ 3.00 ~t< OV 3~~OV E. !"AisceU~Ile(ms(Senjce/feeder not included) -Ea;,b Illst&Uation Pump or irrigation 5jgniOutlin~ Llghiiug Limited E."1ergyfResidential Limire-J EuergyiCommerciai $. 50,OU $ 50.00 $ 25.00 $. 45.00 !;~t~rttti~nn'{ lf~h:(tri{lr ft;.~rf..$~[f ff,.::-t~(,l:t~t)iJ1.fl~' .t[., :~~ 1[;),.~H: ..r .~;ut",,"ht~r1:J.,f~t': g1~ (jl) -Q() -'.'--'. ...": '1ft.' .-. . L_ _~ _ __8:. -=:. _. 0 Jil O~_~_~~ ~. :---, r-c '"",,,,"..;;;. ir3~ Sh1tO ;1Vf~)~,it~.; J I.N~1 ;\Wllll11Su;';l!iVti f'ee Y%lcl.:imo!ogy fee TOT AJ, ~UH,dOri\1i'{T:.lIRnildin? FormslEtecl.ricn! Permit Application 8-06.aoc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01535 ISSUED: 10/10/2007 APPLIED: 10/1012007 EXPIRES: 04/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 645 8TH ST ASSESSOR'S PARCEL NO.: 1703351301300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Extending circuits Owner: BERGER CAROL LEE J Address: 1423 E 21ST AVE EUGENE OR 97403 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor DOUG PALMER CORP License 90725 Expiration Date 05/03/2008 Phone 541-434-5600 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 GaragelCarport Sq Ft Other: Occupant Load: nla 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 ATTENTION: uregon law re4ullt:l~ yvu LV follow rules adopted by the Oregon Utility NQ)jaew~Ufl~pe~er. Those rules are set forth in .QAR 952-001-0q1 0 through OAR 952-001- 0~8~WlPRU{J>om!ilh copies of the rules by calling the center. (Note: th.e telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: No'", ~~Ji.~~~IT ~~~~~ E(~~~~~~~{ I~~~~ I-\U I r\u, \1..10 - L ABANDONED I VI"'. COMMENCED OR ISOo I Valuation Description I ANY 180 DAY PERI . Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01535 ISSUED: 10/10/2007 APPLIED: 10110/2007 EXPIRES: 04110/2008 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.40 10/10/07 3200700000000000676 $4.20 10/10/07 3200700000000000676 $6.72 10/10/07 3200700000000000676 $48.00 10/10/07 3200700000000000676 $36.00 10/10/07 3200700000000000676 Total Amount Paid $103.32 r 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 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 Pae:e 2 of 2 225 Fifth Stre~t Springfi'C;id,. Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0l535 COM2007-0l535 COM2007-01535 COM2007-01535 COM2007-01535 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 3200700000000000676 Date: 10110/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DOUGLAS PALMER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 042234 Fax Payment Total: Page I of I 2:25:40PM Amount Due 48.00 36.00 4.20 6.72 8.40 $103.32 Amount Paid $103.32 $103.32 10/10/2007