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Home My WebLink AboutPermit Electrical 2007-4-17 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATIQ!\(-o City Job Number C O&N1 'Z-oC> 7- CD S~ Date l.LPCATIQNPF lNSl'4I-L4TfJ!li';~~~1i~<~t'J'. 3. ,.If,P~, ,p.......:LE'{.,'E, F.".'EE~r:;!!N},.,.P_..."LE,.", BELOo/,'. "7 3~" 's .'76::j'~>~~~~ / .,. " -, ,., -,,~., - LEGAL DESCRIPTION J 80 z.. oz.?- 'Z- JOB DESCRIPTION 200 ~f> 01000 S R.. ~L o.I~'" Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. -.1(j:QNTRAdrQRlNST.AIJiA. 2. . ,",: :_.""",;:- ," ,:< .~-;_:<\~ik<>::.~:~r,,~_' ::,<:."'::,';_-~i:,_:<:~"<_~;;,;,;,~~.~,; :c'> Electrical Contractor A 6:s Elt>c!';/c J/lC. .; .-t I i ::-. '~_\ Address ~(/ &J/ ~d:>dJ City ~./ael/}e <.../ 6 cf6~{JStt/st' Phone "'."" ." Supervisor License Number <7" 7>L'YS \"',0 Expiration Date /,/) -/ zJ 7 City The installation !s/being made on property I own which is not intendeq,lor sale, lease or rc;:nt. / Owners Sigfiature: / / I ! Inspec.tion Request: 726-3769 A.Nc'v Residential- Slngl~C>,r Multi-Family per dwelling unit. ",'.~ "_'~"~.:f:.. '.... . '. ,'Co..;;,,:;.._,'.. ;>. .;'''''._"',.~,;,,:,...l,,,...'._:..:.. . ''','., 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 $106.00 $ 19.00 $50,00 '~>':: .:>.:::: .: .:, . ,;: ..;,;~,.i-t'{,~rdt'.-<'~'.~::'. '::;._;':;:' ,;,:e;-.:;:::: :.-:'i:::"::!:~;~'>'::-..;::.:'_>';tt;:;;:> ~ ,-, ;: ::\: B. +Services or Fceders';-lnstanation,-Altcrations ,or~Rclocation: ,~;:.i::';;t~:,~~U~-iK;;::;':_:; ,~.:" ,',ii,,~-, ::-'". __;,'.i::,<l.~ti~~~~::.t..~{t,;,;~,::-.,,' . :-':,:",.;; :-<L.:~;o :,3~:;:i,~~,:~,; 1,:;:;.~I;..:.i ..... Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial bJ / $ 63,00 $ 75.00 $125,00 $163,00 $375,00 $ 50,00 $ 50,00 $ 69,00 $100.00 $ 43.00 $ 3.00 $ 50,00 $ 50.00 $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges b3 '::> "U'{ 630 77tt r 200 Amps or less 'f ,. 201 Amps to 400 Amps 401 Amps to 600Amps '601 Amps to 100Q A~1ps . .',' - p..' , . Over 1'000 AmpslVdlts .' ", Reconnect,only t ,.~ , J",.;j., ':_'~ . :_ :'.: ,. ;'-",'" .\,~ :..... _,_(~.+' :'oJ, ,Co" '~l'fe~mWr!fl}9! Sfnvic~~ 2J;::E~<Iers -} :." ", ' < . -~ 'I Insta'llation;~teration or Relocation 200 Amps or less Constr, Contr. Number /56 (;b 7 J 20 I Amps to 400 Amps . . N aT 40 I Amps to 600 Amps ExpiratIOn Date (f -/ '/ - c; " lICE. 0 600 A 1000 V It "B" b I N IS, " ver mps or 0 s see a ove, Signature of Supervising Electricia.rtJ.UTHbERMfT SHALL D.,Bra.~~~ Sircuits ~..~. ~ cnR'J1':.v.Rf~J(jER' EX~~~cmii>n or Extension Per Panel '7'/"" t ~ ~En Q~ THk$npf;}J~lJit t WOR/( ,;\) 1 (jU 0 ylllS ABA.MA(11FAWti~To/JSIf{ It or with Owners Name L-M..a..'Y 2 '- ~.t ~OO. . [UwliI€6J Futf' 'P!.i'. Address 7 S S / S. . 7 01-(.... ~f-- E. Miscellaneous (ScrVi~~{~;~~er not included) -Eachlnstallation ~ ~F~ Phon"V\~.~ OWNER INSTALL'.:\. TION f i 4. SUBTOTAL OFABOVE' 8% State Surcharge;: 10% Administrativ~ Fee 5% TecH- iee- TOTAL .?o- Shared Drivc(T:)/Building Fonns/Ekctrical Permit Application I,06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00550 ISSUED: 04/17/2007 APPLIED: 04/13/2007 EXPIRES: 10/17/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 739 S 70TH ST ASSESSOR'S PARCEL NO.: 1802022201000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: 200amp service change Owner: RUHE CAROLINE A & LARRY A Address: 739 S 70TH ST SPRINGFIELD OR 97478 Contractor Type Electrical I CONTRACTOR INFORMATION I 1\,-, ,\ , . , Contractor ;~(~"l""7 :'1" ':, "~'~,- ',., "'"':" :q~~!l~~ ROBS ELECjTR,IC I,NC, .- "~,: '. ",' '" 1~6,678 ' .~~'" ! BUILDING INFORMATION'I,,: : ';: ~.+ ~... < I ., " '... I 4 ,'':> '. , . ,.J ~ ';,,;',:i,~, - "',#,ofStories:; ;~~f -,,: ,." Lot Size: R-3, '.. ..,i_ Heig'ltt of Structure:. . . . .1. . '. r Sq Ft 1st Floor: . c " .../1 .~.:' ",.c ' I' " . _ ' ....",.j "J. .~-i' """,1 "'. . , '1:ype ofH~at:: I,';~ ; ,- : " r)(",? Sq Ft 2nd Floor: u:, Water Type: ".~ ;' v",',1 ;~'-;~.<>,:;_ ,; Sq Ft Basement: Range Type: ".' .: ': ';;0 Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Expiration Date 08/14/2007 Phone 541-686-5444 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NO.LPEVELOPMENT INFORMATION I net · T · HIS PERMIP~lwr Dist: AUTHORIZEt i ree'tlfA'if'1ff@tF THE W COMMEN . ~ .!iitifHIDI1>ER ORK ANY 180 CE{}AJ6t 18'WB~WfjOe:MIT IS NOT DAY PERIOD, . NED FOR I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: 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 Page 1 of2 Status Issued 2ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00550 ISSUED: 04/17/2007 APPLIED: 04/13/2007 EXPIRES: 10/17/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paiq I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $3.15 $5.04 $63.00 4/17/07 4/17/07 4/17/07 4/17/07 2200700000000000544 2200700000000000544 2200700000000000544 2200700000000000544 Total Amount Paid $77.49 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 Reouired Insoections I Electric Service: 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 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 Paee 2 of2 225 Fifth Street .. . Springfield, Oregon 97477 541-726-3759 Phone Cjt,,, of Springfield Official Receipt L lopment Services Department Public Works Department Job/Journal Number COM2007-00550 COM2007-00550 COM2007-00550 COM2007-00550 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000000544 Date: 04/1712007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DA VID LAWLER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 055464 In Person Payment Total: Page 1 of I 10:01 :22AM Amount Due 63,00 3.15 5.04 6.30 $77.49 Amount Paid $77 ,49 $77.49 4/17/2007