The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-11-15 '-..; CiTY OF SPRIN"GFIELD, OREGON ZON~ INJTlALS DATE .r 00 \ , SOURCE 2-- Z2S FIFTH STREET. SI'JUNCFIELD. OR 97477 . I'H:(s.41)726..J753 . fAX: (541)726-3689 ELEl..llUCAL ,.\'AR1W'~PUCATI0N Ciry Job Number 1) I.",. \ \t1l? I Date 1. :'@~jJPEfifJij"~~X}j~f!iii!gi.i,~~~}iE~ \~ ~ CSb L~~AL DEA~RIPTION: (~N \f1D~Oo\ \\AJUl) JOB DESCRIPTION: ~ o~f(~ flaM ~-'Q)(o - Permits are DOD-traDsferable and expire if work is Dot started within 180 days of iSSUllDce or if work is Suspended for 180 days. 2. f:~Eg~llif9!.{!.!Y~i~!iE~;~Kl Electrical Contrnctor Gow . ~C 'Address~s8 ilLhtlJ ~, ~(!I-&( City &O,,//J"lQ _ Phone 51/1- 'fIt,/-(), 3K1 . I Supervisor License Numbtr Af7l/OZS E1'piration Date --f.o/ I /i, -;'-/tJ)//() Constl'. Contr. Number 1'/9 X-1 ~ J C;( I/.3 ,II) 9 . .-- # . :q;;d7~8~ ' IIU OwnersName ~Ol ~ Address \ f>\ q ~eJ'\.~ - City'<\~f<<P1& Phnn'~'Z. Expiration Date ), f,tq~!:lJiI~t~}B!f9~~~~~~&mr~~:;':2ji:Q~;~t{~3~~~ .0:. ':0 ... .-l';'-.' .... . ~:. ;-..:'... \ . :: !'~::." ". '. ~; '1'-,.: ..l:~_,.. ::;::.:.,.'. ;........."~ .\",:,:.::..:' ,-.J\ . ....~..... ..:0..:...... ...., -:{.'''~t A. ..:' ~e~ :~~s~'de~ifa~'::: Singie' o.r.:~iii:q~m~Wp:er"~~eJlfiil!:l(niD::~'~~1 . ..~.~.,._.........__._I..,__.._"",,:L......_. .. ___....._.....1...:... ........;!o>,..._,. ._.1:.........,,_..~.... :'1_.:.[ ...R:I'I~~~I~. Ser-vice 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 , "$S5.00 . ..: ~. . 'i:~ ~.~.. .~.~~~.:.:, :(-::..':f..i:-:"'''; :C;:i:ii ~<i..'J1~,:\.,~~;.:t '~:"I ;~..):~.::j.::r~;-:;~'::i~::,~':;:.~.~t/'i:~"i'-":':'.';:;:;;;'~i"\..i'~..I'.. B. ;::.S'erv.ici)$~:iu:J;:eede(s.-:"":IJ!.iqin~ti9#;'~w:li~Q~~,:~iJl~1(icatio:D:':'ir;~ .....:.:-_;.;..::..;.:J:...:.:..,w::..~:~...,"-....:::....;..~- :.::..'::.......'...\"...~~.:....: ;J..:....-~..."l~:..-;';J:.+i-l4~;;ULo:--A..~~:;,;:}~.~,tI.L. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $13&.00 $180.00 $413.00 $ 55.00 - ~JXI . .. .... .'. '...' .'-p . ....."... .....:0.....-....:,-. .. C. <f.er;;'p:~:~;'f~:" ~i~i~~^~~Feeiiei:iX~~~ ,.."." ,1'\!'t _"u,.r.".,... 'J,'n" . ,':'o"~'. "...__......::...:::i:~.... ....."........_.:.\-0#.__. OH...... ,p .....,.--"l. :t'iif;"" '"",n-~ .. ~J).1?~~{.::~~~:,f~? '1...1".1...-.:.=,.....:-: - Illlitllllat1on) Alteration or RelocatioD 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1 000 Volts s~c:: "an above. D. :~i.~~t~:f~Mtf~jd~?;i:~g';iCj~~f~~El~ifn~~?~fit1B~.fu~]~ $ 55.00 $ 76.00 $1.10.00 New AlteratloD or ExteDsion Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 . __.:. :.:'.' ,.::' ~':"":; .;\:: .:.~;;t.,,::.' :;. ......:,_::....!.I~~'.;..~..:-; ~:.:. :. )-.\ .r.?~-.r:..:.~~:..."::11!l:lT. ...~.~:;:......;:;.~.~~.I: ..;U~~ E. ,',~~~U~il~~fl$.~!Y.jt~ee:de(~t 1,n..~l!1~~)~~~ l'-~(1drat.!o:D;.t .;... :.;.,,' : _ _ .._.:.....::-t:.:...::l..:).~...... -...,t~~, :':"",,:" _~~_'_I :...:.......:.._.':-.~:....:. .._'...,.....~"'"...:..:.....;a:.........:.J.I..I..:o.t....' Pump or irrigation S 55.00 Sign/Outline:: Lighting $ 5S .00 OWNER INSTALLATION Limited Energy/Residential $ 28J>9 The:: installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is SSO.OO + Surcharges AIII:NTlON: Oregon '8W~~.:;tp.;q;~~o~"~(:~;'(/~':'~~.[::X~:~'~;~>' O~ (1) Ow.m Si~"",,, e~E~~::';';~~~<~~i'"L;' ~~~~ -'llngthecenter. (Note: thetel~Phon:10TICE. . '.a."1.~lcB. d InspectloD Request: 726-3761uRlb8i for the Oregon UtilitYRotlftcationTtl~,fEBMlr;HAL.~~l1tJatirJ"~ Center II t-800-332-2344). S~DXlJI'AORiZE[j'UNDER THISnP'"ERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD.A 10 39lv1d al3I~9NI~dS ~o ^lI~ 9L9E9lL EI:&0 L00l/~1/11 Status Issued CITY OF SPRINGJ11ELD Building/Combination Permit PERMIT NO: COM2007-01687 ISSUED: 11/15/2007 APPLIED: 11/15/2007 EXPIRES: 05/15/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1056 28TH ST ASSESSOR'S PARCEL NO.: 1703361100200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Reconnect Electrical Service Owner: KIMBALL DOROTHY L TE Address: 1819 YENTA AVE SPRINGFIELD OR 97477 Phone Number: 541-726-4652 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MAG ELECTRIC INC License 149834 Expiration Date 12/13/2009 Phone 541-461-0387 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: Downspou ts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01687 ISSUED: 11/15/2007 APPLIED: 11/15/2007 EXPIRES: 05/15/2008 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 Service Reconnect Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55,00 11/15/07 11/15/07 11/15/07 11/15/07 2200700000000001710 2200700000000001710 2200700000000001710 2200700000000001710 Total Amount Paid $67.65 I Plan Reviews ~ 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, LReouired 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01687 COM2007-01687 COM2007-01687 COM2007-01687 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRYAN RICHARDSON City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001710 Date: 11/15/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received LLH 101886 Phone Payment Total: Page I of I lO:36:10AM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 11/15/2007