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Home My WebLink AboutPermit Electrical 2007-11-15 ZON ~)~ INITIALS 0\A DA~\ -,2'\-0-\ SOURC~~ ) Date I \ ~ IS - OJ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C:Om2-007-0[c;;p,wrz.., ,.:,. - \.,>}.~>'J; /: ~:;>,\/;~wX-?'J<~;,;):;;,~\y:,;:'~/'\';)\~'tt'" :'~~~~l.:s,:j<-':}},y~ f~:<\':: ,{\::~':>:/j >r,' t, :-:!Z-" 1. LOCATION OF INSTALLATION 3. <;::";~;'J:i:.:<<,:~~~M.j;;d...t."h':b6il<A~:"tKi;;;-SJ;;,t.~I:'~.;:~~g;it~s. ~ '0 lo \ ~ \ - s.t -:+t ~ LEGAL DESCRIPTION: A. "" -1-1f,?\,>,1C"~' -" JOB DESCRIPTION: ~\O \:10.;5 VLu-tUl_~ Permits are n~-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical ContractoOREGON ELECTRiC SE;iVI[.E P.O. BOX 2237 Address EUGENE. OR Q740? City Phone~~ llo<? I Supervisor License Number \ ~~cl.--:S Expiration Date \ 0 - \ - \0 Constr. Contr. Number \ lo \ 'S \ Cj.. Expiration Date 0. - ~ <:6. - 0 ~ SigJ;lature of Supervising Electrician 7~(I) ~) Owners Name\'r\CLr- ~ ~~ Address~.e'-\ Q.Q.. ~~ \~~'Lt). .k 0 Idi E. Ci~-\-'-Q.J" ~ Phone '2.4-) 5Sloti. > ~~i4~ \ OWN~1iWSt"RQfi\~:gon law requi,'8S )faLl ~o ronow rules adMtBd bp th0 .\~,1101""") .! "'V The i b11 . .' h . d~ ro 'ere t'6wnwhi'cli:. . t~t:1t fl~2fl'~lTe~~ t. erm",r. fUlls (1(!Jsei 10: th IS no Iw~tirtdf5>2~~1-EitJr81fI9ro(!qf; CJ:\:\ U)2 1- O OO~' You may obtain CO,r..'i~:,"~ ','", r:,'!' iy wners iIDaUUi.~~ ' . ~ ".' ' " , " ~ 111rl8 me center. (Nete: tie felt' :>,c I'\1J.Dlt>l"r fnr ~'l'''' : if:{ " '." y ,. "1 ~ J - > . '.}' '''~.I'.'l!',-,C:lll'-..J: Center is 1-800-3322:Ji4). Inspection Request: 726-3769 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. 200 Amps or less 201 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 Co Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit . 4?? 6::v $ 48.00 $ 4.00 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 LinrftYAt;!~lResidential $ 28.00 Linrif~ltE~~f'~~Ef~m~lt EXPIRE IF TH~ SJlJ~1<' Min~:,~'!f.loot<li~~' r it.. :~. e' SM\Jyarges 4. '. ' ..so e>>.o 8% Sta:teSGr~lfwg~ PERIOD. ., D-o 10% Administrative Fee 5 6.;0 5% Technology Fee cl. :So TOTAL to l SO Shared Drive(T:)IBuilding Forms/Electrical Permil Application 7 -07 .doc ~- I t.o~~OJ"" 0 \'S8:3 ;~;. ''-', >:,..~._.t;.;.,.." . . i: : .' '... " ~ ;. ; ~ ,; ',I :.: " ,. ; . , . " ;( Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01583 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 04/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1061 J ST APT 3 ASSESSOR'S PARCEL NO.: 1703351102700 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace wall furnace Owner: SHEARER MARTHA G & GARY L Address: 83499 RATTLESNAKE RD DEXTER OR 97431 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License OREGON ELECTRIC SERVICE 161518 ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 09/2812008 08/31/2008 Phone 541-343-1681 541-683-2590 # 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 ImpnftW}HllMlt~N' 0 . 1'\1 n:'(\ll ro. regon law reqUires you to Storm Se~~WH!11f)readopted by the Oregon Utility Special I~Yft"~6h1n Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- Notes: 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NOTICE: ~~~~Efi~ ~~~~~~~~~~nrZ~: AI'i { 180 DAY PERIOD. Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Furnace - Unit Heater Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01583 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 04/23/2008 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 10/23/07 3200700000000000698 $5.00 10/23/07 3200700000000000698 $2.50 10/23/07 3200700000000000698 $4.00 10/23/07 3200700000000000698 $14.00 10/23/07 3200700000000000698 $36.00 10/23/07 3200700000000000698 $5.00 11/20/07 2200700000000001728 $2.50 11/20/07 2200700000000001728 $4.00 11/20/07 2200700000000001728 $48.00 11/20/07 2200700000000001728 $2.00 11/20/07 2200700000000001728 $143.00 [ 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. ~eolliredJnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01583 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 04/23/2008 VALUE: 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 Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01583 COM2007-01583 COM2007-01583 COM2007-0 1583 COM2007-01583 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001728 Date: 11/20/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OREGON ELECTRIC SERVICE, LLP Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 21369 In Person Payment Total: Page I of I 2:27:22PM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 11/20/2007