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Home My WebLink AboutPermit Electrical 2007-11-26 L'~ ;, ,-.;(l ~, Q~ifV ~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01728 ISSUED: 11/26/2007 APPLIED: 11/26/2007 EXPIRES: OS/26/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1224 MODOC ST ASSESSOR'S PARCEL NO.: 1703264417500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Temp Power for Fire Damange Owner: TRUST DATED 10/04/07 Address: 1224 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/06/2009 Phone 541-741-8844 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: ATTENlIUN: VleYUII 'an ...."'~'" 6". follow rules adopted by the Oregon CIC IMPROVEMENTS I StreeNlPbfjoat_Gi~er. Those rules are 8 . ~ OAR 952-001-0010 through OAR 952-001 Stor ' ltiervo~tibtain copies of the rules by specia~irrY9tffte:center. (Note: the tel~pho~e number for the Oregon Utility NotIficatIon Notes: Center is 1-800-332-2344). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: !i~nC!E: Description Type of Construction : '::,': ~:HI\':! I " ALL EXPIRE IF THE WORK Valuation,U'es6Jfi DER THIS PERMIT IS NOT Cur:1 VfENCEDIil'S ABANDONED FOR $ Per Sq FtA~IY <j 8,sm~ W It" I' I~ I V "d 'AI Value or mu lp ler 0 J-\. . Date Calculated Pat:!e 1 of 2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01728 ISSUED: 11/26/2007 APPLIED: 11/26/2007 EXPIRES: OS/26/2008 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 11/26/07 11/26/07 11/26/07 11/26/07 1200700000000001435 1200700000000001435 1200700000000001435 1200700000000001435 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. I Reouired Insnections 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 Page 2 of 2 ap~ll),Ice>oC!1.D' ZON L'DQr t ^~ fNlTIALS 1\l1'0 ~ ~~ DATE ,\\~rQI(jl SOURCE ~?s<:(V Date l t I uP I 2-00, 2~s:""~'Ctrrr'ff)f(Q)~}~ [p>r~nN((] ~~n [1iil~ID\ ~ ~[R{n~~~j)N 22S FIFTH STREET. SI'RINGFIELD, OR 97477 . PH:(541)726-37S3 . FAX: (541)726-3689 ELECTRICA~ PERMIT APPLICA TI0N~/ City Job Numberl.AJyv\L-6\J 7 - 0 r, ~ 0 CONTI?ACTORINSTALLATION{)NLY 2. Electrical Contractor fEIIR. ;JJ()JII/llIIA) E;.E:c Addressg~gg /)/LUliY) flaESS /?I) C"y{L(~ili~~~,:~art~~~t' ,"'" n,','},~ ~~:)i)'\'~ by I r set forth sup~r~!'sW:~i~~d,~~g@V~~~ ~~~_~52-001- i,'\ Or'S, ~I_)<- t' 0 ies of the rUles b1 Exp~A1\tQ'I~\?~~~~~?~r~: the te'epho~e csJ mg "V -" ~r ~I ~t1tlcauu.. number for the OrE1 n ) Constr. Contr. ~'mI~f is 1"J - 4 . Expirati 1 Date r/o f? Sigo " Of"'"rA,ogt:c':'''''' t/ U/ ) o~o,,~ N'~ l")-(':Qili'<:L \D/"'110'7 A ddres~~ '-( ~) 6'1 E. MisceHtnlCmis CService!flleffet' nQtiJU'luded) -E~clrIIlSt3n:ltlou ' City ~f(~ Phone OWNER IN 'TALLA TION I. LOCATION OF lNST.ALLATION: . l'~~<J mortaU C)t-, \ LEGAL DESCRIPTION: \io3 dCp 4: Lf II 7f5tr7) ,~B DESCRIPTION: . ~ ~Al(ia 2fffu J Permits are non-transferable and expire if wor s not started within 180 days of issuance or if work is Suspended for 180 days. The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspec.tion Request: 726-3769 NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR .-\NY 180 DAY PERIOD, 3. C01VJP1.J!/tE FEE SCHEDULE lllU..OWc: ... A. N'ew Rellldentlul- Single UJ' MultMt.amIly per dw..,Ilulg 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 8, Services .()~ Feeders -lnstalJatiQn, Altel'ations or Relocaiioi1:, 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70.00 $ 83.00 $138,00 $180,00 $413,00 $ 55.00 C. TcmporaryScrvices or Feedc:J"s Installation, Alteration or Relocation I $ 55,00 $ 76.00 $110,00 65.()7J 200 Amps or less 20 I Amps to 400 Amps 40 I Amps 'to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. 'Brandl Circuits :. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48,00 $ 4.00 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges f=) 5 . crl) d. . 'IS ~',~ 4. SUBTOTAL OFABOVE . 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTALS1 I))' 'I' '/B 'Id' )' /1"1 . I)' ~ tlJ2'7 Q' 7 d( pO . 1an~l f1\,t:'(:) 1I1. mg .orms : ectnca ermlt App lCallOn - . oc 225 Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01728 COM2007-01728 COM2007-0 1728 COM2007-01728 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001435 Date: 11/26/2007 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JACKIE HEIDEMAN Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 005168 In Person Payment Total: Page I of I 2:04:39PM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 11/26/2007