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Home My WebLink AboutPermit Electrical 2007-12-11 I' , CITY OF SPRINGFIELD, OREGON, ' , . SPRINOP..u.o ~~ ZON \,-lrl:" INITIALS \...1't-1\ DATE\,). -l~-o"l SOURCE M..f-"3(Y7....- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)72~3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COM z..oo 7 - 0 I g Ii( Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 ;\TTi::N nON' C40_LAomosto 600 Amps $100.00 " ., -'i,! ",,,w reqUl~e.s.YOu to .:0iIo\'/ rules adOVerr600JAlnpOl1e~ Mlllu..ee "B" above. ,'''lll!:(,EHlOn Cp.oter, Th" <~"M ,my in ("Ai' 95? OOD.O Bnulcli'U""""'tjre set forth ~, . -- 1- 010throuflh OAR 952,001- 008~. You may d'!lllll'i~!i!l'b"ft!'a'ffN~!l'B'er Panel ( cadrng the cenOlfe ltb'olil: the telephone ,.y'''U"r for the ~Ild~ fliD!1fjbll'liOOlh Center iS~S.ee1l~it I I. LOCATION OF INSTAIfATIOf: (70( 5. Ir's,:t LEGAL DESCRIPTION: /7033. bOOO JOB DESCRIPTION: 00&:>0 -AM I D c.r,-,^~ h Permits are Doo-transferable aod expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. 2. CONTRACI'OR INSTAlLATION ONLY lUCri ElLc--IriL..LYlC- Electrical Contractor Address /970 tV Z- ~ -r1" ST, City S;r~"c,.f;<-(c1 Phone '.)ifI-7 Y7- ~ll ? Supervisor License Number so/,;;;. S Expiration Date /0-1- 20/'0 Constr. Contr, Number /2.. 7 7 ;). Expiration Date ,) -"z.;l. - V CJ Signatur/Jf~an /~ ~ Owners Name S (A K , Address -Z-z.."3 A- \, t City St:>f~ Phone OWNER INST ALLA T10N The ins,!,lIation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date I Z -11-0 7 3. COMPLErE FEE SCHEDULE BEWW A. New Residential- Single or Multi-Family per dwelling 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 $106.00 $19.00 $50,00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40] Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163,00 $375,00 $ 50.00 c. ;.Temporary Services or Feeders ,; , ; (8 $ :Y.l.oo 9 $ j.oo l(S "Jb E. Miscellaneous (Service/feeder not inclnded) --Each Installation Pump or irrigati?n $ 50.00 Sign/Outline Lighting $ 50.00 ' Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges flJO'ffl,'eu~AL OF ABOVE ~ Y THISl'P>mrtMl.'lf1l1' , n' AUm~ 1i1lVe'~/RE fF THE WQ' 81(0 COMM"tN'C:Ebo OR IS A~HIS PERMIT IS N~: (f~ ANY MllrIiAY PERIO ANDONED FOR /03 - Shared Dnv9r:)/BUildmg FormslElectrical Permit Application 8-06.doc -~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01814 ISSUED: 12/11/2007 APPLIED: 12/ll/2007 EXPIRES: 06/ll/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1701 SA ST ASSESSOR'S PARCEL NO.: 1703360000600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 10 circuits Owner: Address: SPR]NGFIELD UTILITY BOARD 223 A ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ALERT ELECTRIC INC License 12772 Expiration Date 05/22/2009 Phone 541-747-2213 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type:'fl, "'",~^ I Sq Ft Basement: . ., ,t}\"I requ' Range Type: '" cl;J - '" lh Ires J!ilIJlbGarage/Carport , _ " .... J L / ~ Dreg Energ, y Path: ,o'-.Ie (, :-'105", onSj!tR/t.Other: j, ,_~, r:;;) I e rUrAS ar r @:PlTkleil'&uililingqO throu O/lt e Salfwlll'nt Load: . You mOH ^~L' gn OA1'l a"... ^g I I DEVE~iiMEN.T=1NCooQM~f the rUle; by - .1.10 uregon U T telephone REQU]RED PARKING Center is Hl00-33t2/lty Notification Overlay Dist: -2344). # Street Trees Rqd: Paved Drive Rqd: """ % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC ]MPROVEMENTS I Street ]mprovements: Storm Sewer Available: Specia] Instruction: Sidewalk Type: Downspouts/Drains: Description Type of Construction NOTICE: E IF THE WORK ~~.~ ,~~~I~ ~~~~~ ;X~~ PERMIT 18_ NOT . -.. .....e.. ,LEO OR IS ABANDUNl:U rvn I ValuatIOn Des&RW~~ ^';{ PERIOD. /-IWI I wlo" $ Per Sq Ft Square Footage or mnltiplier or Bid Amonnt Value Date Calculated Notes: Pa2e I of2 -ii:tJi Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01814 ISSUED: 12/1lI2007 APPLIED: 12/11/2007 EXPIRES: 06/11/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project 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 Numher $8.40 $4.20 $6.72 $48.00 $36.00 12/11/07 12111107 12/11107 12/11107 12/11107 2200700000000001816 2200700000000001816 22007000000000018]6 2200700000000001816 2200700000000001816 Total Amount Paid $103.32 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 Relluired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that] 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Com'munity 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 readablc 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 Signatnre Date Pa2e 2 of2 225 Fifth Street 'Springficld, Oregon 97477 541-726-3759 Phone " ~'~' :O,...,,'!IIllLQ ",.~,..: ........... ..,;.... ';~" m .' ... 111:,' . - ,,- . - ,- . ,', .,~ C'.,"' " ..'._..,e"................. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01814 COM2007-01814 COM2007-0 1814 COM2007-01814 COM2007-01814 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 2200700000000001816 Date: 12/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ALERT ELEC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 011492 In Person Payment Total: Page 1 of I ".,-1' l~_......... ] :36:36PM Amount Due 48,00 36,00 4,20 6,72 8.40 $103.32 Amount Paid $103.32 $103,32 12/J 112007