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HomeMy WebLinkAboutPermit Electrical 2007-12-12 Date ZON LD L- INITIALS 10 ~ DATE bZ \ \ 2..\ if1 . SOURCE~5\'?~ /Z-/C -0 7 225 FtFTH STREET. SPRINGFtELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERlYIIT APPLICATION City Job Number COlA-A'Z.oO 7 -Of Y 37 AP'[ . L' .., f\!T' ~'r. \)t'1''-.;'f",:::tlc:''''',V~' ~""'m:':f,o,E"1f'%:p.::<5: :)I+,A if;Y~~~~;;';'f;rd:\U~fk~l'^ ~~~~iti';:'4f,~ ::::> f'" ,.. .' C. "'Tempor."17V~V'tCes;w.',Feetlers,,,,,,,S,;-,,,;;fj:-"!f"'--,~\'li,"~f',,",,,,J;i"'i' :J 00 t '~('S: ~A+;,,,.-.!, \..,,,.~<E_'c~~J..nt:~r Ol1'rjO",**,~7:~~...'<.i]k"~,~;m;;)!J;ills;;'trj~"":b~.w:,m I --' .. ,-,1:1''-'1-'' C.J Dy t1l 0 - - ~eluflce.tl[;n enrte _I, e reg on Utility In OAR 95')_CnI~st~llhti~ft~Al~Eillll:l\!tlMlllI:ation - ~ - Vel u thrau,gh OA '" vV"~'. You maY20<1~mR'j6)5illf~s R 952-001_ r: cadmg the Ce.!jjll~Plo\ 4f1Rc:.1J!(~ rules by >~er for th~o:?rftl ~. 6 TeRiphone Center IS 1-8~ 3~~jcation . Over 600 ~mp;f@4f&o Volts see "B" above D 'B-'~ ~~.{-:e~"h';:'~C"~"1;i:1f~'0~~r;:~t~kt'?~~i:~tq:~~~I~~~~~~!i~~~~~~~.i~4:~~l1f;r;. . ~~.. r.al~c . lr.cu.J(~_ '-:;;;;&""4 <-M'-:_~'d~-~!'f\7i1U~0!J';','f",~;Ah--"9'~'A,~,;:.:,.-,~i'i~...t'iJ',j}t.:;;;.'X;:::Y'~-'ii#~ ~Y",;_~_'iC':.~-"".o:___.~<J;;";;_....,,,1d"I'--:--;;-__'__, -- ",",.___":____,__><W''''';i__,__>;:,,?~,__-",,,;e;;r:;;l'';*):d,,,*,",'-C~,,--::.?.:,,,,':;I;;;__'fk)l__\\__~~b<"'__:&~__ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with I / I J I I Service or Feeder Permit $ 3.00 Owners Name A/"",~.;'/n'" -I-""....~ i-b-\.JS- Address "J-' 't?r r- (J A ).[ '^' " I E. ?;~1U'g;;t\i1l~~lft(~~~i~~if:d~'fJrf~i'H{rilld~);'!Jf}~~1h~1;If~t'i~t __ J 0..> .J J~ L) r~-'~ -t:o";&'i~';.l:-M-tJ."'"'D;i;,;,c;O:-io.,t.,,,;t.(j,:A~-:k'-';,'&!,j>,,,,__~,.,;.\-'-t--^;~\'[:4;d,__?C~jb;;:~~--.;Nit..."t-~E\~,;~-:H.:.~~",:rk~~:.:.o..'l'!?,;' City Et.-t&~' Phone NOTlCE:ump or irrigation $ 50.00 THIS PERiM~~E~~FlE IF THE WORK $ 50.00 OWNER INSTALLA nON \, AUTHOR!zmlJt~m!l~~RIvIfT IS ~t:T $ 25.00 The installation is being made on property I own whichCOMMENG/D[Iee~rtSgb;l9/rtOO'Nfb FO!'! $ 45.00 IS not mtended for sale, lease or rent. ANY~IR~@lf.ermit Inspection Fee is $45.00 + Surcharges 4. I. ~TOCATioN:OFiNS'TAL1AfION~~~}}}'L",~~ l.,:~:,,,_,';i.;-,~;':f,;_;,.,:';',,,,,~:,.:i;)~?::;;:;-::;-;;.,;;~">. ,;(;,~~,"~X:i.'):_;:;ki);",;':;l$:.0:~t>,~__d:i1~1'0' /37 sy";l.k.,. <::.F, LEGAL DESCRIPTION: !76Z-'5/l{ L 007CX:::::' JOB DESCRIPTION: zooA- 5(LvL + F):./L Permits-are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 'P;!'?;''':'r''-#-'''iir<-J--J;ic0~,':2-,"if<rt'et,;;,'2,'P/i'0<-~t:.!A~-t?:-A';:li<-\::~~';'\':"', -t>\~'ll'~~'r'i~,~:~?,\'h ::::.CONTRACTOR1INSTALLATION.DNbYt!. 2. ~;;:';;',l;i,;..:~,::,,,:i;,~~.';')1;:'~;;'}i~'-:--'i:__~-'i;;1--4_';:i"ii;;',~i:';$L~;~Xi~ij?J~~,""it;.~m Electrical contractor~, r-~' f~'~ Address (9. () t< 1/1/ c..> ~ iJ vv. j oJ C- , r City P.. U7 ......, Phone (::, 877'113 Supervisor License Number 79/~ Expiration Date /ff IO-/J 6f Expiration Date I!)~ '3.>2..- 1- 1-0'0 Constr ContI'. Number Signature ofSupex:vising Electrician Rd~;-p :r ",JAb Owners Signature: :J.- Inspection Request: 726-3769 :i!ijf--':;-1"(''''':i-..I.. "-,,,.'\-;,j }":'-'--'i:>;.'":-'~';-"'"'' ";--\'n,,'ti.~.';_::"'''':; ."r'__V;:;'/":'i"'-"'i-:~_"'''~__'';C'7'::'''_\',;t-:;''!',l;(L')\'',~1.;'f"~~~-:::!,;n 3. ,,"COlI1PLETE Ji'EE'SCHEDULEBELO,W ""';';''i::;\Jl~,t,,O:\H'''''\'!: t;;f'k-.~,,,,..~;,'i'1,,_,;,:-.,,,,;.;r~,;,.i,-:.-..\;,it,:.:;~;;,\,,~"-t.--'2;':,~':-"_:!ii'.><:4'-'_'__iil<r~":'i<,<.:\~",,;~j,',}~:.W.:,;<;..,ii,J;.-l~~5;"ct~~i..,?~ ~:-:".(';~j;;,;;<'>~4'~'(<~<1f;t>',t:~--'C'il'';'-,;~f;7'j{';\1';?fi1-~t%;(-!_!yftif:-:f,~\~,~--\~';;$,t?"':;>FI~.'\~Z';ii~;i','!~- A. ~.i~e,vReSidentj~l;:-; Single. or. Multi-Family per."dwclliiig"unii::tzt:. -:,~"""~Af"",.;:1ji!r.""~--,,,'i:W . ,."",-,,,,:..;....'1., ,.._~,-,'-'.... "'. " '-. ".-." '~~_~:"1r\.--,~"",.'-",:. ",-,."--,,.._ -:~~,t;:-,;c',.,;"';_.-~'><---o-;~""':'Y.:.\','l!:~,;~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof' Each Manufact'd Home or Modular Dwelling Service '01' . Feeder $106.00 $ 19.00 $50,00 ~@~i;\:ff:;t:~~~f1_~;----~~':~E:r;;il:01:u.i~~:!?'~!::t:~:"?_tf~3f1'%<B~{i;;;;"t.0y,;:tf~~~,*.~~~1;'fty~~~~t\i;" . B. ~_Servicesor,__Feeders'_;''lnstalla'tio.Ii~tAlterati6ns:or~Relo~cation:~ht~ . -- ~~G~,,'4;r;0i;'';;J$i1'~f0i~ID-'~';~\:-_\:1:ti;;:';)G':o:;:;'.;:';;4'~i.;,'':'i\i>--_~t'>>,,:";;//'-\..i.;:;i;.;i-~, ~.ii:~I}f~~ir:J1ili.~{i1P"~,'::;';f;--;;~ . . . ,( 70 200 Amps or less ::2- t f $ 1-' .00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000.Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 IC(D $ 50.00 $ 69.00 $100.00 $ 43.00 I t/D If~ 1'( 7 17Z~- 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drivt:(T:)/Building Fonus/Electrical Pennit Application 8.06,doc --WtL&.P:..FI_-';Q_~.:..iiiI__ ,;' ~' . ~ . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01837 ISSUED: ]2/12/2007 APPLIED: 12/12/2007 EXPIRES: 06/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 137 38TH ST ASSESSOR'S PARCEL NO.: 1702314200900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service and feeder Owner: NORTHVIEW INVESTMENTS INC Address: 33855 V AN DUYN RD EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License Expiration Date BOB FISHER EL.ECTW~(\1'\lCoreaon law reql9il"~~~.~,? 01125/2008 I, I BUILDING'IN~&OO'~#~'~et~~~h , ~\:~,.; ;:-:;;~-0010;hrOughOAR952-00b1. , , J.""#'of StOri"ln copies 01 the rules y "If) '~0" r.1?V 01) R-3 V - . ... ~eight 8f~ !r\l'lUtt;!! the tele~ho~e (. "'IJngT.y~ec~,j,j'''at'on Utility Notification VB nu ncer f." lh' v,ell ) " ~e~lfJr ~P/\:aOO-332-2344. Range Type: Energy Path: Sprinkled Building: Phone 541-689-7973 # of Units: Primary Occupancy Group, Secondary Occupancy Croup: Primary Constrnction Type Secondary Constructinn Type: # of Bedrooms: 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' Front yard Setback: Side I Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: No~JCl~;~:v<<~(EXP\RE If THE WOR\( TH~ PER~\~ ~Mn~R THIS PERMIT_~S NOT ,.""."f,~I",_L -ai"DUNt.U rX I PU,IlMlif,!~QlNIENfflc'" ANY 180 DAY ~I:hluu. Sidewalk Type, REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Availahle: Special Instruction : DownspoutslDrains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Value Date Calculated Paee I on -~~ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-0]837 ISSUED: ]2112/2007 APPLIED: ]2/]2/2007 EXPIRES: 06/1212008 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 Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $14.00 $7.00 $11.20 $140.00 12112107 12/12107 12112107 12112/07 120070UOOOOOOOOl494 1200700000000001494 1200700000000001494 1200700000000001494 Total Amount Paid $172.20 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. I Reouired Insnectio~~,' 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work descrihed herein, and that NO OCCUPANCY will he 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 he 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 Cnntractors Signature Date Paee 2 of2 225 Fifth Street Spri~field:Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01837 COM2007-0 183 7 COM2007-01837 COM2007-01837 Payments: Type of Payment CreditCard cReceintl RECEIPT #: ". ~RI:~Ii..'.IW>"^....~.......... ...'l..... "bl!ill . . JIIliL" ..... . ,.. · ..,...,,[ ..L ,^'.-~----.- _.~.. City of Springfield Official Rcceipt Development Services Department Public Works Department 1200700000000001494 Date: 12/12/2007 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 554191 In Person Payment Total: Page I of I 2:36:16PM Amount Due 140.00 7.00 ] 1.20 14.00 $172.2U Amount r"id $172.20 $172.2U ] 2/12/2007