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Home My WebLink AboutPermit Electrical 2007-12-5 ZON \~) INITIALS ~~ DATE \ L-' '-t-Vl SOURCE~ Date/::J -~-(J} 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-37S3 . FAX (541)726-3689 ELECTRICAL PERMIT APPUCATION City Job Number CC>I,M.'Z.<>c>7 - C> I &'OS' I .....,..-._"'~_~"T"'r__.,.t~~""'tt"....,.~~.....,~i;:"~-'I"'"~'!' ,,"," n-J;-'1/'l"T'" --..1'l'--..:r'lf~-""'-;;--" 'f~ ,-.- ~...~ 1 f:..9f:~:r:lqIJ2.f..1l!g:r4J..!A'flON'~.u"'; 3 ~SC}!1!:E1f.TE.f.~'!. $(:lIED,ULE B.l!L<2.W: ,,;. . _::': ~ ~~ - ...... i+l.- ~",,\-;c Electncal ConlraClor OREGON ELEClTllC SElWlCE 200 Amps or less S 70 00 PO BOX 2237 . 201 Amps to 400 Amps $ 83 00 EllGfNF, OR !l740? on \aw1~q6\JllS yow!A\.mps $13800 AI i'~NT\IjN vI"~d by tI601CXiilj\9U.~~mps $18000 PhonJ~~Q!~s~Er ThOSe<lN,@~6B~o Is $41300 NotlTl ",,,u5 '.'101.001othrOoolld ~\;\ \l S by $ 55 00 In OAR 9 " In caples 0 t e ...Qe.g.Q jDu may obta {1':l~te\ePhO"e,-, '.. "'--:;?"fl- '1 "1',1, - ~ ' '. SupemsorLlcenseNumber I..:\~thecenter (~~\litY~~~s.!'"!r:.~~.....J::"~> ". -':.:.......~:. ';" "umber lor the uregon 32/2344). ExpiratIOn Date / 0 ~ I _ I 0 Ce"ter IS 1-800-1nSla1iatlon, AlteratIOn or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps E ~~~~eii~~~~~1s~h~e/~;;~;n~iudedf ~E'";i~h In~;~lOn E-::"'j~"""'....:;.L:.., ~-1!t~,.i .'-' " :;I:.o,..~l>"I~"..,........I..;A!J ~'.~ .-..-:....-> Phone)~0 -lroTJ{;E: &~tt ,!~~~\f THE WORK $ 55 00 THIS PERMIT S'S~~~RUIT IS NOT $ 55 00 OWNER INSTALLATION AUTHORIZED U ~~'A~rEQJR S 28 00 The mSlallatlOn IS bemg made on property I ov.GQ..lJlMENCED l E'lt\\5tEnergy/Commetc1al $ 50 00 IS not mtended for sale, lease or rent ANY 180 1Mt~I~um Ele~tnc PermIt InspectIon Fee IS $50 00 + Surcharges ;'1~;t-"""~';j\1t.? ""'~""\-"""~'rr.. "'r- ,,- ~ f -- ..,.. ~-1r-,~~ r...- 4 l SV'!,FJ!A,L (;)l::MO~_ .__~.:":::':':':'J.'_: .5\0 ~ 8% State Surcharge <.-J $.0 10% Admmlstratlve Fee J:::: ca;v 5% Technology Fee cl..~-o LEGAL DESCRIPTION - I '7 C> 7.. '3. {l{ Z. JOB DESCRIPTION W~ IJJG~ ~Le_""" -- .~..... o'Z3c~ Permits are non.traDsferable and expire If work 15 not started wlthlO 180 days of Issuance or If work IS Suspended for 180 days, l....~-...._. "",-,,"-, . ',"r-ii ~ '''-'J'''''''. -.--... . <if<-rC(" .,"" "CONTRACTOR'IN!>IALLATION ONLY 2 ~", '~~-"-'~I""''''"'''~-''-'"' {Jf~~~""'~ ~,~-~~ ,,~ Address City Constr Contr Number /10 rs I R Expiration Date q - ~ + - cF' Signature of Supervtsmg Electnclan 71n A /1AA O"^-' ~~ " , / Owners Name f2pD / m ~ Address ..:r'~ City S?r~ Owners Signature InspectIDn Request 726.3769 _ _~ ~' _""'_ -....-r"""""--- ~ -" .,.".,-..-'\ ~ ._4, ,.,....- A New ReSldenllal- Smgle or MultI-Family per dwelling umt A ...:0:..--.............. ~ .....__<.- ---:...<-A- __ ...... _...:..:;. _~~-L- - --~...- Sel'Vlce Included 1000 sq ft or less Each additional 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder Sll700 S 2100 $5500 B rS~c~;~~F~~d:;7~~~1~h'O~~Alt~?;;~~~R~i~~al:cfn : ~J.._..--::""~"""1.:._......~_....J.L...-.~~-!;.....>. t_~h_''''Jil-w... ~ .. $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volls see "B" above f-').,,-rT~"'''''''T''''1-Wp;:r'''''''''''''-~''\"""''(''''''''-~ '>:"T'" ,~ D LBrJlp.~..~lrCU!t~~\>~." . - ~.~ ;-1;~. r'~~ New Alteration or ExtenSion Per Panel One CIrCUIt I Each Addltlonal Crrcult or With ServIce or Feeder Permit - " . , ...~ :-,\ t _=.1.:.0.-'0.. '. . L/'i:o-<:;, $ 48 00 $ 400 TOTAL (0 f ..;:)0 Shared Dnve(T )/Bulldmg FonnslElectncal PermIt ApphcatlOD 7 07 doc , < CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2007-01805 ISSUED 12/10/2007 APPLIED' 12/10/2007 EXPIRES, 06/13/2008 VALUE -~~~ Status Issued 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 FdX 541-726.3769 InspectIOn Lme SITE ADDRESS 205 37TH ST ASSESSOR'S PARCEL NO 1702314202300 SprIngfield TYPE OF WORK MechaDlcalOnly TYPE OF USE AlteratIOn PROJECT DESCRIPTION Install water heater, dual wdll heater and new shut off on gas line Owner BAKER OPAL M & DONALD A Address 205 N 37TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type ElectrIcal MechanIcal Plumbmg Contractor OREGON ELECTRIC SERVICE PACIFIC AIR COMFORT INC DAVID EDWARD RICHARDSON License 161518 39237 157134 # of UnIts Primary Occupancy Group, Secondary Occupancy Group PrImary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms TT '''T'', I BUILDING INFORMATION I ~ -' ~ I, vregon law requires you to , I' "~3 adorllEOf ~ptl1lS Oregon Utility I,()t if3 'Ion CentelHili~li6otrSIe8111lU"t\et forth 111 OrVl9t,~ 'J01-00jiY\1i1M1Iffi/llDAR 952-001- 0090vaou mal ob~AOIlyjJepfthe rules by calling the cent8RalJfl~'P~e telephone number for the Oitlll9 Ri\Y Notification Center IS sj\W A?~1\li},g nla I DEVELOPMENT INFORMATION. Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solal Setbdcks Overlay DlSt # Street Tree; Rqd Paved Drive Rqd % of Lot Coverage ReSident.., Phone Number 541-726-8760 Expiration Date 09/28/2008 03/25/2010 09/22/2009 Phone 541-343-1681 541-672-9510 541-606-1588 Lot Size Sq Ftlst FloOl Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gardge/Cdl port Sq Ft Other Occupant Load REQUIRED PARKING Total Handlcdpped Compact I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk 1rRe THIS PERMIT SHALL EXPIRE 1\Q.~I;tfD;:Vu.t..lams AUTHORIZED UNDER THIS P~1V1I11'> I~UI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements Storm Sewer Avalldble Spec..llnstructlOn Notes Pd~e I of3 -0;:':;- ~ -..... Status Issued 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DeSCriptIOn Tvpe of ConstructIOn Fee DeSCription -MechJDlcal Issuance Fee- + 10% AdmmlStrahve Fee + 5% Technology Fee + 8% State Surcharge ApphJnce Not LISted Gas Outlets 1-4 Mmlmum/AdJustment MechaDlcal + 10% AdmmlStrahve Fee + 5% Technology Fee + 8% State Surcharge Fixture MIDlmum/AdJustment Plumbmg + 10% AdmlDlstrahve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend ClrC Mmlmum/AdJustment ElectrIcal Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO ISSUED' APPLIED' EXPIRES VALUE: COM2007-0180S 12/10/2007 12/10/2007 06/13/2008 I Valuahon Desumtion I $ Per Sq Ft or multlpher SquJre Footage or Bid Amount Value Date CJlculated Total Value of ProJect Fpp<, PquJ I Amount PaId Date PaId Receipt Numbel S20 00 $500 S250 $400 S20 00 $500 $25 00 $500 S250 S400 $1600 $34 00 $500 S250 S400 $48 00 $200 12/1 0/07 12/10/07 12/1 0/07 12/10/07 12110107 12/10/07 12110/07 12/11/07 12/11/07 12/11/07 12111/07 12111/07 12113107 12113/07 12113/07 12/13/07 12/13107 2200700000000001811 2200700000000001811 2200700000000001811 2200700000000001811 2200700000000001811 2200700000000001811 2200700000000001811 2200700000000001815 2200700000000001815 2200700000000001815 2200700000000001815 2200700000000001815 1200700000000001497 1200700000000001497 1200700000000001497 1200700000000001497 1200700000000001497 $204 50 I Plan ReViews , To Request an mspectlOn call the 24 hour recording at 726-3769, All mspectlOns requested before 7 00 a.m will be made the same working day, mspectlOns requested after 7'00 a m will be made the followmg work day, I ]?POlllrprl 'n~.np,..tiow Rough MechaDlcal PrIor to Cover Fmal MechaDlcal When all mechaDlcal work IS complete Rough Plumbmg PrIor to cover and mcludmg reqUIred testmg P J~e 2 of 3 CITY OF ~rKlJ""Jl'lJ',LD' Building/Combination Permit Status Issued PERMIT NO: COM2007-0180S ISSUED' 12/10/2007 APPLIED' 12/10/2007 EXPIRES. 06/13/2008 VALUE 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Fmal Plumbmg When all plumbmg work IS complete Rough ElectrIc PrIor to Cover Fmal ElectrIc When dll electrical work IS complete By SIgnature, I state and agree, that I have carefully e<ammed the completed apphcatlOn and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I further celtlfy that dllY and all work performed shall be done m dlcordauce WIth the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the WOI k descrIbed herem, dnd that NO OCCUPANCY will be made of any structure Without permISsIOn of the CommuDlty ServIces DIVIsIOn, Bulldmg Safety I further certify that only contractors and employees who are m comphance With ORS 701 005 will be used on thIS proJect I further agree to ensure that all reqUIred mspectlons dre requested at the proper lime, that each address" readable from the street, that the permIt card IS located at the front of the property, and the approved set of pldns will remam on the SIte at all times dUring construction Owner or Contractors Signature Date Pa~e 3 of3 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~O~;~ ~~, 1 ~ City of Sprmgfield Official Receipt Development Sen'lces Department Pubhc Works Department Job/Journal Number COM2007.01805 COM2007-01805 COM2007-0 1805 COM2007-0 1805 COM2007-0 1805 Payments Type of Payment Check cRecelOtJ RECEIPT #, 1200700000000001497 Date' 12/13/2007 DescnptlOn Add, Alter, Extend Clrc MlDlmuml Adjustment Electncal + 5% Technology Fee " 8% State Surcharge ~ 10% AdmlDlstratlve Fee Item Total l:heck Number AuthOrization Paid By Received By Batch Number Number How Received OREGON ELECTRIC SERVICE dJb 21403 In Person Payment Total Page 1 of 1 8 59 44AM Amount Due 4800 \ 200 250 400 500 S6150 Amount Paid $61 50 $615U 1211312007