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Home My WebLink AboutPermit Electrical 2007-12-19 SPRINGFIELD ZON ~ '(..\.)\0 l~ INITIALS :LA-\ .... '* ~~~CE +i~~ Date 11--llCJ f 07 225 FIFITI STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATIOJlf CIty Job Number C[)t"YJ zro '7 - 012 g '--t I LOCATION OF INSTALLATION: 2:1)6 S 5th ~FA* ~SCRIPTlON \' IU_~~~CO JOB DESCRIPTION !f.pWrr /~J--(/;hud C~~,-,-,--l- I v Permits are non-transferable and expire .fwork IS nol started wlthm 180 days of Issuance or If work IS Suspended for 180 days [j)~~ ~ ~- - ~- " 3 COMPLETE FEE SCHEDULE BEWW A ~ New ReSJdenha"I~-:: .s!.ngle_~r ~Mulh~Fa~l11ly per dwelhng UI11t. Service Included IOOOsq ft or less $11700 Each addItIOnal 500 sq ft or portIOn thereof $ 21 00 Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $55 00 2 CONTRACTOR INSTALLATION ONLY~ B ServIces or Feeders -lnstallallOn, AlteratIons, or RelocatIon. Electncal Contractor T1/-<D!?.AJ7l5N t;:e~iL200 Amps or less $ 70 00 7<9- 20] Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 60 I Amps to 1000 Amps $180 00 Over 1000 AmpsN olts $413 00 Reconnect Only $ 55 00 ~~ Owners Name ~ t~ nC Address$?\ . . . ~~ . _~ ~ Clty~~n liane -n Jn9idct) PumporImgatlon $ 55 00 ANENTlO' regon aw r~ you to SIgn/Outhne LIghtmg $ 55 00 OWNtqil~~ by the Oregon Utllrty Llml~iReSldentIal $ 28 00 The ~fICa1l0~ter T~B~&~~~ Llmld;~~rr@M!~~~~ EXPIKt Ir 11"1~ ~16BK IS not~f!#;M{I:Wcf6~les of the rul~s b; MIDlmum i\LU1QTjJ~14~mIJ,tl~lit~ldoJ~ lI.9lharges {<?!liQ9.!he center (Note, the telephone 4 s.;..~.MM~f\tC~o. Q,aJS,.ABANDOlllED FOR 0 00 Owner'hWffIfIl'f'lbr the Oregon Utility Notlflcat~on v~ilro'ffA?fJmttD. ~ { r,,,nt,,, I~ 1-ROO-:l:l2-2:l44\' 8% State Surcharge S (,;,0 "'~ 10% Admmlstratlve Fee "7 _ 176 f'\.~~ ~"" 5% Technology Fee -3 ,c,?Q InspectIOn Request 726-3769~ f"iO~' \\. ~q; TOTAL fS/p, LV u ~ 'v' Shared Dnve(T )/BU11dmg FonnslElectncal Penmt Application 7-07 doc Address PD. ~.9-1 f0J Y 9- CIty 6> "j'/ Phone 9 ~c, -c(')~ 7 SupervIsor LIcense Number .3:9/7 S ExpIratIOn Date 1c9 ~ / ~ () 2 Constr Contr Number /(('0 3;;2.'1 ExpIratIOn Date 1(0 -) - (:) S? SIgnature of SupervIsIng ElectrIcl , C. Temporary Services or Feeders , - ~ Inslallatoon, Alteratoon or Relocatoon 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D Branch CircUItS $ 55 00 $ 76 00 $110 00 New AllerallOn or ExtenSiOn Per Panel One CIrCUIt Each AddllIonal CIrCUIt or WIth ServIce or Feeder PermIt $ 48 00 $ 400 E MIScellaneous (Servlce/feeder not inclnded) -Each InstallatiOn _.~~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01884 ISSUED 12/19/2007 APPLIED. ]2/]9/2007 EXPIRES. 06/1912008 VALUE. 225 Fifth StI eet, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 303 S 5TH ST ASSESSOR'S PARCEL NO 1703350000307 Springfield TYPE OF WORK ElectrICal Work Only TYPE OF USE RepaIr Commercl.ll PROJECT DESCRIPTION Repair underground conduit Owner Address CITY OF SPRINGFIELD 225 N 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORM A TION I Contractor Type Electrical Contractor THORNTON ELECTRIC INC LIcense 116329 ExpiratIOn Date 08/21/2008 Phone 541-686-4151 BUILDING INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Primary ConstrucllOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy P dth Spnnkled Buddmg Lot SIze Sq Ft I sl FloOl Sq Ft 2nd Floor Sq Ft Basement Sq Ft Ga, age/Carport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION ~ Front yard Setback Side I Setback Side 2 Setback Rearya, d Setback Solar Setbdcks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd: % of Lot Coverage REQUIRED PARKING Total Handicapped Compact A I PUBLIC IMPROVEMENTS I ITENT/ON' Orego I Street Improve~ rules ad t d"baw reqUires you to i~ op e y the Oregon Utility StOl m Sewer v ~n Center Those rules are set forth SpeCIallnstlu6 ~ y,902-o01-0010through OAR 952-001- . au may obtain copies of the rul b Noles n~~~~ ~~ I~~nter. (Note' the teleph::e Y NOTICE: ^. Oregon Ullli~NOllfIC~lnn THIS PFRMIT CU^'I r-vrlr:~ Ir ~','_I'''_ ~ . 'dlO-J ItI '-OU~tJ~-', J -- -". .- (J 11- !,fllunl\ VaiuatlOn DescriDt~ORIZED UNDER THIS PERMIT IS NOT I1)fh IvlENCED OR IS ABANDONED FOR $ Per Sq FI Sq&WtF1.llo.!lMY PERlon I "'"Va ue or multlphel or Bid Amounl SIdewalk Type DownspoutslDrams DeSCrIptIOn Tvpe of ConstructIOn Date Cdlculated Pa2e I of 2 Status Issued CITY OF SPRIl'it..J< IJ!.LU . Building/Combination Permit PERMIT NO. COM2007-01884 ISSUED. 12/19/2007 APPLIED' 12/19/2007 EXPIRES. 06/19/2008 VALUE. 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Total Value of ProJect Fees Paul I Fee DescnptIOn + 10% AdmlOlstraltve Fee + 5% Technology Fee + 8% State Surchdrge Perm Serv/Fdr 200 dmps or less Amounl PaId Date Paid $700 $350 $560 $70 00 12/19/07 12/19107 12/19/07 12/19/07 Recelpl Nnmber 2200700000000001866 2200700000000001866 2200700000000001866 2200700000000001866 Tolal Amount PaId $86 10 I Plan RevIews I To Request an mspection call the 24 hour recordmg at 726-3769. All mspections requested before 7 00 a.m. will be made the same workmg day, mspections requested after 7.00 a.m. Will be made the following work day. I Reolllred T nsnecttons I Electric Service Approval reqUIred prior to ullhty company energIZIng servIce By signature, I stale and agree, that I have carefully exammed Ihe completed apphcatlOn and do hereby certIfy that all IOformatlOn hereon IS true and correct, and I further cerllfy Ihat any and all work performed shall be done 10 accol dance With the OrdlOances of the CIty of Springfield and the Laws of Ihe State of Oregon pertalOlOg 10 the work deSCribed herem, and that NO OCCUPANCY Will be made of any structul e WIthout pel mISSIOn ollhe CommuOlty ServIces DIVISIOn, BUlldmg Safety I further certlly that only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIS pi oJecl I further agree to ensure that dll reqUired IOspectlOlIs are requested dt the ploper tIme, that each addre>s IS readable from the street, that the permit cdrd IS located at the front of the property, and the approved set of pldns WIll remalO on the SIte at all times dunng constructIOn Owner or Contraclors Signature Dale P d2e 2 of 2 225 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01884 COM2007-0] 884 COM2007-01884 COM2007-01884 Paymenls Type of Payment Cred ,tCard (,Recemtl RECEIPT #. City of Sprmgficld OfficIal Receipt Development Services Department Public Works Department 2200700000000001866 Date: 12/19/2007 DescnptlOn Perm Serv/Fdr 200 amps or less + 8% State Surcharge + 5% Technology Fee + 10% Admmlstralive fee Pa,d By ROCKLIN R THORNTON Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received ddk 719163 In Person Paymenl Tota' Page I of I 3 36 22PM Amount Due 7000 560 3 50 700 $861U Amount Paid $8610 $86 10 " 12119/2007