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Home My WebLink AboutPermit Electrical 2007-12-20 $PRINGF1E;1-D ~~..::rr.::..,-, - . " , ~" ~~ lli.^ ~"""'-..,.,..",f F'....,1 ;r;~ ' '<ok""":: 4 ,,'l'''~lj~j...... ~"?-""1 ~~:~ ~~ "^~..4 ZON L/"Y' -:r; INITIALS tJ~ DATE ,;\)"IL, SOURCE rv'\ f':5~" I ~ 'J-- ~ - ~~,,-\;,-i'J'~"~-"~"il.t';':-"" . ~_ ~J~"1;1.~.aB~(tH;!I~it _;W~ "~''H ". 'e;.";;''I'i''!l''''' ZZ5 FIFTH STREET. SPRINGFIELD, OR 97471 . PH (541}1Z6-3753 . FAX (541}1Z6-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C-OM'U:>l?""1- ^ ,"\ \ I 1 L()(;_4TION OF INST..4LLATION - " -:' : ,~ ,_ ~ .. _ ~_ d ......~_ ">>< _ '" ~_" ,~;: ~ y-<- :, (;,01/ 54+1'- S'f </1<-tJ uVf ~"".." LEGAL DESCRIPTION \ 1 0 1_ ?-,\ '2-\ 0 'Z,cn, .., JOB DESCRIPTION CIH""'I::':v; Mf'i&L M"-' Z'-"'Il 3p5 ~~ Permits are non-transferable and expire If work 15 not started wIthIn ISO days of ISsuance or If work IS Suspended for ISO days 2 " ~ -~ - , CONTRACTOR INSTALLATION ONLY ~_ ,^,,_ -:><( ",",,:' L ,;t~ ~~_~ ~~';:MJ.,,,,~ Electncal Contractor f'rI " It ff<, r:C'P J:!-1c- Addre>> 27ff fl1~ Prt CIty )(?<-o Phone 541- <;21 S~" Supervisor License Number L(/( :z. s ExpiratIOn Date /0- 00-.:>9 Constr Contr Number 141. 74" E "{plratlon Date /- 11>-." Signature of Supervlsmg Electncmn 4?y~~ ~- " Owners Name AI ahm ~Ltc. Address <b77&t (p4J.r ~ttt2~ E &;' CIty l VI Phon~ .._" .~ w reQl\!rc.;.;> ,-.:,- -- ATTE T~ON etn b the OCregon Lj,,'lty ~a.OO 1(1~f/;\'/, rules are set with h1nlI1Icpt'on Cen ef 0 r o-? 001- '~rJlbm'iJ5'll'OO'1>-tleh@ \fi~€IOJ~R6*~~g'g'trhICh -!\l,J6'''Vi%i'n\tf9roal~lleaoeRlfi'efit. a ~ uh~ne u~ t r (Note tns Ie 8 - ~ o,pB#fu~= ~re(1on l),,\',y r,u"I'C&.,on n Center IS 1-&uO-:>::2 23-+-+) InspectlOn Request 726-3769 Date rz-z-'::' J" 3 ~ + -'- - - -, -,..""~. ~",... COMPLETE FEE SCHEDULE BELOW _ - " F -: ""k. '",~ ......-" ~~__,,,_.....r,,,,;..._~ '"~.. ,...,""' _,,~~____,-....-_<..,f.. ".,lI,.~: r...w: '''-r"'''~~-- ..... -' "I';;'^':f"~V?"1""'~"'~ "f.""A-~,.~ ,.,,~\t A - l'<ew ResldentJal- SmgJe or l\Iulh-Fanuh per dl\elJiu" mut ~~~~'" _~ ~__~ .( _ __ <!. -.o.-~ _~..... _ '- __-..u..~_ """_ Service Included 1000 sq ft or less Each addItIonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwelhng Service or Feeder $10600 $ 1900 $50 00 ~~ I ~'c(i'~'l '; ~ ~ j j" ,,*v M ': t ,," 0/ ,~> -: ," y i.,. B Services or Feeders -; Instdllahon, Alterdtions or Relocation <?~ ""-" 'L~ "'''''0'<'- ,,_ ~.~ ~ - ~ 1'<-.. ~ ~ ~ M0:., '-~-'C1t)~'" "- r<'-C >( iJJ-M -rO. CD $ 75 00 $12500 $16300 $37500 $ 50 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only t ~ ~., ~~ ~ ,,-,,, ~::-,~ "" ~~... "' ~ ~ C _ Temporary Services or Feeders ~,__ 2.' J_"," J__",~.~ ~,>,~!(._ InstallatIon, AlteratIon or RelocatlOn 200 Amps or Ie" 20 I Amps to 400 Amps 40] Amps to 600 Amps Over 600 Amps or 1000 Volts see HB above D BrJnch CIrCUIts $ 50 00 $ 69 00 $10000 '- ' ,~ New AlteratIOn or E.,;:tenslOn Per Panel One CIrCUIt Each AddItlonal CIrCUIt or With ServIce or Feeder PermIt $ 43 00 $ 300 iVl1scellaneous (Sel 'Ice/feeder not Included) -Each InstallatIOn Pump or lmgatlOn $ 50 00 S,!f~Outlme LIghtmg $ 50 00 "'Ll.lrtJCili>nergylReSldentlal $ 25 00 T~It;l,Pe~IE~~~~eEXfiIRE '~ $ 45 00 lV' j\,VJJiI ~FeIJ~g RUJ6u IIlnfPflBl'P[fmJt~ 'QRO"-~urChargeS ~t'jr,'~IJE'\jC.Ef"l /1r:ltfuMl III NbT 4 ro?P"%f!p~rr;:f)D lWJOONEOFQR 7Q.ro 8% State Surcharge r:]. raD....- 10% AdmmlStratlve Fee -r .00 5% Technology Fee ,~ .1:;'7) TOTAL <$Ct.,.\O Shared Dnve(T )/Buddmg Fonns/Electnc:Jl Penrut ApplicatIOn 8-06 dol. .--SPrRI!!IG!lI~"'9 , i , CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED: EXPIRES: VALUE COM2007-0I9I1 12/21/2007 12/21/2007 06/2112008 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 697 34TH ST ASSESSOR'S PARCEL NO 1702312103600 Springfield TYPE OF WORK Electncal Work Only TYPE OF USE AlteratIOn ResIdential PROJECT DESCRIPTION Change out meter maIO Owner ALJABRA INVESSTMENTS LLC Address 87760 CEDAR FLAT RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electncdl Contractor MITCHS ELECTRIC INC License 146745 ExpiratIOn Date 01118/2009 Phone 54 I -521-5690 BUILDING INFORMATION I # of UOItS Pnmary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Seconddry ConstructIOn Type # of Bedrooms # of Stories Height of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg Lot Size Sq Ft 1 st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gardge/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I Frontyard Setback S,de 1 Setback Side 2 Setbdck Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd P dved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total Handlcappcd Compdct I PUBLIC IMPROVEMENTS I Street Improvements ~ITFWTLQN Oregon law requIres you to Storm Sew ol~I;;IIr'Bre'S adopted by the Oregon Utility Special In S~mb"a~ron Center Those rules are set forth NOTICE". In OAR 952-001-0010 through OAR 952-001. Notes 0090 You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK MI\,nn thQ "iontp.r (Note the telephone allTI-ln017l:n 11~ln~o TI-lle:: O~OMIT Ie:: MnT number for the Oregon ~d~~~3~~"'" ". . .GU!iMENCED OR IS ABANDONED FOR Center IS 1-800- ~4\1aluatlOn DescrtotlOu_1180 DAY PERIOD $ Per Sq Ft Square Footage 01 multiplier or Bid Amount S,dewalk Type Downspoutsffirams DeSCriptIOn Type of Constl uctlOn Value Ddte Cdlculated Paee I of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED. EXPIRES VALUE COM2007-019II 12/2112007 12/2112007 06/21/2008 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Valne ofPloJect Fees Pmrll Fee DescllptlOn + 10% AdmmlStratlve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amouut Paid Date PaId ReceIpt Number $700 $350 $560 $70 00 12121107 12/21107 12121107 12121107 2200700000000001895 2200700000000001895 2200700000000001895 2200700000000001895 Total Amount Paid $8610 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 followmg work day I Relllllrerl In~nect!ons I Eleclllc Service Approval I eqUlred pnor to uhhty compauy energlzmg service By slguature, I state aud agree, that I have carefully exammed the completed apphcatlOn and do hereby cerhfy that all mformatlOn hereon IS trne and correct, and I further cerhly that any and all work performed shall be done III accOl dance With the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertallllllg to the work descnbed herem, and that NO OCCUPANCY will be made of allY structllre WIthout permlsslOll of the CommllDlty Sel vIces DIVISlOll, Bmldmg Safcty I lurther cerhfy that only contractOl s alld cmployees who dl e m comphance With ORS 701 005 WIll be used 011 thIS project I lurther agree to Cllsure that ,III requlI ed mspecholls are requested at the proper hme, that each address IS redddble Irom the street, that the permit card IS located at the frollt 01 the property, and the approved set ot plans Will remam on the Site at all times dUfmg construction Owner or Conti actors Signature Date Page 2 of2 225 Flft'b Street Spnngfield, Oregon 97477 . 541-726-3759 Phone ~~ CIty of Spnngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-01911 COM2007-01911 COM2007-0191 I COM2007-01911 Payments Type of Payment CredllCard cRecelOtl RECEIPT #. 2200700000000001895 Date: 12/21/2007 Descnptlon Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% Slale Surcharge + 10% AdminIstrative Fee PaId By MITCH'S ELECTRIC Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received ddk 084260 In Person Payment Tolal Page 1 of 1 2 47 06PM Amount Due 7000 3 50 560 700 $861U Amount Paid $8610 $861U 12/21/2007