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Home My WebLink AboutPermit Electrical 2007-12-31 &PAIN........... ZON LD2- ~~ INITIALS N r--- _ -" .~".,. .&!.'. DATEn"I-("l,:>.,,-n ^ 225FIITHSTREET. SPRt~GFtELD.OR97477. PH (541)72~3753 . FAX (541)726.3689 ~4,~~' < 'iiD' "'" SOURCE~")- ELECTRICAL PERMIT APPLICATION . /.. CIty Job Number COAAz..C07-0f7J(/~. ~ ~~~~~a~e~_~~7:~~~;{,7 . 3 COMPLErE FEE SCHEDULE BELOW CITY OF SPRINGFIELD, OREGON I I iOCAlION OF I1VSiALiAr.{~N, : / ~i8'----7-1cST- ---- New ReSldenllal- Smgle or Mulll.Famlly per d"elhng Unit - ~- --- -~- -- -- A LEGAL DESCRIPTION I /D~Zt:<./ Z 01 bO ~ Service Included 1000 sq ft or less Each addlttonal 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder JOB DESCRIPTION ?'ao ~f f{2.vL $10600 I b c.t.rc.......~ $ 1900 I Permits are non-transferable and expire If work IS not started within 180 days of Issuance or If work IS Suspended for 180 days $50 00 2 Cl}lIlTRACTOR INSTA~110~ O~L~J Electncal Contrl<fIJIEWIRE ELECTRIC. INC. P.O. BOX 11706 ~IIB~N~ OR 97440 B l ScnlCCS or FecdeN -InstallatIOn, Altcrahons or Relocation - -----. -.------7D 200 Amps or less $ fI5 00 20 I Ampsto 400 Amps $75 00 40 I Amps to 600 Amps $125 00 60 I Amps to 1000 Amps $163 00 Al1IENincm:~tlllaw 1 . $37500 folloat:fWoo:W'*t db reqt.. 00 ,"" .",' $ 50 00 Nolfflcatlon Ce t eTh y the Oreg~.. ;;,,,,,, In nA.. Q~ n er. ose rules are set forth ~",., """'JI'V1HGOtlttlwo~IfOAJf'952-OO1. CX:i Yo:'., may oblaln copies of the rules by _caIl~t't.t1~~Ptffll'l'I!le~l'Ibne ~6tbt?M!Bfa~gon Utility NotIfication $ 50 00 201 Amps toM08..e~2'2344). $ 69 00 40 I Amps to 600 Amps $100 00 ~ve!.600 Amps or 1000 Volts see "B" above D I Branch CirCUits 1..--- ___ 1D Address Phone Jl/f-7'f;g CIty Supervisor LIcense Number '3.3'73- 5 ExpIratIOn Date I!J - / - /0 Constr Contr Number :J;J - 99 c , 5' -/h -iJ~ ExpiratIOn Date Signature OfSUP"Z1:i:-- fIL' Owners N amc / ~..... New Alteration or Extension Per Panel One CIrcuit Each AddItIonal C,rcUit or wIth Service or Feeder Pemllt $ 43 00 $ too h Alh...."L 7ft.. sf Phone 'SIt:> - 'ZVb Z(I E /)"'3J S. t> I::-~ MIScellaneous (Service/feeder not mcluded) -Each InstallatIOn Address CIty Pump or IrogatlOn $ 50 00 SIgn/Outhne Llghtmg $ 50 00 LImIted Energy/ReSIdential $ 25 00 LImIted Energy/CommercIal $ 45 00 Mmlmum Electnc Permit Inspecnon Fee IS $4S 00 + Surcharges 4 SUBTOIAL O~~l}~ 9t( 7fZ. mm~!:' . E '~~ESUrCharge THIS PERMIT SHAll EXPIRE If TH ~o ID,stratlve Fee '1,,0- ORIZED UNDER THIS PERMIT lS~ hnology Fee lJ 70 AUTH OR IS ABANDONED FOR 1./ (- U Inspecnon RequestCI/J:tdlJ1iii!iCED TOTAL .J ANY 180 DAY PERIOD. Shared Dnve(T )/BulldlOg Forms/ElectrICal Perm1l ApphcatlOn 8.(J6 doc OWNER INSTALLATION The mstallatlon IS bemg made on property I own whIch IS not Intended for sale, lease or rent Owners Signature Status Issued 225 FIfth Street, Spnngfield, OR 541.726.3753 Phone 541-726.3676 Fax 541-726.3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01934 ISSUED- 12/31/2007 APPLIED 12/31/2007 EXPIRES: 06/30/2008 VALUE' SITE ADDRESS 1528 7TH ST ASSESSOR'S PARCEL NO 1703264201600 Sprmgfield TYPE OF WORK Electncal WOI k Only TYPE OF USE Repall Resldentldl PROJECT DESCRIPTION Replace 200amp panel and add 6 Clrcu.ts Contractor License ExpIratIOn Date LIVEWIRE ELECTRI<;'~b,,"I'\M, n....."n 1~9g?tulrfi you 1005/16/2008 I 1J001c!wIIlII@~Rmine;},"IPregon UlIIlty Irut'iu,ullLf, \}g, f,IJ(! I.'!!!.. '_ ~s are set forth In QAiHj~Q.1-001 0 through OAR 952-0R1; S ~ htal~ copies of the rule~"y_ .ze 009Aelgll!ldJ'l~.\H?~.(Note the telepho&q Ft 1st Floor C41Yjl9~ ~ Oregon Utility Not,lflcatIS? Ft 2nd FloOl nU4liM\-... ! p.em HIOQ-332.2344\ Sq Ft Basement Rangn ~l{ -" _. -! Sq Ft Garage/Carpol t Energy Path Sq Ft Other Spnnkled Bnddmg uta Occupant Load NOT1CE~ EXPIRE IfTHEWORI< THIS ~E,,~~I~ ~~~~~ THIS PERMIT. IS NOT f\U fllJ. :'.-- - -... !'LU 'l'IE1cJ;\ MM~[) UK ", f\U" ....- CO n,alwnrl)escrmhon ANY 1 \ , . I $ Per Sq Ft Square Footage or mnlt'pher or BId Amonnt Owner TIM ALBUSH Address 1538 N 7TH ST SPRINGFIELD OR 97477 Contractor Type Electncal # of DOlts Pllmary Occupancy Group Secondary Occupancy Group Primary ConstrnctlOn Type Secondary ConstructIOn Type # of Bedrooms Frontyald Setback Side I Setback S.de 2 Setback Rearyard Setback Solar Setbacks SlIeet Improvements Storm Sewer A vadable SpeCial Instl uctlOn Notes DeSCriptIOn Type 01 ConstructIOn Phone Numbe. 541.510.2486 I CONTRACTOR INFORMATION I Phone 541.344.4928 R.3 VB I DEVELOPMENTINFORMATlON I REQUIRED PARKING Overlay Dlst # Street Trees Rqd Paved Drove Rqd % of Lot Coverage Total Handicapped Compact I PUBLIC IMPROVEMENTS I SIdewalk Type Downspouts/Drams Value Date Calculated Paee I of 2 Status Issued CITY Vi' ;::,rKINGFIELD Building/Combination Permit PERMIT NO: COM2007-01934 ISSUED 12/31/2007 APPLIED. 12/3112007 EXPIRES. 06/30/2008 VALUE. 225 FIfth Street, Spnnglield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 InspectIOn Lme Total Valne ot Project Fees Paul I Fee DescriptIOn + 10% AdmmlStrdtlVe Fee + 5% Technology Fee + 8% State SUI charge Add, Alter, Extend Orc Ed Add Perm Serv/Fdr 200 amps or less Amonnt P..d Date PaId Receipt Numbe. $940 $470 $752 $24 00 $70 00 12/31107 12131107 12/31107 12/31107 12131107 1200700000000001535 1200700000000001535 1200700000000001535 1200700000000001535 1200700000000001535 Total Amount PaId $11562 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 Reouired InsnectlOns I Rough Electnc Pnor to Cover Electnc ServIce Apploval reqUIred pnor to uhhty company energIZIng servIce Fmal Electnc When all electncal work IS complete By sIgnature, I state and agree, that I have carefully eXdmmed the completed apphcahon and do hereby ce.hfy thdt dll mformdtlOn hereon IS true dnd correct, and I further certIfy that any and all work pel formed shall be done m dCCO. dance WIth the Ordmdnces of the CIty of Sprmglield and the Laws of the State 01 Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure WIthout permISSIOn of the CommuDlty Serv.ces DIVIsIOn, BUlldmg Safety I lurther certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used On tillS project I further agree to ensure that all reqUIred mspechons are. equested at the propel tIme, that each address IS . eddable f. om the street, that the pel mlt card IS located at the front 01 the property, and the approved set of pldns WIll remam on the sIte ,It all times dunng constl uctlO" Owner or Contraltors Signature Date Page 2 of2 225 Fifth Street , Spnngfield, Oregon 97477 541-726-3759 Phone ....~RINaFU!LO""" ..." ' *.' City of Sprmgfield Official Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2007.0 1934 COM2007.01934 COM2007-01934 COM2007.0 1934 COM2007.0 1934 Payments Type of Payment Check cRecemtl RECEIPT #: 1200700000000001535 Date. 12/31/2007 DescriptIOn + 8% State Surcharge + 10% AdmlDlStratlve Fee Perm Serv/Fdr 200 amps or less Add. Alter, Extend Orc Ea Add + 5% Technology Fee PaId By TIM ALBUSH Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 1188 In Person Payment Total Page I of I 11 41 56AM Amount Due 752 940 7000 2400 470 $11562 Amount Paid $11562 $11562- J 2/3 1/2007