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Home My WebLink AboutPermit Electrical 2008-1-25 "' -:.. -' '- ~ y ~ ... ," ". - '" ~ ,::'~ ~ 'Cl'FY'0E SPRINGFIELD. {)REGON :",;: J i.1. "3;;\ "'s' --:~o', I ".'i i{','l"1&"~;:o ~"'~ _,", ,~~ . - --,..". '4:i4"o.' ZON (lff-? INITIALS t"-Ml. DATE ''''~~. '.( "- SOURCE ..I .....- 225 F\FfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APP/tfCATION CilyJobNumber Q.s<..-mn'L- 1. fIE(jeJi'fiiONtOE7iNSTAi!f1APiON."!!7~IiJ!'l~t. \~'~""'a~~~2'o;r~ LE\1n~~ O\.cQ]f ') \ ~~;~Afo~ 1 DD J+ + ~~(RCS:;~;o:~:~~~~e~~o sq. ft. or ~;;;~ ar~ no~-tr~nsr;"able and expire i~ work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. ' Feeder 200 Amps or less 201 Amps to 400 Amps 40 I Amps 10 600 Amps 60 I Amps to 1000 Amps f~ N: Oregon law requires ydi)'1'O 1000 AmpsNolts N ffi . es aaoplea by the Oregon lfulfl'FTIect Only o lie Ion Center. Those rules are set i' .. Ino 952-001-0010th ~ ~1I'!Ir~~01illi ~"0TL Supervisor Lice se N . You m"l' nf;llaiFl .,,~O_u~h O,AthR 9~- ,~1l1l~!'Yiliseni!!,$;.S~lIr~"!'~0' ~,' '" . -.....~" e rules y ca '"g the center. (Note' the tele Expiralion Date number for the OrMnn 11;'1;'.. N t'f~h~tallation, Alteration or Relocation . " ~ Ollcation Center IS 1-800-332-2344). 2uu Amps or less Constr. Contr umber 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Cily OWNER INSTALLATION The instalIation is ,being made on property I own which is not intended for sale, lease or rent. ~ Owners Signature~ ---- NOTiCE: THIS PERMIT SHALL EXPIRE IF THE WORK Ii1~AActioDIR1:iiu\!SllDff6-Bl'M9 PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ,NY 180 DAY PERIOD. Date 3. 'l~mr~~~Ei~~~~~~~~4'" Y F:iB' . "- iiii""""'""'~t!MljjjftiMim!H",~!:'k"''''''1t$t3IV'''''i'iiI\'m_i'Hllii,...."._~yft.=~'2!. A. i'Ntw.R~~iaei'''ti3i1!J!!SiD....le''6~~Multi3FN'inil'i0eli~d;'elljD1unii;~': , ,~ .. ... """~~~~."."""g"d'~..~".:t.P",.r_.".",,,g ,~,,,,,!Y " Service Included $117.00 $ 21.00 $55.00 B. l $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 /3.LV 9--" E. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Connnercial $ 50.00 ~~nimum Electric Permit Inspection Fee is $50.00 + surlj8~ltJ :OYJ ... /J 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL{)( ~ Shared Drive(T:)/Building Forms/Electrica1 Permit Application T~ -~~~'~~i~I~{T}/: ~j .III} Status Issued CITY OF M'KmGFIELD Building/Combination Permit PERMIT NO: COM2008-00112 ISSUED: 01/25/2008 APPLIED: 01125/2008 EXPIRES: 07/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line SITE ADDRESS: 1344 5TH ST ASSESSOR'S PARCEL NO.: 1703263406000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Upgrade to 200 amp service and add two circuits Residential Owner: Address: DON BALL 350WOSSO EUGENE OR 97401 Phone Number: 541-285-1756 I CONTRACTOR INFORMATION I Contractor Type Eleclrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Seeondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlsl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , DEVELOPMENT INFORMATWN I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstrnction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Lll i' OF ~rKll~td;lJ!.LD' Status Issued Building/Combination Permit PERMIT NO: COM2008-00112 ISSUED: 01/25/2008 APPLIED: 01/25/2008 EXPIRES: 07/25/2008 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es P~id I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Numher $7.80 $9.36 $3.90 $8.00 $70.00 1/25/08 1/25/08 1/25/08 1/25/08 1/25/08 2200800000000000107 2200800000000000107 2200800000000000107 2200800000000000107 2200800000000000107 Total Amount Paid $99.06 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 Reoll,irerl Insnections I Rough Electric: Prior to Cover Electric Service: Approv~1 required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, Ihat 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and [ further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany slructure 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 be used on this project. I further agree to ensure that all required inspections are reqoested at the proper time, that each address is readable from the street, Ihat the permit card is located at the fronl of Ihe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Joumal Number COM2008-00112 COM2008-00 112 COM2008-00 112 COM2008-00112 COM2008-00ll2 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000107 Date: 01125/2008 1:29:40PM Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 70.00 8.00 3.90 9.36 7.80 $99.06 Paid By DON BALL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid Ilh . In Person Paymenl Total: $99.06 $99.06 4707 Page I of I 1/25/2008