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Home My WebLink AboutPermit Electrical 2008-1-29 SPRINGFIELD ZON \ A Tl2) . *, lNlTIALS "-'>1\)\ ~, DATE \=29 _nK" . \OlD' SOURCE<;Y-.r,,;0:") t(-ulfOl <; ~."- .\" -..' ~ "," ,~'.~, "'I"'"' ;:. ,_, :'. ;;,,_ ,C~~!)O~~~Jl~2F;IELQ;_()RE,QqN, ~.~r.:';. ~... 225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689. ELECTRICAL PERMIT APPLICATION City Job Number CoM2.D69.-nb/?-.n l. 'l:'Lo(jA.viOi\fJ"oifIiNSTAl}T~AilfioNl",,'!fl~'., (l."d"~,,~-,_~,,_~',,I 3YD dS0- . LEGAL DESCRIPTION: \ IO,~ 3(.. 1'-1 (,.,mo JOB DESCRIPTION: , 'b+rA P Jf0t6+ ' Permits are non-transferahle and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor '7(; n -IV) ti4f-\er t /ecJ~L... Address /dJ/ b K /['9, V ' City Il &;.tf1- Phone S5L!~tl2. 2.3 Supervisor License Number l! ? 70S Expiration Date / () - /0 Constr. Contr. Numher ;:). () - 50S-L Expiration Date Vk o~e:s N: Q i ndv diftVf <p j/' Address -P..(). fJm 01 City LoYtlru.../ Phone OWNER INST ALLA TION The installation is being made on property I own which is not:ill?e1iar.r:for sale, lease or rent. fHIS PERMI.T SHALl:EXPIRE'IFTHE\~v.<< OwneA~NWJf\'IltDIUN.D.ER THIS PERMITjIU. :J3~,~~mjSED QR IS ARANDONEDiF.Ql' ANY 180 DAY PERIOQ. ~ s CHon Request: 7;li,3769 ' U~' .', Sr- SOO . \ 1..(1 ~ , ~"-1-14;'~ , , Date 3. A. ~'~'~R~id~iitili~~~~'~~iilli~F:iiir1'~1~mW~iliir1tri;itii~~q 1N'''"''~''"",''',^'''''''''''~'~~'''''~''d&'''ici~g~""i'~"',~,,,,,,,,~,~,,,,",..."".y,"~"""'"[h,tlinW,w...",g..,~",C'"".~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Eac)1 Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 e:;-'-,~ ,<X./ / c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" ahove. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit' $ 48.00 $ 4.00 E. fi~~i~l9~tKSf~l~7r~i~~~~t[~~lM~~)J!i~~~[~lt~1~tl~~J 4. TOTAL . ';'Cf15 Shared Drive(T:)/Building FonilslElectrical Permit Application l-QS,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00130 ISSUED: 01129/2008 APPLIED: 01129/2008 EXPIRES: 07/2912008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ' 340 25TH ST ASSESSOR'S PARCEL NO.: 1703361416000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Reconnect Only Owner: DA VIS CINDY BROCK Address: PO BOX 67 LORANE OR 97451 I CONTRACTOR INFORMA T10N I Contractor Type Electrical Contractor TURNBO CARTER ELECTRIC INC License 156308 Expiration Date 07/14/2009 ' Phone 541-729-8409 BUILDING INFORMATION I , # of Units: Primary Occupancy Group: Secondary 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 Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Sethack: Side 2 Setback: . Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: \-It WOR\<. ~1.1 ns~Ji.~ ~~!l1\t\!.iIii)jPe\Rt ~~~\1 IS t-40i ~11\'2S'jl~nli\IDstJ\~tre\1l;\'\-IIS I' EO fOR il JTI-\OR\IE OR \S ABAt-400t-4 r OINotesl,CEO 100 ,",..~' I'ER ",,' 19.flDA'{ . I PUBLIC IMPROVEMEIQ.'tS",NTION: Oregon law requires you to . M'~,} rules adopted by the Oregon Utility Notification ~~ft\Y:!\!~ rules are set forth in OAR 952il9*,.QQ,bq,I~fi9HH!}s9AR 952-001- 0090. You may omaln copies of the rules by . calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). I Valuation Descrintion , Description Type of Construction $ Per Sq Ft or mulliplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of) Status Issued CITY OF SPRI~\.yt<mLD' Building/Combination Permit PERMIT NO: COM2008-00130 ISSUED: 01/29/2008 APPLIED: 01/29/2008 EXPIRES: 07/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Sel-vice Reconnect Amount Paid Date Paid' Receipt Number $5.50 $6.60 $2.75 $55.00 1129/08 1129/08 1129/08 1129/08 2200800000000000122 2200800000000000122 2200800000000000122 2200800000000000122 Total Amount Paid $69.85 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 Reou,"-ed JJ1snections , 1...illlllllll,III"11 Electric Service: Approval required prior to utility company energizing service. By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City or Springfield and the Laws of the State of Oregon pertaining to the work described herein, and' that NO OCCUPANCY will he made of any structure 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 requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans, will remain on the site at all . times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00130 COM200S-00 130 COM200S-00130 COM200S-00 130 Payments: Type of paymeot CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JAMES W, TURNBO 6.tj,;,_Ft,OO_,'El.O i4.' ',. -::<t ", E _':-,' i .- --~ ! ~-r ;..........". 'w" _',_ .,_,~_.....r""'-,...'__ < __ City of Springfield' Official Receipt Development Services Department Public Works Department 2200800000000000122 Date: 01/29/2008 I:06:3IPM Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 363397 In Person Payment Total: Amount Due 55.00 2.75 6,60 5.50 $69.85 Amount Paid $69,S5 $69.85 " Page I of I 1/29/200S