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Home My WebLink AboutPermit Electrical 2008-1-31 ZON C. c... INITIALS N jo..A d'-- DATE 2 -I - t'? "'- SOURCE (' (' ./ 225 FIFIiI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54t)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ..cOMZOO I?"- 00 Ilf J 1. ~jJII~Iffj(li:i~Jiffiil{~~Trii:'!I'fqNiYi~~r. 3. . ~550() ~'~~ ~ ~ , LEGAL DESCRIPTION: it d 170Z.3f.3( 0,",00 200 Amps or less 20 I Amps 10 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts o Reconnect Only ATTENT~O . follow Qr on law Snpervisor License NumblJtoti:J,' _ d~rl h, 'h reqUiiGs ,in QAf! fit': venter. Tho{~ r~1 Oregon Utilit Expiration Date /OOf!dS !YA~Y.~10 through es are bIltl/tl/lWon, Alteration or Reloc~tion ca1lir(g.t/l~ ~r vurarn COPies o~~f!9~s or less . Conslr. Conlr. Number num/fJir!ot s::,1';:~L~~te: the tel:;~lfis1f6tps to 400 Amps !;enter is 1J>"'n."lf,~/ty Notir/'JR{I'Amps to 600 Amps /0 f? VVV--.:-2344I cut/O/) /0 /. Over 600 or 1000 Volts see "B" above. D. ~~ & !. ITJJM ' City ~.LJUTHnFh2't'b~/J. EKP1~ IF THE .01' irrigation $ 55.00 {I t COMMENCED OR tli fHIS PERMIT Is:'fftffutline Lighting $ 55.00 OWNER INSTAL01fi'<1~O DAY PER IS ABANDONED FoFfnmTed Energy/Residential $ 28.00 The installation is being made on property'PPWn which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimnm Electric Permit Inspection Fee is $50.00 + Snrcharges JOB DESCRIPTION: ~ ~ (1~9-' d-uJtW-ff Permits are non-transferable and exQ~e if work is not started within 180 days of issuance or if work is Snspended for 180 days. rf~NI!ltAeToR:INSTMJIfiriIi!l&:ONfJylJ :lec::~~~:n~~::-i~~~'fk:Z Address /0 (/1- -dz~. City ~Q...,~~Phone 1Z'1-/>00 Expiration Date Signature of Snpervising Electrician t~&dv 11 ~ ~ Owners Name Address Owners Signature: Inspection Reqnest: 726-3769 Date A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $21.00 $55.00 B. / 70 tfb $ 70.00 $ 83.60 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel . One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 s 7-D.' 4. jO /OtiO 9- LfjO IN JO 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(f:)/Building FonnslElectrical Permit Application 1-08.doc CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2008-00143 ISSUED: 01/31/2008 APPLIED: 01/31/2008 EXPIRES: 07/31/2008 VALUE: - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3500 MAIN ST ASSESSOR'S PARCEL NO.: 1702313101900 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service change and 5 circuits TYPE OF USE: Repair Commercial Owner: GEORGE TRA VESS Address: 1495 CHEEK STREET SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TION I Contractor Type Electrical Contractor RALPH W BROWN,"""",.,.,.",",, License 63137 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: ,f\TrENT/ON: oreaHe~' ht ofStr.ucture Se~ondary Occupa?cy Group: . fc-lk'.VI rules ado t>Jf ~\l\'I)iIfil.\tffes you. ~O Primary ConstructlOll Type NOI!iication Centt,.. \;{~Plf:egon Uli/ity Secondary Construction Type:1r; OAR 952-001-001 \l~.~.1f p~:aresetforth # of Bedrooms: 0090. You may obta nN. ~~R 952-001_ n~,,:!!~np' ~~e l~ent~r. p[dre:Fm~~~~~~s7bY n/a c~~~W~}mr}NPI9RMI\TlON I . . I}. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 02/15/2008 Phone 541-729-1500 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHAll EXPIRE IF THE WORKDownspoutslDrains: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Pel' Sq Ft or multiplier Sqnare Footage 01' Bid Amonnt Type of Construction Pa2e 1 01'2 Value Date Calculated Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2008-00143 ISSUED: 01/31/2008 ApPLIED: 01/31/2008 EXPIRES: 07/31/2008 VALUE: 225 Fifth Street, Springfield, OR 541" 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! J 1111 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps 01' less Amount Paid Date Paid Receipt Number $9.00 $10.80 $4.50 $20.00 $70.00 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 2200800000000000135 2200800000000000135 2200800000000000135 2200800000000000135 2200800000000000135 Total Amount Paid $1l4.30 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 Reouirer! T n.necti~,n~J Rough Electric: Prior to Covel' Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefnlly 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 of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be 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 fnrther agree to ensure that all required inspections are reqnested at the propel' 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 01' Contractors Signatnre Date Pa2e 2 01'2 225 Fifth Street SpringfieI~, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 143 COM2008-00 143 COM2008-00143 COM2008-00143 COM2008-00 143 Payments: Type of Payment Check cReceintl RECEIPT #: 2200800000000000135 Date: 01/31/2008 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By RALPH BROWN Item Total: <":heck Number Authorization Received By Batch Number Number How Received djb 2540 In Person Payment Total: Page I of I 2:23:16PM Amount Due 70.00 20.00 4.50 10.80 9.00 $114.30 Amount Paid $114.30 $114.30 1/31/2008