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Home My WebLink AboutPermit Electrical 2008-2-12 ZON L..--I:X2- INITIALS j-(J VV~ DATE c;J-\ L .- 06' SOURCE (n~V 225 nl'l" STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEL1KlCAL PERMIT APPUCATION City Job Number o:>..vt z.o6tf" - C> 0 zo 7 Date ,"::;2~f'~W~ ~V" "o/,~'%i~~'1, "'''.;.,,~ ~>~,~,>, ; ~ ~%<, 1. 'l;LoCATION oklNs'i:ALiAnON: ' / O"j7C"'''~''MI'bll [JMWY014s'f ,'Am"", , ,I, ," ,. < ~ ~ ^- N = N NO "--;;;'~:'-:'-:;;;;;;--;J~"'~ 3. 'COMPUIJ:!.,k'~SCHEDULEBEWW" 'c "<<<0.;_#A~<r~A v "', .:.b.SilitVffi:.:.{J'&W<<l""')s..~~< ~ hr...:v~'-1~ '",0, >~n>"0"-,/ "~>~'?1" \'; ("9'J~Vf;;,^0V+4hv M >>> ~'"' >>~<:; ''''x., >>1h~r):,ll~l<>' F') -" A. ',]~reW Residential = Single or Multi-Family, per dwelling' unit c" "'^ -: ,v0>:':~::'"~,,",,,,~o.'<<'&.~"""'~ "' 'S;i.;..%J.:!.:< (~",-'>>t)1..-.s\i>> "l-:~~'o.l ~ > ~"'~~, ~,~~ v { ,~j~,,:~ " } ,,<'" '"" M " LEGAL DESCRIPTION: 1703 Z6Cflf c 9-c(OO JOB DESCRIPTION: I 1000 sq. ft. or less $11700 ^ _.!t() ~.11 c.. Z f Each additional 500 sq. ft. or 260 ("tVV'f "">1'-\1 C. C V"",^" -S portion thereof $ 21.00 ( I , Permits are non-transferable and expire if work is Each Manufact'd Home"pFq::lf) law r not started within 180 days of issuance or if work is MOdUla()Rn'~L~gswiYp~W8f by the e6~ires Yo~5t000 Suspended for 180 days. Feed0fi90. YO <..-001-0010 hOse rUles ~ti!it _w,w" *""""" '(0'41''1117'' ~-~;P9liL-h ,,--;," ~'--~"",w'~~W0, Oiill '}rJiibt "tf:Jr, " S ,,,,,,WII 2 :,:~ONTRAP'Q!tI.N:~'{ALLAnvN O~Y'; B. i S_~ti lIL-'RB, elocation: . J",~, "II""'~"'0411i@1i, ,':,,~' _ " !-'#lJe~O'rt1ieo~-(Noe:thet rUleSht/ Electrical Contractor F'A-.5"t t.,c...d/(;. +-~~G.200 Amps or~r;S '-8~n Utili~cfii.(J:UO ? 0 V , ~, 201 Amps to 400 Amps VJ2.~ Ilca~ 00 Address 7$869'? ~/G/? A~ 401 Amps to 600 Amps ~. $138.00 q-/ 7ex.tb-'a9..6,-/ 601 Amps to 1000 Amps $180.00 City 0~d- Phone _S--r7 , I , '-. Over 1000 AmpsNolts $413 00 ~.KJ 7 '-Z5Y Reconnect Only $ 55.00 Supervisor License Number '?I?/ ~ -0 .... -..s. Expiration Date ~ // /y 0/0 , , Constr. Contr. Number C'~ b / Expiration Date /..A:7 V d ~9 Signature~rviSing Electrician .;0- ,J~f--~~~P ~=Name CM"Z....,...... /? t,/~ Address / / / b ~Co{.. ~'-1. '- f S~P) City Phone OWNER INSTALLATION The installation is being made on property I own whIch IS not intended for sale, lease or rent. Owners Signature. Inspection Request: 726-3769 Service Included >>>~> > {;1='< ~ ~ )'~%;44!i ~ ~>l~i".W' ~ ~1"+>~ ~~~44 ~ C. :;'I:!:.~POI1lJ~~;h~'T~~~, >>n%~'" . > ~}...(m<i/ ,:"N ~ '-.-.., $ 55 00 $ 76 00 $110.00 $ 48.00 2- $ 4.00 8' <i~~ < J.:"'-i~iiih\~ '<i,r~...~~< w >~N ""'""':.<><;:" ~~<~: <<'N "': ;tSi.$' / "'0till.!!nj'~~" ;~h>!~~C~~f,*,V ''\f...Xl'''i'' E. " MisCell~lD,eou~ (Se~~~(f~d~r',lIoJ !n~~,dea) '-Each InstaUation { ,<~.......,. ~ ~ l ~)"'dl '-'I "!>miii4oXtK'J!..,,.>!\~,<,J~.....-.{j)r:"""'l,iiniih;P-'i'''''' ~ A ~ V ~ ~ " ~"", Pump or irrigation $ 55.00 SignlOutIme Lighting $ 55.00 Limited Energy/Residential $ 28.00 LImIted Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. ~*suBT(r" "",oF,iiloVE ~":iMnrl4:~ <~..:." ~>8:'~.f:(<'i:lbk v~ /h'/m"'<"'>:~.<'<>"","l " m,~<".( > 8% State Surcharge 10% Administrative Fee 5% Technology Fee -7% ?,O~ TOTAL Shared Dnve(T )/BuIldmg FormslElectncal PermIt ApphcatlOn 7-07 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00209 ISSUED: 02/12/2008 APPLIED: 02/12/2008 EXPIRES: 08/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1081 L ST ASSESSOR'S PARCEL NO.: 1703264409400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Change 200amp service and add 2 branch circuits Residential Owner: CALVARY OPEN BIBLE Address: 1116 CENTENNIAL BLVD SPRINGFIELD OR 97477 Contractor Type Electrical 1.\ '"' I ,,1T/ill,l. ()-,\'"\C",r l-,". . . I CONT.RAC.TQ&.I.Nf,OJ~J~r~~UIres you to !\JOtlflcatlcm Center, Those rUle;ego~ UtIlity Contractor In OAR 952-001-001~~ o~~tbn Date Phone FIRST LIGHT ELECTRldl~~~ You may obtaKY~,el; nf t:: ::Jr~J1)~f009 541-726-2961 I BUlL~Qmi~e,. the telephone C ' ~t"'ty Notification enter IS 1-800-332-2344) # of Stories: . Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~&~~All EXPIRE IF THE WOR~:~~~ca~ped: ~lJn:!~~~~ '~DER THIS PERMIT IS NO"fompact. COMMENCED R IS ABANDONED FOR .\UY 1 CE ~.W r~~m.'D. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00209 ISSUED: 02/1212008 APPLIED: 02/12/2008 EXPIRES: 08/12/2008 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 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 $7.80 $9.36 $3.90 $8.00 $70.00 2/12/08 2/12/08 2/12/08 2/12/08 2/12/08 Receipt Number 2200800000000000194 2200800000000000194 2200800000000000194 2200800000000000194 2200800000000000194 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. Reouired Insoections I Rough Electric: Prior to Cover 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 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 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 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 City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00209 COM2008-00209 COM2008-00209 COM2008-00209 COM2008-00209 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000194 Date: 02/12/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmlDlstratlve Fee Paid By FIRST LIGHT ELECTRIC Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 017833 In Person Payment Total: Page 1 of 1 2:48:44PM Amount Due 7000 800 390 936 780 $99.06 Amount Paid $99 06 $99.06 2/I 2/2008