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Home My WebLink AboutPermit Electrical 2008-2-28 3. ZON \M INITIALS ~Y'C,\J . ./ ~. DATe pC; n/\ ~ SOURCE_Y\ .03,,,.-7 ) "I f 2?;;i>g COMPLETE FEE SCHEDULE BELOW 225 FIrnI STREET. SPRINGFlELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co,A-1 z.c:> 0 g- - 0<::> Z. 9' / 1. LOCATION OF INSTALLATION: 167~ :r ~f- LEGAL DESCRIPTION: )7D33b'Z' 05200 JOB DESCRIPTION: Sg.VL (..bJ.A,\/lE" / '3 c.. ,rL~~4.s ......~..--' ___ __ ~ ~ 7. _L_~ ________ ___ Permits are non~tran$fCl'2~!ic 8m! C'xi>il:"~ tf~':'fn'~~ is not started within 180 days ofissnancc or if work f1< Suspended for 11m d~'l'. .. .&... r,or.l111.ACTOTiI. INSTA13-t.AJ.IVN ONEY Electr!Cai C\lntractnr"L~ ,JC'I.\ '1'l'&'l!' r. ~ em (; Adw-cs:> \~l &;, -~..l!.r I . Jlvr.hVl t).jI'..L - .. 'i- ..,.~.. C!!y ~"~,&~___ Phor>t' ~~~_~ Supervisor License Number -cl--uA.a.. ' Expiration Date \0/\ iOI Constr. Contr. Number VE~/VA ~f--~-- ~---" .' CIty I-hone OWNER iNSTALLATION ~j'h<::A~eNif1~14~(~~tf6n\~W1 t%CfOlres Y6W-,crlljch I.S f~l\$rror~tpftfilj1Jttfaa8f~ffe'bregon Utility _ Notifjc;:~~tion Center. Those rules are set forth dlrPEJARt952l~1-0010through OAR 952-001- _" 0090. You ma~a.in..c..QPJe.s_olJ.be~r.ules by calling the center. (Note' the telephone number for the Oregon Utility Notification Center IS 1-800-332-2344). ~5Pecliol1i Reqt.lGl'd:. 726-3769 Date A.. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. it. or portion thereof $106.00 $ 19.00 Eacit r,'fanuttli.'t. d f iDnh; (),' Maritda!' Dwelling $CiVke or Feedq $50.00 B. Serviecs or Feeders - Instsdlation. Alterations OJ' Reloclltim. I 200 Amps or less I $~U 70 201 Amps to 400 Amps $ 75.00 401 i\TP'-4""~ t~ &OD .:^...r:;;-:.! ~ 11.:: no ,: -.,.-... --~ 601 Amps to 1000 Amps $163.00 0,,"''' 11'1'\0 Amt'\;;:N,..,lt<: t!:":l'7" 01) -- _....... . ........r- -- - Reconnect Only $ 50.00 C. Temporary Services Or :Feedell"S inst8liatioD, Alteration or RelocatIOn 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 --- ----- 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. .!j!"\me'* Ctn:r.m New Alteration or Extension Pll'r' Pane! One Circuit $ <13.00 Each Additional Circuit or with 5 12 S{'rvk.e or f~~dcr Permit $l(00 E. Mi~ceUanc~tls (Set"vke/feeder not included) ....Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited TInergjiCommercial __.~____ $ 45.00 l\tinhnum Ellletdc r'ermtt IWl;Elcctioll fre~ i;; $<f~LO{} ! Slml.lmt"tl~s ... n'G"........;,-r.,NOJi ~Ii:.r =;"'";-.r=- ' r::;;:/ ? 'ib! ...;: G'J:..:?.l.. ~~.:r..L......~~....... V'~._~:~"'...;::. c;:::;7 L- liZ" SL1tlj ~~~~~~MIT SHALL EXPIRE IF TI-i(,WaBK(~~ lV~'oArufiibHtrIMft.I~Q UNDER THIS PERMIT-1S-NO-T-_8'~ :j%'''feciJGtO~..M&NCED OR IS ABANDONED r:Gn '1'0_ . TOTAI,ANY 180 DAY PERIOD. /0'1/'1 1'iI"rr..d Driv"(T }/R'JlJrimB F"':lf!m:/El(~fCijl Penntl Apl'lIfC.lltion 8-06~T~ - - Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00291 ISSUED: 02/28/2008 APPLIED: 02/28/2008 EXPIRES: 08/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1673 I ST ASSESSOR'S PARCEL NO.: 1703362105200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200 amp service change and 3 circuits Owner: VEZINA ERIC Address: 1673 I ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JULIE LEIGH FORD License 171130 Expiration Date 07/20/2008 Phone 541-434-5600 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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: R-3 n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 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 IMPROVEMJ!.,l"llS I Street Improvements: Sidewalk Type: Downspouts/Drains: Storm Sewer A.wI.i.llIllJ~N' 0 . A1JcNTlu. regon law reqUIres you to Special Instr1b~fbWTules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- ongn Ynll mAV nht::lin "nnloe ,.,f tho y, d^~ h'j calling the center. (Note: the elepnon~ number for the Oregon Utility II \1,alu fIon Descri Center is 1-800-332-2344). . $ Per Sq Ft Type of ConstructIon It' I' or mu Ip ler NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANUUI\II:U rUH ANY 180 DAY PERIOD. Notes: Description Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00291 ISSUED: 02/28/2008 APPLIED: 02/28/2008 EXPIRES: 08/28/2008 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 Receipt Number $8.20 $9.84 $4.10 $12.00 $70.00 2/28/08 2/28/08 2/28/08 2/28/08 2/28/08 2200800000000000261 2200800000000000261 2200800000000000261 2200800000000000261 2200800000000000261 Total Amount Paid $104.14 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 Electnc: 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 Pal!:e 2 of2 225 ~ifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00291 COM2008-00291 COM2008-00291 COM2008-00291 COM2008-00291 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000261 Date: 02/28/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstrative Fee PaId By DOUG PALMER ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 028937 In Person Payment Total: Page 1 of 1 9:01 :53AM Amount Due 7000 1200 4 10 984 820 $104.14 Amount Paid $1 04 14 $104.14 2/28/2008