The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-3-17 ZON \ ~{ INITIALS r\'(n ?;Y\-b.... oR' .~ 0i\..fSq,"l/ ~. DATE 215 FIYfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ." SOURCE ELECTRICAL Pl1YMTT .4 PPLICATION ~ ~ ~ CdyJobNumb... COW' 2-008" - 003&::S _~e ~/11C/'?; 1. I ~';jO; ~1N;rs;W .. 3.~MPIErEFEE SCHEDULE BEWW ",<0":~--=~~AA / Wi ' '< ">>>'~f''< >>)~l,.W;:::~i>"~ A. New R~~S~ntial- Si~gle or Multi-Family pe~~~J!~lling"unit: Service Included I ' LEGAL DESCRIPTION 170:s?b/~ JOB DESCRIPTION: D2000 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 SI2...JC LHMG-E $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONi:RACTOR'INSTALLATION ONLY"" 2. """I",'" "" , , """ Electncal Contractor ~O - 3;:) 7 C $55.00 / HH~~~'H> h~i 1'> > / >>'H" n" "')j , /;V; A >,'{1'i'f-'<l' B. Servi~ or Feedef"$"0 Installati~~, Alterations,~r ~eloCation: "I , > ^/>> " .;:/<<{'>i....0,,~ ~":;W~~, 70 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Onlv. t !J ';f i':'''- 13'11 requireS you 0 " , ( ~~L'nL}ieci b\l Ule Oregon Utility 1"'1,,%_ '5 ' "r'-'~'fTL" J ~~t:"-' RmtIteri ' , '. 1\'"'-' v~nter.Df~ "Or ;~" C,~R 852-001-0010 through OAR 9s2-v . onqo" You maj~iD:DpltlttfHt~r~Jwcation calling the c~O~~Qt,e'e e tel~~ho~e humber for t~Pl![\~- I Y Notification Center 8 b-~ - · 4 I ps to 600 Amps $ 70.00 $ 83.00 $13800 $180.00 $413.00 $ 55 00 Address 3~;) I {n R; \ Q\J ~ - - C;ty ~r 9-wP Phone 7 ~ '1 -14 :sl{ , ~l1Ww ~> Supervisor License Number '0 (I ~ ~ ExpiratIon Date 10 /1 J I 0 Constr. Contr Number I ~so 6 Expiration Date ) I ;::::L (X) a . f v I i, \j $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above / / A "'"";'W'W,w D. Branch Circuits " ''Iii'" ""'" > >'> ~ii\~' J ~ SIgnature of SupervIsing ElectriCIan M..~~ 9t".~ Owners Name ...) c:> k....... ~ tS'e:r./E d (c- (c Address / Y r 3 -r-lA:::.-}- N nTI r,E: E." M~~llaneo~s (~ervice/feed~~,~~t in~!1:lded) -Each InstaUati~n S=?Fh Phone THIS PERMIT~.:>lomJ~~AFTHEWORK $5500 AuTHORIZED ~~!liI~P~HMIT IS NOT $ 55 00 OWNER INSTALLATION COMMENCED 9Jk\~~ m~~eKltj $ 28 00 The installation IS bemg made on property I ownA~XcA 80 DAY PL~IQgEnergy/CornmercIaI $ 50 00 is not intended for sale, lease or rent Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners SIgnature 4. ~'SlJ1UVTALJ~.f.4!OvE":":"" ,,"" 7 0 ~qSi,>>> H 810 -, JS-O gg 90 New Alteration or Extension Per Panel One CrrcUlt Each Additional CrrcUlt or WIth ServIce or Feeder PermIt $ 48.00 $ 4.00 City 12% State Surcharge 10% AdmInistrative Fee 5% Technology Fee Inspection Request: 726-3769 TOTAL Shared Dnve(T )/Buddmg Forms/ElectncaJ PermIt ApplIcatIon 1-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00363 ISSUED: 03/17/2008 APPLIED: 03/17/2008 EXPIRES: 0911712008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1883 7TH ST ASSESSOR'S PARCEL NO.: 1703261302000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change Owner: BENEDICK JOHN A Address: 1883 N 7TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License MY ELECTRICIAN INC 87506 -\1' ,\1;# I BUILDING INFORMA:FJ~ \~\\\~ 'N ,,,,1l, .~v _.Jl~ . . O{\ \e: Ote<d - -~ \6~"". ,_, ,~iO,f S't8t%1tl '0'1 \ne \eS ate sa rt.()O'\. R-3 ; :.~. J' \ ,\~~igli~~f~~~t~n O~~ ~u\a9 \)'1 , '\' 'L~~'Or:'b~utnlO\1. ~ e'\ \"9 ~o('\e VB \. "~3\\~'-J:\..'\~" co~\~s - ~ \e\~~ AO\On \"u:\'~X\ 9t>2.iI~ \{\'~6\e"~" ~g\\\\C~ \\1 0.... '{~~ ~Xl$:. ~,., y~\\\\~~":~. aO?/,j. . ~~I\~y~at;~~~~~~i'~ ce.\\\~rVh1ki'J~ idtlMbi n/a ~r\~ ~~\'\\e I DEVELOPMENT INFORMATION I Expiration Date 11/20/2009 Phone 541-729-1454 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 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: Street Improvements: Storm Sewer Available: Special Instruction: -1\.\t: \NO"'''' I PUBLIC I~~(t:MENT~l\. ~?\"'~~~~\\ \S ~~ 1\-\\5 \'t.~~~~ t\'\ut.'" ;M~~t9Pt9~ f>..\}\\10~\,\ct.u o~ \s t10wnspoutslDrains: co\'J\\'J\€ fl..'l ?t.~\o . ~~'l '\ ~\) t) Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00363 ISSUED: 03/17/2008 APPLIED: 03/17/2008 EXPIRES: 09/17/2008 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 Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.00 $8.40 $3.50 $70.00 3/17/08 3/17/08 3/17/08 3/17/08 Receipt Number 1200800000000000238 1200800000000000238 1200800000000000238 1200800000000000238 Total Amount Paid $88.90 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 Reouired Insoections I 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 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 Fifth Street SIH"ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00363 COM2008-00363 COM2008-00363 COM2008-00363 Payments: Type of Payment CredltCard cRecelOtl RECEIPT #: 1200800000000000238 Date: 03/17/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By MY ELECTRICIAN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 012912 In Person Payment Total: Page 1 of 1 10:51:13AM Amount Due 7000 350 840 700 $88.90 Amount Paid $88 90 $88.90 3/17/2008