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Home My WebLink AboutPermit Electrical 2008-3-24 3. '" ZON ~ INITIALS ~\""--.. ~ DATE ~1?:7/()K ~~ SOURCE\~~~~ Date -;sftr~tf ( / /{ COMPLE1'E FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number COW1.z.o0~-C>O/O b 1. LOCATION OF INSTALLATION: ,I 8'3 b ~, A I S ;r LEGAL DESCRIPTION 17D3363 ( o -; ~ C"o JOB DESCRIPTION ~d: Ac t .r;~~~ C-<.j'~:"f PermIts are non-transferable and expire if work is J not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ElectrIcal Contractor V.All3Ts/-!/ ~ Address /93 (b .()~~~ ~IL CIty ~JCI -/ l Phone ~SC/',? ~.&';; SupervIsor LIcense Number ...? ? 5 ~ S ExpIratIon Date /0) c / / ~ / (j / / J;?o/g3 5/o~ / SIgnature of Supervlsmg ElectrIcIan ~~ Constr Contr Number ExpIratIOn Date tIJ g.~~ -. cL,"- ~ I /)~r/. Owners Name .?7flV1J471 (t' Address C(7 r-S- .> .pt.,,] ~ /v J. City ~~~. Phone OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent Owners SIgnature Inspection Request: 726-3769 A. New Residential- Single or Multi-Family per dwelling unit. 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 $11 7 00 $ 2100 $55 00 B. S~~~~odOiWl!l6t4u1r~~lr or Relocation: ,. les adopted by the Oregon : rth 2~\ ~~,JG~nter Those rules are set ~1Q 00 o ITICt1\IUn . 0 th ugh OAR 952 I" 2~ 6Jm~~1 ro 'eso1therlJle'~OO 4~pVlllM~mr(:~: the tel~\?hO~38 00 60 1 ~90t~lr~gon Utility Notl~o 00 ov&U4~1:'~.Mqbs1-800-332.~'. $413 00 Reconnect ~..'" $ 55 00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps NO,.\c~ver 600 Arppsij.pffit W>1f~>>J~~ove 1H\5 ~R.fSt6~~~UW\\S PERM" ~ NO AU1HO~qN(fftttsnA'a~a~r ~anel COMMa\C~qc8~R\n\) ) AM'l1 an.Jil~'(UIitrbhal CIrCUIt or WIth /' ServIce or Feeder Penmt , $ 55 00 $ 7600 $110 00 $ 48.00 $ 400 l(r6 L( E. Miscellaneous (Service/feeder not included) -Each Installation Pump or lITIgatIOn $ 55 00 Slgn/Outlme Llghtmg $ 55 00 LImIted EnergyIResldentml $ 28 00 LImIted Energy/Commercial $ 50 00 Mimmum Electnc Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OFABOVE '52 12% State Surcharge 10% Admmlstratlve Fee 5% Technology Fee of TOTAL -+ 1};W bZ'f fOliO 5 ~c. I ZS- Ell. Shared Dnve(T )/BUlldmg Forms/Electncal Permit ApplIcatIon 1-08 doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00106 ISSUED: 03/24/2008 APPLIED: 01/25/2008 EXPIRES: 09/24/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1836 S A ST ASSESSOR'S PARCEL NO.: 1703363107300 Springfield TYPE OF WORK: Electrical Work Only Sidewalk Type: _d to ......,.- ON' ,Oregon law re",u.'es you f~WJw~U. 3ifiWdi'ti~ by the Oregon Utility Notification Center. Those rUhle~:~ :~:~~ In OAR 952-001-0010throug 0090 You may obtain copies of the rules by __I;;..." the> ~p.ntflr. (Note: the telepho~e n.umber for the Oregon Utility I~ULlII"cw\l" Center is 1-800-332-2344). TYPE OF USE: PROJECT DESCRIPTION: BWOP owner installed new electrical without permits Owner: ROSSI SANDRA L Address: 4355 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION, Contractor Type Electrical Contractor CRAFTSMAN License 170183 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: B Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary CO'NU~:Type: Range Type: # of BedroomstHIS PERMIT SHAll EXPIRE IFTMlMlU}lmth:. . AIITHnRIZED UNDER THIS PERMrtPfSnNe<rBUlldmg n/a COMMENCED OR IS ABA~~"Wibl~1ENT INFORMATION I ANY 180 DAY PERIOD. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page 1 of 2 Commercial Expiration Date 05/30/2008 Phone 541-954-7589 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: ,-- "1's'~- Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00106 ISSUED: 03/24/2008 APPLIED: 01125/2008 EXPIRES: 09/24/2008 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 Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Amount Paid Date Paid $10.40 $6.24 $5.20 $48.00 $4.00 $52.00 3/24/08 3/24/08 3/24/08 3/24/08 3/24/08 3/24/08 Receipt Number 1200800000000000270 1200800000000000270 1200800000000000270 1200800000000000270 1200800000000000270 1200800000000000270 Total Amount Paid $125.84 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. IlJ Reouired InsDections I Rough Electric: Prior to Cover 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 Pa!!e 2 of 2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00106 COM2008-00106 COM2008-00106 COM2008-00 1 06 COM2008-00 1 06 COM2008-00106 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000270 Date: 03/24/2008 DescriptIOn Add, Alter, Extend CIrc Add, Alter, Extend Clrc Ea Add Penalty Fee - BWOP ElectrIcal + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By DARRELL ROSIN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received djb 1044 In Person Payment Total: Page 1 of I 9:42:19AM Amount Due 4800 400 5200 520 624 1040 $125.84 Amount Paid $125 84 $125.84 3/24/2008