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Home My WebLink AboutPermit Electrical 2007-5-7 .. S."'ELD ,ZON L~ ~ INIllALS NYY\ "f' ',.., ..; ~~~CE ~~ - 0-' :us IIII'm STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-37S3 0 FAX: (54I)n6-J689 ELECTRICAL PERMIT APPLICATION City Job Nmnber c..o""" Zoo 7 - 0 0 b S- ( I. LOCATIONOFINSTAIfATION:.j j I S- 5 7 /&/ {t. (?/1I LEGAL DESCRIPTION: 1701 Z7l( I C> J Zoo JOB DESCRIPTION: _5-~"(".._~'"}_~' !~LGit.1J t2tsttt Perm!'" "re non-Irnn~fernl>!ct~~xllirc if :f"": is nnt starI\1d witIlia 180 dsys afisslf3DCC or ifwtJrh i3 S_..."':"" C<:r 18(1 ""~5, .) . CONTP.ACTOR lNSTAl,L.4TWN' OJ.l,Tf,lT Electrical ccntmctorT'bL.tq.99.1\:ma..y ?',i.J!L.mc -. Address \2.. c.. iL .;_.'._-'\~V"l ~ Ol.r:'Jr~ ~_t'Aj..._-- T~'_ -~ City 'l..,,~~ --.T....-- - PhOM l.lc.:~I:t:.S1"~.c Sup<m<i.or License Number ~IL\ rl S \0 /I 1i)"1 Expirnlion Date Conslt. Coni.. Number ~'1 '. i~. _ ... Expiration Date .1 L-o I D 'i. ~:ti ~ Owners Name bib'" $~J\tr Addr= /51 7'-'Ize-{iy'-1i/~J. City ~ ?~/N(~~'honc I OWNER INST....LL.'I. nON "{ he mstaliauon IS bemg. made on pWjhaty t uwn which hi nnl intcrrdt"ti for Sftlel irasQ or tem. tiwncrs :StgM1Un.~: 1o."odiem Rcqlle.t: 726-3769 Date ~/OJ 3. COMPLETE FEE SCHEDULE BEU1W A. . New Residelltial'::'Single orMuJti-F~miI)' per dwe Se~ t..;....:"J 1000 sq. n. or less Each additional 500 sq. n. or portion thereof Earh Hanllf.,.'r r.i HklIne cr Modulnr Dwelling S<:rYke or F~cdcr $106.00 $19.00 S50.00 ~~:I;E~~i; ~~~LL E~prREaifT~t~~It' nr (<e1"cati.. ,. A~{~itti..tTNDER THIS PERMIT li(~*OcT3('" b:3 c I ~6itWSABANDONED FOB S ';:00 __ _ ., "" 00 wob. $U.OO ~ ~R~l '~\nps . SI6~'".' t.1"1'1i nn Ov~!' !I)OO Amf'!",,,ltq Reconnect {)"Iy $50.1<<) C. Temporary Services nr teeder.< Installation, Al'tl:rntiol1 o~ nC!i1eDotinn .200 Amps or less $ 50.00 201 Amps to 400 Amp" . $69.00 401 Amps to 600 Amps au t~IOO.oo ~.~ . re_\@'J~9.L!~:1<tlti'ity ~\ Ilf~~.~:rnA6 d by t!ie"Orti\JU1" . to\lOwril~P~Those rules are set tooort .."'" ,....nler. . -r ,..I\D Q52- \lotillea......,ilI'litIn-6o'ef(lll...."''''~.....",l1et' \ \ In ~~iP01 .. taif\ copies ot the ru ~ 43.00 o09\99ll{bBIII1MllfuC?9~flRl'dt'il\'the teleph'o e cam~~W,ffull' n Utility..Not~a$O.1100 nUfObertor the o~e~~1'\ ~~?_?344). F~ Miseellnneou.. '(Service/teeder not Included)-Eacb InstnUation hlInp or migation SignlOul!inc Lighting Li:nited E.."1crgy,'Rtsidential __ )50.00 $ 50.00 S 25.00 :..imitcO EdergyiCoJTdllelciai $ 45.00 Minimum j,ieclrlr. i'r.l'mlllnsl"~r.lioll 1"00 la $'I~.IlO -I- SUrChall\CN !__ .:~::l:~'r'.4i,'.~.':~.:E::''!~~ b:5 n~o StUtU Sm\tll1lrt~': .- 3"'0'1 ~--. i~ AfJminimutiv&: Ft:t= ".-G"-O--. ;;"'0 u..'CnnoloJ,{Y b;c k 3""- TOT AI, ~1""iv"'T:VRuild;n. fnnnsllDeotr"D1 Ptlf;:.A=Z. :'c\oo Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-0065I ISSUED: 05/07/2007 APPLIED: 05/07/2007 EXPIRES: 1110712007 VALUE: SITE ADDRESS: 1597 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703274103200 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential NOTICE: ~Il"" pmUIT C:\.lAII FXPIRE IFTHE WORK AUTH'OfmED UNDHPifd/,'SN'1'inq,\I,lJ 1~4~I.U I COMMENCED OR IS ABANDONED FOR .'!.~~. an nAY PFRlnn I CONTRACTOR INFORMATION' PROJECT DESCRIPTION: Service change and extend riser Owner: STEVEN STORMONT Address: 1597 KELLY BLVD SPRINGFIELD OR 97477 Contractor Type Electrical Contractor DOUG PALMER CORP Phone 541-434-5600 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 90725 Expiration Date 05/0312008 BUILDING INFORMATION' # of Stories: Lot Size: R-3 Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VB Water Type:. Sq Ft Basemenl: Range Type: S~tt Garl!J(e/Carl!ort Energy Path,\TIENTION:Oregon la~'!.If[l!(jrli'.l';:YOU. ~o Sprinkled Ba~alligpleS adol11:1ld by lfic\:WOO<LIb,\lt~llIty .1_..:.I_....i....... r"on+or Thn~~ rlIIA~ ::IrA ~At fnr1 I DEVELOPMENirOw.@81m\U1[(J)Nl\l,OthroughOAR952-o0 OOSU. YOU rl;~yl:lDrain copies of 1REGUJlJREb PARKING Overlay Dist9alllng the center. (Note: .t~e tfll.ep'~,o~e # Street Trn~~r for the Oregon Utility NMU~aY~~ed: . . ",.. ~."."I" ")"??~4,1J Paved Drive Rqd: -. Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00651 ISSUED: 05/07/2007 APPLIED: 05/07/2007 EXPIRES: 11107/2007 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 + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $3.15 $5.04 $63.00 517107 517107 517107 517107 Receipt Numher 2200700000000000664 2200700000000000664 2200700000000000664 2200700000000000664 Total Amount Paid $77.49 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 Insuedinn" 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 agrec 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 Paee 2 of2 2t5 Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone . Job/Journal Number COM2007-0065I COM2007-0065I COM2007-0065I COM2007-0065I Payments: Type of Payment CreditCard cReceiol1 RECEIPT #: Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DOUG PALMER ELECTRIC GP~ WiL. C.iiiIl of Springfield Official Receipt _elopment Services Department Puhlic Works Department 2200700000000000664 Date: 05/07/2007 Item Total: l.:hcck Number Authorization Received By Batch Number Number How Received ddk 113043 Phone Payment Total: Page I of 1 9:31:32AM Amount Due 63.00 3.15 5.04 6.30 $77.49 Amount Paid $77 .49 $77.49 51712007