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Home My WebLink AboutPermit Electrical 2008-4-9 ,,'" ZON \l)Q.., INITIALS \.M .4M. DATE ot'.~ .,/ SOURCE ~ ~\l=- ~/(oy COMPLI:!..11!- FEE SCHEDULE BELOW ", , ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 'CIty Job Number C~ Zc:>O F" -00 4 cr J Date 1. LOCATION OF INSTALLAT. ON: 6 +t... ,< S'- LEGAL DESCRIPTIO~ /70S?b]l( JOB DESCRIPTION: 3. /Z7Z oo~oz A. New Residential "::Single or Multi-Family per dwelling unit. " no< " / Service Included 5C7L V c. u:::r C !J+./IIyr;."" , 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 $ 2100 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $55 00 CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor 50 IJ f~ ~ ~ e-v l1"'=-.dV<! lU B. Services or ,Feeders - Installation, Alterations or' Relocation: Address (...&-/ <!. ( n ) 7-;- ~v .I1J J-< 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I $ 70.00 $ 83.00 $138.00 $180 00 $413 00 $ 55.00 70 CIty p.oc.., J. a__ I -}- Phone b8'? 79 7 ~ SupervIsor LIcense Number ':) 9-; c:;- 5 C. Temporary Services or Feeders , -' , ;- :""1/ rec ' I D - j - ;). 0 r 0 Installation; AJJ~~trobYot'~R'E1ocation \ ) \. J 'Gun UWlty " <- vJ If88Mm~/hili5s are set f th $ 55.00 ;? () - "7>2.. ~t.-J_l:i~, You may ~)l{{i1PB~q~OO<O~2-0~1 $ 76.00 h~;;;blg the ceJ2UMr,~t~e?Rfiijf_sules b; $110.00 i () -- i -- 2- :) er for the tOr . e teleR/:I~ ( J (f) Center ji'l~~~'1~r~?J}li~atio~ see "B" above. D. Bran~~~~). Expiration Date Constr. Contr. Number ExpIratIon Date Signature of SupervIsing Electrician fJ~u:#-Jr+~ Owners Name LcrfA"....J ~ . ~ L "" , "1>, ''', Address 77lf 3 '{fA. "" rs 1...,- {2-J. E. Miscellaneous (Service/feeder not included) -Each Installation \" -?,c P Phone 7lf I> - t:,t.. ( ( Pump or irrigation $ 55 00 SIgn/OutlIne Lighting $ 55 00 OWNER INSTALLATION NOTICE: Limited Energy/ResIdential $ 28 00 The installatIon IS bemg made on property I own wtIfflS PERMliI'i&~egp4a~~WORK $ 50.00 is not intended for sale, lease or rent AUTH~~rrd1tGr~eti~e is $50.00 + Surcharges COMME~CEgr?i7l9:AM.~fiRF" 70 ANY 1 80 OAY'~PFRIOllhjd" , 12%"'~1:ate Surcharge BfO ~ 10% Admmistrative Fee 7D CJ ~~\SJ~ 5% Technology Fee v:;.o ,\...) TOTAL 00 ~" \ tV Shored D",<(T )lBuoldmg .""""EI""". 1'"",,,, Apph,,"oo l-OSdoc New Alteration or Extension Per Panel One CirCUIt Each Additional Circuit or WIth Service or Feeder Permit $ 48.00 $ 400 CIty Owners SIgnature: Inspection Request: 726-3769 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00495 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/09/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1272 6TH ST ASSESSOR'S PARCEL NO.: 1703263400902 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change Owner: LELAND SMITH Address: 7743 THURSTON RD SPRINGFIELD OR 97477 Phone Number: 541-746-6211 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BOB FISHER ELECTRIC INC License 96275 Expiration Date 01125/2010 Phone 541-689- 7973 BUILDING INFORMATION. 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a DEVEUOPMEN'F~INrB(lRM1\!llf~ ires you to OIIOW rweg aaopre y e reg on Utility Nmlfl~tl~.~nter, Those rules are set forth In R~f !uu1-0010 through OAR 952-001- O~' ~6fb ffiav~~qain copies of the rules by FdlJlfi~~fPlYf&Mer. (Note: the telephone ~~6fMelWfegon Utility Notification Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Description Type of Construction Wj-;'tnn tl EXP1Rt: 'f 'Ht Vffl{l1~ I Valuatio~~lt~"Ot:R TH\S PERM\T \S NOT A LCU ONED FOR $ Per Sq Ft COMM~gm &JU~"BANO V I or multiplier ANY 18U~~ tpi~9D. a ue Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00495 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/09/2008 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 Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7,00 $8,40 $3,50 $70.00 4/9/08 4/9/08 4/9/08 4/9/08 1200800000000000331 1200800000000000331 1200800000000000331 1200800000000000331 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 . 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 Pae: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 COM2008-00495 COM2008-00495 COM2008-00495 COM2008-00495 Payments: Type of Payment Cash Change Job/Journal Number COM2008-00495 COM2008-00495 COM2008-00495 COM2008-00495 Payments: Type of Payment Cash Change cRecemtJ RECEIPT #: 1200800000000000331 Date: 04/09/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb In Person dJb In Person Payment Total: DescriptIon Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved dJb In Person dJb In Person Payment Total: Page 1 of 1 2:01 :07PM Amount Due 7000 350 840 700 $88,90 Amount Paid $100 00 ($11 10) $88.90 Amount Due 7000 350 840 700 $88,90 Amount PaId $100 00 ($11 10) $88,90 4/9/2008