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Home My WebLink AboutPermit Electrical 2008-4-14 ZON INITIALS 225 I'H' III STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~~ eo c:s 8' - 06 ~ I / JIK, 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone ...:5 tJ) "\.k'l .1'6 j ,~')< f ~yer Ipahht~isfMQIW ~TTENT\ON: Oreg;cr6&Y1mw'O~~n Utility follow r~les ad~pt\h~e rules are set forth SupervIsor LIcense Number _ <0 0 .. J1Q@catlon Cen err.o t..TanwtIt~'\rr Feeders ~ [). c,. n 9&~01-00i m~n h tes by , , n09a. You may obtain copies of t e ru . Expiration Date /0 /.? 0 /c) 0 _~\Iin("l the center. I~tt6i,t}i~m9l\~ or Relocation / ..... ... 0 onG.I1~ilitYJ'iotlflcalron .-, "" ~ numberfor the. r......wu: ~~234~~~ Constr Contr Number / ,,~7. 7 {j't 'j Center IS 1 ~- ps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits' 1. LOCATION OF INSTALLATION: " ',-, 1~lQ(K6t()()( ~ r . ; LEGAL DESCRIPTION' 17~~Z3.>4 JOB DESCRIPTION: Ned 0~(VI'<k DS?Ou Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor )jarc~ !',,~ [' kef,.: .~. .--.. -'l \ 'A. J (p , ,.., " - J / /\ \-" ('-~ '-/ I T ~ Address J, \-/. !--1 ,) '^ , ---.... v City ~. ., ^' .,,: J(.J Ie ExpIration Date Signature of Supervismg Electrician ~~~~ /11, ~0YU7 Owners Name 'PAv't f~ LA-f:-(E\>.. L 42) {J1h.1c-s~ S1>ro Address City Phone OVVNERINSTALLATION The installation IS being made on property I own WhICh is not mtended for sale, lease or rent Owners SIgnature. off Inspection Request: 726-3769 '~~_I ~ 0 O:JS 'tf ( ( I ~I Date 3. COMPLETE FEE SCHEDULE BELOW 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 $117 00 $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 70.00 $ 83.00 $138.00 $180 00 $413.00 $ 55.00 70, Jl_\ $ 55 00 $ 76.00 $110 00 New Alteration or Extension Per Panel One CIrCUIt $ 48 00 Each Additional CIrCUIt or WIth Service or Feeder Permit ~ cfR t. 00 NOJ3~~A (.'J.1~J.lJ~~\\~~ \f 1\-\E ~ i\\Ol . . E'1ff~~*1is:{~~ERem,~ep!_11~'de'dT -Each Installation RILED \.lNDt DONED fOR ~1~~~BIIOR IS ABAN $ 55,00 S~~~I~f&~$iRIOD. $ 55 00 L~~d ~nergy/ResIdential $ 28.00 LimIted Energy/CommercIal $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE 117~'~ State Surcharge 10% Admmistrative Fee 5% Technology Fee "1'0, !>f;p ~O ~J;D gg~ TOTAL Shared Dnve(T )IBUlldmg FonnslElectncal Pennlt ApplicatIOn 7-07 doc I ~ CITY OF SPRINGFIELD' Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-00511 ISSUED: 04/14/2008 APPLIED: 04/1412008 EXPIRES: 10/14/2008 VALUE: Status Issued SITE ADDRESS: 425 BLACKSTONE ST ASSESSOR'S PARCEL NO.: 1703233408900 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Change service TYPE OF USE: Repair Residential Owner: Address: . .' A'''? LAFLEUR DA VID & KAREN 425 BLACKSTONE ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical License 132089 Contractor HARDING ELECTRIC INC I BUILDING INFORMATION. # of Units: # ~~eW9JOU.\~ Primary Occupancy Group: o\lr30regoO 'aVilW~dn~~mff\ Secondary Occupancy GrquplE.Ni\e ~dopted '0,/ ~oi\'8!~liP.\ \001_ Primary Construction Tyrte\\?~ r~oo~oter. "hO~S~ ~wom99~..os bY Secondary Construction lijq)'ij1\ca~52-001..o010thr ~1O~rU e Oe # of Bedrooms: \0 OAR'loU ma,/ obta\~N l:\~~1'Q'Ap~~\\on 0090.\ 9 the center. ~ ~WdllQjutriffiig, n/a ~\\ 0 _. '''t:t.r nl'e~O ..~ n-u.4\. numne'c;~~e~ 'Jl)Ih~~"6P~~NT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: SoJar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 02/0112010 Phone 541-688-5006 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOT'Cf~ ~Rt;;"mieWO~~ lH\5 PERMIT S~~i~ ~qS'MRAMm~i~9t AUTHOR\ZED U \5 ABANDONED fOR COMMENCED OR ANY 180 DAY PER\OD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pa!!:e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00511 ISSUED: 04/14/2008 APPLIED: 04/14/2008 EXPIRES: 10/1412008 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 4/14/08 4/14/08 4/14/08 4/14/08 Receipt Number 1200800000000000346 1200800000000000346 1200800000000000346 1200800000000000346 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 InsDections . 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726'-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00511 COM2008-00511 COM2008-00511 COM2008-00511 Payments: Type of Payment CredltCard ~~ cRecemtl RECEIPT #: 1200800000000000346 Date: 04/14/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Paid By JAMES HARDING Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 01588C In Person Payment Total: Page I of I 9:18:30AM Amount Due 7000 350 840 700 $88,90 Amount Paid $88 90 $88.90 4/14/2008