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Home My WebLink AboutPermit Electrical 2003-12-11 .._,,' " -'".., """ .'F.".f.'....'N"...'ffi.'LD'~ "kE' G"'..," -, . c:.',:;.". ';. 'J~"CITY'O S OF 0 ON' ' -,' ", , .: '.. " ,i"~ :-.l~:t:;" " , , , \ "j . '!_,,~{'o~~. .....:.~...:_~~..:...:~ .L/"~ '.'.. '..._.'.... ,..J,,,~..l, ,;..~~l>.;.~ ,~',. \. A 225 FIFTH STREET. SPRINGFIELD OR 97477 . PH:(541)726-3753 . FAX:f~~I~~22!~IfOloassubmittedhilslhefollowing ... , ,.":Ijr,~ blf6 i16G'~H6t reqUire specIfic land use ELECTRICALPERMIT APPLICATION ""plOval. ~ CityJobNumberCOJlllW03-0tl.lf3. Dale /2..-1/ - 03 Zoning (1,_ I. rJttOCAtj(jjoj!OFiNS'r'n 'THri&~"'lf.\'!Ur1<!. ,I 3. fIT COMPLEjE;;i1f:$GHillimlRiB:;~~'~~~"7'~l.fM'~l'/ll1l1l L-~~,...;'~,,,,,,,O'\,, "'''~I~'~~~~t;-UJ~wmUl!fA . lt~"u;:1.~u."'~iAa'.!'~~~.~1'~'i'~~~~~k~~~11I..!:.~~~~ . 2-0 9 s-.. L/#J A- <:;; -\- OZ/17 Pump or irrigation $ 50,00. Sign/Outline Lighting $ 50,00 OWNER INSTALLATION Limited Energy/Residential $ 25,00 The installalion is being made on property I~-u.lri~ ttmlWtrw~MeOO~ $ 45,00 . . is not intended for sale, lease or renl. nllS PERM\?n~'?t"lr~grjl{NA\liJih~Qjtlon Fee Is $45.00 + Surcharges AUTHORIZED tG\1;Jl:l!tUIltJ~';~j.;Q~..~m1Mw.~iP.R Owners Signature: . COMMENCE{)IO~rtiful'l{~~~~B,,*~ 70 AN'{ 180 DA'{ P 7~ St~le Surcharge Lj 90 ~' 10% Administrative Fee 700 TOTAL '8'1 90- Shared Drive(T:)IBuilding FormslEJectrical Permit Application 1"()3.doc LEGAL DESCRIPTION J703Z7/0 JOB DESCRIPTION -r.:;-t~'^--'Cll..... ~cdEJ Permits are non-transferable and esplre If work Is not .tarted within 180 days of Issuance or If work Is Suspended for 180 days. a~2:<~'~1<<(frORtiNsTA1iL1noN7oN1Jir 2. I ~;'~','(l'..~.tf",'tttl:ii:'.\f"w"""\l':"'~:;iP'~.1:!.ti, '. ' . Electrical Contractor r, ~ s r..lfdYIC I JAI)C.. . Addres. r. D, BOi \ L\ ~ 7- City ,Sf{\\~e/d'Phone iYI-223t. Supervisor License Number Lj ~ q L\ S I/)-ol-OY- 3'i{ LI q q- J -ol/ Espimlion Date Cooslr, Conlr, Number Expimtion Date Signature of Supervising Elecirician ~~ Mf) Owners Name ~~ .... Addres. 20 '7 r S{) FD Uotj dErL L..4.A." ~ s:. 1- Phone 347 - 090~ City Inspection Request: 726-3769 A FN". ~'''''R''''.ld;''"'t'I~,;.1l;tS''''i''JlI-.1!1>T~'1'''~1 ti'll;"'"'I'I""'i'.""'j'd,.,;.tl'I'I'~"'i"t'ilfkJl.ll . t~~Z'~1.if~~~1' ;~~~tl-l,!!g.!H)'~'~~~~r,;~.!,,-~,~~!!.,...~c'Vl.~IJ:.~~.....~~ 1 .1 ! Service Included 1000 'q, ft, or Ies. Each additional 500 sq, ft. or portion thereof Each Mnnufacl'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50,00 200 Amp. or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amp",o 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63,00 $ 75.00 $125,00 $163,00 $375.00 $ 50,00 c. .lfem~'~8""'SerNlce'r~;!F:eeaffi~~~ l'.t',...t.r..LP,!J.......ryt~.~I.._..... ~,'--:,&l1.. . Installation, Alteration or Relocatioll,;)u to \ w requll"" Y. ' '-r-r200AmpsjorJlesslOn a h OraMn UtihtY$ 50,00 A"o::'."" '~h\Jt e" , II 20I,Amp~lt6~4,00?Amps. ules ~'" sel fQr$ 69,00 10 ow ,~,- -Chn<;e r C' , t'I,c4011' Amps;to'600 Amps gh OAR Cl52-00$100,OO \I I I 'i:l< v" ' I au o _,,_ ;)[\;-0010 nr ... _ ,',Ios t In OAOyer,600 i\rnps~ or. .\OOO,Yolts see :~B" aliove, D'tlrB'......''''I'.I;;,'~'''.I'''",.....' '~'l1.!i . 'U'." .!iltl.\;(j";;"'1tiiIf~li!l.~ 00' . 'r$! ranc ""-''jgI ..<~. . i!^I< '"r. . ~~J:jl(.l11W>>1.lil - ?Hli,(rlit~ ~:;t. - ~V~. Iln, v v.~u' I.........~. ~:.. -.' , f'! C New i\lteratJ.'on-:Oi'CEii~nSlon p'er,Panel J 3 urnn6< 'v' .... 33~-""''''-'I' u nOne 9rcuitAr is 1-800- $ 43.00 -/ Each Additional Circuit or with Service or Feeder Permit 0; $ 3,00 27 E. I"Mli~r.ii~jf~8~:s~'l\ft'j;~t~iI~P1!iIj~ffi~U'd~'li';!!E~~ilTJifst~ii4li~lf llli:';~~"lIl'J.....",.,..t."lI"'~ w.'"-"~r.'^l~J.t'~.,..""....a::t~........~ . . ;, ,- . . CITY OF ~rKll~t.NJi,LD' Building/Combination Permit PERMIT NO: COM2003-01243 ISSUED: 12/12/2003 APPLIED: 12111/2003 EXPIRES: 06/12/2004 . VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2095 LAURA ST ASSESSOR'S PARCEL NO.: 1703271002117 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add 10 circuits Owner: JOHN CROWDER ), Address: 2095 LAURA ST SPRINGFIELD OR 97477 Phone Number: 541-349-0905 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/01/2004 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street ImprovementsWOTlCE: XPIRE IF THE WORK Storm Sewer Availab'fHIS PERMIT SHALL \HIS PERMIT IS NOT Special Instruction: AUTHORIZED UNDER ONED fOR COMMENCED OR IS ABAND Notes: AN't' 180 DA't' PERIOD. Sidewalk Type: Description Tvpe of Construction Downspouts/Drains: t laW requires you 0 AiiENilON:oregonb t\1S Oregon Utility follOW rules adoPte~hJse rulss are set ~; , ..,,__.:nn Cenler, ,_, ,_k nAR 952- ,--"AR 952-001-VV'~ ,..' - 'es otthFlfU1l:1>> \ I Valuation DescriDtionnlio You may obtain cor thetslephone v~ ".,illf\ tilt! center. (No a. \ Notification $ Per Sq Ft Square Footage 9 the n'l'l~,\On Utl\ ty , It' Ii B'd A '''-OOt rior ValueOO "32_'D~te1Calculated or mu Ip er or 1 moun ter is 1-1:1 -oJ -- , cen Total Value of Project Page 1 of2 . . Lil i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01243 ISSUED: 12/12/2003 APPLIED: 12/1112003 EXPIRES: 06/12/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~. P'Iid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.00 $4.90 $43,00 $27.00 12/12103 12/12/03 12/12/03 12/12103 1200200000000002603 1200200000000002603 1200200000000002603 1200200000000002603 Total Amount Paid $81.90 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 In.ne~tion'l I Rough Electric: Prior to Cover 2 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 tbat 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 of2 ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-01243 C0M2003-01243 C0M2003-0 1243 COM2003-01243 Payments: Type of Payment CreditCard , -""OJ..:...;. -~ .'. "-. Itiiit.... ' l. -, ...-., ' ..,""c,~",."" .. I' Receipt #: 1200200000000002603 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By MELLlSA GEHRKE 000248 012741 City of Springfield Official Rec~ipt Development Services Department Public Works Departmenf Date: 12/12/2003 3:08:44PM Amount Paid Item Total: 43,00 27,00 4,90 7,00 $81.90 How Received In Person Payment Total: Amount Paid $81.90 $81.90 . .