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Home My WebLink AboutPermit Electrical 2004-5-12 .- . ..' ,~M . ,~~!L~_f~ ..' " . ". .11 Cl8S submitted has Ihe following . nol require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX~~BJR.~6-3689.. . .' ELECTRICAL PERMIT APPLICATION Zoning oI.J)te... City Job Number COtMZro4-00 56\{ Date Dale ?-f'~-oq: 1. ~oCATION1)&iNSDl7:r;;{iIQN~~ ~u.1ir,;;.;'S:w~"""""'''''-~'~~i'~ "\it:. c::z.,Q ~ 15"0 La..U.V-lo ~ _ s..c 3&' LEGAL DESCRIPTION /7D327/0 Ol(L{ GO JOB DESCRIPTION" I'U)J 11-<:::" 'l~ eJK UI/' Permits are non-transfe[able and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days: 2 ~C(YfiITRA~~RriNsT'AiJ'iJZ'TI, .1).~"3~~ . ~~~~~~~J4~):t'M~,.t~~t Electrical Contractor ('~ n (..1 S f.'yt 5 "'" C2I /!..C-) Address \ J...9l y City Cui h'J . ~e.rhe...1 \)/1- Phone ~ 'i(~ . (p 1;"'/ Supervisor License Number 17 5'1 :5 i6J lId ~ /P, Y u J bl, If> ,,/ Expiration Date ConSIr. Conlr. Number Expiration Date ';~;~Q"~"~ Owners Name 'Le.u.) 5+VYlJ~" Address Ol b 1> L~$~ c;,1 '3 g . ( ",~I'i't-.. City \fY'''5-f.,.uve Phone .7.~W?\!'~"r;;. ~'/..'i>'?>'t;. ~i\~~' ~ OWNER L'7\\'F:'e<LA~~~'\.\. ,\\,S 'i>r::;~~\J <t\J Th . ~\II\.)' ':,,,...*, \;~\\J't.?>. o.\I.~\)I h' h e msll! atlonvs.be~\!JlBae o~'.'~"-'" own w lC is not intel~i,'d~~<fcS1.'Ib\J1t'lJ.ro~ r~nIO. \>.'0 \U-~'t.~ ~ 'i>'t.v-.\V Owners Signa~re: \ 'O~ \J~ , \>.~" Inspection Request: 726-3769 ,^~~~s9, , ~'ti"~ i~ia~.ff,Ifti~Bi~~'~.fir~~~1f~~~~~ .~~. ~~ A. !$~~),,~~s'<ie.m~!>t~,2.gl~~llit~tM~"!!): .e~r"~!.,_..!~~Jl_icl~i!~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder t"-'!1J!!';W"'~~f,ll1liJ"~":<''''''''''''''',~~","~~~',..!!\..o1\=i1.1 B. ~Ser,yjces'o',r,~Feeders.,.~.!'1!~Jt~til?!kY,;\lterati()Jls~localion, :.. 1<ll~~~~~~~"l:lrJl~ ,. ~~ $50.00 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps 10 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Onl)' I VI requ\rP.9 VOU tO$ 50.00 - \r!",,t\ll\atiOhP~Iti,Q.gf1gn or R~'!ll.'l\lro rules by , m:l.V obtain CO\JI h a (l!lJl))>,.;'{,Jlkl oness r lNote: the te\ep on) 50.00 ' 20lt',\l\Hp\;tR,e4~~on Utility NOtll1cad<s'l;9.00 40\IJroHOJJ~R~~rM"P_'800-332'2344). $100.00, , Over 600 Amps or 1000 Volts see "B" above. 6. ~m:~l&\"1~" '$]:,~i~:'1'i@,,;;~f..>@l.1!;~~lIlf"'~'<'Ill\1l!j\!:lo"ml;\'i;;" D..Br.anc~:'<;r~~~~~~\:~~;..rsu"ft&._,~~~~;;~~) New Alteration or Extension Per Panel One Circuit f Each Additional Circuit or with Service or Feeder Pennit $ 43.00 l-/3.tJO $ 3.00 , '!.f)<&;.~~~;~~Ik\t~,,'~"'~~-~f::--.~~~~~~~m) E. ~~~'i,~.!~~'S~ID'!~~~~~~~ilil.~~:~l.~:J.gl~!!I.;;.t.:1l1"1.i~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ......O:.J',.of:.~..~:.{\~$'.~ 1JJTOTAEOEfABOVE . '!'S' ~ ;,1u;'S,~.' o<,~ '.<{ 4. ,.- '-i ). ~ 3/> '-{SO !> z.1,5"- , L(.3~6 t3.....- / ~ ~ /' Shared Drive(T:YBuilding FonnslElectncnl Permit Applictltion 1.03.doc 7% Stale Surcharge 10% Administrative Fee TOTAL . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00564 ISSUED: 05/12/2004 APPLIED: 05/12/2004 EXPIRES: 11/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 38 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 120v hot tub circuit Owner: LEW STANDARD Address: 2150 LAURA ST SP 38 SPRINGFIELD OR 97477 Phone Number: 541-741-7687 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/0112007 Phone 541-688-6121 BUILDING INFORMATION I # or Units: . Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range T,);p'e: Sq Ft Garage/Carport Energy i>llth1'1 C E: Sq FtOther: Sprink1ea-B!iiIilliig~A IT S H A bl/ll:XPI R l!1fcifpliittIW"'( . ..~..~~.V~ I"'~~~ ~'''~ -~-Il'~ 1- v..,~ /}:"l.a',II.\~.!~.'IU~.\" """"" .....'uIlT v,"vl I DEVELOPMENiI,INF,ORMA TIOl'!<: !\BANDONED FOR ANY 180 DAY PERIOD. R~QUlRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: R-3 Frontyard Setback: Side t Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: ro;I~:';~;~~~~~~~~~1 Notification Center. Those rules are set toM In OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: < Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeetof2 . . CITY OF ~rK11'\jt:.FIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00564 ISSUED: 05/1212004 APPLIED: 05/12/2004 EXPIRES: 11/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Linc I F~~s Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $4.50 $3.15 $43.00 $2.00 5/12104 5/12/04 5112/04 5/12/04 1200400000000000727 1200400000000000727 1200400000000000727 1200400000000000727 Total Amount Paid $52.65 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. ~uired Tnsn~ctions I 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 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 Sofety. . 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 limes during construction. Owner or Contractors Signature Date Pa2e 2 on 225 Fifth Street SP!ingfi~ld, Oregon 97477 541-726-3759 Phone . 8~~'_I!~,.!!,!'!.,.'!!e. .- '_"._..__,'_ .', ~' . I' : " '- I "It .' .ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2004-00564 COM2004-00564 COM2004-00564 COM2004-00564 Payments: Type of Payment CreditCard 5112/2004 RECEIPT #: 1200400000000000727 Date: 05/12/2004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By LARRY CHAPMAN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000381 004094 In Person Payment Total: Page I of I IO:24:00AM Amount Due 3.15 4.50 43.00 2.00 $52.65 Amount Paid $52.65 $52.65