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Home My WebLink AboutPermit Electrical 2007-5-23 .....:~Il.'.~~iit.~~i~1iD~~I~~.. ~ ~~~'^~ ~~\""~~~~. ' _," DATE P5":l2,~ Zl5 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541!726-3753 . FAX: (54])726-3689 ,. ' .. ~ SOURCE ft.S ELECTRlC~1!:RMIT APPUCATION City Job Numbe II -- ~41 J J," ") Jro7 I , 1. ~fL"-!""O'!'''',~AfI'O'''''''N'~''' ~O':-:\F"':'''IN.'' "'.I.o;S' "T.'''-'.1.l:.t'LA.-'-:':J\T':'''I'''O'1'Nr'~.~:.", (r'i.'~:~.~l'; ~,!;t\....;I',-,...'r ~4"~~l.i~",......,.:......""..m:.',:;,\ ,:.:"",UI;.;: !\O'. ?''''j.":"..._';t'~JI!''':V4....~;t:~~. "?'~' ~ .t1.L ~~~&;o;.;., 3. ~~C.~qA,1,P,h!-E,._~,.r",}?:,~f=, ~~..g!i~.,f.,L _, :.,.._"..,',........,.-9\~...~~,;':h,,,~~.:...'~'.!~~:>t..,Jt~{~.'i~.~~ '.' "~..,:. \L.\orJ'~'Q:iC1"~......'71UV 1:.-->'--- _.__.__.~.... -2._ """'_U",- \-1'('9; ~B~'?o ra!o . . JOBDESCRIPT10N: ~ 1m CirYvp ~ 3 U (GLU~ ts Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 18.0 days. ffCO'NTRA"ttO:]r.iNsT~i5N'ONEirJ. 2. t~,lIW.~1ji<f,.';:Iei:},<1f~:J.:,~~~~tl-,-~;t("':;~~1 Electrical Contractor ' ..lh..;.tti~ {:Ir ,'1'14.:.- Address ') ~IC (lol.&?-:o,~I:;,j-. Ave City CY~ 6<-<."" Pbone 54 r ,z {. S"'tt Supervisor License Number Llf'l}.. 5 Expiration Date (e -'" f-,:o...., rf;;',\:~~~.~::,"W"~....-:.,,~t~.7~.W}1~~::M~:f!.I'?>~~1""'t..3.,."; '. I A. ~~~J}~;;=lre.k.~J!1&~~;..?!.~~~~~!:X~.~2;p~~dl.~!ll!J!~..~~t4 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 $50.00 m~'~~\\r.i.;!'>t.~J"-~i~"",,,,-;,'",";~~::Ijfl-d~;"~~lfI B. ;SetviCeS1oriFeed.erS,c,'Inst:iUilliOri;,>l.lterations' oj-cR. elocation:,'~ , ~~:.t~:i.\.tt1t~:'i!:;~~:w~~~,.{...:!M.i;$....~{.~~\j:ttt~~"~.~: tm 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000' AmpsIVolts Reconnect Only I $ 63.00 fu 3 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~~in'~p"6rm}~Servi1:~;~~d~S-:~~lff1~~~~t1,~}i';'l(;,.~~ . i2iu.~,f;,\:.~~.~"~;m.ilo.,~:.t~~~$~;t~...~~:Jjit~,~ Installation, Alteration or Relocation " ' 200 Amps or less $ 50.00 Constr. Contr. Number Iltr. 74 <;. 20 I Amps to 400 Amps $ 69.00 .' 401 Amps to 600 Amps $100.00' Expiration Date I- 1j(-~.N01ICE: g J.:p,fu~ 1000 V I "B" b , R - ver' . \U:fm 0 ts see a Qve. . ' .. .1HIS PERMIT SHALL EXPI ~r,:-,. ",'''"iN~~';\i1m;W~~'Ir~~~t,~~~'.Y<'.f'~~'!;'~'r,",1 Signature ofSupervlsmg ElectncAaU'iHORIZED UNDER THlg'~~I~W1~I~'l!J~~~.r{;':J' '9}]e.~.~~Mf~>;;,;.'f#':;' ~ / ~C.Gi"iiT~NCED OR IS ABAND'il'WElIt~Oti, :on or Extension Per Panel /h4rfif ~/ ~.. ~^^ nW nrn'JD One ,Circuit $43.00 /V""'~' - - ~.' u u v n' . ~... . Each AdditionalCircuit or with -.:?' ' Q / . , ~~ub1 . .' , ServiceorFeederPennit $ 3.00 I :::140 \fj~L/!LRb,~~~![~~ CihM 2~A ./ Phone Pump or irrigatiol1ls yOU te $ 50.00 .)\ 't'J 'JTC:NlI0N:Ore~igi1l0'U'ti~~lg~~ Utility $50.00 OWNER STALLATlON All';; rules adOPtgl7n\l~dt~~erg,IR~~dSJ!l\;/]Q! $ 25.00 \0 0 t r ThOge ru'~ ~ ,,-,tv' The installation is being made on property i '\'YR.which1 Can a LiImteo Ener~\llPm;nefC1tl1V $ 45.00 . . ,IJU --. O",...J\010lf11()U\:l' \"_,, IS not mtended for sale, lease or rent. ~ O,J.,R 952' ,'!VIifl~ulJ\f~~S~~ir. rnspection Fee is ~4~.OO + Surcharges 90 "oU may o~al..__..",,~<'\\~h.n~';';.. 'Ql~;\>,'!'~.~"~ 1d. (fO O . 10 .' 4!iSmrIllillTAli'Vr:0 """"><=<.:Zl\lli.."''-' wners Signature:' ' ca\linQ tne cdrl1~~tlI\~\ ICat. ,. .. . , ,31l'~4ll.,:iG<' ,.' , ''11b'''' \of the QP~'S!i1l: ~.u'Fli~~g"j). , .3. & () . ...' 10% Administrative Fee !'> . '1 ~ 5% Technology Fee 1 ..a 0 Inspection Request: 726-3769 jt?;5. .5C(/ TOTAL Shared Drive(T:YSuilding Fonns/Electric:lI Pennit Application S-Q6.doc Status Issued (~ff~l ~ . 0;::.(\ J I.' . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00747 ISSUED: OS/23/2007 APPLIED: 05/23/2007 EXPIRES: 11/23/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252206000 Springfield TYPE OF WORK: Electrical Work Only . TYPE OF USE: New Residential PROJECT DESCRIPTION: 200 Amp & 3 Circuits Owner: KOSTENBAUER JOYCE ANNETTE Address: 1401 LA WNRIDGE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2009 Phone 541-521-5690 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: N01~p}S.tories: Lot Size: ~igli: ol;.Structure:XPIRE IF THE Wcll9i'!'t 1st Floor: TH\SI1yp~lome~f!ALL t ~'11Ft2nd Floor: AUTWJl~!\J!1!:Y.p~:NDER THIS PERMIT IS ~~q 'Ft Basement: corv~JlH[G"yt!l'\jR IS ABANDONED FOR Sq Ft Garage/Carport Energy, PlltlJ.i:;PjOD Sq Ft Other: ANYs~~I~kl~YIfuild ng: . n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: as yoU to Paved l!(i,';'l(;1}Q!I:laW reQu1r on Utility /l.TTElo/Jg;'~oaCOr~(!Ig,\, the Qreg at for' fO\\()W ~,~I:~~n~~r. Those r~~e~:~ ;52-00 'l~U5IMPRoV~S of the rules \ Ir I '(oJ III"" -' t . the ~lephOne 0090. .. center.lNo e.. . i~mr.'!!ltrllype: calling tile on UtIlity 0 I number lor theO~a~ _ ~ M~_?~d,~nspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 (. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00747 ISSUED: 05/23/2007 APPLIED: 05/23/2007 EXPIRES: 11/23/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ P".id I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.20 $3.60 $5.76 $9.00 $63.00 5/23/07 5/23/07 5/23/07 5/23/07 5/23/07 Receipt Number 2200700000000000827 2200700000000000827 2200700000000000827 2200700000000000827 2200700000000000827 Total Amount Paid $88.56 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 descrihcd herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. 1 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 Paee 2 of2 225 Fifth Street SpringfiJrid, Oregon 97477 541-726-3759 Phone '. :-;~ Wit..., ~ of Springfield Official Receipt Welopment Services Department Public Works Department Job/Journal Number COM2007-~0747 COM2007-00747 COM2007-00747 COM2007-00747 COM2007-00747 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000000827 Date: OS/23/2007 Description Perm ServlFdr 200 amps or less Add, Alter. Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HOLLY MAHAFFEY Item Total: Check Number Authorization Received By Batch Number Number How Received njm t68246 In Person Payment Total: Page 1 of 1 3: 13:27PM Amount Due 63.00 9.00 3.60 5.76 7.20 $88.56 Amount Paid $88.56 $88.56 5/23/2007