The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-4-16 ZON ~X :~S ~k:\4. \818b *' SOURC~){L-- 1-1/101 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number (' DM t:..O <::> K' ~ 0 c'-f ~ (" Date 1000 sq. ft. or less ,.",/ I,. Each addItional 500 sq. ft. or e , (~ ;-.~ portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 1. -<^.~'<<~<^N'~/h'~'''''Wt=;;: ~ / ~OCATION OF :QlST.A1.MTIQN: ' "J77 Z- "6':jl-" """2"""5 +~""" " """j LEGAL DESCRIPTION: r/03Zb34 (,) 0 ?OZ JOB DESCRIPTION. j\dJ Z- ~\I"c-V\.~~~ 4~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. >>~w.'7'" A :~ "'0f0p1fP1r?i''> "~'>"~',.i~,.' """.(>,,~':~ ~ v 'N,ff~ 2 COm:~gqI,tINSTALLATIOIYJll'{LY B. . A ~ <<0'~~h.nA 'ul-// ~ ~ " \",wmw~,i ~ ~~i~~ )J.. > Electrical Contractor -!l~J2....,f~ ~ h e-v (~~---f-vd ,0 Address ~&l fk']1 ;.~v .Ii) 1-< City 1?/J7 '-Y_a-- Constr. Contr. Number Expiration Date Signature of Supervismg Electrician ~~fLf ~ l- ~;;fLP/ " - Owners Name L f.:(~ ..s - .+ l II 4 '3 T~ ,,"r~J__ j;?..1 So ~ p-~ Phone 7C/ t --t t.- { f Address City ~ v / -.l ~0i"'<:>>{'lt~~&~~W, '" ~q ( ,- 3. "COMPLETE FEE"SCHEDulE BEWW ::4-" , .,..,. v ,..::: '~~ %.sf ...,%,,, ~ ,::.6",,~ ~ {-^ ->:<< *t)~~ ~\&.'~dl&fu""" '" '1 >\ M' , 0;~ > r( '0,"" ,*t.tJffi~ >~ "% / ~ /, An" >>>' ""= 'T' ,..".." "', v ~ j < >>~~~,>> >~">> ,~J~j'01~~)A~)~> ~ >~>>>.... <l >>0' -.. A. >" New Residential ::':Slnglinr Multi-:-Familj',per dweUi~ unit., "" kJ.at.'/./<~"J~ -"t- jt'k -.d"d4wr~..~W<<iliW~->>: "'Ah",,",V,, _""*,ll0-J."l,,;\/,, / Service Included $117.00 $ 21.00 $55.00 ~~,NO Y'~ ~ h ~~-.it> ~T ''< < "*1 ~ ~ ~ v~ ~/ ~ '<< 'T = 0""<<' .....,~""'~ ~ = V70"if'1~l!Jt ~ ~ /", ~ ~" Services or Feeders - Installation, Alterations or Relocation: ~>Jii~ dmIDtu ,~ y v<w >>>%k~~", ~-... h~ ^ $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 ,), '< <.. ~ <' > ,\" l4llil.j~~<lL New Alteration or Extension Per Panel One CirCUlt Each Additional Circuit or With Service or Feeder Permit $ 48 00 $ 400 g' z " &,-"<71~ '~'/1: <."if"4~&"'l"-:fu%4 " ~ / ~ v~ 4'<< <;:' \\~ '<<>" " < no(mCiuded) '::"'Each Installation f~.,.w ,,>;~0d%+~~,~, w v .<' A,<<{~lh;b'~,> ~1,,,,,>,,~~,, ,h,~~,> ,< Pump or imgation $ 55.00 Sign/Outline Lighting $ 55.00 OWNER INSTALLATION Limited Energy/Residennal $ 28.00 The installation is being made on property I own which Limited Energy~Co ercial $ 50.00 IS not mtended for sale, lease or ren\~ 01'\ CE: . . "I~\\J ,,~Il~~e~ti~n ~ee i~" ~50.00 + Surcharges EO\\R\'T Su~\.\. ~" 1",0""" ",y;?" ,Ii' 8 . s n "WI I n <iT noVE' Ih,,' " Owners Signature: 1\-\\ r 0 UI\\or:o,\ ".~' """ ''''~'' ''', >w.",,, "('0 RIZE \~ ~n ",~, ",,,,,.. "#'''~ "" , . AU1HO 1,0 OR \S ~BUi e urcharge . ?f:::, ~\~~E~ PER\OD. 10% Admimstrative Fee . 80 C\ ~ r.A SO OOi\l 5% Technology Fee VO ,'it I ~ ~ I' Inspectioo ReqO~~ ~\,' .. ,,~ '" ~. ~ ~ ,. TOTAL /0 - ~"'\:JJ ,,<v ~ V Shared Dnve(T )/Buddmg Fonns/Electncal Pennlt ApplicatIOn 1-08 doc ~ ''- X CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00495 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/16/2008 VALUE: Status Issued 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 PROJECT DESCRIPTION: Service change TYPE OF USE: Repair Residential Owner: LELAND SMITH Address: 7743 THURSTON RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BOB FISHER ELECTRIC INC License 96275 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Tlffj'TICE: Ranp.~\~I' E WORK # of Bedrooms: PERMIT SHAll WJrgty If'a . J~NOT THIS UNDER l~tSIldi~ I I ' n/a '" IT\40RIZED u... 'O\;-';1.im~t't:n 1=0. . COMMENCED IUKF~..rl~opivIlfNT INFORMATION I ANY 180 DAY~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-746-6211 Expiration Date 01125/2010 Phone 541-689- 7973 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPR4*'IJ:l.1l!.JjJHHD$J Oregon law requires Y0U to o lOW ru es adoptp.d q,y, tj'JeJ)regon Utility Notification Center. Sf\fl~'Sflrufl~~re set forth in OAR 952-001-001D'o.\'YflSfj~OOfh~-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). 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 Pa2e 1 of2 Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00495 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/16/2008 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' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.00 $8.40 $3.50 $70.00 $0.80 $0.96 $0.40 $8.00 4/9/08 4/9/08 4/9/08 4/9/08 4/16/08 4/16/08 4/16/08 4/16/08 1200800000000000331 1200800000000000331 1200800000000000331 1200800000000000331 1200800000000000357 1200800000000000357 1200800000000000357 1200800000000000357 Total Amount Paid $99.06 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 I Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover 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 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-T26-3759 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 cRecemtl RECEIPT #: 1200800000000000357 Date: 04/16/2008 DescriptIOn Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmistratlve 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 Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve 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 I of 1 8:40:14AM Amount Due 800 040 096 080 $10,16 Amount PaId $10 25 ($0 09) $10.16 Amount Due 800 040 096 080 $10,16 Amount Paid $1025 ($0 09) $10.16 4/16/2008