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Home My WebLink AboutPermit Electrical 2008-4-29 ZON L(~ ( INITIALS N ~ , / -" if' _ DATE '-f 1.'-.., - UJ ~~?~:~~:?3=~~;p:.FZ:l~ Dare ';lz~ZSW/ 1. LOCATION OF INSTALLATION: 3. COMPLETE.t'J!J.!, SCHEDULE B~W/ · <)~ b 7 13 ~ \- LEGAL DESCRIPTION: f 7 'DL '33.3 ( f"v-D!l/IJJ I (' ~I\.a ~ DOY (, Service Included ~'tupiiON c.. f'\,+^(6-e- A. New Residential- Singh~ or Multi-Family per dwelling unit. (,we-L 1000 sq ft or less Each addItional 500 sq ft or portIon thereof $117.00 $ 2100 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwellmg Service or Feeder $55 00 2. CONTRACTOR INSTALLATION ONLY B. Services or ~eeders - JnstaJJati~n, Alterations or Relocation: ElectrIcal Contractor U~f ~/f7(.,trtU1~ 200 Amps or less ;< $ 70 00 7006 ~e o~ l\\O~V 201 Amps to 400 Amps $ 83 00 Address /119 KI{I(, U\ lflo. ...\..e~\e~<.e~~'l:~ ~'Q~ 401 Amps to 600 Amps $138.00 ~()o. '0 ~ ~'7l ~0 ~O~~~~h<<~~-S~O~~ ~01 Amps to 1000 Amps $180.00 City &>>~(f ~ .Rb@~~~ ~e~~\Ci~O Over 1000 AmpsNolts $413 00 ~\o~. '0-0.0 ~e\' ~ ~ o~" : ~e ~O\.~. Reconnect Only $ 55.00 '\<v~ .s.e~e~ .\)~\~~ ~o\.~~~~b& SupervIsor LIcens~~b~~~~-0~r\O~ ~f'#; C. Temporary Services or Feeders \0 ,>>\\0 <A~,J ~\ e\~' O\'CJ o..'VQ \~o -li~~O-v. ~ ~ e ,,101 ExprrationDate l ),(\'f'0.? -~.J~-(\~ ~I,)~ ~'\'- ~ \ ~...v Constr Contr. Number 1~'f7 InstaJJation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "~ above SIgnj/1ature/of72 Spervis ) ElectrICIan D. Branch Circuits ~t::::>~ \\ New Alteration or Ext\"rtj~~~el ~ One Circuit ~~ ~~ ~\)~ $ 48.00 'To I C:l0 \../ Each Addition~~~ ~r ~ .-, f!:b n r II Service oI.~ ~ it\~ ~ $ 4 00 8) ('J6 Owners Name f\O Y1 i1,c:-. 1/',f}f 0 {' ~'<;;. ~ ':)~~~ 'f-.<9~~' · Address 5 ~ 6q f3 6N' ep j-- ~ ~~ <(~~~~~~rice/feeder not included) -Each Installation \ ' ~s ~~ x.\) ~~\Y city~;v1Bf.d () Phone 2!dJ g t!:1 352'1 "\~~t~~~on $ 55 00 ($l~~e Lighting $ 55.00 OWNER INSTALLATION ~ited EnergylResidential $ 28.00 The mstallation is bemg made on property I own which Limited Energy/Commercial $ 50 00 is not mtended for sale, lease or rent Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Expiration Date (-( ~-C-- c r $ 55.00 $ 76 00 $11 0 00 ~ ~,',,' 12% State Surcharge 10% Administrative Fee 5% Technology Fee 78 ,:fb ?ISo :S1'C:> 7' J It' Owners Signature: 4. SUBTOTAL OF ABOVE Inspection Request: 726-3769 TOTAL Shared Dnve(T )/BUlldmg FormslElectncal PermIt ApplicatIOn 1.08 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00604 ISSUED: 04/29/2008 APPLIED: 04/29/2008 EXPIRES: 10/29/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5369 B ST ASSESSOR'S PARCEL NO.: 1702333100411 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Panel change and 2 circuits TYPE OF USE: Repair Residential Owner: MEYER JAMES R & T ABA THA L Address: 5369 B ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Tvpe Electrical Contractor License NORTHWEST ELECTRICAL CONSTRUCTI 155877 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type' Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: R-3 Height.of ~~8e~~e _.~...,-, _ ~\ '""::' ~011 \alfJv1f8W~~:ut,\\tY YB ,;,\;,'1 b~~~?tf~set1orth ,\" ,,\,1 _ r rno1fa,~~5~l\eg52-001. " -~; JOi 0 t\ll}%~~~ fmhu\es bY " ' ," '. f"~Y ~~~~\~~~~~~~~~ft n/a .:~ ;~cf~\~~&V~~~~~~;MATION I \,~,,,....,, t rlS ,-vLI! Gen e Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 06/13/2009 Phone 541-466-3201 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: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT v :WJ1I\'!t~\~I~.;:r, ;;;\ 1:-,'\OMJB8tJ[~ fOP. A ~v itOOil&'l ~~QIMion I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00604 ISSUED: 04/29/2008 APPLIED: 04/29/2008 EXPIRES: 10/29/2008 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 I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.80 $9.36 $3.90 $8.00 $70.00 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 1200800000000000412 1200800000000000412 1200800000000000412 1200800000000000412 1200800000000000412 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 Reauired 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 Paj!e 2 of 2 225 Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00604 COM2008-00604 COM2008-00604 COM2008-00604 COM2008-00604 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By NORTHWEST ELECTRICAL CONSTRUCTION City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000412 Date: 04/29/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 02995Z In Person Payment Total: Page 1 of 1 1:09:18PM Amount Due 7000 800 390 936 7,80 $99.06 Amount Paid $99 06 $99.06 4/29/2008