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Home My WebLink AboutPermit Electrical 2008-5-8 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATIOfi City Job Number LOU1 2..008- (':,C) bS-O 1. . LOCATION OF INSTALLATI01'fl 3. ;29s S-, Ir72 5;;?r//7v';''': I.J . ~ / UU LEGAL DESCRIPTION: 17D33'00 OO)"oll 1J1}-h/( (f'-o'..JJJ ;)::J'5; #/11,/ JOB DESCRIPTION' \~)bt Date COMPLETE FEE SCHEDULE BELOW v" H, ~ , " 'l ~n, (~t - ZON I.f- .I- INITIALS N ~ DATE c:.:,~Cfj -0 i( SOURCEI ~r5()~ ot A. New Residential- Single in: ~ulti-Family per dweUing unit. ,~ili,n~~, >~> v, > ,> ~~ l ~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRAcTOR INSTALLATION ONLY, , Service Included 1000 sq. ft or less Each additIOnal 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling ServIce or Feeder $117.00 $ 21.00 $55.00 2. B. Services or Feeders - Installation, Alterations or Relocation: {" ~, >>> < >>>>> ,<- SIgnature of SupervIsing Electrician ::y)\~ Owners Name C (4-., ut- S- f>; J. Address 2-2 r S+L-... 5 f- ~,c JJ Phone 72 6 -S7S:; Pump or irrigation $55,00 NOTI~Outlme Lighting $ 55 00 THIS PmM~ffAt{{~IIF THE-wm~J( $ 28 00 AUTHQ).~ID~<VW1Sr~RMIT I~ NOT $ 50.00 OO~MiO~()R ~J}fR)~ ~flis $50.00 + Surcharges A~Y 1iihDiMfBlilABOVE" !5? 12% State Surch;;~' " ," '" ff' 10% AdministratIve Fee b;J ~ 5% Technology Fee 'fIr /0 )" il( Shared Dnve(T )/Butldmg Forms/Electncal PermIt ApphcatlOn 1-08 doc Electrical Contracto~..u 7l5,() ff k '- Address /lr 0, " ~f57( r;o q (j. City ~cr (()Jt Phone 0/<;3 --a:t;r1 -. Supervisor License Number ~/7 S ExpIratIOn Date / d,-- /.-- I () Constr Contr. Number I! t:, .~ ,9 ExpIratIon Date I (j.-- ) -I) .I! 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only AI II:NTI0N: Oregon law requires you to fo"~ rtAudUf.Q~AY~~FeifteWtlltty' Notification Center. 'Those rules are S9t forth In OAF\~aid?lqik.QOl aJp!BH~~.0D\~o~~2:iliP 1- 0090. You may Obtain copies oH11e ruies by calli~q~nt'e~s~Note: the telepf1n:,,:, num~lf&IntPfetQ)~gcmnptility NotificatIOn 4~~ ~ a;tOO~-2344). Over 600 Amps or 1000 Volts see "B" above, D. Branch Circ~its " New Alteration or Extension Per Panel One CIrcuit Each AdditIOnal CIrcuit or with Service or Feeder PermIt I $ 70 00 $ 83.00 $13800 $180 00 $413 00 $ 55,00 g~ $ 55 00 $ 76 00 $110,00 $ 48 00 $ 4.00 E. Miscelblneous (Service/feeder not included) -Each J nstaIlation CIty OWNER INSTALLATION The mstallatIOn IS berng made on property 1 own which is not intended for sale, lease or rent. Owners SIgnature' Inspection Request: 726-3769 TOTAL Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00650 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 295 S 18TH ST ASSESSOR'S PARCEL NO.: 1703360000504 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Public PROJECT DESCRIPTION: Replace 225 amp panel Owner: CITY OF SPRINGFIELD Address: 225 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor THORNTON ELECTRIC INC License 116329 Expiration Date 08/21/2008 Phone 541-686-4151 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport -Energy Path:n".;()fl law requires you t6q Ft Other: , Sprinkled Buildingby ihe Or~n Utili~cupant Load: . ~ -, I~ - ~':' ~'.!.I:: 3:": 5:t f.:.:th I DEVELOPMENT INFORM'Alf)uMI952-001- , , ,I '~uPlgs Of I"e rules by c ~ - -,'; ,I (\lote the telephone j,J QyerlayDlst:., .:.~on Utility Notification # Stre~~ Tre~~ ~q,dJO-332-2344). Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING r Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Description Tvpe of Construction "J "'-....- r . ~_~_ Valuation nIW& lQ\II SHALL EXPIRE IF THE WORK $ Per Sq Ft ~&~ER THIS PERMIT IS NOT or multiplier ~~y ~a,g~~~~~BAND(}NOO FOR Date Calculated Pa2e 1 of2 , . Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00650 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 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 Perm Serv/Fdr 201 to 400 amps Amount Paid Date Paid $8.30 $9.96 $4.15 $83.00 5/8/08 5/8/08 5/8/08 5/8/08 Receipt Number 2200800000000000624 2200800000000000624 2200800000000000624 2200800000000000624 Total Amount Paid $105.41 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 , Electric Service: Approval required prior to utility company energizing service. 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 Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00650 COM2008-00650 COM2008-00650 COM2008-00650 Payments: Type of Payment CredltCard cRecelOt J City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000624 Date: 05/08/2008 DescrIptIOn Perm Serv/Fdr 201 to 400 amps + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By THORNTON ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received dJb 318000 In Person Payment Total: Page 1 of 1 10:59:01AM Amount Due 8300 4,15 996 830 $105.41 Amount Paid $105 41 $105,41 5/8/2008