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Home My WebLink AboutPermit Electrical 2007-1-4 S~'ELD ZON 'L'D? '. ~~~~~LF - ~ ~2n Ilk et. "'"""~ "5 Dale / -- -<f -- d (]V 7 ~. ': '. \... ' . \ ' -.,... ..' 0-: ~'."'J C''tTY OF SPRI~ FIELD, OREGON - 1.Z.< FWIlI Sl'RKKT 0 SPRINGFTEr.o. OR 97477 0 P1f:(541)716-375J 0 FAX: (541)n6-J689 ~LECTRICAL~ERMIT APPLICATION City Job Nmnber C<--J " ()()();n I. LOCA'V~ ~INSTALLATION: I {jY5' KY1tU '7Y- LEGAL DESCRIPTION: / f1J3 ()~ ?:), mS (J7) JOli lJESCIW'UON: f&.w~{IJLi:h.;L_~/-~ Permits are non-I"'~!!3rer.l:lc "nd c~I,It'e if ,,'ul'l, ,. oot starUd mtldo 180 <illys of !::slIancc or If worl! is SlISllellded rnr 180 dRY', 2. (71)]V-mACTOii, ]]\m'TAJ.JATION ONlY Elretricn! ContmMQr-Y'...,,\ 11=1 ,In.\ma.y 7.i.ef:hk - _..J. AddI= ~ \l...,.~t."'" - ..... r~.. ... 'J\v....~ City ~~._ (,hon~ ~:\-Sl~D SupelVisor Licenso Number ..:JIll rl S Expiralion Date \D /I .4-"'-'1 Canstr. Omtr. Numl",,' \, \ \~ Signature 0 "i illJ !1!si.I,1U~{IlJn (:-s ~1lJ.\ uttl'le IJl! tJtl"lf~,iy J OW" whit;ll is not intmdetl for sole. least- or '('Ill. nwn....r~. ~iHlmliJf'.,: lusl'r.dkll' R"'Iu..l: 716-376'l 3. COMPLETE FEE SCHEDULE RFr.nw A. New'Residential-Single or MuUI-Family pe,' dwelling unit. Sr."";"" L :. : I 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106,(lO $ 19,00 r'nl'l, l\-i,lIl1iact'lt iluIlh' ,\r Modular Dwelling Service ,1r Ti'p.<l(t..... $50.00 u. :SCJ"\'iccs or t'Cl'rtCrs -- InstaHation. AltrrRtion!'i HI' KclOCiltir.;:" I 03. a-v ?nn I\mp::r nr k~'j; ~ 6:~ ~:i 201 Amos to 400 Amll~' $7::0" ...0 1 :\mp~ tv 600 .rl!Tl,p~ :.L!.).l.I..' 601 Amps to 1000 Amps SI6.i,V\) _'._'-4- O'!~r !Of.ID .6~m.~!.I\I.~ll'U --.--.-., ~:t?~ t",! Reconnect Only $5U.U:: ~----- -- C. Temponll'Y Services or teeaen: lustollathmt A!t~I'ation or Re!ocs:t.iou 200 Amps or les. 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.llO $100.00 Over 600 Amps or 1000 Volts ~ "R~' above. D. Uraucll0.r!'llitz New Alteration or ElOtcnsion Iter Panel OnCei"''';l Ench Additional Circuit or with SCM"" or Feeder Penni! $ 43,00 $ 3.00 E. Miscellaneous (Service/fecdernot Included) -~;ach Installation Pump {j," ;. I :gntI,," :& 50.an SignlOuilillc Lighting $ 50.00 ____... Limited EnergyIRC:lidcntial S 25.00 Umil:c..1 E.,crg}'/Cumm.:::r~inl' :$ 45.00 MInimum Electric l'cl'mllluspcc!iolll1'ce I~ $,15.00 ~'t;ureharr.ea A '1~,3TC:;::=:.flT..-iL':'~"2.. C,3 (S'"\.J 6% S'Rl~ Sl1l\;ililf~ ; ..5 .& iO% Ad.'I1inj'~"ii"c 1'"" ---~..:..~.~ 5% '&'""hn(jlml~ "<:<: _S . IS TOTAl. .j LL:.-'~L~._ ~..".,i ,,,jY1'"(T:.1fBuild~, fcrm:iEiewiCl!! Fermi! Application 8-06.doe . .CITY OF ~nuNGFIELD ' Building/Combination Permit PERMIT NO: COM2007-00027 ISSUED: 01/04/2007 APPLIED: 01/04/2007 EXPIRES: 07/04/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1495 HARBOR DR ASSESSOR'S PARCEL NO.: 1803023200500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install 200 Amp ServiCe Owner: REAVES STEVEN S Address: 1495 HARBOR DR SPRINGFIELD OR 97477 , CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER CORP License 90725 Expiration Date 05/03/2008 Phone 54 1-434-5600 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: A~D,o.!!',"-sP.OJ1,~(I!~'!.igs;lllciW r"'4uII\::" you lV follow rules adopted by the Oregon Utility Notification Center. Those rules are set fortt in OAR 952-001-0010 through OAR 952-001 ........."'.... ""_ _ .__ _H _L._'.. _ _ _.'_ _ _J'...l _ I . Storm Sewer Available: lIf!T1.'t;. Speciallnstruction:u . THIS PERMIT SHA~L EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT __....~..n"n nn IC' ^QHlnnN~n ~nR VUUll.II-.........~ -. - ANY 180 DAY PERIOD. Tvpe of Construction ............. .-- "'-.1 ---_... --r-'-- -, ...- .............-. I Valuation Descriotion I calling the center. (Note: the telephone- numberforthe Oregon Utility Notification Square Footage Center is 1-800-33::>-2344), B'd A t Value Date Calculated or I moun Description $ Per Sq Ft or multiplier Pal!e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid . Amount Paid $6.30 $3.15 $5.04 $63.00 $77.49 Total Value of Project Fees Paid I Date Paid 1/4/07 1/4/07 1/4/07 1/4/07 I Plan Reviews I .CITY OF SPRINGFIELD' . Building/Combination Permit PERMIT NO: COM2007-00027 ISSUED: 01104/2007' APPLIED: 01104/2007 EXPIRES: 07/04/2007 VALUE: Receipt Number 3200700000000000008 , 3200700000000000008 3200700000000000008 3200700000000000008 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. I Refluired Insn~ Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefuny examined the completed application and do hereby certify that an information hereon is true and correct, and 1 further certify that any and an work performed shan he 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. 1 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 an 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 an times during construction. Owner or Contractors Signature Page 2 of2' Date 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~..... ' · Wir'.:.....".,.".., '\ -i-.... ..r , \,: ..'..'~..__ __,I ~' C&of Springfield Offieial Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2007-00027 COM2007-00027 COM2007-00027 COM2007-00027 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 3200700000000000008 . Date: 01/04/2007 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DOUG PALMER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 040643 In Person Payment Total: Page I of I 2:23:23PM Amount Due 63.00 3,15 5,04 6,30 $77.49 Amount Paid $77.49 $77.49 1/412007