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Home My WebLink AboutPermit Electrical 2007-1-16 ~. , , CITY OF S'PRINGFIELD, OREGON "/ ~~Of Nf"\ ' SPR~N'TV\'t4'~~r8 ~ ~"'-"~""" .' ..~ ""'re.',. 0 ".',. A!"," N 't~'! '." ..."......... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r JnY1 fl-O en ~ ODD 7;2J)ate 1. I LOCATION OF INSTALIATION ~4faD ~ ~ LEGAL DESCRIPTION \,O''?' ::1''', U.4-0Io::rJ JOB DESCRIPTION dOO~~"'7('Vv~~ Permits are non-transferable and expire if work is ~ ~ not started within 180 days ofissuance or if work is Suspended for 180 days. 2. I CONTRAqrORINSTALlATIONQNLY , Electrical Contractor 001'5 f!C:ITfJ.'C Address Ie), ocT)( ,;25"'170'7 City G...t-.., CUM Phone &. W' :;J 5tf9 r Supervisor License Number It "7f S Expiration Date I D! Oil D t Constr. Contr. Number .--J oq){ (; L/ Expiration Date lJ, t.f I r:Jl!f Signature of Supervising Electrician tfl~ ~ Owners Name '- 106 ft-IUI'B. Address ~O .\-\r.lX\Jf&t': Ln. City ~i~ Phone -=zgJ-~"l1 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 II $~ /-(n I 3. I'COMPLETEFEESCHEDULEBELOW A. I.New Reside~tial- Single,orMulti-Famiiy per dwelling unit. Service Included 1000 sq.N'tP'oT i.;sf: $106.00 Each additionap500/sq.,ft"or portion th'e~e'6r en VI, ~HALL EXPIRE IF T$'1I9"b'01RK AU I HORIZED UNDER THIS PERMIT IS NO Each Manufact'd Home or T l,",v""'e'N'I-" t)D IS ABANDON Modular Dwelling Service or E D$~~ 80 FeederANY 180 DAY PERIOD. . B. l'$ervices.,or J1~eders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN oils Reconnect Only I I t..:~ .()() $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. [Temporaiy:Se..vices or Feeders Installation, Alteration or Relocation ^TIEN IIUI'..\." ." _ ,V~ :- 2001'Amps or less~dopted b" tilE' ,':..>, ,C'II$ 50.00 +,=, law r\l1es l;A. 1 - . .' 2011'mps o 400, Amps Those [I d"" ;,rA ,$:69.00 ~J6'OI\IA~dp11i1r6bodA~O:;P.~'1 0 l'hrOu~h nAR n$1 OO!OO . AM ~:><:ouu I-U$ t: .,. In _ . '- H...... I S '- ~V~'600AmpS,QfI. I.oOOSvollsrsee':;B':a~o~e..rU t:l" L D. I 8.r.~~~.~!..q!.c.uilsmt0r. (Note 'r', ~ f'.".~ . -'J'-'- ~,.... ~'..r ~hG ()rAf.lOn lJtJlI1V 1''''!Olll!~d.LlU'' New AlteralIon or ExtenSIOn Per Pane14\ . . Center is ,-""". .. '...0' -'.' . One CIrCUIt $ 43.00 Each Additional Circuit or with Service or Feeder Permit 7 Oll .01'2 $ 3.00 E. I. Miscellaneous (Se~icelfeeder not included) -Each Installation I Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 $UBTOTAL OF ABOVE S '1% State Surcharge 10% Administrative Fee 51" "'Te.u.. ~ TOTAL ~4.oD 4,7'2- ~.L.\'O ----L/') 4}: ~ Shared Drive(T:)/Building FormslElectrical Permit Application ).03.doc . .ITY VI< ~rK1j'llJI<lJ!,LD Building/Combination Permit PERMIT NO: COM2007-00072 ISSUED: 01/16/2007 APPLIED: 01/16/2007 EXPIRES: 07/16/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2460 HARVEST LN ASSESSOR'S PARCEL NO.: 1703234401000 Springfield TYPE OF WORK: Electrical Work Oniy TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: 200 Amp service and 7 circuits for shop. Owner: Address: ALVES JOSEPH E SR & SHERYL K 2460 HARVEST LN SPRINGFIELD OR 97477 Contractor Type Electrical Contractor PHANTOM INC NonCE: !HIS PERMIT SHALL EXPIRE IF THE WORK nu "."unl~CU UNUtK I HIS PERMIT IS NOT I CONTRACTOR INFORM~nON .10 OR IS ABANDONED FOR ANY,18D DAY P"'RIr.n , Ltcense ExpIratIOn Date 109864 01/14/2009 Phone 541-935-2154 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 Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .,. . ~-.." II.JI'l.V....\_}v..._ ...' . . ,._,' , DEVELOPMENT INFORMA T1ON..les adopted bv ihp <irAnn,} i )til:'\1 1" 'f' . C t '-h' REQUIRED PARKING ~Otl IcatlOn en er. .ose rules are Sel W Overlay Dist: in OAR 952-001-001 0 thr'~Q~.1lI: OAR 952-00 # Street Trees Rqd:0090. YOll may obtain Cl.l!.~!!'.!iS~PP~9::ules i:' Paved Drive Rqd: calling the center. (N(!F8!'!P,~<!iJlephone- % ofLot Coverage: number for the Oregon Utility Notificaticn Center is 1-P"'''' ..,': ?'<t.;1.), I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 012 ~ . .ITY OF SPRINGFIELD Building/Combination Permit Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2007-00072 ISSUED: 01116/2007 APPLIED: 01116/2007 EXPIRES: 07/1612007 VALUE: Total Value of Project F....s tlWU Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Aller, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $8.40 $4.20 $6.72 $21.00 $63.00 1116/07 1/16/07 1/16/07 1116/07 1116/07 Receipt Number 2200700000000000061 2200700000000000061 2200700000000000061 2200700000000000061 2200700000000000061 Total Amount Paid $103.32 I Plan Reviews , 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 R"'lIIir..rllnsn..d~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all eiectrical 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 iocated 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 Spri;lgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00072 COM2007-00072 COM2007-00072 COM2007-00072 COM2007-00072 Payments: Type of Payment CreditCard cReceilltl .PRIiftiFl..... ' . ...-,.".,.,'".".M.....,'. (1:. . '. -_.-. ,., -",....;,;,.. "" ,1 , 'i ;'" --'-. ' ........ ._~._...,.~ -,,-. -...... -- c~f Springfield Official Receipt "opment Services Department Public Works Department RECEIPT #: 2200700000000000061 Date: 01116/2007 Description + 8% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee Paid By DELL'S ELECTRIC Item Total: (;heck Number Authorization Received By Batch Number Number How Received ddk 616174 Phone Payment Total: Page I of I 2:49:IIPM Amount Due 6.72 8.40 63.00 21.00 4.20 $103,32 Amount Paid $103.32 $103.32 1116/2007