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Home My WebLink AboutPermit Electrical 2003-10-6 ,. s . t as submitted has the followmg . /!i;ijnall-d<lill9not require specIfic land usa approval ~\)(2... . /() - b -0 ;; Date Zonrn~ 0 - C\ ~~H _" ~ 3. t'G6.Mf~T~:E:E~iiiP~jirllW"];;OJ1: ~'l.:; ;.;~.,i,'J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F ELECTRICAL PERMIT APPLICATION City Job Number CO WI -0' 0 0 i Date 1. I LOcA110NORmSTAl.JLA170N 306~ J.!.A,..JE.,.; $'rid(p re..cL . { LEGAL DESCRIPTION /70 Z 173> '2 ODZOO JOB DESCRIPTION ,4 d .! (, I 0",+[5.1 C"3.) r,-~-I.-I,:;-k bkJ A. Ii N~~Resi~ellti~h~-$i~gl~r*t.Mplti~fairo\lypefJIivel!inglfuit> . ~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manufacf d Home or not started within 180 days of issuance or if work is 118dulfI Dwelling Service or $5000 Suspended for 180 daYkTTENTION:Or~~on law re6~:e~~fie'~fiftv ... . .. ........ ... .. ... .. ... ... . ...... . . .....j 2. f. CONIRAf'n~t.t~t~~~les ;ID~~~~~~~r.};'~~fs~:I,~~~il~ti~.lj~t~r~ti~'l~.of Ril';c!ati~l1r 0l)1-0~;.o:~h OAtl ::l~-VV Electrical Contractor '-1A~~J~~ ,r/ I/..,/.;. I. '~e2OiJIAll1ps or less $ 63.00 _ v1 O'~Ut" '~1 ~p! r.iNote: the tel~~10~ps to 400 Amps $ 75.00 Address y./c) 0~';~~~~on Utility No!i4ma)JJn!ls to 600 Amps $ 125.00 &r Cen;e~~ 1-~9,O-332-2344)601 Amps to 1000 Amps $163.00 City ~ Phone;;J.:t7 ?f?jlo ;:;;3;;5 Over 1000 AmpsNolls $375.00 Reconnect Only $ 50.00 Supervisor License Number ...~,;? ,p d 5 Expiration Date J () -0/ --() c/ Constr. Contr. Number ... C; / () cP cl h -';/7-/')5 ....../ Owners Name Address City Phone 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 c. .,~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volls see "B" above. D. New Alteration or Extension Per Panel I $ 43.00 $ 3.00 '13, 9 . One Circuit Each Additional Circuit or with Service or Peeder Permit ~ E. ~~s:r.;i!!~e~I~~~~rrt~~i!~!,c1;r~n~.t,~~lli~~dj'0E,:ii~.!il~f;;H~lion;1 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. s-z 3b'f S"2-O 00 3'-{ 7% State Surcharge 10% Administrative Pee TOTAL Shared Drive(T:)IBuilding FormslElectrical Permit Application l-03.doc . ;o'a.-;" jiiI WiL:.. . . . CITY OF SPRINGFIELD. Building/Combination Permit Status: Issued PERMIT NO: COM2003-01009 ISSUED: 10/06/2003 APPLIED: 10/06/2003 EXPIRES: 04/06/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3065 HA YDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702193200200 Springfield TYPE OF Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Add 1 circuit and extend 3 circuits Owner: Address: Contractor Type Electrical JOANNE HARRIS 3053 HAYDEN BRIDGI~.'~~E~RtNGFIELD OR 97477 IUN:vregon law reqUires you to . fv;~vw., rUlgo auu"'l~u uy ln8 uregon Utllltv Notificatioll(,;:@Nlf:RAUllOR Il!IE@8MA~iQN'1 ,n OAR 95L-UU I-UUlU mrougn UAR 952-00 Contr~. You may obtain copies of th~kR!J~el NEW W A ~.mt.iB~p1R1edbl(9r. (Note: the tele1JllllHlp. IIUll10er rfimL:OIN~INF()RM1,..1'fi{jN'Jion C'-' ~_ ,.1 , J"V Jvc!-'c..J.."). # of Stories: Lot Size: H eight of Sq Ft I st Floor: Type of Heat: Sq Ft 2nd Floor: Water TyrO!--GTlCE: ~q,Fl~ffmW.1JRK Range TYPfHIS PERMIT SHAll EXP~lF 'GLra~el~afrt Energy PatJl.UTI-IORIZED UNDER TI-IIs;fJll~tMr.:> COMMENCED OR I~ ~BAtOQJlH,ijbb~Qllrrace Area: I DEVELOPMENT i~~:;\~HtoWf'v"" Expiration Date 06/27/2005 Phone 541-686~2365 # of Buildings: Primary Occupaucy Group: Secoudary Occupancy I'rimary Construction Type Secondary Construction # of Bedrooms: R-3 VN SETBACKS REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rea rya rd Setback: Solar Setbacks: Overlay nist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I Valuation DescriJltion I Dcsc ription Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project 1 of 2 ~s~~m.~..iiiI ,.,. ," I. ~ ".,.~. ~ . "., ~.,,,- ' ~ .. .~ .- ' . .. . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: COM2003-01009 ISSUED: 10/06/2003 APPLIED: 10/06/2003 EXPIRES: 04/0612004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I r Fee Description .+ 100/0 Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.20 $3.64 $43.00 $9.00 10/6/03 10/6/03 10/6/03 10/6/03 2200200000000001625 2200200000000001625 2200200000000001625 2200200000000001625 Total Amount $60.84 I Plan Reviews I 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 Reuuired Insuections I 1 Rough Electric: Prior to Cover 2 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 ~L urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from ,F" the street, that the perm it card is Iocatcd at the front of the property, and the approved set of plans will remain on the site " \ alltim%~7tioQu~\ ' \~)ao/ffi- Owner or Contractors Signature C) Dat/ I 2 of 2 225 Fifth Street' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 I 009 COM2003-0 1009 COM2003-0 I 009 COM2003-0 I 009 Payments: Type of Payment CreditCard Wi~..~..-,.J'~.~"..~",.. I, I t.., , i """f".~~.._,,_...' f:<-." Receipt #: 2200200000000001625 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By nlm Check Number Batch Number Authorization Number Paid By DEBORAH D. COLLINS-PECK 000187 046921 City of Springfield Official Receipt. ^ . Development Services Department . Public Works Department ',' Date: 10/06/2003 1:38:00PM Amount Paid Item Total: 43.00 9.00 3.64 5.20 $6U.84 How Received In Person Payment Total: Amount Paid $60.84 $6U.84 . .