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Home My WebLink AboutPermit Electrical 2008-5-29 ZON l(l{ INITIALS r) (Y ~ . -' DATE =.. - ~)?~ -06 ..J L_ SOURCE LD(~ 225 I'll< HI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEl.:l1<ICAL[ERMIT ~~LICA1JON City Job Number 7' 17IY"-)' ( rZJ 6 - DC 755 1. LOCATION OF INSTALLATION: 3sg~ CtIE'I.. lJ/( E. E b R.:wE LEGAL DESCRIPTION ADD c: '-..; ". s :'" 1(. 1-<1-.,,;,/ 6f)rl/lb~_ JOB DESCRIPTION: / %G d ()V";:)! .S;'{JI) 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: , ( i~ 2. ,-, E]ectrIca] Contractor ~ ""~-JE ; -p.~t. Address f () B6'IK 1-15G I City 7 /1- Phone !?'1 do I - ;. (.;, f.., S ...., SupervIsor LIcense Number ~") c:, 1-1 .S Expiration Date J,~ j ( \J - f - 10 1'-/~foJg Constr Contr. Number Exprration Date (/- --': - (j (7 Sl~a_ :[;;~~mci~ Owners Name La.1rL--1 jy? em t<--[tt.-;W / i ) ....;/ " Address ~ 01 (J,:;;>() lJr) U"J L~ (f'../j7:::: i,':"'- City ~/',( -;-/ Phone / "'/' OWNER ~dLATION The installatIOn is bemg made on property I own WhICh is not mtended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 Date 51:;2, f I ~ (JZ) K 3. COMPLETE FEE SCHEDULE BEWW >:: q, ~ > A. New Resldential- Single or Multi-Family per dwelling unit ~ ~ q,>,'~ , " Service Included ] 000 sq. ft or less Each additional 500 sq ft or portion thereof Each Manufact'd Home or Modu]ar Dwelling Service or Feeder $]] 7.00 $ 21.00 $55 00 B. Services or Feeders - Installation, -Alterations or Re]ocation: ~> ~~~ > "," ", /i~*'W,",> , 200 Amps or less $ 70.00 20] Amps to 400 Amps $ 83 00 40] Amps to 600 Amps $13800 60] Amps to ]000 Am~ 0 I ~]80600t 1!~tJjl : reqon mv reqt1!r S Ii U C Over 1000~B' '~ge\ adopted by the Ore 'Ol1319P,:lt~J Reconne<iJo t fcatlon Center. Those r' di?S E?~J\Ororth inOAaj~5~~001.001Qm~ltl!::t9h OAR i)q2,;J!,91~_ C. I Temp~~~!Fmayilj)}~.~oR,es of the r,ut~s ~y_ calling the center. (Note' the telepnone Installatio6\U11UHJufi)b tl>>eJQI@OOibbltlllty ~! at If I call 0 n 200 Amps or less Center is 1.800-332-234~))5 00 20] Amps to 400 Amps $ 76.00 40] Amps to 600 Amps $] 10.00 Over 600 Amps or 1000 V o]ts see "B" above. D. ,Ilranch Circuits ,d' I'i '. . N ~~(C'iiteration o~ Extension ';:r Panel, TH~n~tpuWiT SHALL EXPIRE IF THE WORK$ 48.00 AUFJaaJ1taHlildJlM~uT~RMIT rS,JitOT CO~vM!<N@t~etmrl~eJWANDONED FOR $ 4.00 ANY 180 DAY PER'QD~ I,';' E. Miscellaneous (Service/feeder n~t)included) -Each Installation -.' >, A 4Y ~-2Q Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/ResIdential $ 28.00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges -r-7) 4. s~Toi;V;~OF ABOVE (; ~. c ~ ]2% State Surcharge ;;' . 4 cJ ]0% AdminIstrative Fee R ~ /& 5% Techno]ogy Fee (; , kv 1:6- S' ~~ TOTAL Shared Dnve(T )/Butldmg Forms/Electncal PermIt ApphcatlOn 1-08 doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3584 CHEROKEE DR ASSESSOR'S PARCEL NO.: 1802062105300 CITY OF SPRINGFIELD Building/Combination P~rmit PERMIT NO: COM2008-00755 ISSUED: OS/29/2008 APPLIED: OS/29/2008 EXPIRES: 11/29/2008 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Circuits for misc kitchen. Owner: MCMULLEN LARRY R Address: 42050 HOLDEN CREEK LN SPRINGFIELD OR 97478 Contractor Type Electrical Contractor STEVE HAUCK # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION. License 147618 Expiration Date 04/09/2009 Phone 541-221-2665 BUILDING INFORMATION' t I requires yOU 0 TION' Oregon aw Utility # of Stories: ATTEN, ~dopted tJi;dt'Sitt\:egon t t~rth Height of StrucDii't~~~~o~Scenter. ThlSi}3FtJlrsWt F licg1g2-001- Type of Heat: ~o" R 952-001-0010 tlS'q>1Fil1i hg%~les by Water Type: un OA YOU may obtain ~ijW~~li1 ~m~m1one Range Type: OO~~Iiing the center. (tSijtF\~~r~e~Hld'J:iI9At Energy Path: bar for the Oreg~ij FIt l?.th'w4). Sprinkled Buildi~~m Cen~' is 1-816\:~afiitoad: I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: N01WCfE: THIS PERMIT s~~rrrR~fm?~rfRE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR lJ'N 180 DAY PERIOD I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00755 ISSUED: OS/29/2008 APPLIED: OS/29/2008 EXPIRES: 11/29/2008 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 Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $6.80 $8.16 $3.40 $48.00 $20.00 5/29/08 5/29/08 5/29/08 5/29/08 5/29/08 Receipt Number 2200800000000000777 2200800000000000777 2200800000000000777 2200800000000000777 2200800000000000777 Total Amount Paid $86.36 I Plan Reviews ~ 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. ReQuired Insoections I 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 Pae:e 2 of 2 . \ 225 FIfth Street S'pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00755 COM2008-00755 COM2008-00755 COM2008-00755 COM2008-00755 Payments: Type of Payment CredltCard cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000777 Date: OS/29/2008 DescrIptIOn Add, Alter, Extend CITC Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By STEVE HAUCK Item Total: Check Number AuthorIzatIOn ReceIved By Batch Number Number How ReceIved njm 083811 In Person Payment Total: Page I of 1 12:40:18PM Amount Due 4800 2000 3.40 8 16 680 $86.36 Amount Paid $86 36 $86.36 5/29/2008