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Home My WebLink AboutPermit Electrical 2007-4-30 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlOM PERMIT APPLICATION City Job NumbeU'\m ) nDf - m(o \ (/) t. I UiCATION OF INSTALIATID.N: i , f5"77 / 111 ~r C;fJrLf} . I LEGAL DESCRIPTION: \ 1?tO nSI00 3dO~ JOB DESCRIPTION: #.1' #?vV 1fC:l::tJJ /ll1C./a.;!f1Jl- CtJ!..CUf{ .. " Permits are Don-transferable and expire if work is Dot started within 180 days of issuance or if work is Suspended fnr t80 days. 2, I CONI'R",-cmk.INs?"ALI4:nONONLY I Electrical contrlJ\<EWIRE ELECTRIC. INC. P.U. !:SUX 11 (UO Address EUGENE, OR 97440 City Phone '3'1'1-if'l)g' Expiration Date "?~93-S ///-1-07 ~~h r7 C;'-/Io - 0 ~ Supervisor License Number Canstr. Contr. Number Expiration Date """=0"_"" if" a- OwnersName~O -~ ~o..i~.-yD Address <i551 -~5Vt1 6tQ..~k" City S:p' LrQ ) ',Ihon~T2-(r~!o13 OWNER I ~~ATlON The installation is being made on property I own which is not intended for sale, lease or rent. Spa'BLD ZON !NITIA LS DATE - SOURCE Date .,- 4" 3D~LOOI $ 19,00 $50.00 L-LiZ- NY'^ '-I - 3<.)- 0 '1 fYl<:' Service Included A, I New,.Residential - Single,,, Mlllti-Family per dwclIingllnit. 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Each Manufact'd Home or Modular Dwelling Service or Feeder .B. I ~M'i~~ or F,ee4erS"':' [nstnllation~ Alterations- or Relocation: I i(J- E, I j\!is~~nan~ons, tServ!celff'ede[ 1I0t ins!~ded) -Eafh 1,llSlallatinn I Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4, r. SUBJ'OT~LOFABOVE t{ 'f - "{,to zr, ?i) P,z.5 3, I COJl.fPLETEFEESCHEDULEBELOW 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof , $106.00 Owners Signature: Inspection Request: 726-3769 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63,00 $ 75,00 $125,00 $163.00 $375.00 $ 50.00 c. I Temporary Servil-es or.F,'ffilers Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50,00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. rBraDchtircuits~ New Alteration or Extension Per Panel One Circuit I $ 43,00 Each Additional Circuit or with Service or Feeder Permit $ 3,00 Shared Drive(f:)lBuilding Fonns/Electrical Permit Application 8-06.doc .15.3 :5 225 Fifth,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00616 COM2007-00616 COM2007-00616 COM2007-00616 COM2007-00616 Payments: Type of Payment Check cReceiotl RECEIPT #: ~......, . (._---.--- .... . Wi:'.. .., . "., ' , , ...;. ,~,._.. - C!ii.Pf Springfield Official Receipt ~opment Services Department Public Works Department 3200700000000000241 Date: 04/30/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By. LIVE WIRE ELECTRIC Item Total: l.:heck Number Authorization Received By Batch Number Number How Received njm 11214 In Person Payment Total: Page I of I 2:02:50PM Amount Due 43.00 2,00 2.25 3,60 4,50 $55.35 Amount Paid $55,35 $55.35 4/30/2007 . .ITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Str~et, Springfield, OR 54t-726-3753 Phone 541-726-3676 Fax 54t-726-3769 Inspection Line PERMIT NO: COM2007-00616 ISSUED: APPLIED: EXPIRES: VALUE: 04/30/2007 10/3012007 SITE ADDRESS: 4557 IVY ST ASSESSOR'S PARCEL NO.: t80205t303204 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: New hood microwave circnit. Owner: WARNER RONALD G & SHERRY L Address: 4557 IVY ST SPRINGFIELD OR 97478 Phone Number: 541-726-86t3 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LIVE WIRE ELECTRIC INC License 56697 Expiration Date 05/t 6/2008 Phone 541-344-4928 BUILDING INFORMATION I # of Units: Primary Occupaucy 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 Euergy Path: Sfufi\.,Q~IjtOU.',iJ Sprinkled Buildi!lJ!;...\ON:or~on \a~c'aPIl~~thty /\1"11"1'1 I . _.. h\l the . . \ ,_'" I DEVELOPMENllIlNFOR~s.rLO~frtlOse ru\e~Afii~?-OO ~o{lr.t...I! ..()01-0010 thrO~gh fl MM\lIm:D PARKING PAR 952 ' caples 0 Overlay DB . YoU may obtaIn ate' the tlJbfjjI\1o~e # Street TitQs~ljd~g the center, tN Utility tlMii8nf.1Ppl'd: Paved Drive R~!\ for the Oregon "" "..<<f\lt]pact: %ofLotCove~er " r~"''' ' Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallustruction: Sidewalk Type: NOTICE: Downspouts/Dniios: K THIS PERMIT SHALL EXPIRE IF THE WQR . AUTHORIZED UNDER THIS PERMIT IS NOl r.OMMENCED OR IS ABANDONED FOR I ANY IOU -lAY PEHIUU, Valuation DescrlOtion Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dote Calculated Pa2e I of2 . . .ITY OF SPRINGFIELD' Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 t -726-3676 Fax 54t-726-3769 Inspection Line PERMIT NO: COM2007-00616 ISSUED: APPLIED: EXPIRES: VALUE: 04/30/2007 10/30/2007 Total Value of Project ~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $4,50 $2.25 $3,60 $43,00 $2,00 4/30/07 4/30/07 4/30/07 4/30/07 4/30/07 Receipt Numher 3200700000000000241 320070000000000024t 3200700000000000241 320070000000000024t 3200700000000000241 Total Amount Paid $55,35 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 Refl\\,red 'n.nQ~'inno . Illlifll.lr~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall 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. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 ~uring construction. Owner or Contractors Signature Date Paee 2 of2