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HomeMy WebLinkAboutPermit Electrical 2007-07-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2007 -00997ISSUED: 0710612007APPLIED: 07106/2007 EXPIRES: 0l/0612008 VALUE: SITE ADDRESS: 220 sTH ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703353101100 TYPE OF USE: Addition Public PROJECT DESCRIPTION: Add/Alter/Extend five circuits for remodel of the "Carter Building" PhoneNumber: 541-726-3753Owner: Address: CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD OR 97477 Contractor Type Electrical Contractor CONRICH ELECTRIC LLC License r49509 Expiration Date ru02t2007 Phone 541-607-3447 CONTRACTOR I, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street lmprovements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription TvPe of Construction Page I of2 Value Date Calculated (,l(1vlA IJI- V l-LurryllrN I lN r Ul(lvlA r rU1\ | Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00997ISSUED: 0710612007APPLIED: 0710612007EXPIRES: 0l/06/2008 VALUE: Fee Description + l0"h Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 2200700000000001091 2200700000000001091 2200700000000001 091 2200700000000001091 2200700000000001091 $6.40 $3.20 $5.12 $48.00 $r6.00 7t6t07 7 t6t07 7t6t07 7t6t07 7t6t07 $78.72 Fees Paid Plan Reviews To Request an inspection call the24 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. nsnections 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 Springlield 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 Safefy. 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 Pase 2 of 2 Date JOB DESCRIPTION 2. Electrical Contractor Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only New Alteration or Extension Per One Circuit Each Additional Circuit or with or Feeder Permit zoN INITIALS DATE SOURCE $55.00 $ 70.00 $ 83.00 $ 138.00 $180.00 $413.00 $ ss.00 C"ryAen{ F - ttc 67. il'ltl' -Ltt Date 225 FIFTH STREET o SPRINGFIELD,OF.9T4TT o PH:(541)726-3753 r FAX: (541)726-3689 ELECTRICAL City Job Number 3. LEGAL t-4 are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address City EaOqUrE Pnole 688gfrCo - Supervisor License Number /B'9 S Expiration Date Constr. Contr. Number 20-c Expiration Owners Installation, Alteration or Relocation 200 Amps or less $ 55'00 201 Amps to 400 Amps $ 76.00 401 Amps to 600 AmPs $110'00 Over 600 or 1000 Volts see "B" above. Panel \ _*_ $ 48.00 +g@ $ 4.00 \\OQS City (r=Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $50'00 + 4. 8% State Surcharge $ 5s.00 $ 5s.00 $ 28.00 $ 50.00 OWNERINST TION oalllng tre cenil' rurDer u) l0im['#fl:'* THIS PERIITT SHATL SPIRE IITHE WO Inspection uh SCANNES AI{Y1&ONPHOE IS Application 7-07.doc CITY OF SPRIN OREGON 1.OF A. New Residential - Single or Multi-Family per dweltring unit' $117.00 $ 21.00 coNTRAcroR IN9TALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: C. TemporarY Services or Feeders D. Branch Circuits Miscellaneous (service/feeder not iucluded) -Each Installation OFABOYE oAR952-001- E. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ' 'v of Springfield Official Receipt t :lopment Services Department Public Works Department RECEIPT#: 2200700000000001091 Date: 0710612007 l0:02:32AM Job/Journal Number coM2007-00997 coM2007-00997 coM2007-00997 coM2007-00997 coM2007-00997 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 48.00 16.00 3.20 5.12 6.40 Item Total:$78.72 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid INT CHGS 420-22000-810045 CATR BLD llh INT CHG In Person $78.12 Payment total: -5?5177 cReceintl Page I of I 71612007