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Home My WebLink AboutPermit Electrical 2007-06-21F Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00926 ISSUED:APPLIED: 0612112007 EXPIRESz 1212112007 VALUE: SITE ADDRESS: 200 S 32nd St ASSESSOR'S PARCEL NO.: 17023r0000500 PROJECT DESCRIPTION: Temp Power for Fireworks Stand TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial License Expiration Date Phone 170183 05/30/2008 541-954-7589 Springfield Owner: Address: Contractor Type Applicant Electrical Contractor SMANTHA PENNYMAN CRAFTSMAN SPRINGFIELD REGIONAL SPORTS CENTER 230 32ND STREET SPRINGFIELD OR 97477 CONTRACTOR INFORMATION # 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: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o 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 REQUIRED PARKING Total: Handicapped: Compact: Street ImproYements: Storm Sewer Available: Special Instruction: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page I of2 n u ILUIN u rN -r urqYl.u!!2N_l Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00926 ISSUED: APPLIEDz 0612112007 EXPIRESz 1212112007 VALUE: Description Tvpe of Construction Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Temp Power 200 amps or less Total Amount Paid Total Value of Project Date Paid 6t2u07 6t2u07 6t2U07 6t2u07 Value Date Calculated Receipt Number 2200700000000001003 2200700000000001003 2200700000000001003 2200700000000001003 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $5.00 $2.50 $4.00 $50.00 $61.s0 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Reorr 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 hereino 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 properfy, 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 Valuation Description I Fees raro SPBINGFIELrt % zoN INITIALS DATE SOURCE225 FIFTH STREET . SPRINGFTELD, OR97477 o PH:(Srtl)?26-3753 o FAX: (541 )726-3689 ELECTRICAL APPLICATION City Job Number )?)b')/- o-7 1. LEGAL DESCRIPTION: TION OF INSTALI,ATI'oN..3. COIIIPLETE FEE SCHEDLiLE BELO\'I/ A.NervResidential-Singleori\'tulti-Famil.vperdwellingunit' Service Included 1000 sq. ft. or less $106'00 Each additional 500 sq. ft. or oortion thereof $ 19'00r-_--_- Each Manufact'd Home or Modular Dwelling Service or 550.00 t eecer B. Services or Feeders - Installation, Alterations or Relocation:' Date 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 Pump or irrigation Sign/Outline Lighting Limited EnergY/Residential Limited Energy/Commercial 8% State Surcharge l0% Administrative Fee 5% TechnologY Fee i'?)3/')(iOd5crD JOB DESCRIPTION: o{L 1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. corvrRACrOR TNSTALT'ATTAN ONLY Electrical Contractor Address $ 63.00 $ 75.00 s125.00 $163.00 $375.00City$ s0.00 Supervisor License Number C. Temporarv Sen'ices or Feeders Installation, Alteration or Relocation 200 Amps or less I $ 50'00 ?:e ConsE. Contr. Number 201 Amps to 400 AmPs $ 69.00 401 Amps to 600 AmPs $100'00 Expiration Date s-o P Over 600 1000 Volts see "B" above. of Supervising Electrician D. New Alteration or Extension Per Panel !07 One Circuit Each Additional Circuit or with Service or Feeder Permit E. N{iscellaneous (Service/feeder not included) -Each Installation R spr tnt € et)3 51 ,a\ f1 Aftk($00 $ 50.00 $ s0.00 s 2s.00 $ 45.00 Owners Name Szt-Address :1 nCity Phone x\ OWNER INSTALLATION The installation is is not intended for Owners Signature: being made on properfy I own which sale, lease or rent.Minimum Electric Permit Inspection Fee is $45.00 + surcharges fl5O calllr numl: . cn) - a(o/ - 'Inspection Request: 726-3769 4 TOTAL Shared Driv(T:)/Building FormsiElectrical Permit Application 8{6.doc b<,n,d=, sakJ Ph*" 7f,y?-t&) ExpirationOat" ,/ 0"-/^0 7 l .3-rGs 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone g;ty of Springfield Official Receipt 'elopment Services DePartment Public Works Department RECEIPT #: 2200700000000001003 Date: 0612112007 3:3e:42PM Job/Journal Number coM2007-00927 coM2007-00927 cou2007-00927 coM2007-00927 coM2007-00926 coM2007-00926 coM2007-00926 coM2007-00926 Description Temp Power 200 amps or less + 5olo Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 50.00 2.50 4.00 5.00 50.00 2.50 4.00 s.00 $123.00Item Total: Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid checl( NumDer Authorization Check SAMANTHA PERRYMAN nJm 1240 Fireworks stand In Person s 123 .00 Payment Total:$123.00 cReceint I Page I of I 612112007