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Home My WebLink AboutPermit Electrical 2008-9-9 -. :--,bf:., ;- I .-} . ~. ,.. .. ... -. :. ~ r'~. \ I .. y;<~~~\, qT,~,'9t ,~\R1N9FJI?!::D, ORE2,P!:'L;' .j,~, , 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number C- 90 - ):f ~ L r~~rlfllYlglfii&~f~WQNIIlIII 3. qc;Ce ff\-!I . LEGAL DESCRIPTION: /71:/1 .,.') 4..2- O?)"rTiJ JOB DESCRIPTION: &vtC~-l'-q5 ~~d.J,' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1"'~'''~''''''""",",,,",';''''''''r~IfW<'~4~f._,.,,<.,,,,,,,,,,.=~ -eONFIDl.€TORJINSTALM1!lONONHY;.. 2. .;c:i,"','"';."....s~Iict\;1i@fj2&;7~..1l';'""'"";w<!;;;;~s'"""..=._l:W'I!ji'."':'hX+""~~~';-""''iW~''', Electrical Contractor t'A'f(,~I( 'f.l.z.c-fnlJ..... Goi-- 2& t( S'iL( -2~'1i Pbone ~' Address P. o. City LV'A-l<< "l J:l It Supervisor License Number 3G~~-S Expiratiou Date 'LO/ ( i? I ( 0 I I Constr, Contr, Number .-it-- ')',.'i "tC;- (olio Iro / Signature of Supervising Electrician ~ Expiration Date C-keif \\ Owners Name '- &n H ~ LL tJ /..J 95c. A- 5T, City <;/tJ Address A. ;N~~9~~iaf:tiii~Siifgl~?~~M'~;i~F~~1~Y1p~!i~!"m~m~~'f~~q Service Included 1000 sq. ft. or less Each additional 500 sq, It, or portion thereof ' Eacb Manufact'd Home or Modular Dwelling Service or Feeder $121.00 $ 22,00 $57.00 B. .e~~~ijl!~~~~&f~~[~!!:sr~~~~D 200 Amps or less, $ 73.00 201 Amps to 400 Amps $ 86,00 40l.Amps to 600 Amps $143.00 601 Amps to 1000 Amps $186.00 Over 1000 AmpsNolts $426,00 Reconnect Only $ 57,00 c. I!I:.l:.~'fil';jj'lS~rLG.E~"',~~<-'~i!IIl!!l!ll!l:f_JJ~~ 1!ll'._._Il_~,!Y,-~"~~~~ . AUTHORIZED ~.NW'R TH RK, . Installation, AIW~mm:lIf~Otm'/~ ABA'S PERMIT IS NOT 200 Amps or lei$NY 1,80 DAY PEit:OC NpW'WJ FOR 201 Amps to 400 Amps u. $79,00 401 Amps to 600 Amps $114,00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit I . Eacb Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5,00 SD 2-D 4- if4;~'~'N!jYih<$~~!&f;10l!il*,f~<Ii\'1m5P0im?:,~~ij;l00;%.\i~'5t.!~''''''''\'ffl'''1!1~il+f{f;i11";:jW&~ E. tl\1i~cel~DeO:!!s'(S~I)Vi~~feeder; i1oml)c]ndid)\'.FJ~ch'l ns!3l1~t!on. Pump or iirigation $ 57,00 Sign/Outline Lighting $ 57,00 OWNER INSTALLA nON Limited EnergylResidential $ 29,00 The installation is being made on property I own which Limited EuergylCommercial $ 52,00 is not intenJI;liTh)ti1ilQ~~~6flflll1t!,aW requires you to Minimnm Electric Permit Inspection Fee is $52.00 + Surcharges fOU~w r~les adopted by the Oregon Utility . "':"'--'.""~~~:~"'-","""'1!I'"f!~."..."\'_., .'..1!I!ll' /7 ~"'" Owners stdIr1tUf6\tlon Center, Those rules are set forth 4. JSlf.JJ,rgr~,gE~gV1;j;llil~l!I!iiilJllli!iti!!ll . / () ,C/ -- In OAR 952-001-0010 through OAR 952-001- 120/. Slate Surcharge ZS,-r:o ~3S':;'. Yvu IlIQY v~~a~11 ,",u...,;t;;.:) vi ~;lt:: rules by 10~Administrative Fee 7~A"j callmg the center. (Note: the telephone 50/. T hn IF' ~ number for the Oregon UliIity Notification 0 ec oogy ee ,7, Inspection Requesf:e9!~j~6~-800-332-2344). TOTAL <;!;3.9-o Shared Drivc(T:)IBuilding FonnsIElectrical Pennit Application 7-08,doe Phone Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I324 ISSUED: 09/03/2008 APPLIED: 09/0312008 EXPIRES: 03/03/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 956 A ST ASSESSOR'S PARCEL NO,: 1703354203500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Electrical circuits' Owner: DILLOW JOSHUA & LISA Address: 956 A ST SPRINGFIELD OR 97477 I CONTRACTOR, INF()RMA TION I Contractor Type Electrical Contractor CAMPBELL ELECTRIC License 73995 Expiration Date 05124120 I 0 Phone 541-744-0705 BUILDING INFOR~A TlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: Wof Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT I~FORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees R11d: Paved .Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROV~MENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: Special Instruction: ATTENTION: Oregon law requires you to Notes: follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth 111 vl"\n ~;.),,--uv I-VU IV 1I11UU~II: ......... ..,-,...-.'" ,- ;'::' liLt:. 0090. You may obtain copieslo\illiUlIff8.Pl>escriotioiU-I1: PER' . calling the center, (Note: ,; .'c UT.-"_ ,,' Ji MIT SHALL EXPIRE IF THE WORK number for the Oregon Utilit\~tN\if~ti'wn ' Squa~.~~~WED UNDER. THIS PERMUJ~ MnT Description T\'P<Oll~nlll~W332-~:t'\ftkltiplier. or BidW~~\rrl~CED OR ISVJl!fANDONED'1ij'RCa1~ulated . ANY 180 DAY PERIOD, Paee I of2 -1afIt$TA':.Of!'IU'O- > , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01324 ISSUED: 09/03/2008 APPLIED: 09/03/2008 EXPIRES: 03/03/2008 VALUE: Status' Issued 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 I III . Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend C;rc Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.00 $8.40 $3.50 $50.00 $20.00 913108 913108 913108 913108 9/3108 Receipt Number 1200800000000000937 1200800000000000937 1200800000000000937 1200800000000000937 1200800000000000937 Total Amount Paid $88,90 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 Relluired Insnections . . "ill 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. & ^-- C. tUfA q( 'S la?J Date I I Owner or Contractors Si~ture Paee 2 of2 225 Fifth Street Springfield, Oregon 97477. 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000937 Date: 09/03/2008 3:01 :47PM Paid By GLEN A CAMPBELL , Item Total: t.:hcck Number Authorization Received By Batch Number Number How Received .Amount Due 50.00 20.00 3,50 8.40 7,00 $SS.9\l Job/Journal Number COM2008-01324 COM2008-0 1324 COM2008-0 1324 COM2008-0 1324 COM2008-0 1324 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of,Payment Check Amount Paid dim 4261 In Person Payment Total: $88,90 $S8090 cReccinll Page I of I 91312008