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Home My WebLink AboutPermit Electrical 2008-11-3 \"i .; ~.l " CITY OF SPRINGFIELD, OREGON . SJ:aF:-~ ~- ~ INITIALS l M DATE Jt~-Qf? SOURCE ~ {U 225 FIFTH STRE.E:r. SPRINGFIELD, OR 97477 . PH:(541)726'3753 . .'AX: (541)726-3689 ELECTRICAL PERMITAPPLlCATION Cily Job Number COM2008-01575' 1. I LOCA110NOFINS1'ALIAUON: 32521" Street LEGAL DESCRIPTION: 17033613 05400 JOB DESCRIPTION: Replace/repair service.and wiring 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. I CONTRACTOR INS1'A.LLAHON ONLY I Electrical Contracto~ ''l)~ \-\ c:'\~L\' c... Co Address -Z Pn $., Cily SJP,n/!;'"C~ 57 'fI/ dw;:f::- Phone 5(1-3oS'} Supervisor License Number 5'1'f5' 5 Expiration Date tol; \ WIn Constr. Contr. Number 7..0 -L.\.51;', L Expiration Date IO! 121'1\11 Signature of Supervising Electrician ~ VV'-. ------- \~ \~ Owners Name Williams Construction'Co Address PO Box 1135 Cily Filii Creek 521-2110 Phone OWNER INSTALLATION The installation is being made on properly 1 own which is not intended for sale, lease or rent. Owners Signaiure: Inspection Request: 726,3769 . ~'"\ ~~ ~ ZON Date 10-30-2008 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Horn\, or Modular Dwelling Service or Feeder / /z ( $121:00 $ 22.00 $57.00 B. I Sel'vices or Feeders - Installation, Alterations or Relocation: 200 Amps or less. 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only . $73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c I Temporary Services or Feeders *:; Installation, Alteration or Relocation 200 Amps or less .201 Amps to 400 Amps 401 Amps to 600 Amps $ 57.00. $ 79.00 $114.00 , Over 600 Amps or 1000 Volts see "B" above. D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 E. I Miscellaneous (Service/feeder not included) -Each Installation I Pump or irrig~tion . $ 57.00 SigOlOutline Lighting $ 57.00 Lirnited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Snrcharges 4. I SUHT01'A.LOF ABOVE , z- ( 12% State Surcharge 11./ n 10% Administrative Fee 17.1 u 5% Technology Fee . bO~ '/53"" TOTAL Shared Drive{T:)/Building Fonns/Electrical Pemit Application 7-08.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01575 ISSUED: 10/24/2008 APPLIED: 10/24/2008 EXPIRES: 04/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: .325 21ST ST ASSESSOR'S PARCEL NO.: 1703361305400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replumb house and repair electrical Owner: WILLIAMS CONSTRUCTION CO Address: PO BOX 1135 FALL CREEK OR 97438 Phone Number: 541-937-4215 I, CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing . Contractor DONALD MARVIN HORTON OWNER License '116021 Expiration Date 0712512009 Phone .541-726-9021 VB 11."7"'_:::.-_ ':,F-!" !. I.' ,l"i) "" , B~mm'l\':.'~~t; ,F1j1,~~~reqUlres you to ' In,..... Cation Center. Th Y e Oregon ~"Ii.~' U~B@$~Ol ose rufes are s tIlJ!'>lze: . OCf!lQ~l\bofri\lI~&Wlaf th(0~9h OAR 95~ f;t'l I st Floor: CW(io!9ltl/b't(jnter.8 ~~oPles of the ruf 1 h 2nd Floor: nW1liAarTolPme Or' I' ate: the te'ep~~llft Basement: Rang<Cllme; Is 1~~..~~ity Notifi . Ft Garage/Carport Energy Path: ---':-2344). Ft Other: Sprinkled Building: ,n/a Occupant Load: # of Units: Primary Occnpancy Group: Secondary Occnpancy Gronp: Primary ConstrnCtion Type Secondary Construction Type: # of Bedrooms: R-3 1 DEVELOPMENT INEORMA nON I REQUIRED PARKING Fronlyard Setback: Side I Setback: Side 2 Selback: Rearyard'Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: P~rf.lU>rive Rqd: T o;!WiM:EOverage: THIS PERMIT " A l'r: - SflAff rw.'/'ir Fr - . 1 PUBL~i:~t.~THlS PER 'Nt WORIC A~~:;;i~/K~BAN~~~OT Downsponts/Drains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I of 3 ,", ,'" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01575 ISSUED: 10/24/2008 APPLIED:' 10/24/2008 EXPIRES: 04/30/2009 VALUE: 225 Fifth Street, Springtield, OR 541,726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V alu~tion De.scri9tion I Description Tvoe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F~fI' P7ilU Fee Description + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee I Bath One & Two Family + 10% Administrative Fee + 12% State Surcharge' + 5% Technology Fee Residence Wiring 1000 Sq Ft Amonnt Paid Date Paid Ii Receipt Number $16.50 $19.80 $8.25 $165.00 $12.10 $14.52 $6.05 $121.00 10/24/08 . 10/24/08 10/24/08 10/24/08 . 10/30/08 10/30/08 ., 10130/08 " 10/30/08 1200800000000001083 1200800000000001083 1200800000000001083 1200800000000QOI083 2200800000000001580 2200800000000001580 2200800000000001580 2200800000000001580 Total Amonnt Paid $363.22 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. L-Rpllnirprl Tn~.nections I Rongh Plnmbing: Prior to cover and including reqnired testing. Undertloor Plumbing: Prior to insulation or decking. Water Line: Prior to tilling trench and including reqnired testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to tilling trench. Final Plumbing: When all plumbing work is complete. .Rough Electric: Prior to Cover' Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01575 ISSUED: 10/24/2008 APPLIED: 10/2412008 EXPIRES: 04/3012009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe Cily of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structnre without permission of the Commnnily Services Division, Bnilding Safely. 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 reqnested at the proper time, that each address is readable from the street, that the permit card is located at the front of the properly, and the approved set of plans will remain on the site at all times during construction. Own~r or Contractors Signature Date , Paee 3 of3 225 Fiftfr Street Springfield, Oregon 97477 541-726-3759 Phone ~LD ~c- City of Springfield Official Receipt Development Services Department Public Works Department . RECEIPT #: 2200800000000001580 Date: 10/30/2008 1:10:18PM Paid By DON HORTON Item Total: Check Number Authorization Received By Batch Number Number, How Received Amount Due 121.00 6.05 14.52 12.10' $153.67 Job/Journal Number COM2008-0 1575 COM2008-01575 COM2008-0 1575 COM2008-01575 Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 12% Stale Surcharge + 10% Administrative Fee Payments: . Type of Payment CreditCard Amount,Paid DJB 00597z In Person Payment Total: $153.67 $153.67 J I cReceintl Page I of I 10/30/2008