The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-11-17 3. 225 FIFTH STREET. SPRINGHELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726"3689 ELECTRICAL PERMIT APPLICATION . City Job Number C ~ Z 06 t?- Ol(.oG(P 1. 1'b20 r:, LEGAL DESCRIPTION: 17D~ 36 Z-L{ ocZ-c::.c JOB DESCRIPTION: P-AVLRJt (jVv.~ 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)NJ;rorcromlNsT~m17ION:i'ffNhlll 2. 1%'*"YRiitH-5P>000Gr;nsm~:Kt}'ii"'''''''-'-'';;;;;;;;;;;;::dJL<~f~~mvAilit2 Electrical Contractor h ~.J-l4?0lv((a."-.coVl7' Address II) q K (i ~ 0.. l/.v' City BbwIlSV; lie..... Phone,S-4/ ql t.f blSg Supervisor License Number g,-/O "}.... - 5 -/O'-<ID Constr. Contr. Number 155<];77 Expiration Date I - / '7 -D q v Expiration Date Signature ?f Supervising Electrician ~ OwnersName _ iG\-tOv(d Ee-'d~ Address 18 Z i G- ~ City S ~F b Phon~6 5'ZC;6 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion Ihereof Each Manufact'd Home or Modular Dwelling Service or Feeder $]]7.00 $ 21.00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps ,Over 1000 AmpsNolts Reconnect Only -r.J $ ftoo $ 83.00 $138.00 $180.00 $413.00 $ 55.00 --?~ c. " '.., ..r",OlhrouflhOAR . ,8Iilstallation,~lteration,0"rReJoCatil>li ". , ,. . _ b~am CO{Jlt~ ...10 . , 00'20., Y'200'~~s~r l"1'~Jte: the telephone" ca!lin\2mefrii'''.t~AOO'1'ffii''U Notl\lcat,v" nurnbe1l~\ ,,1;,:,ps;6v6061~g-2344). v..:t.L,P'.HJ>$ ps 600 or 1000 $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit ~ Each Addilional Circuit or with .-, Service or Feeder Pennit "-- $ 48.00 $,/00 10 ~"_-k.''':b,',0it5F'0D0G;'j';:h'?&S'i'2<?T00f0!!Sf!1''.~"."".. ."',' *f'I~"'itnn, \(:y::j;%~, "qy<+k,;1;t7,0-,j!JS"~,;{3Kllit$TI2:l~ E. 'lU\liscelI.neolis"(Sefvice/~Oll~ n~I\I\1ed)""Each'iJnstalIation;' N Oittit.!:-S~r~~'t\\:?t't"Mn\5'ntJT"s~-SS"S"""'"':"s"ss~ 1\-1\3'~M\1r~\3~t\ 1\-11S I"Et\ EC fflR $ 55.00 A\lWgll1rl)iIB\1rQW\E"~BANDON - $ 55.00 COAA'Mli~~\\I'0!kntial $ 28.00 ANliirillPdlifriergy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges S] .,~~ gJ"D '1,.- IO~~ 4. 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building ForrnslElectrical Permit Application .I-08.doc ) Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-01656 ISSUED: l1!14/2008 APPLIED: 11/14/2008 EXPIRES: .05/14/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1829 E ST ASSESSOR~S PARCEL NO.: ]703362400200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Panel change Owner: RICHARD REID Address: 1829 EST SPRINGFIELD OR 97477 Phone Number: 541-896-3756 I, CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License NORTHWEST ELECTRICAL CONSTRUCTI 155877 I, BUILDING INFORMATION' . Expiration Date 06/13/2009 Phone 541-466-3201 VB # of Stories: Lot Size: /'..'..'.Height of St~uctureaw requ' t Sq Ft 1st Floor: J '. '-,' "':::I.....n \ Ires you 0 . ",',c. Type of H.~~!j[~d by the Oregon UtilitY.Sq Ft 2nd Floor: I '" 'Wa~er,Typ~"r. rhose rules are set fort::iq Ft Basement. I,: "', . RangelType:Ji0 through OAR 952-001~q Ft Garage/Carport OUbO:EnergYlf\ath:tain copies of the rules b~q Ft Other: CaII.Spiilikled'lIlniIdi/li:;,te: the tel!!ilhone Occupant. Load: I'lIIlTlhClrf.......th..... r;",~.__ 'H"" f' .... .-'-' -...... ........"vC,....IV'. I DEVELaPMiEN1SIIlIEOR~\. REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: , Compact: Notes: I PUBLIC IMPROVEMENTS I NOi\CC: \. E)(?'B~W"t~[~{)I'\1< THIS PERMrT SHr>.1.: 1H\S'~I1l\I1R'ijt~&lXs: r>.UTHORIIEO \.INOEISR J\BflNOONEO fOR MENCEO OR ~~~ i BO Ofl'l PERIOO. ' Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descri9tion ~ Description Tvpe of Coustruction $:Per Sq Ft or multiplier Square Footage or Bid Amount Value ,Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO:cOM2008-01656 ISSUED: 11/14/2008 APPLIED: 11/14/2008 EXPIRES: 05/14/2009 . VALUE: 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 '" Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter; Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $8.30 $9.96, $4.15 $10.00 $73.00 11114/08 11/14/08 11114/08 11/14/08 11/14/08 2200800000000001643 2200800000000001643 2200800000000001643 2200800000000001643 2200800000000001643 Total Amount Paid $105.41 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. Reouired T nS,nections 1 Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 ofthe 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 o'nly 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: Own~r or Contractors Signature Date Page 20f2 225 Fif!h ,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1656 COM2008-0 1656 COM2008-0 1656 COM2008-0l656 COM2008-0 1656 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Descrip~Jon Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + l2%State Surcharge + 10% Administrative Fee Paid By NORTHWEST ELECTRICAL CO City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001643 Date: 11/14/2008 Item Total: <;heck Number Authorization Received By Batch Number Number How Received djb 01491Z In Person Payment Total: I Page I of I 9:40:47 AM Amount Due 73.00 10.00 4.15 9.96 8.30 $105.41 Amount Paid $105.41 $105.41 11/14/2008