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Home My WebLink AboutPermit Electrical 2008-12-19 ZON~ g'1~lALS '~'\9. \~e - SOURCE R!6- - ~ /2--/, S/otf tr' I I ~". ,., 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 .'FAX:.(54t)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO'M Z-oo r- 0 173 g I twwCATI(iN,'OEiJNST;47ti!ii!f;f(jN.,~I!.iI!IJt:J 3 ~,,~ ~;~~'t(Z~~;'~:;,::~\:~:t~~~ . LEGAL DESCRIPTION: 170J,JSZ.'1( 09800 A, 'l\r_ 5 e("'\c..~ Q~ rf'"-',,n:_ S <:irc:.",':ts Service Included Date 1000 sq. ft. or less I r "'- Each additional 500 sq. ft. or ,,~W 'sttCI/c.R . ~/lLf 3 c.rC-<.\,,~portionthereof Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder f~o~ero'kfiNST~:FroNONiii{[~ B 2. 1i@'00'0E'~0"~~';:::fS\~"I-i!kd!ft\~!G\'1\~~d!\'"'_;Ylfqtjl!)"5' Electrical Contractor :J::)V L. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Phom(54 / ) 225-)5'...2.? Over 1000 AmpsNolts Reconnect Only JOB DESCRIPTION: $121.00 $ 22.00 $57.00 i $73.005 n'~ $ 86.00 $143.00 $186.00 $426.00 $ 57.00 Address S"SD.::2't' (q""qS ~l.-C/Je- !<.,J City C,~"""'e\\ Supervisor License Number J. '- -,' 5S'lS c. f;;/ r~Iv" Iv.n,. oly. 170" Installation, Alteration or Relocation ". ~ltl. 'v.' ~I) O"i'Gil1iOI] 1;>8 iI~~&mpS or less $ 57.00 OSO IT SS", CeI)1~liflit}J!f4v~ 400 Amps $ 79.00 I)lt"'q%~Oil0:07'Oo"''4o'J;gfkPtJlPe611.9'4mps $] 14.00 '06 "71} ~ 0'6 7Qf<~!I O~ ~ 1.< ""'0 e Oel1 lil/>LVlltlID:li~~~9Qhtl~8~ see "B" above. _ . c: 'I'll} lel'fl/ ,!"6>"1!:t~i7'll.;e{ll ~.Wilx'-- -E-"'siP",w'~rlR~_:::'&'''!:':!c!t~J~''l!!J:ll:l;l!J, el)lel' ,: Ore~"tIV'J~fJ1lJ[frIJ~6f;,~il~:';z"';'!ill' ~<;biSiiiikillB!lilittlll'~~~ "80 "N~dite~ia6?-8~1~ion Per Panel O'?oi'f!Jrr~A/ej)I}Q e8 61" $ 50.00 Eacif'~~Jtt'~iJfl:Ult or with ",,& Service cfr'FeedeA>,ennit 3 $ 5.00 $)!;;'- Expiration Date 10 -OJ - :;)010 Constr. Contr. Numher C'I'I4 Expiration Date 1-0/ -;20// Signature of Supervising Electrician ~~ Owners Name JIY1j,.-rr 6rc>vEtL . Address ~>OZ.1f aIMA-... S"",.:Il" ~ E. City C(~.Jd!7:,,!Or~e 8'1 f' 3 ., zz. Pump or irrigation $ 57.00 4 'liS PO:~' Sign/Outline Lighting $ 57.00 OWNER INST A'/:b.Uf..~/2. 'II1lr SIi Limited EnergylResidential $ 29.00 The installation i~N.lt.~tllJ<6I~J~v/ft,ffJj}Ch Limited Energy/Commercial $ 52.00 IS not mtended for safe,1~/1~J;li'OR 'ER rHI. 'Rt If: .,l\1inimum Electric Permit Inspection Fee is $52.00 + Surcharges '4}' P6 IS 48 S Ptfj '/if. ~m-" ~Ii~"'---- ""'--'_-_rl1l!!ill!J.tbl Owners Signature: RIOD '4NDOil~! ISJJ~~X~Qli!~Q~~Ii!illi_wA~itli "lI'B-~ . ;-r J..f' 1Lti1i> State Surcharge I 0 $~ 1\1\91\\5"\ ". 10% Administrative Fee '3.~ . \J.-)! \ ~\) .5% TechnoJogy Fee ~~J-I.'IO ~ Inspection Request: 726-3769 (\ \... \f) \ {\' ~ TOTAL , i..:cP \ \ I, L ~\" \,\J Shared Drive(T:)lBuilding FonnslElectrical Pennit Application 7-08.doc CITY OF SPRI~(j1<mLD' Building/Combination Permit PERMIT NO: COM2008-01788 ISSUED: 12/1812008 APPLIED: 12118/2008 EXPIRES: 06/18/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 433 4TH ST APT 2 ASSESSOR'S PARCEL NO,: 1703352409800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: New service and rewire 3 circuits Owner: GROVER MATTHEW E & TISHA P Address: PO BOX 154 CRESWELL OR 97426 Contractor Type Electrical ICONTRACT?R INFORMATION' Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: R-3 ATTENTltIe.ige,~.gr,~}f~cture , foUow rUIEf'-YI!MbrJ~N/w reqUIres you to VB"JotlfIGatlonw'ater~Tvpe: Y the Oregon Ut,'I't lOA "-'..o',-,I/Ose I 'Y n R 952RlingeOix,pej ru es are set forth 0090. You IEn.rgy' tPalMough OAR 952-001 Gal/' r, 'l", \.iQDJoS of th - II1g th(SprinJ$led(~UiJdrl)2, e rUleo/lly nUmber fnr th":' ,.... '. I Ult;'. roe tP.li=lnh,......._ - -. ..........' '}' ',~n..'t..... .' - - I ~EVEEOHMEj'jrIi1II!IEORM\TIOllIO' " Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of. Lot Coverage: Expiration Date 10/14/2010 Phone 541-225-7827 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: NLPUBLIC IMPROVEMENTS' IllIt, Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THG-,W.Ql3K . AUTHORIZED UNDER THIS PERMITiS"NtlyvutsIDrall1s: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PE~IOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I V aIuation Desc~iotion I Description $ Per Sq Ft. or multiplier Square Footage or Bid Amount Type of Construction Paee I of 2 Value, . Date Calculated Status Iss u ed CITY OF ~n{1NGFIELD Building/Combination Permit PERMIT NO: COM2008-01788 ISSUED: 12/1812008 APPLIED: 12/18/2008 EXPIRES: 06/1812009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid' 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 $8.80 $10.56 $4.40 $15.00 $73,00 12/18/08 12118/08 12/18/08 12/18/08 12/18/08 2200800000000001754 2200800000000001754 2200800000000001754 2200800000000001754 2200800000000001754 Total Amount Paid $11 1.76 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. I Reouired I nsne~tions I Rough 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. 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 constr.uction. Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Spri~eld~'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1788 COM2008-0 1788 COM2008-0 1788 COM2008-01788 COM2008-0 1788 Payments: Type of Payment CreditCard cReceintl , RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001754 Date: 12/1812008 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By COMPLETE ELECTRICAL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 122843 In Person Payment Total: Page 1 of 1 11:13:45AM Amount Due 73.00 15.00 4.40 10.56 8.80 $11 1.76 Amount Paid $111.76 $111.76 12/1812008