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Home My WebLink AboutPermit Electrical 2008-12-18 ,i 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION Cily Job Number C0w1zo0g- 0 I bbb I. 'rr!OeA'1ElON10EJlNSTA'1'!fiJ.\;'1'i:'>NrJRilj~ 3. 1?;'J'~r"0.~~'*""~"~~~ ~l LE: f-bv.~t.: vjSfLt/L 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. fli~~cl\~I~~~~~~ Electrical Contractor --- TE(jF.~/jfJi-Kt~:!!d..L"i~A~egon IciiIV 200 Amps or less OOS';j'i/i' 952 ~ G'en/e~'~ct by th reC.20~ps to 400 Amps Address PO, Boy 1-/&'d YO/J,;,^01'00in.?Oser~04fJjc.f:.jf,psto600AmPS n/Jrnb~~ IlIe G;n~lJtqin ~Iro/Jgh ~~~6f A;J<<'lis 1000 Amps 10,) r;; 1 'Dr.. '.: ':;J!P/e "\1::1 ,0,< ;;,.0,(t6 Phonecq""'&O<J rJ.'.~Itta/e' s Of It'rkveFd.'IJ()'lI11lpsNolts $413.00 "'''1' is 1.,{lOI] Uti, the le/fre'?o'mi,ef} Only $ 55.00 . 00'33 /ty /vOl' Phon r ...,.... '-::1. r <'<34Mo/fJe:".~'lIiJ!jjfJi!0iIil_~i!I!lI!!liJ1I1L.!!~RII Supervisor License Number ......:~~ 'T"y..j ~. t~,fiMfJ1!ii~~~:~~Qr2!i:t:~~t1r!'WjjR~5er;_ffiiI$~~_ Expiration Date / d- / - ! (j Nilo/8 Expiration Date o/Nacl f"i:. (N I HIS .fiR..' Signature Ofsuperv~'s~ ORi~/T SHAL D. 1/7 . C !j,E~ZED UNDE~ f?<PIRE IF THE New Alteration or Extension Per Panel. ~ it( _CED Oli.lr _ HIS PFRMI ~cuit $ 48.00 "-= N=;, zi~~'~ ~Y{::~1G/=:NED J:~~";)::I'I~~~li~tiOD Address -. ...,) t\-(), c.tN r("'F~C. r~"'ti"G=~xJ"",,,,"~.WiiL'~4J~W - ~~r'"%1;PAUttaX""M\A1LgRli""i",,>,!;;:4;m1'. Cily S~I~ Phone..J12 - Zt,3C{ LEGAL DESCRIPTION: 17D233l-l.{ o 3 '.s-o 0 JOB DESCRIPTION: Cily Pu'J- C/ ...:-. Constr. Contr. Number OWNER INSTALLA nON The installation is being made on ",v,,-'~i I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date iIi,#wm~tt&~\10'iilliV);kY!~ %f1t%IT~'1~iF@%;~~2illh1Y~i.l1'&!Fclli!liliillbfuifr.. " A. 'llNew'Res!ae.nt~Jd;; S!!!gte;ori!M.~I!i~l!a!D,IY;il!~~~,!,,:,,el!i.ug\P,!!.It.;;,:w Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or' portion thereof r z ,t' $117.00 $ }too /2f Utj Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 B. $ 70.00 $ 83.00 $138.00 $180.00 Installation, Alteration or Relocation. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 , $110.00 Over 600 Amps or 1000 Volts see "B" above. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges /b5 , fSo /bro g~l 20 , ~ 4. 12% State Surcharge. 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building FonnsIElectrical Permit Application I-QS.doc ..' Status Issued CITY OF ~rKH~'_d:<IELD Building/Combination Permit PERMIT NO: COM2008-01666 ISSUED: 1111812008 APPLIED: 11/17/2008 EXPIRES: 06/17/2009 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5134 D ST ASSESSOR'S PARCEL NO,: 1702332403500 .Springtield TYPE OF WORK: ReRoof TYPE OF USE: Repair . Residential PROJECT DESCRIPTION: Replace existing roof with trusses Owner: LARRY MCMULLEN . Address: 42050 HOLDEN CREEK LN SPRINGFIELD OR 97478 Phone Number: 541-912-2634 Contractor Type General Electrical I CONTRACTOR INF?RMATION I A i,...,... ,\ Contractor fOllo:,C;;VTION n License THE CLASSICAI/<'<:0~~iRtJ€'!;'~<ilN1IN'<;:/a 169196 . STEYE HAUCK~'!~4R d~c;.n Cenln~t:.d bv ~ rr4i7.~,IJln ~J',;~tlfl,DIN'~'1N"6'RM;1rD16N:I'anJ ut/a nUmb '!/ "Ie oe -'L,e;fn 0 -~Yn 04'.) set folly . e~ fftlOfJfiJ'lfIjGS:(Na~~:es Of thR 952.ooih . ewog'JS'1t1iwlle&~l/Je lele~rUles by' Type nf Hlii\t.33 Ily Not f.' hone Water Type: <~2344).'lcalion Range Type: Energy Path: Sprinkled Building: Expiration Date 03/15120 I 0 04/0912009 Ph<!ne 541-729-8876 541-221-2665 YB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # nf Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: NOTICE: ....% of Lot Coverage: THIS PEfWrr r;--' . flU f HoRIZtjl1f/f>>.W:J~Ril~ . CoMMEN E~ I L~"RK ANY 180 DCE OR IS ABANDoNEV/71/S NOT Sidewalk Type: AY PERIOD D FOR ' . DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Availahle: Special Instruction: , Notes: Page I of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01666 ISSUED: 11/1812008 APPLIED: 11/17/2008 EXPIRES: 06/17/2009 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Deserintion I Estimate Tvpe of Construction Estimate. $ Per Sq Ft or mnltiplier $1.00 Sqnare Footage or Bid Amount 10,000.00 Value Date Calculated Descriotion Toial Value of Project $10,000.00 $10;000.00 11/17/2008 F~p., ~ Fee Description + 10% Administrative Fee + 12% State Surcharge +5% Technology Fee Building Permit + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Paid Date Paid Receipt Number $12.29 . $14.75 $6.14 $122.88 $5.70 $6.84 $2.85 $57.00 $16.50 $19.80 $8.25 $121.00 $44.00 11/18/08 11118/08 11118/08 11/18/08 11/21/08 11121/08 11/21/08 11/21108 12/17/08 12/17/08 12117/08 12/17/08 12/17/08 1200800000000001153 1200800000000001153 1200800000000001153 1200800000000001153 2200800000000001674 2200800000000001674 2200800000000001674 2200800000000001674 2200800000000001749 2200800000000001749 2200800000000001749 2200800000000001749' 2200800000000001749 Total Amonnt Paid $438.00 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 . RP~11',in1. l,nsneetions I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energizing service. Final Electric: When all electrical work is complete. Pa2e 2 01'3 -~~~,!!~~,~j)~;, , ,1\ ~:, ,I -;::- r-~:,;l' ";' 1 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2008-01666 ISSUED: 11118/2008 APPLIED: 11/1712008 EXPIRES: 06/17/2009 VALUE: $ 10,000.00 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, 1 state and agree, that 1 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. Owner or Contractors Signature Date " Paee 3 of 3 ,~ . City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Spi'iIigfieid, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2008-0 1666 COM2008-01666 COM2008-0 1666 COM2008-01666 COM2008-0 1666 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Date: 12/17/2008 2200800000000001749 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By STEVE HAUCK Item Total: t:heck Number Authorization Received By Batch Number Number How Received djb 04059C In Person Payment Total: Page I of I 11:21:45AM Amount Due 121.00 44.00 8.25 19.80 16.50 $209.55 Amount Paid $209.55 $209,55 12/17/2008