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Home My WebLink AboutPermit Electrical 2003-1-31 . . 225 FlFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION City Job Number LoWl I.C03 -ODDSO 3. COMPLETE FEE SCHEDULE BELOW L L~~~N~~~~L~~J . A..,NewResideiltial-SingIeor"... . ': . .. . . '. . Multi-Family p,r dwelling~uniC i.. .,,' .L~G~ D~~.Q.~TI9N7'" ,<.:;'A'p/.,;...., ..-:,.;;;. ~ ~ 10\lO"'~ce.lncl~~'--';,,-;:-'. ",:-:c~.' '.-l: . .770.'0.--;,'11.{ Vt;:(?/v \Ocl\\"s\~:lIclllse . ...,.' ".,ltems'.Cost Sum ~1 i. su:of<\\\: neC\\\C . . " t. ' t '~ 6 ~ ''3.S e Sy " _ . . J.... JOB DESCRIPTION 1I9 ?'O\e~o\ '0<\111' ~ sq.ft. or less $106.00 ~t.JUL ~.~.$cl clOos L-:~ E itiona1500 U-- .u",no~"\ ~Q sq.fto .on Permits are non-transferabT~tand e~rtB9 ,- reof $ 19.00 if work is not started within 180 cla)'1j Each Manufd Home or of issuance or if work is suspOlld for Si911"w'o Modular Dwelling 180 days.. -""..",,,,'00 Service or Feeder $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Insta1Iation, Alterations or Relocation: 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect~y r:..'i\~~'i~, C. Temp~s~~'i.'Ili' ~eders Constr Contr. Number ~"''KOOI I~Wf~~~'Fati!fS r~location . o~\'I>' ~0 ~e'O~~~~':J ~'(:I'i> III . Expiration Date 9 -1'+ ~ 0 If.- .0\e~eO'Q\"fJ,(j'O #ps ~\C\'e~~o~. ~ $50.00 \0~. oo~~ -<.,'(\O~%ws"1004;O~ ~so $69.00 Signature of Supervising Electrician ., '<,~ \er,,1i- ~0~~,\~~ ,ct~.Q:~N~~~PS $100.00 ~ <yS ~~~ ~G~~,\,r;s ~,.'il ~$~~~~lOOO volts see A\ () n 'O~~\c'b-~O fJ'lfS ~'i 0'0 tl.0\'N ' ~~'2:'2' ~_A_V.VXa._i.!,.~g o~~ ~:O~e~<:\'\).'?j .J /l .~O ~~ ~. ~"'.~2.h,mftU1ts Owners Nam~ l.Ul.. L ')00 12.R ~g ~\\~ \'o~ tl.e~ ~- ~:~ c f:o'Qe C13~ Nt.;;, Alteration or Ex:en.io:l p~~'\),,\ ~~ &'\~ l\~~- 0-0 Address"",-n..- Q One Circuit ~~~~~~~$43.00~ City Phone~"'- (,,:'>4q Each Additi~~~Wr~elVice OWNER INSTALLATION Q~~~ct'~~~~ ~~'P~'~' _ $ 3.00 _ ~~~ ~~~. E. ~~~~i!~~' notincluded) Sill\lt.~Lighting Lilfltied Energy!Res - Limited Energy/Comm Electrical Contractor0l<t.a00'\ (::t ""r..tr-~ ~ '::,........vW>-. Address_Pn G:..nx ~IlJ City~ C\~~honea't~ I v.E I Supervisor L!."e~se Number L a.~ "\ :. . Expiration Date -10 - { ~ 0'01. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: $50.00 $50.00 $25.00 $45.00 TOTAL LLe::: d.oO L\~~~ Scl~ ..5J~ 5. SUBTOTAL OF ABOVE 7% State Surcharge 108ro Administrative Fee r/ . . CITY OF SPRINGNJ!.LU Building/Combination Permit PERMIT NO: COM2003-00050 ISSUED: 01/30/2003 APPLIED: 01/30/2003 EXPIRES: 07/30/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6818 MAIN ST ASSESSOR'S PARCEL NO.: 1702344106610 Springfield TYPE OF Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install furnace Owner: SUSAN BAKER Address: 6818 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-726-6349 I CONTRACTOR INFORMATION I Contractor Type Electrical Owner Contractor OREGON ELECTRIC SERVICE SUSAN BAKER License 38001 Expiration Date 09/14/2004 Phone 541-343-1681 541-726-6349 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I BUILDING INFORMATION' # of Stories: IN leq\llfes '/O\l'~~lot Size: Heilfh.!>O[Ulegonla \\1eOfegon Uti I !11Ft 1st Floor: p..\1lf~e3i lis@t:tedb'/l\llesa,feset', 8'~' .t 2nd Floor: 101\0~r 1"r,Rp.:31 .1\10Se \1 Op..R 952- q t Basement: No\i\i<R~~e.V,~~:;)01 0 \\1foU.9 5 01 \\1e ful~S'S Garage/Carport ill OPEn~ PaY.,;btain COpl~ he telep\10~q Ft Other: 0090. 'lo\l roacentedNo\e. ~.t No\ilicellilFervious Surface Area: \,._-;: the __ I Itlll )/ ~^.~..~ - .\-"":.J .n't;.~- -:'l'~J. I DEVEU:l.PMENT'INF:ORMlHU@N-1 .. v"...- REQUIRED PARKING # of Buildings: Primary Occupancy Group: Secondary Occupancy (Trimary Construction Type Secondary Construction # of Bedrooms: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBJt.~~~$~IXPIRE IF THE WUt'll\ AlJTHORIIEO UNuH\ iHIS..P.EBM\L~e9T "MENCEO OR IS ABt>.N'DllliJrotO'tf COI.. v PEDIOO Downspouts/Drains AN'f 180 O{\. n . Notes: I V ~JI: ation Descriotion I 1111111 Description Type of Construction $ Per Sq Ft Square Footage Value Dale Calculated I of 2 . . CITY 01< ~rK11'l\.J1<lliLU Building/Combination Permit PERMIT NO: COM2003-00050 ISSUED: 01/30/2003 APPLIED: 01/30/2003 EXPIRES: 07/30/2003 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 I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $4.50 $3.15 $43.00 $2.00 Date 1/30/03 1/30/03 1/30/03 1/30/03 Receipt Number 1200200000000000626 1200200000000000626 1200200000000000626 1200200000000000626 Total Amount $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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, Uenuired Tn~ 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, I state and agree, tbat I have carefuDy 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 tbe Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliance with ORS 701.005 wiD 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, tbat 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 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00050 COM2003-00050 COM2003-00050 COM2003-00050 Payments: TWe of Payment Check Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000626 Date: 01/30/2003 Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee OREGON ELECTRIC SERVICE Received By Check Nomber Confirm No djb Page 1 ofl 1/30/200J 8:11:09AM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43.00 2.00 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 . Pavment Total: cReceipt.rpt