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Home My WebLink AboutPermit Electrical 2007-3-5 .' , o CITY OF L.ZINGFIELD. OREGON U 225 tu<.n STREET 0 SPRINGFIELD, OR 97477 0 PH:(S41)726-37SJ 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPUCA;fION City Job NwnberCClUZOCl7- C> 0 'Sz..b Date 3 - S -0 ( 1. I WCATIONOFINSTALLATION ')prlf1fj-(i.1CA /fir/OIl! ,I1m-, ~.rf., -LEGAL DESCRJPTlO1'l'70~ :r S\tt.- okkC607d"'~ , New Residential- Single or Multi-Family per dwelling U~it I I ~(p 3 mdlU 6 -r.'ee-f<5Pt7t,ffetlcrcX 7 7// . . 80mce Included JOB DESCRJPTION 1000 sq. ft. or less $106.00 O. IV /7 /; ) Each additional 500 sq. ft. or ,. ~U1.0,jJ1 /...YfOl(1'-/1-or/:;lhr.~'VJ7 ~rtionthereof $19.00 Permits are Don-transferable BDd expire if work . ~~Ch ~~act'd Home or Dot started witbin 180 day. ofi..uaDce or if work is <Nt:~f DW~ Service or I $50 00 ~() 06 SuspeDded for 180 day.. ~OtJfrt:dJJ~ /JleS _ vreyu, . , 11 0"1 ~rJO/~ C C/eroPlb ' I,.. , I 2. I CONTRACTOR INSTALLATION ONLY I JOS8. ~~~l'~Jle';:~4;rml\a'iiuD"Weration. or Relocation: I. V. '\0- 'lJfJ1'F'-ThO- 9-0r.-<>-Y Electrical Contractor rON-IA we.'tf FI ",)nr.Lr ~;jdft.m"J~lfrd:'P~O th,~~ '/JieS :~011 Ur.~~~.oo '--'lOfnI..." "1",..Vla/" oJghQ ""'S d/ "'ZQlf~ps to-,'lOO-i}'l'JiSJpi 141;> - a/ I~Z.?'OO Ad,,",ss } I (c, k,,,LA}(' , 4Q.1J!i!Js.'t~.AbtpF(e: ~~ O{ t~ a~<-f)~I(5.00 601 ,41fiIl>~~~/".IIe/ell>~:/Jlag ~163.00 . .1_ r-O . '11'- . {' Cityan....J..1},,?:\()IIl-t.... Phone ,-Jt!1 71C/fn /'(\j- Over )000 Am oli'fJ<e No/iF'Ol/e $375.00 Reconnect Only - ~). ....qli,,'; $ 50.00 AtOr.C' I Temporary Services or Feeders r/J tCF. ~ :ilS pE,kistanatioD, Alteration or RelocatloD " Ur/iOt:> '2W~orless $50.00 ."OMIif. '1lliflJ fit~ps $ 69.00 ifNI' 1 /NC/jf)1 lfflf;!~ IF $100.00 rJ {)~~~__~~~~%xfti~i1J,. "above. D: I' B~Cli-HYrlJ()NfO IT IS_NO;k New Alteration or ExteD.rd.ll;er PaDel 3. I COMPLETE FEE SCHEDULE BELOW Supervisor License Number ~0 Expiration Date (,.f?, .01 Constr. Contr. Number ~I S-Z-;, C Expiration Date r..,..r3'o7 Signature of Supervising Electrician J/J1-7A~ Owners Name So....J ~ 'l;A ~~~ c,..,. JAi <- Address 1>0 '3 C~ -z; ~ 6 "7 City ev.. ~ Phone Ooe Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. I Miscellaneous (Service/feeder Dot iDcluded) -Each InstallatioD I OWNER INSTALLATION Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit In.pectioD Fee i. 545.00 + Surcharges 4.1 SUBTOTAL OF ABOVE .K":n 0"0 ,) , 8010 State Surcharge /' ,) ,5G-l{ 10% Administrative F';S-~ Tt'Ct4 f"<< ,--;,;-:r:s- ~ _ rO ___("';_ ~_/'" ~ S...- TOTAL l,.1 ~,,;.-- ~ 6 . 0 0 The installation is being made OD Y"Y"',' I own which is not intended for sale, lease or rent Owners Signature: b..pectiOD Reque.t: 726-3769 n~'. \<:F:/6\t (\ ~l\l. 11\ ,,\ ~ ~.gf;j ~ Slwod Drive(O'Buildins FomWElcctrical Penn~ Application 1-ll3.doc . .Lll" OF ~rKJ1~uJ<1J!,LD Building/Combination Permit PERMIT NO: COM2007-00326 ISSUED: 03/05/2007 APPLIED: 03/05/2007 EXPIRES: 09/05/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1263 MAIN ST SPACE 67 ASSESSOR'S PARCEL NO.: 1703354108700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace maufactured home service Owner: SOUTH VALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 ~. Contractor Type Electrical 1f1/;' / A , C0N:rRACTORINFORMATION I J. . V"1."~~' "'/6109 - '. Contractor 1:1.90 \I)>.9~ 01') C' <to;' License NORTHWEST E~.EGJ:.Rr~~'b.:)~N!iXIDt~)1 155877 Expiration Date 06/13/2007 Phone 541-466-3201 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: -,'" .....;..... -; - . "" T<;BmItDIN('; INFORMA 1'I0N I'~. ,n 71- '0' "$Vl Vb- v61 vQ V,/ a 1",..", "1, ~/.? '/"'0 "'.:,.,-.: I"&. Co" $,.,j! ot(l>l'!ii!>.";.., a ~~ &09 ;qa ....() Lot Size: H'~&Iif.~tl1uJ'Pur~ ~Q <t,,& ~ 0,~'Sq Ft 1st Floor: Type'o&'1}aJ: "'~'t ~ 0, ~-9.9 o9&t y<t1J'q Ft 2nd Floor: VB Water T;ps; ~~i: ~8 t6 ~$" rs~ '0", Sq Ft Basement: 4'0 Range TYPe':??<?~ ~ ~.o~ q4;. '00, Sq Ft Garage/Carport ~ ~ Energy Path: ~O~~C 01')& ~ I Sq Ft Other: -1U ~ A ~(C'. Sprinkled Building::.:' ~~Q n/a Occupant Load: '1 J-~ J('". ~ -1';;U{r~U..)>B'I,';/l>'I)EVELOPMENT INFORMATION I r /. <"1t, <<'0 -/l.: 6'0 r'f; U1t, ~<< 0-1;, (/0..)> <?f'..)> <!}.verlay Dist: A<s <r ~if~~~t Trees Rqd: ~a -16'-1, 'e~e'd"Drive Rqd: ~ ~~ ~~(<>~verage: ~f'/) I')'/.<> If,-q;;,I I PUBLIC nviHwv'iiMENTS I R-3 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descrintion I . Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated . Pa~e 1 012 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00326 ISSUED: 03/05/2007 APPLIED: 03/05/2007 EXPIRES: 09/05/2007 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 Fp.es P,,.id I Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Manufactured Home Service Amount Paid Date Paid $5.00 $2.50 $4.00 $50.00 3/5/07 3/5/07 3/5/07 3/5/07 Receipt Number 3200700000000000130 3200700000000000130 3200700000000000130 3200700000000000130 Total Amount Paid $61.50 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...Peouired Tnsnectilwi,l MH Service: Approval required prior to utility company energizing service. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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, BuildiDg Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at tbe proper time, tbat 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 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00326 COM2007-00326 COM2007-00326 COM2007-00326 Payments: Type of Payment Check cReceintl RECEIPT #: Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Manufactured Home Service Paid By NORTHWEST ELECTRICAL CONSTRUCTION INC Cj~of Springfield Official Receipt ~opment Services Department Public Works Department 3200700000000000130 Date: 03/05/2007 Item Total: Check Number Author:ization Received By Batch Number Number How Received djb 4483 In Person Payment Total: Page I of I I:47:59PM Amount Due 2.50 4.00 5.00 50.00 $61.5U Amount Paid $61.50 $61.5U 3/5/2007