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HomeMy WebLinkAboutPermit Electrical 2007-2-27 / <w~~~~ ~lif'i;'~~~11 225 FIFfH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC/H. J>ER.llfrr ./-U'J>UCATlON CityJobNumber c.o""'~C)'7- o-~ Z'1 1--2-, -Of Date I Ij()L'A110N oR!,'.... ST:4HATlOi\' _N.n' , 3.:;. 9.:g? !i!l~[!;.5.:f1'.".~.:;~C. :f!i.!~!;.!~;.B.:....'.~{g~~M'ljli;.;;.~im;.iimmlllllli.mr]iili~! . ~'~:~?T':';':'::;;:~~,;,:::::ti;;l;;;;;;;;;;;;ilm; ... m ..H...... .... ..... ..........m...m. ..... ..... LEGAL DESCRIPTION 170 Z 11./ '34 O/l../OC A. {:[N.~~~:].~;~~:~;~~n~~:~~:jtt~~~~!~j:~~~~::~1:~:!~~t~;~'m:~,!~1::p~:rEt~~~!!~~:~:l~~~!~f;:lli~~:lli::~ Service Included JOB DESCRIPTION 1000 sq. ft. orless $106.00 A I Each additional 500 sq. ft. or '^' ChO,' I//rt..: 5~.l4 t-r portion thereof $ 19.00 u.._,-r.cr:~"'O""IH' . ",",nu, , "lV' ;"'1"""'''' yUU.~\J,' Permits are non-transferable and expire if work is IJiWWMantlIa NJ om'e"tJf U v not started within 180 days ofi..uance or if work is ~\lI~~lihglslmyll:S(/yby the Oregon tl..'Y Suspended for 180 days. !~'Offircation Center. Those RM': ...0 s~.P..oi~ >dUN1"kA'CiOiln'lsiAuJAri-di\mNLy]A B ici~. ". "^:Q.".lQ~...g.1i.~.";~. '.s;(). Q1().:t.!"1f~9.~;tr.""#,..,..,.g'~'?<<.~.i!L.,.,q';.:.'.'I.".i'.'.'t'.'!'''''.'''.'Ni./.il 2." . . ,.,' , ....;, " ./, " I". , ,,;, . d09(fY3u!fffay~bbt~n~l~siQt!Yl'llYlltll'C;:r!"~S~'\!!m,;d% Elec:~~;~ontractor "h1\)t\'f;;l~itJ1 ~\t~~iC s 200~~fil(jl\M c~n;er. (Note:tl~~tr"~I~~~~fur Nm'N j7 r;.. ,1.'1. - 20nl\fii'psQO~fJ6~ppr(jgon ~'~I,!_;t' $ 75.00 . Address J luuSOVl ~t. I,.Lhlt C 40IAmPstt.6wA1lip~1-80G-3,).:.-.:..".;4)$125.00 fA If ()." J/l n ..4..J!'l.A 601 Amps to 1000 Amps $163.00 City ~ Phone rOI~~D72 Over 1000 AmpsNolts $375.00 RecolUlect Only $ 50.00 SupelVisor License Number ~~q3~PA )C Expiration Date Constr. Contr. Number Expiration Date rrr~OfS~ L Yo. pf-' Owners Name tJe-/-J~ t;-LL Address 3E> i> wr t. City ""~~\ tJ ; rr G-ATri"' Phone OWNER INSTALLATION The installation is being made on property I o\m which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~{ ~-J ,~lIh c.c O~ i ,"{,Y e1P, 0 ~ c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 ~~.~22,~B~orIOOOVo1tssee':~:'above. ....... ... . ....... .' D. ~~~;~t!~:5bJ!i1E~~~f~1@@mlliMlTIill~t:m%@mmmrir:M~&mtm:~:@MmM\~~1 New AlIeraIiOp,l'Et:xten,ion Pc. Panel I-H= WOR\<. One cir&l.U1I" . LL F)(PIRE If 413'.00 . 1 EaChAd'\i~~~~&r~~ ER lHIS pr.f\MIl \S-I~O Service or \\mI'OWel!O UNO ~~ff'fo~ E.\;ll:tti~~fi\~_~~ilil~~,i,~f;~t,~ii~tfllij:;f,mg':li Pum ."'. $ 0 p or Imgatton 50.0 Sign/Outline Lighting $ 50.00 Limited EnergylResidentiaI / $ 25.00 Limited EnergylCommercial $ 45.00 Min~~.~.~ Electric p.~~~~.~..~~.~~,~.~~.ion ~~.~ :P~urchDrge5 .......-..-.-..-. ..........,'........... ........,...:.".,., 4. 1:1~~bt~rJl~1;ri:l~ji~l~i~f:l;:;:;;;llijjil!ijii:!ij!Jjjjijm: 3/0 State Surcharge 10'10 Administrative Fee / S 96 ,t"&to( ~ TO'rAL zr clr -:J (, 0 f{so/i~J { ~S::sS' Shared Drive(T:YBuilding FormslElectrical Pcnnit Application I-OJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2007-00293 ISSUED: APPLIED: EXPIRES: VALVE: 02/27/2007 08/27/2007 Owner: Address: WENDELL WITT 360 MOUNTAINGATE DR SPRINGFIELD OR 97478 Springfieid TYPE OF WORK: Electrical Wyoh pJ'ly '~\JI'fure90n laW reqUires U'l)': ATIEN ):l'tdOft~I'J:/Neworegon tI R'{,sidentiai follow ru\ ::i a. op se rules are set fOI" . Notification Center. ThOh "h OAR 952-00 t _ __,... 1"1('\-4 nn1nf rOUl.A . In vt'\n ..,J'_ ~- ',-on 'A~ rll In~ IUlCi"" .... 0090. You may obtrnli'o~e~~ffi~ef~\e~1~bne calling the cen~r'g(~~ uiility Notification nllmberforthe ro _~" ".,HI Cent8f1::i ,-ouu ./J_ -. I CONTRACTOR INFORMATION I SITE ADDRESS: 360 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343401400 PROJECT DESCRIPTION: Low voltage - audio, vac, security Contractor Type Low Voltage Electrical Contractor DIVERSIFIED ELECTRONICS License 144685 Expiration Date 06/23/2008 Phone 541-484-9078 I BUILDING INFORMATION I VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Soiar Setbacks: I DEVELOPMENT INW~wt;~ION I LL EXPIRE IF 1HE WORK 11118 Pt~lilll "'~~ER 11118 PE~~I1'~OO I'ARKlNG Overlay Dist: ,\U1110RlZEO UN '\NOO\lle.~IFOR # Street Trees \3~i\MENCEO OR 18 ,\8 Handicapped: Paved Drive R'l..c'y 180 O,\Y PERIOO. Compact: % of Lot Covera : I PUBLIC IMPROVEMENTSI Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or muitiplier Square Footage or Bid Amount Value Date Calculated \ ') Paee I of2 . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2007-00293 ISSUED: APPLIED: EXPIRES: VALUE: 02/27/2007 08/27/2007 Total Value of Project ~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Low V oUage - Residentiai Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $2.25 $3.60 $25.00 $20.00 2/27/07 2/27/07 2/27/07 2/27/07 2/27/07 Receipt Number 2200700000000000259 2200700000000000259 2200700000000000259 2200700000000000259 2200700000000000259 Total Amount Paid $55.35 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.Rl'olJirl'd ~ Low V oitage: Prior to cover. 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 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 2 of2 225 F:iftb Street Springfield, Oregon 97477 541-726-3759 Pbone . ~ of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2007-00293 COM2007-00293 COM2007-00293 COM2007-00293 COM2007-00293 Payments: Type of Payment Cred itCard cReceint I RECEIPT #: 2200700000000000259 Date: 02/27/2007 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum/Adjustment Electrical Paid By ALAN WOOSTER Item Total: <":heck Number Authorization Received By Batch Number Number How Received ddk 00590A In Person Payment Totai: Page I of I 11:10:24AM Amount Due 2.25 3.60 4.50 25.00 20.00 $55.35 Amount Paid $55.35 $55.35 2n7n007