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HomeMy WebLinkAboutPermit Electrical 2007-6-18 8~'.'" ZON ~L[D' , . INrnALS J~/~ ., .-r1 ~ A5. . DATE 4i'L V \ 125 FIFTH STREET, SPRINGFIELD, OR 'n477 , PH:(S41)7U-3753 'FAX: (S41)7U-36l19 ~ IllID' SOURCE t~ (A"\ ELECTRICAL PERMIT APPliCATION l -' '-1"' City Job Nwnber .f..aM ?J:)O? - 0 <:) g- ro Date 0./ I ~ ,.. 01 1. Wrf)~~O::A~TION: 3. I cOMP~TEj~E.S~IiEI)fJLllBELOW__ _~.== . CITY OF SPRll jFIELD. OREGON InltaUatlon, Alteration or Relocation 200 Amps or less "'~. $50.00 201 Amps to 400 Amps ,~'~\)\'~~$69.00 401 Amps to 600 Amps \'i' ,\X\" ,Co. ~v $100.00 Expinttion Date ~er.6()Q ~JlS or I~fS~T~~~~~,-. j2Signature~O~S& D..~~~nc~-{~~", \Y-~~~~_ \~~w~AiIl'ratlonit'r EIteli,!lOii'l>;r Panel \~ <?J1~ C~1!.!I~ \) ~ \~ l' $ 43.00 . 1 \~~If,gddi~ ~'f~With . L- ~ .1 I ~~ce~F~W&i(' } @ $ 3.00 :3 OwnersName _t+( ",,\ ~t'~'1J,&-'{c! ~",~~'\).\)~~ ______n~ _, Address Z oz., -S- ~L... s f E. l~_ella~cou'J~rviCC/feeder _no! Included) -Each In'lal~t1o"--' City S? r () Phone 7Zl- "5,7 ) 3 Pwnp or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidcntial $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inlpettlon Fee I. $4S,OO + Surcharges 4. i SUBWTALOFABOVE--- I fc,b \----.~~------- --_..---- 8% State Surcharge c;- 1:-1!> 10"10 AdminiStrative Fee to ~v 5%T~mmo~Fee } 3~v TOTAL ~ '61 ~ Shared /lrivc(T:)IIluiIding FormslElcctri<a1 Permit Application 8-06.doc .- LEGI7g~2b~ ( OZ.3o \ JOB DESCRIPTION: ~~Qrl)lc..e h'n \ (Y'lS.J.,crlI\ , Permit. are non-tranlferable and osplre If work Is nol.tarted within 180 day. ofl"uance or if work is Su.pended for 180 days. 2. [CONTRACTOR INSTALuTION ONLyl El~lrical Conlnletor - CTr' oi<::::rro<.e r:: /) v r / Address 201 s: /9-1"'--- City 5'pj'oI Of' Phone 7U-3rtl , SUJlCIVisor License Nwnber ~<:, ExpinttionDate in/Or /D7 r , Constr. Contr. Nwnber OWNER lNST ALLA TlON The installation is being made on ..-....f I own \\hieh is not intended for sale, lease or renl Owners Signature: In.pettlon Reqaest: 726-3769 -~--- ---~~----, A. ll!e~ Re.identhll = Single or Multi-F,,-mil)'-,,~r d..elllng unlt~: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $19.00 Each Manufaet'd Home or 'lo\l \0 :i Modular Dwelling .ServiceSr,e'" '0\/:.I~.x. $5000 F dcr ,eo:. 00 ,~(, . ee \~~' oleg.~ ",e" ~(\\. r------~ -~ l" .r..- _ - ---- ---~ B. : Serv!c~l O~F~dc'ri-;-;lnst~I!~~on;'~Jterulion. or Relocation: . ~\\ffr-;ooV- "<'0U""- \l<;)" - \'<;Ie' c. i,0.. .- ... - -~-7-' i'-\\~~O(t~f~,,~~,I~sg,\() \\"\~(l W'" 0' .::,,/9\~J'C$'63.oo ~ ..:> ,0\\02}!j\~P~lS'\400 lli\lps'O~\e" \'<;Ie .,eI\I"V $ 75.00 "0\,\401 P$Ps t'1>600")AmP'~O \)\/:.1\'1 : ^~" $125.00 I~ Ct>-\'- ~' ~W' '00 ,,'{..- 10 601 ADips t'l,JOOO AJ11p'S, ().?>?>", $163.00 ()r~ei;\!900~~pWV:;tts:'O() $375.00 Re&nnecfc%i . e\ 1'0 $ 50,00 \\,.... r\JY.\''' 0" v c. 1T~;po';-rY Senoices o~ F~~~_ _ _ J ____..J ..:r:,lO::-\ "-All 0/\ 1"0;0. c:..""'" 0<'"' ri : J I: = 7- f..-" Sdc eo N'(.. wi&;) -={D '=.,..0-. o = , ~o-"cl, . '\ ,""",-0; --... \ G,-e4c>", <::>- '--- .- , wJ8HztltwJesr.tnd '" 13-782 SOOSHEETS.FlLlER 5SOU.o.RE .2-381 &l5l-"EETSEYE.f'...-..sc-SSQUAAE ~2-3B2 ICXlStfiTS EYE.{ASf!' 5 SQUARE 42.3119 2CJOSI1EErSEYE~5SOUN1E 42-392 l00AfCYCtEO ~"'iITE 5SOUARE 42.399 200 RECVC;U:O WHITE 5 SOUARE _..u.... "5S\2:.U lc...E Y'?~Y - 1. IDe;' 0:; l" €.l f\ G. F I iC<<-J::> c.o -1-", V1~ (g6..."?? ~ M~TL.e./MAI" {"<:t><:,,-rA L. W/S,^S\; IZOVAC: 20......1" uc:.T Te.e.a u.-Il>O flnodq~:_d At",-"", ~'t n 1~1 D<;e: . . ~ ~..u_ ...-::=:-.-, ----- 1\ - -- ._._-_._~ _"__m /~.; /~ ~~- . ~~'~c. &I~-r"...;} ,n f'/(,. '" !(j)" I~ ...... 1'l"T ~D<OG" .:r.~~"-{(Df~ <:.DYT"T"eDL . . '-'-''''.,..... ........ c.~ \)rTot """?-''-''- ~"'bl-I') 3.'2<::>3 !;. ~lZ-7/,rT ..,",\\\ \0 I CU"'1V\GT",,,.,,,..ORMATI.oN I 001CO- O(u\.j.... \\0\\." .0,139 \\,\13 13 513 "\. Contracto.I)~. \8<\ 'o~ 10\135 al 9";)?-'00 LIcense O\VNE~: l\eS \;\O~~, \\,0513. .n\'\ Ol'S". ",\135 '0'1 \O~~\~<)\\O\\ ~~~.II\I;BUiLDING INF0RMATi.oN I \'l.Q' ",,?-S";)?-' "OU'V. "0\13'. ".- "O\,\\IP' Ot \fI'31 t\'l "','.hl\'l # of Units: II' ,.\).'100 Ce\\\el. #~f\~t_orte~'\AA), Primary .occupancy Group: OOJ '\\\\9 \\,\13 ,\'>13 O\'Heigh!)of.Structure: c\;\. \o{ \.\\ J 9.\,('.) . Secondary .occupancy Group: (\\'0131 \13\ \5 (J'ype of Heat: Primary Construction Type \\1) Ce\\ Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: . Status Issued 225 Fifth Street, Springfield, .oR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769In.pection Line SITE ADDRESS: 1500 Pioneer Parkway East ASSESS.oR'S PARCEL N.o,: 1703263102301 Springfield PR.oJECT DESCRIPTION: Add service and circuit for irrigation .owner: Address: CITY .oF SPRINGFIELD 201 S.oUTH 18TH STREET SPRINGFIELD .oR Contractor Type Electrical . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00850 ISSUED: 06/18/2007 APPLIED: 06/11/2007 EXPIRES: 12/18/2007 VALUE: TYPE .oF W.oRK: Electrical Work .only TYPE .oF USE: Additiou Public Phone Number: 541-726-3761 Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft .other: .occupant Load: I DEVEL.oPMENT INF.oRMATI.oN I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .overlay Dist: ~'/.. # Street Trees'Rgd~IQ '\' ,.. ''''' 1, \ \' l \ Paved\O.rive Rqd:\S ~Q ...c.. , t~" .nllK, \ \'\01\\1.... \\ S\\~V/. ~\MN\over~g~t\\ -<\.lIe; \'t.~~~n \ \~\)t.\\ . n ~~\)Q~t:: .~~\\\\)~~;'II~uBiic...MPR.oVEMENTS I CQ~~.j'S.: \)~~ Y'-" ~~'{ "\ ~\) Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Value Date Calculated . . CITY OF SPRINld<lJ!..LD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00850 ISSUED: 06/1812007 APPLIED: 06/11/2007 EXPIRES: 12/18/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid 56.60 $3,30 $5,28 $3,00 $63.00 6/18/07 6/18/07 6/18/07 6/18/07 6/18/07 Receipt Number 2200700000000000982 2200700000000000982 2200700000000000982 2200700000000000982 2200700000000000982 Total Amount Paid $81.18 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing .ervice, Final Electric: Wben all electrical work is complete, By siguature, I state and agree, that 1 have carefully examined the completed application and do bereby certify that all information hereon is true and correct, aud 1 further certify tbat any and all work performed shall be done in accordance with the Ordinauces of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work described herein, and tbat NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. I further certify that only coutraetors and employees wbo 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 eacb address is readable from the street, tbat the permit card is located at the front of the property, and the approved .et of plans will remain on the site at all times during con.truction, . Owner or Coutractors Signature Date Paee 2 of2 225 Fifth Street Springfietd;Oregon 97477 541-726-3759 Phone . ~ Wic .. 1iiIl' of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2007-00850 COM2007-00850 COM2007-00850 COM2007-00850 COM2007-00850 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000982 Date: 06/18/2007 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICK CURRIER Item Total: {;heck Number Authorization Received By Batch Number Number How Received djb 027944 In Person Payment Total: Page I of I 2:54:33PM Amount Due 63.00 3.00 3.30 5.28 6.60 $81.18 Amount Paid $81.18 $81.18 6118/2007