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Home My WebLink AboutPermit Electrical 2007-7-2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00292 ISSUED: 02/27/2007 APPLIED: 02/27/2007 EXPIRES: 08/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 788 s 72nd St ASSESSOR'S PARCEL NO.: 1802022105400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Extend circuit for hot tub. Owner: TEIGEN CHRIS & AMI Address: 788 S 72ND ST SPRINGFIELD OR 97478 Phone Number: 541-744-3872 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMA nON I # {)f Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: 'res yOU to . QIeaon laW reqUl Uf"ty Storm Sewer Available: '/.. ATTENTlON'dOoreftfJW1fMP6rmspn 11\ Special Instruction: ~ \f 1\\t. \NO~\ fonOW r~\es a ~p Those rules are set ig~t ~t1~\~~~M\1 S\\~D~~~~ I'~~~D\\~: ~og~~~~2~~-~~~~~~~i~~ ~ft~e9;;~~:~ . ~t\\~. \7~nUN ~t' 0 ~~DO\'l~ 0090. You rr.'~ntor (Note:' the ~~\~?~:ti' ~n \U \ "or. ~o Ul\ Iv t. ~ U.. -. Or.gon U11II', ..v...... ~OM"^t.~~~'{ i>t.R\QD. I Valuation Descri . ci~~:~r is 1_800-332-2344). ~\~'( '\?> Street Improyements: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2:e 1 of 2 Status Issued CITY OF SPRINGf11~LD Building/Combination Permit PERMIT NO: COM2007-00292 ISSUED: 02/27/2007 APPLIED: 02/27/2007 EXPIRES: 08/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid-l Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, AJter, Extend Circ Minimum/Adjustment Electrical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.50 $2.25 $3.60 $43.00 $2.00 $0.90 $0.45 $0.72 $9.00 2127/07 2127/07 2/27/07 2127/07 2/27/07 7/2/07 7/2107 7/2/07 7/2/07 2200700000000000255 2200700000000000255 2200700000000000255 2200700000000000255 2200700000000000255 2200700000000001072 2200700000000001072 2200700000000001072 2200700000000001072 Total Amount Paid $66.42 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. Re{]uired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I 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 Pa2:e 2 of 2 ZON L,r::x::... INITIALS N M DATE 07 -Ol.-Oi SOURCE i(()~J Date I - Z- - (57 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICALlERMIT APPLICATION City Job Number (:om L(}7J 7.- C7G7d 1';), 1. LOCATION OF INSTALLATION: 788 S IZ~A- Sf--, LEGAL DESCRIPTION: / \' 0 <~ ();) d I (J S L/(JlJ JOB DESCRIPTION: &p~ 3 ~ \ C/r~ 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor _/ ./' ---....... -', Address, '. ~, . ~TTE~r,_!O~r\t~~egon law f,llgyfres you to ro~"L.: ,:Ol~ ~dopte.d by ttftfOtigon Utilitj ~.JotLICal!On Center. ihQ~erules are setforth In OAR 952-001-0010through OAR 952-001- O~~,Q,.~9M m}l&gl1tilfnd,epie$'Qf the rules bv dll1lng the center. (Note: the telephone - R~"&~nr to{" tpe9. Oregon Utility Notification p ~tffer IS 1-600-332-2344). ... , c/~~,~Jr:~on". Numb" "'\ ;Expiration Date Signature of Supervising Electrician Owners Name _ (~~';:, Address 7 $;> ~ S City S /) 12-/ c/. ~ / ~I- \ . f1_tgen 7 z;.. /A4 Sf- 7 '1l./-'3e72- Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. re: ~ ,HIS PERMIT S~L~P~E~~WORR~ ~'J rfHORIZED UNDER THIS PERMIT IS NOT I~meN6EIDtOR IS~BN900NEO FOR ! .NY 180 DAY PERIOD. ~ ~ i2 :u() fci1r? "'- "" 3. C01UPLETE FEE SCHEDlJLE BELOlV A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders.,- Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel $ 50.00 $ 69.00 $100.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 c:;.c)tJ :z ....? E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges C/. (JO .45' '7 .J... , l' (,) 4. SlJBTOTAL OF .ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL KI / /. ()7 Shared Drive{T:)/Building FonTIs/Electrical Penfit' Application 8-06.doc 225 Fifth Street . ' . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00292 COM2007 -00292 COM2007-00292 COM2007 -00292 Payments: Type of Payment Cash cReceint 1 RECEIPT #: 2200700000000001072 Date: 07/0212007 Description Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CHRIS TEIGEN Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: Page I of I 8:26:34AM Amount Due 9.00 0.45 0.72 0.90 $11.07 Amount Paid $11.07 $11.07 7/2/2007