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Home My WebLink AboutPermit Electrical 2007-7-6 ZON N\ \)U INITIALS 1k\ DATE ~.. \0"0-( SOURCE u.... ~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEcl KleAL PERMI1Ml?1?LW4i!.QN City Job Number l'~' \. V\ V\ \ 1. LOCATION OF INSTALLATION: r9~CJ>>~6~~-\{ 00 r LEGA\~O~~~:'b\ ()\\rx~ JOB DESCRIPTION: ~lk!0 4~L"6 Pe}mits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Expiration Date I I / z.. .l-'18 -7. -1.LI Ul!!!!E_P Over 600 Amps or 1000 V o~s ~see "B"above. s;gnatu",.f. :;;in1~d'/; D. N'::~::'~:':.~;;:;~.:i;;;Por Pa.,l . ~B ,cD ~.I/.//J~ One Circuit \ $48.00 \i Own~N'}'l" ~b D~S\fu.C'Q~o O~;~d::~=~C~\tmwith 4- $400 \ \0 ~ Addr~S d[;). ~ ~ M4f-\ ~\-Q Q..Qj E. Miscellaneous (Service/feeder not included) -Each Installation , City _ ~ Q d.j)~ne q \s S \.~ Pump or irrigation $ 55.00 \J Sign/Outline Lighting $ 55.00 OWNER INST ALLA TION Limited Energy/Residential $ 28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is .11l~ _~lmNwequlrss you to Minimum Electric Permit Inspection Fee is $50.00 + Surcharges OM~~~~~:~s~~m:h~I~~~~~~S~~~~rh 4. :s'iJBTorAi7fiiilAioVE . ' ~ pJ In OAR 952-oG1-oG10through OAR 952-001- 8% State Surcharge C;>. \~ 0090. You may obtain copI88 Of me rtAISS by lQ~.A_istrati ve Fee 1..0 AtD- calling the center. (Note: the telephone mJIU~rogy Fee : ~ .9 n number for the Oregon UIIUty Notification THIS PERMIT SHAll EXPIRE IF THE WORKl n 1t"l _ Inspection Qeptatil7t~). 'A<jJfMUIlZm,U~OER THIS PERMIT IS NOT D. 'v- COMM~vtiR'/~il!A~maft1fft Application 7-07,doc ANY 1 SO DRI PERIOD. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor (} tJN~I~1I ~~ f.L,~ Address 12J3~ ,k/tN.ANTb 'ST. City EvbGN~ Phone 6fN~ 3.aG. . Supervisor License Number '1879 S Expiration Date I D /0 1/07 , . ., 'I/9SDq. Constr. Contr. Number ~O -J/S'~ ~ 3. COMPLETE FEE SCHEDULE BELOW A. ' New Residential2.:'"Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 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 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00997 ISSUED: 07/06/2007 APPLIED: 07/06/2007 EXPIRES: 01/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 220 5TH ST ASSESSOR'S PARCEL NO.: 1703353101100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Add/Alter/Extend five circuits for remodel of the "Carter Building" Public Owner: Address: CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor CON RICH ELECTRIC LLC License 149509 Expiration Date 11/02/2007 Phone 541-607-3447 BUILDING INFORMATION' # of 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 Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00997 ISSUED: 07/06/2007 APPLIED: 07/06/2007 EXPIRES: 01106/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l, Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.40 7/6/07 2200700000000001091 $3.20 7/6/07 2200700000000001091 $5.12 7/6/07 2200700000000001091 $48.00 7/6/07 2200700000000001091 $16.00 7/6/07 2200700000000001091 Total Amount Paid $78.72 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. Reouired Insoections , 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 Paee 2 of 2 225' Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00997 COM2007-00997 COM2007-00997 COM2007-00997 COM2007-00997 Payments: Type of Payment INT CHGS cReceint I RECEIPT #: 2200700000000001091 Date: 07/06/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By 420-22000-810045 CA TR BLD Item Total: Check Number Authorization Received By Batch Number Number How Received IIh INT CHG In Person Payment Total: Page 1 of 1 10:02:32AM Amount Due 48,00 16,00 3.20 5,12 6.40 $78.72 Amount Paid $78,72 $78.72 7/6/2007