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Home My WebLink AboutPermit Electrical 2007-6-7 Date u-:::i- N.M :kIJlll-;st2 i~~...... b - 7-07 '_"-._ I I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number LO"""" 'Z..O c> 7 - 0 a "Z 8'" , -'-ry ,-"'"' .-.,_,.__,_,,_'w...._.. '~-=i 1. :r~iifRF~~TIO~~~ d LEGAL DESCRIPTION )703 -zLl1 r 02000 3. A. Service Included $106.00 JOB DESCRIPTION 1000 sq. ft. or less J l r-~ '" L. f'1 I Each additional 500 sq. f1. or 51Z-'" <..... f; C/rtc..v..,,- fV"~ ,.....-. ~-tN portion thereof . 2. B. Electrical Contractor c..aV\A~ Ci e.:tl F If rtv-i L 200 Amps or less ~ ti2. , \ LLL 201 Amps to 400 Amps Address t:U. fJf'x.. 't \9 DD 401 Amps to 600 Amps 4 ~ 60 I Amps to 1000 Amps City ~t>~e \Dt. q1 ~one t4lo-ldl \ Over 1000 AmpsNolts I Reconnect Only Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INST AWr1f~MWoN: Oregon law requires you tCJl.imited Energy/Residential $ 25.00 .. The installation isf9J\HrJ;W~~!l?JmjP?!wW~El~gOn Util~mited Energy/Commercial $ 45.00 ., l\loHiq~tlnn er.' 'tHose rures'kre set forth IS not mtended fi~(j~R.,-g2~OO -0010 through OAR 9~!OtWJD Electric Permit Inspection Fee is $45.00 + Surcharges Owners SignaturP090, You may obtain copies of the f,,! B I calling the center. (Note: the telepli number for the Oregon Utility Notificati~/ S s' h - l . 1 C'!'!' !'1r-2 2344) O'}O tate urc arge Vl::l11 01 I;) -UVV-V\'/ - . 10% Administrative Fee S % Tet-ri- Fe( T(ff AL Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Supervisor License Number SO;;;; s ~ Expiration Date \ 0 0' 0 7 Constr. Contr. Number 1 \.0 4-<( " Expiration Date t) \0 \ [)q ~ 1. J:) rll Signature of Supervising Electrician ~ ,..~ ~~ v;- Owners Name ~'CL TkCt-t C1"/ Z / I t i c;ff.- Sr- City S"?rl~ Address Phone Inspection Request: 726-3769 eta $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b3 c. I~~~~~i:~"" THIS PERMifsHALL Installation, AIt~O,~fh!tf:nW{!)ER THIS PERMIT IS NOT 200 Amps or lessCOMMENCED OR I~ AB$\ND0NED FOR 201 Amps to 400 Mw180 DAY ?=.R!OD.. $ 69.00 401 Amps to 600'A'JJps $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 /8 b E. ;'~':""""".:;L;;:_,,_-'_:X~,.J --'-1 Installation i r 76.] Shared Drive(T:)/Building FormslElectrical Permit Application I-03,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00881 ISSUED: 07/10/2007 APPLIED: 06115/2007 EXPIRES: 01/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1889 Vera St ASSESSOR'S PARCEL NO.: 1703243102000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Service and circuits for lift station Owner: DANIEL JACKSON Address: 2778 19TH STREET SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CAMP CREEK ELECTRIC LLC License 164877 Expiration Date 06/09/2009 Phone 541-746-1471 BUILDING INFORMATION I # 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 REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: An- % of Lot Coverage: ENTlON: Oregon law requires you to follow rules adooted bv thA nrob'nr\ , 1.1I~~. .'\IOllT/Catlon Center. t. - . -1 In OAR 952 001 001 ltltJLlJ'etJ.MPRmBMIilNTS I 00 - - I . - -61. 8,,/1 Qvc;.-uu I- Street Improvements: 90,. You may obtain copies ofthe rules by calling the center (Note' th t I h Storm Sewer Available: number for the Or~ on '., e e ~~ o~e Special Instruction: C' g Utility Notification enter IS 1-800-332-2344). Sidewalk Type: Downspouts/Drains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT I COMMENCED OR IS ABANDONED fUH Valuation Description I ANY 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00881 ISSUED: 07/10/2007 APPLIED: 06/15/2007 EXPIRES: 01/10/2008 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 ~ 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 Receipt Number $8.10 $4.05 $6.48 $18.00 $63.00 7/10/07 7/10/07 7/10/07 7/10/07 7/10/07 2200700000000001110 2200700000000001110 2200700000000001110 2200700000000001110 2200700000000001110 Total Amount Paid $99.63 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 Electric Service: Approval required prior to utility company energizing service. 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 Pa2e 2 of2 225 Fifth Street Springfield', Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00881 COM2007-00881 COM2007-00881 COM2007-00881 COM2007-00881 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001110 Date: 07/10/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAMP CREEK ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 596997 In Person Payment Total: Page 1 of 1 2:47:10PM Amount Due 63.00 18.00 4.05 6.48 8.10 $99.63 Amount Paid $99.63 $99.63 7/10/2007