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Home My WebLink AboutPermit Electrical 2007-7-12 ZON 1.A1 Jl./ INITIALS NiV\ DATE "1. ......I-a. ....0""1 SOURCE ~ Date ,., h'2-/~-? , .........,..~. COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number J;J:irn 2-lJ07.... 01 D2Jp l.ioCATION'OFINSTALUTION}\; / q7~"~h/;'Ia;;;;> itJa.u ,>;:.;i LEGAL DESCRIPTION: ~ I tf03 Od 33 O~5Ql) JOB DESCRIPTION: ~ ~ -!'tK y.,uJ- DtlMr Permits are non-trans~erable and expir: if work is not started within 180 days of issuance or if work is Suspended for 180 days. :- .:,~':';""<';::'<;",. ',,_ .',' ,_,'" .," ..'.'-'~~~"">{-J.".(t(~:" '--" " 2.C()~RA~!5)~.INST;1L0tIO~()NLY: Electrical Contractor "(I:" ,/i;i!i/.,u (' L/t"'ehc::. . Address!?Z) ..f{/))< /1 8 City (!~.J.)d-l Phone %75 - 'I ~ i {.. Supervisor License Number ;2. 7 ') () ~ 5f Expiration Date / iJ ,- (j I - 0 7 Constr. Contr. Number 1 r c;-- -) -:;, ~7 /' ,~~.J / Expiration Date ;I - /S - cj X" Signature of Supervising Electrician (!g~ -I2JI~ / ' Owners Name \ )tuvus VJO~~ Address /:7~ /n/ttntl WIL'E. City ~rJ~tfphon' QJf2,-cbJD OVVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~~f[~gnature: liilS FEtiMIT srtA'Ll i:XPIRE iF'!'i1E .~ AUTHORIZED UNDER THIS PERMIT IS NOr COMMENCED OR is ABANDONED fOR Ate.lPtOO> t!)AYqpmt OO.?-3 769 3. ,~_ ,;., ."..:\ ,,;,,_ .__:" ." . J " ' .f.'", . A.Ne\vResideritial-:- SingJeor IVlulti-FamiJy 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 ",::'. ,_.' ,';"::'V.'<i~':'.._:. ::~:~:,':::'-:~,,~_\-:- ._. .._ _ " _ . B. "Services or Feeders~installation, Alterations or Relocation:' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only < ",,-: ,. . .' .:. ,--:.' ,,~ ,',:-' , C. :Terrip~rary Ser"ice~, or.Feeders~ $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less . $ 50.00 201 Amps to 400 Amps .$69.00 401 Amps to 600 Amps $100.00 Over,600 AmPs or. 1000.volts see "B" above.:'''' D.,Branch Circuits New Alteration or Extension Per Panel ... ~ ~ One Circuit / $ A 1~ '~'~~ Each Additional Circuit or with ", . ". . Service or Feeder Permit r- $.. ~bl> , ~ eO . . E. MisceJlaneous (Servic~/feedh not ~lcluded) :-:Each InstaJlation ", _ .~"._ ""'..j,,~<_,:__.:,,,~_,"._~~':, ,~.,'.;_"v_~_'_"'. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 ATI~~f~8n*~ulf~~ y.maJl"" :$ 25.00 ~oiioW-_~ il!l~r\lJ~e~~i~fegOi"i Uiiliiy'$45.00 Nt1iififtmE~te~elOO~N~g&am~jP~o + Surcharges ~d~t~M!f~~fA.~~~9~~;~~~...~: ~-m:> ~mllfrlg ~~ar~~!ota: ths ~eispr,oU'i~ 4- 41:J fl'iMmmwo~~ijM\ftiQf~weIfWility Notiflc~~!orro .s : ~ 5%~B!ft&l\h~tRO-332-23t1A>>. 2. .9JT 0~.~& TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01026 ISSUED: 07/12/2007 APPLIED: 07/12/2007 EXPIRES: 01/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1976 INLAND WAY ASSESSOR'S PARCEL NO.: 1803023306500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: 3 circuits for heating system. Owner: WOODARD JAMES Address: 1863 PIONEER PKWY E #434 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C PERKINS ELECTRIC INC License 159537 Expiration Date 04/15/2008 Phone 541-895-4466 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 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: AI II:NTlON: Oregon law requfres you to Notes:NOTICEe follow rules adopted by the Oregon Utility · 4IiIo@oH - Ll Drf Ir.[ Ir TII( WOPK tJotiflcation Center. Those rules are set forth I HI::' t'thlVIII \J M \ I . ... \ In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMI1 ~lIRItion Description I 0090. You may obtain copies ofthe rules by COMMENCED OR IS ABANDONED .un calling the center. (Note: the telephone D '.Jl..ltL\L 180 f'\.A.V I?J:DJnnt t' $ Per Sq Ft Square Footspnber for thA Oregon Util~No~lcat,'on d eSCn""ljt,JJjll Ul\)IP OJ-.uews ruc Ion . . . 'VaTue aleu ate . or multiplIer or Bid Amount Center 15 1~00-332- . Pa!!e 1 of 2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01026 ISSUED: 07/12/2007 APPLIED: 07/12/2007 EXPIRES: 01112/2008 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 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 $5.60 $2.80 $4.48 $48.00 $8.00 7/12/07 7/12/07 7/12/07 7/12/07 7/12/07 1200700000000000906 1200700000000000906 1200700000000000906 1200700000000000906 1200700000000000906 Total Amount Paid $68.88 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number CO M2007 -01026 COM2007-01026 COM2007-01026 COM2007-01026 COM2007-01026 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200700000000000906 Date: 07/12/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 017608 In Person Payment Total: Page 1 of 1 9:58:0IAM Amount Due 48.00 8.00 2.80 4.48 5.60 $68.88 Amount Paid $68.88 $68.88 7/12/2007