The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-3-8 ;, . ". ..:.CITY_Of;'s~1l1NUEl,P,..OREQQk!~,'wc~':-, < ""-__.,_~. ~ ~~'" "~,, ...""...'-'i..."l.~~"-<k...._...~_,___-,:,..."'.... .. _ _ ~ '. -_....1 O_'N~' ZON Ux. ~.h! INITIALS N (V'\ ~ DAm ~~-OI 'GIJI" SOURCE rvv-, ns.F1F1l1 STREET . SPRINGFIELD, OR 97477 . PH:(54I)72~753 . FAX: (541)72c;.J6119 ELECTRICAlyf~RMIT APPLICATIflN. CityJobNumber Wm;;JtJ7J1 ~ d.J .s5& 1. LOCATIONOFINSTALLATION: f 3. .I D /1') [)()~ / J 1'~,4 ,') f~I'J:-r.1 f LEGAL DESCRIPTION: ' i?>02 ci" I? 07&ilJD JOB DESCRIPTION: c'hllf1lJ.(' 0.7 ~FA (?Ar:. ~ Penmts are non-transferable and expire if work is not started within 180 days of issuance or If work Is Suspended for 180 days. Date 3/7/07 COMPLEI'E FEE SCHEDULE HEW"' 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 $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder ~ $50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: ElectricalConlrDctor E;/if/\ C./ii--/:n", LLC. 200 Amps or less ./' $63.00 ~ .,. 01\ 11 / 201 Amps to 400 Amps $ 75.00 Address fl,tLLv(Jy7 '2 401 Amps to 600 Amps $125.00 .old 80S: S 601 Amps to 1000 Amps $163.00 City { J ..,~~ Phone I - 7 ~/ Over 1000 AmpsIVolts $375.00 Cd/ 3/0~ 'f~87 Reconnect Only $50.00 Supervisor License Number ~() $I C; Expiration Dote /0/ IJ I / CJ 7 'b /(,!'-70~ Constr.Contr. Number 1:7-1:,'0' C -/IID '(;/"1 07 Expiration Date ..., Owners Name \ B=xt-tA- ~ ~'\Gu.Q6. Address \0\= ~~"" ~ -(5fd:P Ci~)qA, Phone - . OWNE~ I~TALLATlON The installation is being made on ~."~"..; I own which is not intended for sale, lease or rent Owners Signature: . NOTICE: TH~.S p'ERMIT S~ALL E~PIRE IF THE WORK Itd'"llu",Ii~fiJ"lmD'~rr:YHis PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 80 DAY PERIOD. c. Temporary Services or Feeders Installation, AheratioD or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above. D. Branch Orcuits New Alteration or Ettenslon Per Panel One Cireuit $ 43.00 Each Additional Cireui! or with Service or Feeder Permit $ 3.00 $ 50.00 $ 69.00 $100.00 E. J\1iscelIDneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 . Limited EnergylResidential $ 25.00 Limited Energy/Commereial $ 45.00 MInimum Electric PennIt Inspection Fee Is $45.00 + su~ 4. SlJiHviALOFABOVE I. ~,() 0 8% State Surcharge ' \' . 0 1-/ .10% AdminislrDtive Fee I . ~ 0 AS%lT""tirlology'Fee.' u ," __yuu ", ~ ts::. follow rules adopted by the Oregon UtiP.W ~. NotiOOl'M-:l Center. Those rules are set f~1 17..!LE. in OAR 95~~.J'\9'I~~i'ft;e.l\.f~~~oPPlicationW6.doc I a090. You may obtain copies of the rules 1 calling thQ center. (Note: the telephone number far the Oregon Utility Notification. Center is 1-80C-332-2344). . . CITY OF SPRINGl'l~LD Building/Combination Permit PERMIT NO: COM2007-00336 ISSUED: 03/08/2007 APPLIED: 03/08/2007 EXPIRES: 09/08/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fox 541-726-3769 Inspection Line SITE ADDRESS: 1010 DONDEA ST ASSESSOR'S PARCEL NO.: 1802061307600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration ResidentiDI PROJECT DESCRIPTION: Change out meter bDse Owner: STRASSBURG LEETHA J Address: 1010 DONDEA ST SPRINGFIELD OR 97478 Phone Number: 541-747-8653 I CONTRACTOR INFORMATION I Contractor Type ElectricDI Contractor BIRCH CONSTRUCTION License 165702 Expiration Date 08/01/2007 Phone 541-895-5721 BUILDING INFORMATION I # of Units: Primary Occupancy Group: SecondDry 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GDrage/Carport Sq Ft Other: Occupant LODd: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I SetbDck: Side 2 Setback: Rearyard SetbDck: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: HDndicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer AvailDble: Special Instruction: DownspoutslDrains: , OU to 11\11 ,.Y.....'lc;;,,'j AlltoN IIU1\1:'.)'l>\,lUoI 'c..l'heVOregon UtiHy Notes: folloW rules adopted DY.1 rules are set fori ~u~!'~~:_ Notifi~~~~ ~~~t~~1~~~~uah OAR 952-0.0.' ..~rv"l.llI\)nf\lltXPIREIII/;ft. n :~""""vv-~- btairicopiesonnelu,"'" . AUTHORIZED UNDER THIS PE~' y.aljXti~K DescriDtioif~I). you may 0 ter (Note: the te'epho~e COMMENCED OR IS ABAN . ... '" IOU I Galling the ceno" n Utility Notification . . AA1Y 18"" . DONE$)P.l@~q Ft SquDre,FnotageiOdhe logo 3".' ' Descflptu5ll' ufb~\o~onstructlOn J It', I' B'd.A.-.... C ntar',s ,V.alul;-332.2 uDte Calculated . ITIUU. or rou Ip lef or I mount e ......... PDee I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid .. TotDI V Dlue of Project UwJ:iWU Amount Paid Date Paid .CITY OF S~RINGFIELD Building/Combination Permit PERMIT NO: COM2007-00336 ISSUED: 03/08/2007 APPLIED: 03/08/2007 EXPIRES: 09/08/2007 VALUE: Receipt Number 1200700000000000244 1200700000000000244 1200700000000000244 1200700000000000244 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, ins'pections requested after 7:00 a.m. will be made the following work day. $6.30 $3.15 $5.04 $63.00 3/8/07 3/8/07 3/8/07 3/8/07 Electric Service: Approval required prior to utility company energizing service. $77.49 I Plan Reviews I By signDture, I stDte Dnd Dgree, that I have carefully examined the completed application Dnd do hereby certify that DII information hereon is true and correct, and I further certify thDt any and all work performed sholl be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertDining to the work described herein, and thDt NO OCCUPANCY will be made ofDny structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who Dre in compliance with ORS 701.005 will be used on this project. I further agree to ensure that DII required inspections are requested at the proper time, that each Dddress is readable from the street, thDt the permit card is 10cDted at the front of the property, and the Dpproved set of plDns will remain on the site at 011 times during construction. Owner or Contractors SignDture Paee 2 of2 Date . 22~Firth Street Springfield, Oregon 97477 541-726-3759 Phone . ~~~~ 18-. <Aof Springfield Official Receipt _Iopment Services Department Public Works Department RECEIPT #: 1200700000000000244 Date: 03/08/2007 8:48:16AM Job/Journal Number COM2007-00336 COM2007-00336 COM2007-00336 COM2007-00336 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By Item Total: (;heck Number Authorization Received By Batch Number Number How Received Amount Due 63.00 3.15 5.04 6.30 $77.49 Amount Paid BIRCH CONSTRUCTION. LLC NJM 1613 In Person Payment Total: $77.49 $77.49 cReceintl Page 1 of 1 . 3/8/2007