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Home My WebLink AboutPermit Electrical 2007-7-13 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689 ELECTRICAL P~p1I1 ;4PPL~CATION City Job Number ~ '1- uJ\O { Date 1. LOCATlONOl}!1LSTALI4TIO.zy:; \ 3. !L4~q c)L5\"" ,~,,"_., ' LEGAL DESCRIPTION: \')O~t l UbScO 2cf3Q "cr" s-rc 77'1-77 JOB DESCRIPTION: COMPLETE FEE SCHEDULE BELOW . . }~. . ZON ~(L, INITIALS (k\ DATE f'\~?O-\ SOURCE rt\ " ~"'-;';:: , , '- - ." A. ; ,New Residential- Sin,gle or Multi~Family p~r dwelling unit. .. ^' .,....,."..~~..,,;..~. ._~",.".,. . ."...l~,k_~'I:.".,;,.~."c_ .~~".." ......;.....". ...".'.~..... _. ..._ Service Included JP ~M(.k ~ e.. G1cnr-; 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $117.00 $ 21.00 $55,00 . CONTRACTOR INSTALLATION;ONLY, 2. B. : Services or Feeders - Installation, Alte~~tions,or Relocation: -:w...'""t 200 Amps or less 201 Amps to 400 Amps ddress 401 Amps to 600 Amps O 601 Amps to 1000 Amps City Fhone Over 1000 AmpsN olts SUP"'~f~'~ C.R:::::::",~,,"~;!;~; Expiration Da~ Installation, Alteration or Relocation 1\/ '" 200 Amps or less $ 55.00 ontr. Number 201 Amps to 400 Amps $ 76.00 "", / ' 401 Amps to 600 Amps $110.00 Ex Iration Date MIRl"ft1~f'1Jl" l!JJ n ~\lhlE_ Over 600 Amps or 1000 Volts see "B" above. Signature of supjtlM~ EXPiA~ iF THE *O~~nch ~irc~it~ ",' , ,."," COMMENCED UNDIER nus PERMn 'S KWJf Alteration or Extension Per Panel .I\NY 1 .. OR IS ABANDONED FOR One Circuit , / SO D~v ftNIIJU. Each Additional Circuit or with Owners Name FV'-e.oR L, ~(~V'1 Service or Feeder Permit $ 4.00 Address ?- Cf 1 9 '\J " I E.MiscelJaneous (~erviCe/fe~d~; ~'~tinduded) -Each Installation City ~8 d. Phone b 'i3 ~ -0073 Pump or iITiition $ 55.00 1/ mamo~~. :t~ymDto- $55.00 OWNER INST ALLA nON ..~:,~1e8r4l~~ , ~VJ~~ ~~~ ,..f $ 28.00 ftv.mIMlluCf8 ~ef. 1\1 <, l~enV" f.j~~ o@~ ~iJoI !he in,stallation is being made on property I own w~AR 952-dfi~~~~..o@1ft ~o.oo IS not Intended for sale, lease or rent. 0090. ~, ' ,"~, 'oil>~'f!'i~~, ~"" '" $,5,0.00.", S, urcharges o~~ (;JJ4 =3:.~=:C~. '.' rp:; ! 10% Administrative Fee {; .:00 5% Technology Fee ~ .c:J.) ~(.::O Electrical Contractor $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 48,00 L\~~ Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Forms/Etectrical Pennit Application 7-07,doc ~~ . I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00701 ISSUED: 05/16/2007 APPLIED: 05/16/2007 EXPIRES: 01/12/2008 VALUE: $ 18,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2439 J ST ASSESSOR'S PARCEL NO.: 1703361103300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace roof and enclose carport Owner: FRED MALLERY Address: 2439 J ST SPRINGFIELD OR 97477 Phone Number: 541-688-0073 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occup~ncy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # 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 StrNnnc&ements: StorJj/~~/:lMmISW.tl EXp Sp~8D)JUND IRE IF THE WORK ~OMMENCED OR I~~~HIS PERMIT IS NOT N~Y 180 DAY PERIOD. ANDONED FOR I DEVELOPMENT INFORMATION d MIIJ;;;I'<IlIUN; regon rawrequ~ PARKING . follow rules adopted by the OrMI Utility Overlay Dlst: Notification Center. Those rules ,<<6C(lI\: # Street ~reesf~omR 952-001-0010 through o~WI..B~: ~aved Dnve~. You may obtain copies of1il'eRfHr!J~b Yo of Lot Coverggfffng the center. (Note: the telephone Y number for the. O~e~on Utility Notification e ....l... '0 l-uvv-""",-,c')44) I PUBLIC IMPROVEMENTS I . Sidewalk Type: Frontyard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: Downspouts/Drains: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 .1 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00701 ISSUED: 05/16/2007 APPLIED: 05/16/2007 EXPIRES: 01/12/2008 VALUE: $ 18,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 18,500.00 $18,500.00 $18,500.00 05/16/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $10.00 5/16/07 1200700000000000583 + 10% Administrative Fee $44.52 5/16/07 1200700000000000583 + 5% Technology Fee $22.26 5/16/07 1200700000000000583 + 8% State Surcharge $21.41 5/16/07 1200700000000000583 Building Permit $177.60 5/16/07 1200700000000000583 Miscellaneous Mechanical $45.00 5/16/07 1200700000000000583 Miscellaneous Plumbing $45.00 5/16/07 1200700000000000583 Penalty Fee - BWOP Building $177.60 5/16/07 1200700000000000583 Plan Review Residential $115.44 5/16/07 1200700000000000583 + 10% Administrative Fee $5.00 7/13/07 2200700000000001129 + 5% Technology Fee $2.50 7/13/07 2200700000000001129 + 8% State Surcharge $4.00 7/13/07 2200700000000001129 Other Electrical Permit $50.00 7/13/07 2200700000000001129 Total Amount Paid $720.33 I Plan Reviews I Structural Review 05/16/2007 05/16/2007 APP DLM Express review - all comments of plans 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. ~e(]lJireCUnSDections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Final Plumbing: When all plumbing work is complete. Final Mechanical: When all mechanical work is complete. Pa2e 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00701 ISSUED: 05/16/2007 APPLIED: 05/16/2007 EXPIRES: 01/12/2008 VALUE: $ 18,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00701 COM2007-00701 COM2007-00701 COM2007-00701 Payments: Type of Payment Check cReceintl RECEIPT #: Description Other Electrical Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By FRED MALLERY IOf Springfield Official Receipt elopment Services Department Public Works Department 2200700000000001129 Date: 07/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 6728 In Person Payment Total: Page I of I 2:30:58PM Amount Due 50,00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/13/2007