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Home My WebLink AboutPermit Electrical 2007-7-25 ZON L'D2- INITIALS NM DATE 1-:1-f(J """0-' SOURCE NVO~ , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CC::>V'-'" "Z 0 a 7 - 0 I 0 7 ?:, . . . ~, .'.. , , 1. LOCA.TIO~ OFIN.ST.AL~TION:-!! . I f7 c;~~~~A!~ LEGAL DESCRIPTION: 17D"3'2b2Z JOB DESCRIPT~N: A-c1J /A-lTdL -; L(.fc.~~'J Permits ar~on-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~t. DOz.oZ- 2. . ~ONTRACT01J.:~'iS,T1lfLA,TION ONLY , Electrical Contractor EA"5J5d)f GLfcrf(JC Address 3~)S'~ 5oSCAG-E LANE City Sf~LO Phone 7lf (~ Ilf~.q Supervisor License Number l.j 7 ~ 7 5 ) 0 ~ I -). 00 7 ) (777 0 J () - I,. :l OOr Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~~ /61 ~, Owners Name --+--=>0 .......... Address /87 <;;# (~ City OWNER INST ALLA TION D'te 7 ;7 ~,/c, 7 COAfPLETE,FEESCHEDiJLE BELOW 3. A. New :I~esidenti~~_-:- Single or I\'lul!~-Family pe,r 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 $ I 06.00 $ 19.00 $50.00 .~J;;.~"\:_~":S.;'.-2:.~.-..', .'. .' :-~-',-'~' .' '_ ,,", ".' _' '.'.' '. B. , Se~vices~r Feeders -:ln~~a~~tion, Alterations or Relocation: . 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only . $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 '-, ,. . C. ,!;~oremporai-yServices or.Feeders >>'>;'< ." ".". ''"'''' -.-....,-. '. ,.. ,.-"'-:".""> A TTENTI ON: gh~gH(lJ~~W~FJ!:'t~~D!~. t~_loca tion ~E/~L:w'li'iUI~es adopfecroy m~8WUl!nw . Notification Ce~@~ ~89VdJt96 are set forth $ 50.00 in OAR 952-001~w~gCfD~Aml6152-001.. $ 69.00 0090. You may .tWPll~~~9RJ~@w~[ule$lb)f $100.00 calling t.he cente~,. J!~P1e:t.h.S s. tei.~p'.h. 0111.. e "" number for th~e~NI6t~)itt~eeB above. . Centltt i$I\ro~a44l... -. . The installation is being made on property I own which is not intended for sale, lease or rent. ~ ~C>f~S & e-er..... ",4. {c:r Phone 7~7 - 5 "34 fc, Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges " r C::, ~(o)l~~\E: 4. : S~'!!!9!~h<?l'AB~~ --:> nll~ PFRM1T SHALL IEXPIRE If lH&W@B" Surcharge 4 '18 AUTHORIZED UNDER THIS PERMIT la~(fministrative Fee <<0 COMMENCED OR IS ABANDONED F{mTechnology Fee '780 7W)'7~~O DAY PERIOD. TOTAL . b f ~ Owners Signature: Inspection Request: New Alteration or Extension Per panel, One Circuit Each Additional Circuit or with Service or Feeder Permit $.0 $~.oo 'IS 8 7 ^~ . < ,. '-,,," " .. -" '.' " E. . Miscellan~.o~lS_(~ervice/f~eder. not incl~ded) '-Each Ihstallation Shared Dnve(T:)/Building Fonns/Electncal Pennit Application 8-06.doc Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01096 ISSUED: 07/25/2007 APPLIED: 07/25/2007 EXPIRES: 01125/2008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 187 GREENV ALE DR ASSESSOR'S PARCEL NO.: 1703262200202 Springfield TYPE OF WORK: Kitchen PROJECT DESCRIPTION: Kitchen remodel TYPE OF USE: Remodel Residential Owner: DONALD ROGERS Address: 187 GREENV ALE DR SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor NEIL KELLY CO INC EASTSIDE ELECTRIC INC NEIL KELLY CO INC BILL BAILEY PLUMBING INC License 1663 117770 1663 84110 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure: Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: All cirnON: Oregon 1a.j~~vU to follow rules adopted byb!1iQ&;~~J1WIi1V: n/a ~~=SWF=ATlON I aaIIlng the ClIIll8r~lhg .;. llUmb8rforthe~on ees qd: Center ave Dr ve Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: . Storm Sewer Available: Special Instruction: Notes: I PUBLIC IMPROVEMENTS I Phone Number: 541-747-5346 Expiration Date 11/01/2007 10/04/2007 11/01/2007 06/24/2009 Phone 503-288-7461 541-915-9828 503-288-7461 541-998-1141 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PERIOD. Paj!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Exhaust Hoods Fixture Minimum/Adjustment Mechanical Total Amount Paid Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01096 ISSUED: 07/25/2007 APPLIED: 07/25/2007 EXPIRES: 01125/2008 VALUE: $ 2,000.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Total Value of Project $2,000.00 $2,000.00 07/25/2007 ~ Amount Paid Date Paid Receipt Number $20.00 7/25/07 1200700000000000960 $22.00 7/25/07 1200700000000000960 $11.00 7/25/07 1200700000000000960 $17.60 7/25/07 1200700000000000960 $48.00 7/25/07 1200700000000000960 $8.00 7/25/07 1200700000000000960 $50.00 7/25/07 1200700000000000960 $10.00 7/25/07 1200700000000000960 $64.00 7/25/07 1200700000000000960 $40.00 7/25/07 1200700000000000960 $290.60 I Plan Reviews I 07/25/2007 07/25/2007 DON DJB 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. ~eouire~nsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal:!e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01096 ISSUED: 07/25/2007 APPLIED: 07/25/2007 EXPIRES: 01/25/2008 VALUE: $ 2,000.00 225 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. 'V'_# ~ 7/~/(f7 o~r Co~tractors Signature Date Page 3 of3 225 Fifth "Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01096 COM2007-01096 COM2007-01096 COM2007-0l096 COM2007-0l096 COM2007-0l096 COM2007 -01096 COM2007-0l096 COM2007-0l096 COM2007-01096 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1:31:41PM 1200700000000000960 Date: 07/25/2007 Description Building Permit Fixture Exhaust Hoods Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 1 0% Administrative Fee Amount Due 50.00 64.00 10.00 40.00 20.00 48.00 8.00 ll.00 17.60 22.00 $290.60 Paid By KATHLEEN S DONOHUE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 515213 In Person Payment Total: $290.60 $290.60 Amount Paid Page I of 1 7/25/2007