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Home My WebLink AboutPermit Electrical 2007-7-24 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C-, - 0\ G iSq Date "1....;:) LJ ; 0, ICdvr c;.. /./,0 a/' t. 200 Amps or less "" ~ 20lAmpsto400Amps //~ 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only 1. 8'36 P- s'\ LEGAL DESCRIPTION \[O'S ~S \'"SO \ \ CSt) JOB DESCRIPTION N~ S~c..z Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address 4tJ ~7 Curee-f City 0'J$IUlt' Phone --6fh-- 1<< tq 47(<5""3 ~/o/ 1~7,fj JC{ Expiration Date ~~ S;hL:,n ~ 0-:--(- Owners Name Qarv:c.Q lQ j ~9ft m ~ J.- Address <( g S P S-r City &f- J-(1 ~ Phone q ~ g- .... \ r 2-, OWNER INs4 ALLA nON The i~rJi~hIQ~~iQ'tmQ~dRWro~~~~WWtt~~h is notcffi~l&I~~sirJPletfgelJrYe\h~ Oregon Utility Notification Center. Those rules are set forth owmg8\~~e901-001O through OAR 952-001- 0090. You may obtain copies of the rules by calling t_he center. (Note: the telephone number ror inS uregon ulllny NOlmcation Center is 1-800-332-2344). Inspection Request: 726-3769 Supervisor License Number Expiration Date Constr. Contr. Number 3. A. 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 B. I -Zo.(rD. $-e:00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. 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 4. ieJ.r 3.50 ~.(pO I ~_l KG, UL 7% State Surcharge 10% Administrative Fee TOTAL ~- Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc Lrp~Grf'b. {Y\ V-: \ ,..ci \ --1':;}-{ ~y CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01089 ISSUED: 07/24/2007 APPLIED: 07/24/2007 EXPIRES: 01124/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 835 F ST ASSESSOR'S PARCEL NO.: 1703351301100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: use initials Residential PROJECT DESCRIPTION: New Service Owner: BRAMHALL RONALD C & CONNIE S Address: 835 F ST SPRINGFIELD OR 97477 Phone Number: 541-988-1827 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor AMERICAN EAGLE License 153834 Expiration Date Phone 12/30/2008 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I requires you to Sidew;.~ rtt~q.10N: orego; ~a:y~he Oregon U~ Iitvh tfU.\es adopte \ are set ort DownlfJ"~~'a{i(:Wmmter. Those ru e~AR 952- )01- ro~~~ ~~2-001-001 ~ throui~~ 01 the ruh.s by ~090. You may obtalO ~~fe: the te\~~h~ ~e ca\ling the center. ( n Utility Notl1lc~tlon ~.....,t-"r fnr the Orego _ ~,..,., "''2,14' ~...,,,,- Center ISl-Dvv-tfw~ L Street Improvements: Storm Sewer Available: Special Instruction: [~(n?~CE: THIS PERMIT SHALL EXPIRE IF THE WORK hU-;-;IOmZ[O urllx:n TP)'~ D!:DnIIIT Ie: I\lnT COMMENCED OR IS AB~~HNJtR.&CWescription I ANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Type of Construction Value Date Calculated Description Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01089 ISSUED: 07/24/2007 APPLIED: 07/24/2007 EXPIRES: 01/24/2008 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 $7.00 $3.50 $5.60 $70.00 7/24/07 7/24/07 7/24/07 7/24/07 Receipt Number 3200700000000000496 3200700000000000496 3200700000000000496 3200700000000000496 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or Jess Amount Paid Date Paid Total Amount Paid $86.10 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. I Reouired Insoections , Electric Service: Approval required prior to utility company energizing service. 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 COM2007 -01089 COM2007 -0 l089 COM2007-01089 COM2007-0 1 089 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 3200700000000000496 Date: 07/24/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By AMERICAN EAGLE Item Total: Check Number Authorization Received By Batch Number Number How Received njrn 030273 Phone Payment Total: Page I of 1 9:22:02AM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.l0 $86.10 7/24/2007