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Home My WebLink AboutPermit Electrical 2007-8-1 ZON uJ'2..- INITIALS t-- '\ rv\ OA TE (. --C \ -r;'1 SOURCE ~ ~/;/o7 . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number La vV\ z..oo 7 - 0 I ( L{ 6 Date Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION ATfENTtON: Oregon laytrJ%qyft%rlf/~~idential $ 25.00 The installation is being made on prQt~~:"i ~*he,!h~~PteThd boYst,h,EtQl~g,Q~JJ~mercial $ 45.00 . . d d fi I I .~oHficallon 'C'eft~er. EHtltM6'afe'l:iM IS not mten e or sa e, ease or rentln OAR 952M001.001tMkt~'fI ~l'tR~-oo1Ii:t Inspection Fee is $45.00 + Surcharges Owners Signature: 0090. You may obtail'ij90DlieriJt.1l1tt~~PlBoVE' 7D calling the center. (Note:tnetefephone . ".' - ,"0 l1'.imb9r tor the Oregon li)mltY~~ .::> Center 18 1-80~lstratlVe Fee 7 5% Technology Fee ")ro 8bl!!- .. ...., . 1. LOCA.TIONOF INSTALL4..TION: . -. .,.'....,.. -'. ' 13 i I"Lt;It$A;~r LEGAL DESCRIPTION: 170.12.s-3'Z- 07700 JOB DESCRIPTION: lA PC:rllA~" zao~ S~VL Permits.are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Supervisor License Number ., 9/c;- 5 Expiration Date /1J- 10- /J 7 Constr. Contr. Number / f) - ?>Z- r: 1- "-0'3 Expiration Date Signature of Supervising Electrician -t ~1,j >> . ~ - .:-- ~_h( kJ Owners Name m-A (L "- -=CO If ,."" <, eYl. ?LG\~+ ;;- Address 1'3'1 >~r=}a Phone City Inspection Request: 726-3769 3. .CO~M~PLETEFEE SCHEDlJLE BELOill A. ;':Ne,,, Residential- Single or Ni~lti~Family per dwelling ^~n1t. ..' ,. -c.... ',. '-,.~ ," . ."" ~ ^" ~ ,', . ." .." ... .<.. . ,". 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, . S.ervices or. Feeders,.- In~tallation, Alterations orRelocation:" 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN o Its Reconnect Only 1~ / $ .P'3.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 7D .. ' - C. " Temporary Services o~ Fe,eders Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 20 I Amps to 400 Amps N t'ffte!:Ps to 600 Amps THf5v~~wn.l\Q~Resl\@ 1$tEtWMK AUTOOPll!Es:mnER THIS PERMIT IS NOT COMM~EGimtJ&~CW~PatQR ANMntf&DDtY PERIOD. $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (Service/feedernot included) -Each Installation 'j.... . TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennil Application 8-06.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1391 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703253207700 Springfield PROJECT DESCRIPTION: Upgrade 200amp service Owner: SALLADA Y AARON B Address: 1391 PLEASANT ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01140 ISSUED: 08/0112007 APPLIED: 08/0112007 EXPIRES: 02/0112008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BOB FISHER ELECTRIC INC 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: ~I PI Alll:lffiON: Oregon I lr4 gy.to follow rules adopted by Hi' CJtfNilf N011....a.uDn vent 'fjf "[kATION In OAR 952.001 0090. You may obtain copies of the rules by calling the center. (Not9v~M~~~one number for the Oregon /;J~I\4'etJ9~Ff\!li& Center is 1-80o-M?~A\.e Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " I PUBLIC IMPROVEMENTS I Street ImprovemeltOTICE: Storm Sewer AvailiJ'W1$ PERMIT SHALL EXPIRE IF THE WORK Special InstructionAUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 License 96275 n/a Residential Expiration Date 01/25/2008 Phone 541-689- 7973 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: Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01140 ISSUED: 08/01/2007 APPLIED: 08/01/2007 EXPIRES: 02/01/2008 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' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.00 $3.50 $5.60 $70.00 8/1/07 8/1/07 8/1/07 8/1/07 Receipt Number 1200700000000000986 1200700000000000986 1200700000000000986 1200700000000000986 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 I 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 Pa2e 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 COM2007-0I140 COM2007-01140 COM2007-01140 COM2007-01140 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000986 Date: 08/0112007 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BOB FISHER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 03789D In Person Payment Total: Page I of I I :56:08PM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.10 $86.10 8/1/2007