HomeMy WebLinkAboutPermit Electrical 2007-8-8
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL P~RMIT m'LICATION
City Job Number \.:. (). t OS"'\ Date 1s () 0 01
1. 3.
LEGAL DESCRIPTION
l~CW:0l3 ()\ \W
~OB~~--\tW t;J~
P~its are non-transferable and expire if work is
no tarted within 180 days of issuance or if work is
Su ended for 180 days.
2.
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.
Electrical Contractor ~&V"I{-'" -<- f!?.act{('Y ~)C}OO Amps or less
. fr-J 201 Amps to 400 Amps
Address tt.o.-~ 7 L-tJesi /.1...::..-- 401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
Sign~/eian
~~------~
:~N::~b~~~~ E.
Phone ~m . ~~1~JolNOR~ $ 50,00
ERM\T SM~t\. ~tUI~.g\&~O $ 50.00
ALLATION -m~OR\ZEO UNDER 'BKllntM~dential $ 25.00
The installation is being made on propAU WSiO OR \S AAmlted Energy/Commercial $ 45.00
1i:st~\)mGt}!a G~l'Im. Q 01\'1 pij\\P2ium Electric Permit Inspection Fee is $45.00 + Surcharges
follow RIles adopted by the Oreg iI f\ tl tv J
N~6~r. Those rules are setforth 4. 'In UV
tt OAR 962..001-0010 through OAR 952-001- l ~.
0090. You may obtain copies of the rules by B)0 State Surcharge 0 '"1...'
calling the center. (Note: the telephone 100/ Adm tr t F -,-
twmber for the Oregon Utility Notification /0 inis a ive ee }i qU
InspectGintellt\Bs~=--~2344). l'{)'fAI:;"'" c..) '. _
Shared Drive(T:)/BuiI i g FOrrns~ APPlq~~1
,.-,
City r ..dA_b .e.<o .
J
Phone
h86-lr?~
4)I5s-S
/}/1211 07
Constr. Contr. Number {'C:'.):1R5 7
Wu,);~-- .
11 f..
Supervisor License Number
Expiration Date
Expiration Date
I $~ '7f),clJ
$ 75.00
$125,00
$163,00
$375.00
$ 50.00
c.
Installation, Alteration or Relocatio~
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100,00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
~
~.co
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01089
ISSUED: 07/24/2007
APPLIED: 07/24/2007
EXPIRES: 02/08/2008
VALUE:
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: Addition
Residential
PROJECT DESCRIPTION: New Service, Feeder, and two circuits
Owner:
Address:
BRAMHALL RONALD C & CONNIE S
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
12/3012008
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Squ~re Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01089
ISSUED: 07/24/2007
APPLIED: 07/24/2007
EXPIRES: 02/08/2008
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
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.00
$3.50
$5.60
$70.00
$7.80
$3.90
$6.24
$8.00
$70.00
7/24/07
7/24/07
7/24/07
7/24/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
Receipt Number
3200700000000000496
3200700000000000496
3200700000000000496
3200700000000000496
2200700000000001255
2200700000000001255
2200700000000001255
2200700000000001255
2200700000000001255
Total Amount Paid
$182.04
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 Insnections I
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
COM2007-01089
COM2007-01089
COM2007-01089
COM2007-0 1089
COM2007-01089
Payments:
Type of Payment
CreditCard
cReceiot I
RECEIPT #:
2200700000000001255
Date: 08/07/2007
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
AMERICAN EAGLE
ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ilh
062919 In Person
Payment Total:
Page I of I
12:1l:54PM
Amount Due
70.00
8.00
3.90
6.24
7,80
$95.94
Amount Paid
$95.94
$95.94
8/7/2007