HomeMy WebLinkAboutPermit Electrical 2007-8-16
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COMPLETE FEE SCHEDULE BELOW
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
Owners Name . ck55e / ?h tV
Address AV){g 1= *"
City Qrw-;~f'Jd Phone Dt I d-.-cx:x 0 I Pump or irrigation $55.00
~ U Sign/Outline Lighting $ 55.00
OWNER INSTALLATION Harle. Limited EnergylResidential $ 28.00
!he in.stallation is being made on property I own wYiNIs p. 'E. Limited Energy/Commercial $ 50.00
IS not mtended for sale, lease or rent. AUrHO ~~ElectriC Permit Inspection Fee is $50.00 + Surcharges
COMM~ 1//l.ED 8NlJ1t'StPftffABOVE SO
ANy 180 NCED IJ1f ~ ~ IF THE 'M I.{
DAY p,!f!~~~~Mq IS OR/( 5
W[nrD.mol~fWlED FOR NOr z ~Q
TOTAL 6/~
Shared Drive(T:)IBuilding FormslElectrical Permit Application 7-07,doc
ELECTRICAL PERMIT APPLICATION
-
City Job Number [.0 ""^ 'Z-O 0"7 - 0 , Z,O S
1.
LOCATION OF INSTALLATION:
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LEG,L 7QS1R1PfG;: Z
JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2.
CONTRA\;l uR INSTALLATION ONLY
Electrical Contractor
/
City Phone /
Sup""",o, Lioen", Numbe.- l ~(V /
J~/
b"
Constr. Contr. Number
Address
Expiration Date
Expiration Date
Signature of Supervi
Owners sJgnature/f. /'1
,./1 . :~~
iJl_~ 1--
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Inspection Request: 726-3769
Date
A. New Residential- Single or Multi-Family per 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
$117.00
$ 21.00
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 70.00
201 Amps to 400 Amps $ 83.00
401 Amps to 600 Amps $138.00
~Amps to 1000 Amps $180.00
,;mXi~~Blts $413.00
NolM~lMI~Pt On law r8tbtl.-_ $ 55.00
In aA~on Center. e.:!.. by the -O;~':" YOu to
0Cfs0. ""'~iiRQ~rr~~.~~on Utility
C8J/~ ~ may Obtat fflrOugh OA~ Set forth
ft&urJb1.m.t.cBn~=::r..~j'~fdhf~2-OO1.
IfWY".;rn~:~ · fNore': the t t YWIes by
20cQmWIl ,gon Utility N e ~Phone $ 55.00
201 Amps to 4 ~-2344JtiticatJOL $ 76.00
401 Amps to 600 Amps · $110.00
Over 600 Amps or 1 000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit \
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
LfB
$ 4.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Status
Iss u ed
UY~ ~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01205
ISSUED: 08/15/2007
APPLIED: 08/15/2007
EXPIRES: 02/15/2008
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2006 I ST
ASSESSOR'S PARCEL NO.: 1703361201800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace existing roof with trusses
Owner: PRICE JESSE
Address: 2006 I ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Contractor
DEL J INC
OWNER
OWNER
All C
foR
Notification Center. Those rules are set forth ..
In OAR 952.001-0010 through O~01- EXpIratIOn Date
0090. You may obtain copies of41W6t!Jles by 09/02/2007
calling the center. (Note: the telephone
number for the Oregon Utility Notification
fB~~ l~Fo~ti-lA'gk~
Phone
541-476-1387
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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
,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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: . -'.- V"'fl'rl'It
..- ::~.~~.~.}I..I.lhWIt1t'to I"t:: ~\Ui l
I PUBmQI~V~MEN't' Mil IS NOT
AU I nunIL!~ tjlJBCR IS PER
COMMENCED OR IS ABANDawet}aPO~pe:
ANY 180 DAY PER10D. Downspouts/Drains:
Notes:
Pal.!:e 1 of3
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
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Heat Pump
Minimum/Adjustment Electrical
Minimum/Adjustment Mechanical
Total Amount Paid
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01205
ISSUED: 08/15/2007
APPLIED: 08/15/2007
EXPIRES: 02/15/2008
VALUE: $ 3,500.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,500.00
Value
Date Calculated
Total Value of Project
$3,500.00
$3,500.00
08/15/2007
~
Amount Paid Date Paid Receipt Number
$6.72 8/15/07 2200700000000001295
$3.36 8/15/07 2200700000000001295
$5.37 8/15/07 2200700000000001295
$67.16 8/15/07 2200700000000001295
$20.00 8/16/07 2200700000000001297
$10.00 8/16/07 2200700000000001297
$5.00 8/16/07 2200700000000001297
$8.00 8/16/07 2200700000000001297
$48.00 8/16/07 2200700000000001297
$14.00 8/16/07 2200700000000001297
$2.00 8/16/07 2200700000000001297
$36.00 8/16/07 2200700000000001297
$225.61
I Plan Reviews I
08/15/2007
08/15/2007
DON DJB
engineered trusses / roof replace
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.
l..Jl.eouiredJnsDections 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 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: COM2007-01205
ISSUED: 08/15/2007
APPLIED: 08/15/2007
EXPIRES: 02/15/2008
VALUE: $ 3,500.00
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 pe'rmission 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.
II 114-tr', Ll'~ f/IG. /''7
, / v
Owner or Contractors Signature Date
Pal.!:e 3 of3
225 F:ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01205
COM2007-01205
COM2007-01205
COM2007 -01205
COM2007-01205
COM2007-0 1205
COM2007-01205
COM2007-0 1205
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001297
Date: 08/16/2007
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
KRISTIE PRICE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2050
In Person
Payment Total:
Page 1 of 1
I :29:07PM
Amount Due
48.00
2.00
14.00
36.00
20.00
5.00
8.00
10.00
$143.00
Amount Paid
$143.00
$143.00
8/16/2007