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HomeMy WebLinkAboutPermit Electrical 2007-8-16 3. ZON Lf):;:?___ INITIALS r.J 'r-^ DATE 15' r \-u, - r:rL SOURCE\h..~ ) ~fJLPIOl I COMPLETE FEE SCHEDULE BELOW - ': .'.': dlTy.61?sP;RING;Fl-I~iLD.~'OR'EGON; .;- .. i ~- 'f <<': ~'~ ',;~' ")" . ~><,~'., t~ ..:~ ..:t '~'''''('' .~~.J, ,~. _C>. .....~. '!b .(f. Of). , .. 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: ~t- 2DDb -l- LEG,L 7QS1R1PfG;: Z JOB DESCRIPTION: (){ toO 1- . ~ e...., Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Cr ~ ~ t- ~L 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-- l f 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~ ~ tJ8"" 1'1 ~/ 0'-R 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