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Home My WebLink AboutPermit Electrical 2003-8-25 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION The following project as submitted has the following zoning, and does not require specific land use City Job Number COWl ?r"'Y"IS ~ Date ~ - 2 ~ -0 "3 approval. Zoning 3. COMPLETE FEE SgJt-"DULE BEL01V 1. LOCATION OF INSTALLA110N ASPC~N' 5L() ~r LEGAL DESCRIPTION (7033LfZLf (:) 0 702.. Authorized Signature , ~u (2. ~~~3 A. New Residential- Single or Multi-Family per dwelling unit. Service Included $106,00 tA.fG-{LA'~t< +0 1000 sq, ft. or less '''?'OO .1rn P c-(lvr Each additional 500 sq, ft. or c l\l .:::. '- portion thereof $ 19,00 200 Amps or less OU tn r~~lres Y O?-!.~I!m400"A!m n Utility $ 69.00 ATfENT\1 ~O~~~edl16'QdtAlfti legoe set ~nr1 $100.00 ioHoW ru e XhOse ru es ar Notifieation~tlt>e~. ~ni~rgrulgw<b'J:W's~62~e above. ~ . OAR 9!Yl-0:9a:fQ~ieircuil~es ot the rules \ In aV obtain eOV Ie hone 0090. You N'eW' ~tre~t\QQoJJ9E~?nWtjn.~e'afifflfl calling t~~~frge~gon Utility Notl Ie number ~Ic A~i1i~2it?~~~ Gte fc~ or Feeder Pem1it JOB DESCRIPTION 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number .l~ Ji' () Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name /11/ J(L'f:- clONe-S 5~ s- !J<:;PtFtV Address ?;::;, City sP PO Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~;vv( ~ __ ~ In'peet;on R'qn,,', 726-~ Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only I $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b'-S c. ' Temporary Services or Feeders Installation, Alteration or Relocation $ 50,00 $ 43.00 $ 3.00 E.'lVnscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 rN&rI~rgY/Residential , $ 25.00 iflffli~tJ>EAijY/Commercial $ 45.00 Mini~IJl~,2/gu~~Usf~rpmtr is $45.00 + Surcharges CO~ij; NDE~nJJSP IF THE WORK J --= 4. IWYJ1JO[JAY:49'!fBANDO~~MITIS NOT b > 7% State Surcharg~IOD. D FOR if L{ I 10% Administrative Fee b5: 0 TOTAL (3 7).... Shared Drive(T:)/Building Fonns/Electrieal Permit Application I-03,doe CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2003-00819 ISSUED: 08/25/2003 APPLIED: 08/25/2003 EXPIRES: 02/25/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 545 ASPEN ST ASSESSOR'S PARCEL NO.: 1703342400902 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Upgrade to 200 amp service TYPE OF USE: Residential Total: Handicapped: ~~ Compact: ~~ R)'\ '\~~ f.> ~ -y ~ -~'\ ..(\~ I PUBLIC IMPROVEMENTS l~~~ ~~~~~~ . '. ~ Co~~~~ ~~alk Type: ~,fV<(, ~~ ~ \:;)~ ~ f.> ~)VnspoutS/Drains: "~~Co ~~~~~~~~~~ ~~~~~~~~ (~,....\'~ ~ .'- Owner: MARK JONES Address: 545 ASPEN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER ,0 License ,\o~ "'~~ .. ";,~ ....,' -f" BUlLDIN~~"INFORMA1]()N I ~ 0(,.10 eJ,0"J ~e - 6Z: - ~ v *of.~tor.ieS' ~ ~ .,s.-0 e , 0'" ~ ~'u -^~ ~ ~ o~ ^ R-3 ,.,~ ptHe'jght(()f.S, t;r.Uctqre C\~ ,;,,,0" 't..'CJ~ "" ~~'O ~" . t\" 0". '1;", ~O ~,0 .yope ob'n:eat.O ,~ '1.\\<:1 ~~p ~(:P e~~~er~~f ~e ~o~ . A<V~ .,s.e~ (;e"'~ ,~~~~ ~~~e:'\~~O~~ ~ ~ * '<; . o~ r..\)^" FJoergy~at4Y n...'?:v f- ~o ~ !'l:'" ~ u "".e'" (\,0' ~;) '~i.,\,(J~ ~~ _~?i- rrp~ r'\~0"'o..\)\)' ~~O~~)~QEyi~.@P~ENT INFORMATION. '\ ~~ ~.' ~. 'f:',J C5 (J'O' ~e (;0 "'~~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 Valuation Desc~iption I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pal!e 1 of 2 Repair Phone Number: 541- Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Value Date Calculated Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3'769 Inspection Line CITY OF SPRINGFIELD' , Building/Combination Permit PERMIT NO: COM2003-00819 ISSUED: 08/25/2003 APPLIED: 08/25/2003 EXPIRES: 02/25/2004 VALUE: I Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 8/25/03 8/25/03 8/25/03 2200200000000001430 2200200000000001430 2200200000000001430 , Total Amount Paid $73.71 I Plan Reviews, To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reouired InsDections . 1 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 Job/Journal Number COM2003-00819 COM2003-00819 COM2003-00819 City of Springfield Official Receipt Development Services Department Public Works Department Reccipt#:2200200000000001430 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Payments: Type of Payment CreditCard Paid By MARK JONES Received By djb LnecK j~umoer Batch Number 000153 Date: 08/25/2003 10:46:41AM Amount Paid 4.41 6.30 63.00 $73.71 Item Total: Authorization Number How Received In Person Payment Total: Amount Paid 015214 $73.71 $73.71