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Home My WebLink AboutPermit Electrical 2007-8-29 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01299 ISSUED: 08/29/2007 APPLIED: 08/29/2007 EXPIRES: 02/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1412 C ST 2 ASSESSOR'S PARCEL NO.: 1703362308400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Change out meter base Owner: WEIST J JORDAN & JODEE A Address: PO BOX 25943 EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License NORTHWEST ELECTRICAL CONSTRUCTI 155877 BUILDING INFORMATION I Expiration Date 06/13/2009 Phone 541-466-3201 # 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 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 $~GrJG&:i1able:, EXP1RE u= mE wome SpecialiPng-tflilaM1T SHAll .uft1' AUTHORIZED UNDER THIS PERMIT tS aWl Notes: COMMENCED OR'S ABAND.otillLFnl kKf ~ 00 r:;..~~ Dt:Qlnn 'nelllTlnt.l. nreaon taw requtres ~'::, I PUBLIC IMPROVEMENi6IJ~ rules adoPte~hb~~~~,~~~~~.~etfOrth 1\10 ication Center. ~ gh OAR 952-001- in OAR 9~21elJ,IQ~ ~~~es of the rules by 0090. YCl91~(lW~~}.: the telephone calling the c nOe. gon Utility Notification number for the re 344) Center is 1-800-332-2 ' I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01299 ISSUED: 08/29/2007 APPLIED: 08/29/2007 EXPIRES: 02/29/2008 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 Amount Paid Date Paid Receipt Number $7.00 $3.50 $5.60 $70.00 8/29/07 8/29/07 8/29/07 8/29/07 2200700000000001359 2200700000000001359 2200700000000001359 2200700000000001359 Total Amount Paid $86.10 I Plan Reviews, 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 of 2 225 Fifth Street , ,. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01299 COM2007-01299 COM2007-01299 COM2007-01299 Payments: Type of Payment Check cReceintl RECEIPT #: Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By NORTHWEST ELECTRICAL CONST City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001359 Date: 08/29/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received lkw 4679 In Person Payment Total: Page I of I 10:42:53AM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.10 $86.10 8/29/2007 ZON INITIALS DATE SOURCE u:V -:-' NYVt 1: - 2..Cj, Or, In ~O~ 1\ 225 FIFTH STREET _ SPRINGFIELD, OR 97477 - PH:(541)726-3753 - FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r ,<9.11< 'J ()O /7 - f) !:2. C( C\ 1. 3. Date g - ).. q - 0 ~7 rf /;;z C '5 frce:Jr LEGAL DESCRIPTION: \ I ()3 3<0 ;;l.30 04 cJD JOB DESCRIPTION: I.. YtV1'if -/ ~ 4.r ') ff)e;kf ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or jf work is Suspended for 180 days. COMPLETEPEESCHEDULE BELOU' A. R~~id~nthll-- Single or MuIti-Familyperdwelling unit. Service Included 1000 sq. ft, orless Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 2. B. Electrical Contractor ,Mrl!Jt.fP,'J:>'-j- f!~rn.t..t~OO Amps or less 201 Amps to 400 Amps Address JII'1 *(~LftJe ~ 401 Amps to 600 Amps 60 I Amps to 1000 Amps City ~.Jhu I ( ((../ Phone 9' /~G 705 Over 1000 AmpsN olts Reconnect Only ) $ 70.00 7{) $ 83.00 $138.00 $180.00 $413.00 $ 55.00 (.0 Supervisor License Number 8Lf6;J~ c. Constr. Contr. Number ,d;;2../ ~ G Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Expiration Date / D / C> C') '/ , Expiration Date New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with ,C"\._ "t -I- Service or Feeder Permit Owners Name uc:fu:::i1V ~ 8 / Address>:C ,~.' ~ S<'i 4- 3> E. Iltlu~()lls($ervice/fel;!del"nofiIi~lp.q~~) ....~~~h]nstallation fOI/ nON: 0 City ?;U (/---Ju Phone N8tffP& ~{!~8i~gon law req l $ 55.00 o In ~~~{M~EItj~~ by the o~,!,S YOU",$ 55.00 OWNER INSTALLATION Oo~~~?"-RBk~i1fjqffl.~~lrUles 8.~- UtlJity$ 28.00 If'~. Calli,.., ffiaY~9~::': t5YSh 0" ~ fort"- The in,~~(cw.tr&being made on..profle~ f'l'YfE'WtJRK nuliltJ1geth'e~efife'FQ1!~":,:~ms 9f "1 A 95<'-001:'$ 50.00 IS not urrwsepffi~'Wf, ~Mdt fel\P R \ Mil \S NOT Minimu~rEret~ 'm(tJmip 0 EUleiPB 0 + Surcharges lITIiQ,8IZED UNDER THIS PER ownerf~I~N\tNCED OR IS ABANDONED FOR 4. 7 S- (. (} \./ O,,~ 0 Q 8% State Surcharge ~ /6 .:\I\lY' \ 80 DAY PERI . 10% Administrative Fee 8-7 -2{ I ~ S <611 5% Technology Fee 1\ <.'" ..Ape~ [)tiO~~~ues~:\~2~~6J~' '1 TOTAL '6 10 . 10 \:., ~ W . LR - ~ - l/U v Shored on'<(T.YB,I_ F"nmlEl",",~1 P"",,,t Appli""i", '.07 .doc Signature of Supervising Electrician j#I//k $ 48,00 $ 4.00