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HomeMy WebLinkAboutPermit Electrical 2007-8-29 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PER}P\T M:PLIJ;ATION City Job Number l'J I"'\~'l! t,... Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50,00 is not int.pnl'i::~"'~~~W6ri~iw I Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ownerJ@=m~~ adopted by th~6~:;~J~~i~ 4.~'f!ilfqTAL;(JFXBOVE ~cl- ~ In OAR Q5'~1~~J; :~se rule~ a!e set forth 8% State Surcharge Y I t> 0090 V. Nu....I, v'\::' uI:.2-001_ 100)/ Admllllstratlve Fee --c..'. ,....... ,OU m b .,. I"\fl O;J 10" . D ---... Caliin th ay 0 taln copies of the rules by NO~010gy Fee ( d '~ 0 numb 9 foe center. (Note: the telephone ' ...rva=. \ er r the Qr.~gon Utility N t't., T~MWMIT SHALL EXPIRE Inspection ReqQ)lffti~faJf~OO_332_2344o).llcatl~n IF THE WOR A i?i9dJN~i~i'~lJ4tS~MrfalseNOtp COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1. " :-', .' -_.,-_;,,;~':-\::'h':~'-'~_- f..' :;" '''->',~''';~X.' .,'>,-(,,~ ,';'.;<.::'.' ,,- -'~' ;':" -,' ,,; LOCA'.fIONOF I!f~.AtLAT!.btl: ; ': . ~,~"".. :,~: Co :.w,>.,>".-,J.., >.~. ~" ...,.;.,~:~_j-~ AA<:<...../ ,.:.:.,.......'......., ....:,.~,'(;..-"..,...l'< --." .,"'..,~.,N'" 1 q cl.. rQ Sx- Lr~D~~r:i~ 01J7f.iJ JOB DESCRIPTION: w~~.~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . .' -:'< ... ' ,~,<.;,~ t-:;;?"::'::_~~~.!<...;. "'::;:-,:Y.1 " " .;~.~i: :;;\';i'~ {:~ j-, ,:;,..ol,',)-}cMf~- ::'_::'?~L ,,;- -"--,,<~f~~~<~:,:~:'} ,'~1""W' v :)<~\-:< .. COlITr,.ACTOlfIfiSTALt:..4 TIONONL ye 2. ,._. ~. _'_,:.. "<: i,,';, ,:,,':.;._~d~;~, -{"i:'_'.:WJ;;iIJ..'~\;,~,..":'^~v :,:;:f:i;4..<hi:~,4\,;~:,:;,;;.,,;~~',,"A,t: ,!,\~;f;";". Electrical ContractoOR~r,(1~i ~" rr,'.- '''\ ",-;;;).:,'['~ __I 1'~ \.,t PO Br': I . . "J i\ ,~.. .'._ U' j tljG~H 8 9' :, _ L, R, 140t Phone 3<1 ~ I 10 ~ I Address City Supervisor License Number f ~ q ~ S Expiration Date I 0 ~ ( ~ 0 ) Constr. Contr. Number J I.D (s: J f! Expiration Date g - rl. ~ - C) ( Signa~e of Supervising Electrician 'j . )' '\: \.: /L h(\l~\I.l 01JkCv,../ L~.h.. ~ BM~J,' _ 181a-~1 [L-/ ".Phone 50 \ \1()g 3. COMPLETEFEE SCHEDULE BELOW ~""""":"","".",~"...";.:.;,u_......",:.,..,,..,,, :"-:,L;;"., C':",..-':"'-:'", . "'<'.::.'..:."''':'' _:-........_:.."..,-:":. .',............:..,'.:'.-:...,0........:::. ''''.::. ...... .,:..:....0,:'., '......_-. '.-'\." ..':, 'j A. Ne-vv Residential- Single or Multi-Fami~y per ~~~lIing 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.' Se~vic:es or F~~der~'....: Inst~liatio~; A1t~rationso;R~I~catirin: ;>,""..,.~,.'J.',;.-",;,::, -, ' .. - - -, " " . ~. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 1 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C. Temporary SenicesorFeeders '...:',~....".-..."-.","'-...,:..,.',' ,," ,. ...-,..'-., ,.- '---',,'.-,,"" ',:,,",,' ,....-., ,.....- Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit r Each Additional Circuit or with l Service or Feeder Permit . Lt <; chJ Lj/-D $ 48.00 $ 4.00 ,,".'.-N . ' ~""""" ~. . -' ;.: ,;.;.,'-:;.., Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01322 ISSUED: 08/31/2007 APPLIED: 08/31/2007 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: 192 Q ST ASSESSOR'S PARCEL NO.: 1703262302500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add two circuits for package unit Owner: PALMER FRANK L & LONA S Address: % ELITE CAR BATH PMB 204 1863 PIONEER PKWY E SPRINGFIELD OR 97477-3907 Phone Number: 541-501-1709 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 161518 Expiration Date 09/28/2008 Phone 541-343-1681 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: Downspoutsffirains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01322 ISSUED: 08/31/2007 APPLIED: 08/31/2007 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.20 $2.60 $4.16 $48.00 $4.00 8/31/07 8/31/07 8/31/07 8/31/07 8/31/07 2200700000000001374 2200700000000001374 2200700000000001374 2200700000000001374 2200700000000001374 Total Amount Paid $63.96 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. ReQuired Insoections I 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 Paee 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 COM2007-01322 COM2007-01322 COM2007-01322 COM2007-01322 COM2007-01322 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001374 Date: 08/31/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee. Paid By OREGON ELECTRIC SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 21158 By Mail Payment Total: Page 1 of 1 lO:20:13AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 8/31/2007