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.
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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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Electrical ContractoOR~r,(1~i ~" rr,'.- '''\ ",-;;;).:,'['~
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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
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".Phone 50 \ \1()g
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COMPLETEFEE SCHEDULE BELOW
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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:
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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
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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
$110.00
New Alteration or Extension Per Panel
One Circuit r
Each Additional Circuit or with l
Service or Feeder Permit
.
Lt <; chJ
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$ 48.00
$ 4.00
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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