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Home My WebLink AboutPermit Electrical 2005-1-13 , ' ,: '.,;,' "~~'~.~.~i't~\9.~:~!~,K ..,9T1!.J)EM$;iPREqO~, ,.~> ) ..i ?, ~ 1" o , ~ ~'" o~ ::0.... ~ OL, 0' pv,.; 22:.FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~../ ...,0' '?9", ... Q'1'e'J . %""9,: .....;;,. ~~-?: Go5'(I:lot' 0..,. ~ "'ot'~.s" ....f') \9 ;". \SIG;. 0' .. <:l . . .>~ 9,.(;oi~' .. ~' ''"'''..... ,. i!i""'~' "m" .". '~"~1!J 3. ~ 'J.~ ~ E-.;). I. t ~, ':'I~.:t~t~ ., ,,'~~ '.,.~... " ". ,. , >,~.. ''''.H. & C}-?\I'~ ""'" CI.t, & ~ ,'. iIii~, ... "'_..~",-? '" I t.lr'h'A-:h. Permits are non-transferable and expire if work is not started within 180 days of issuance or If work is Suspended for 180 days. 1l!!~~lNm"'tf~$i1lii'N(w\iMi~~ ~r", 'B."~;i~;/-~Wt~~~~~tm 2. ~~~_ C"dl'~'/~~~_~~jf:;;'~~ NOli/iC8t'"'' ",WOf" -, ioJ" "q' '/ b< Electrical Contractor f.U~bJE 1"1 EftT1lj('. SEej/I.q;;'200'AIT!PJI~rl~~J' i/Je 0 Ulres Yo".- $ 63.00 .-l 0090. 'r';J6(J~E1itv~tOiilLl11fl~e;:gon Ulili; $ 75.00 Address /.20 ff/OItl~6 s.:,-. Calling t~i\.mb~dfh~6CNynsOA~e se/fOrt.!J $125.00 IIIJrnber f&~~%tif'~ t?tJJ~?jg''A'itrp~the 952-001. $163.00 Phone 3'-11./- 3$~/ CeQt}',cfI6Qo~o~fJrate/ep~lJ/eSb" $375.00 it\!!!oIml illty NOli" one $ 50.00 ,lcatJOtt Supervisor License Number 3 t 35" S c. ~~B"ii9!i~~" , (1)II/J..()()+ 9CJ;JtJD _~Jrt-Io :: New Alteration or Extension Per Panel , tW:UCE" Onc Circuit TH/C' p' Each Additional Circuit or with /'1 ERMIT Sbi-vLct ~t~lI:rlPelUlit Owners Name -.iJfiIf/l-y ~WWl~MAAORiZED 11~lncn T":'~"__ r INt WORK Address 20 5:'-( .J:;.. tA-,^d ~f'1MENCElf..r '",''' ..., ' ,. , , ' . h" r I au DAY PERIOD.. . City 'So ? P \) Phone Pump or ungallon $ 50.00 SigivOutline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit I,nspection Fee is $45.00 + Surcharges ELECTRICAL PERMIT APPliCATION City Job Number (2)!Nt '2.0 04 - 0 I 3"( ~ Date 1. LEGAL DESCRIPTION USO ~ I ( "L L.. 01 7 (YO JOB DESCRIPTION 'Zoo /W<'f S,,-Vl(J: City EuttNE Expiration Date Constr. Contr. Number Expiration Date Sigliaturc of Supclvising Electrician 7rAJA i?~ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 , '. " ... ~ t, ;":-:. 1000 sq. It. or less Each additional 500 sq. It. or, portion thereof ~~-mm_"-.' A. .(~~~ia:"~'tiai~~l!l:~~"'Iiiii", _~ ..'t',;~':1" - ......~j Service Included $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps 10 600 Amps $ 50.00 $ 69.00 $100.00 , Over 600 Amps or 1000 Volts see "B" above. D. ~~Jt4.~~ ~~ . $ 43.00 L.{ $ 3.00 /2. 4. ~'::::-:;::j:;\"~~:'~::~'~~ -:1~~.~,~~,~o!::" :;:': . .); '<"'~""'~:"':. 7~' SZ<; . 7 s>=> - - 87 7S'i \ 7% Slate Surcharge 10% Administrative Fee TOTAL SIw<d Drivc(T:YBuildina _I Permit Applicalioo 1'()3.doc ~ (",'1.',' ~. ," ' . t~.._;< Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 2054 INLAND WAY ASSESSOR'S PARCEL NO.: 1803112201700 . CITY OF Sl'Kll'\j~t<U.LD Building/Combination Permit PERMIT NO: COM2004-01S49 ISSUED: 0l/1l/200S APPLIED: 12/16/2004 EXPIRES: 07/11/200S VALUE: Springfield TYPE OF WORK: Fire Damage PROJECT DESCRIPTION: Fire Damage Owner: MARY HAMMOND Address: 2054 INLAND WAY SPRINGFIELD' OR 97477 I CONTRACTOR INFORMATION I ATTENTION: Oregon law requI In Contractor follow rules adogted ~ the Orea'l?ilS\\~ EUGENE EllEIil'ffif.~~t\!MMfEtN,I,;,,,, ft.l_ ._~~~li!~tyL In UAR F--BrnimN(,.u\......w...AlJllN-Oii1~ 0090. \v. lIIU; Vf.,IWHb'op:~ C>> the rules by calling the fliMlStlIr(Hote: the telephone R.I3umber for ~ellfllt9tf~fAAY'Notification Cent'Eyi8' 1l-W!7'$32-2344) VN Water Type: . Range Type: Energy Path: Sprinkled Bnilding: , Contractor Type Electrical # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction TYPE OF USE: n/a I DEVELOPMENT INFORMATION I NOTICE: Overlay Dist: THIS PERMIT {isMet lfJ!ees-llq'cf: THE WORK AUTHORIZED P,a.\:e!!~~irii~M.:,1MIT IS NOT COMMENCED "&f~~!tq\GAl~"Je17~[D FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I I Valuation Descriotion I Repair Residential Expiration Date 03/17/2005 Phooe 541-344-3561 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft 'Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Si~ewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pa~e I of2 Value Date Calculated . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01549 ISSUED: 01/11/2005 APPLIED: 12/16/2004 EXPIRES: 07/11/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Ff'f's Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $7.50 $5.25 $12.00 $63.00 1/11105 1/11/05 1/11105 1/11105 1200500000000000041 1200500000000000041 1200500000000000041 1200500000000000041 Total Amount Paid $87.75 I Plan Reviews I 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. I R,wutred Insof'ctinnsJ 11.1111 r Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I bave 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 lime, 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 Springr~ld, Oregon 97477 54t-726-3759 Phone Job/Journal Number COM2004-0 1549 COM2004-0 1549 COM2004-0 1549 COM2004-0 1549 Payments: Type of Payment CreditCard 1/11/2005 . RECEIPT #: .~,.,.','- ~' ~.,J ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000041 Date: 01111/2005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUSS ROBBINS Item Total: Check Number Authorization Received By ,Batch Nnmber Number How Received djb 011536 In Person Payment Total: Page I of I 8:12:26AM Amount Due 63,00 12,00 5,25 7,50 $87.75 Amount Paid $87,75 $87.75