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Home My WebLink AboutPermit Electrical 2006-07-17Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Frx 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00895ISSUED: 0711712006APPLIEDz 0711712006 EXPIRESz 0111712007 VALUE: SITE ADDRESS: 505 PACIFIC AVE ASSESSOR'SPARCELNO.: 1703274101500 PROJECT DESCRIPTION: Add 4 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Residential Phone Number: 541-Owner: Address: Contractor Type Electrical KATHRYN MERRICK 2433 W 29TH AVE EUGENE OR 97405 Contractor JEM ELECTRIC INC License 161235 Expiration Date Phone 0910712006 54t-729-1074 CATIUI I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Tvpe of Construction Page I of2 Yalue Date Calculated q'.rt es you to IHIb EXPIRE I nr F lHE WORK Rl','111 lS NOT Valuation Deseupliqn l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00895ISSUED: 0711712006 APPLIED: 0711712006 EXPIRESz 0111712007 VALUE: Fee Description + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid 7n7t06 7n7106 7n7/06 7n7t06 Receipt Number 2200600000000000986 2200600000000000986 2200600000000000986 2200600000000000986 $5.20 s4.16 $43.00 $9.00 $61.36 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. 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 Cify 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 Pas,e 2 of 2 Date t(eoulreo lnsDectro[s ] 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;* of Springfield Official Receipt D,. clopment Services DePartment Public Works Department RECEIPT #: 2200600000000000986 Date: 0711712006 2:16:35PM Job/Journal Number coM2006-00895 coM2006-00895 coM2006-00895 coM2006-00895 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0o/o Administrative Fee Amount Due 43.00 9.00 4.16 5.20 Item Total:$61:36 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard JEM ELECTRIC INC DJB 066912 In Person Payment Total: 1.36 $61.36 cReceint I Page I of I 7n7/2006 TFTSI'oFI*LS -t-l :25 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)7263753 o FAX: (541)726-3689 E LEC'T RI CAL PE RM IT APPLI CATI ON City Job Number (-OvuzPo6'O o g ?{Date 1. IAOCATION OF 3. COMPLETE FEE SCIIEDULE BELOW Z7L{ol too JOB DESCRIPTION Permits are non-trtnsferable end explre if work is not started within 180 days of issuance or if work is Suspended for 180 days. SPIlING 7 a 6 A. Nerv Residential - Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less $106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 2. City CONTRACTOR TNSTALI.ATION ONLY B. ElectricalContractor At U4 €kJ^'. Address Phone Constr. Contr. Number Expiration Date /o^ /-cl Siglature Electrician Each Manufact'd Home or Modular Dwelling Service or Feeder 4. SUBTOTALOFABOVE 8% State Surcharge l0% Administrative Fee TOTAL 1 Services or Feeders - Installation;'Alterations or Rclocation:l'r 200 Amps or less 2ol Amps to 400 Amps ==- 4ol Amps to doo Amps f 601 Amps to 1000 Amps Reconneot Onty - i' ss0.00 $ 63.00 $ 7s.00 $125.00 s153.00 $375.00 $ 50.00 Supervisor License Number Ocas C. Temporary Services or Feeders Expiration Date lo-/-o'-Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "8" above. D. Branch Circuits New Alteretion or Extenslon Per Penel / oneCircuit / $+:.oo V} - I Name City h.{ct^/e OWNER INSTALLATION The installation is being made on propcrty I own which is not intended for sale, lease or rent. Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (Service/feedcr not includcd) -Each Installation Pump or irrigation $ 50.00 SigrVOutline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges t4 +k"4-Otc G_ Owners Signature: \L{* SZ n t- Dq\o"\qtL s70 6t b CITY OF INGFIELD, OREGON fu(bffiv lnspectlon Request: 726-3769 r T- ao-571</cta<-<' .7 Shared Drivc(T:YBuilding Forms/Electrical Pcrmit Applicatiori t -OO.ao.