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Home My WebLink AboutPermit Electrical 2004-12-16Status: Issued 225 Fifth Street, Springfield, OR 541-7261753 Phone 541-726-3676Fax 541 -7 26-37 69 I nspection Line F SPRINGF'IELD Buildin g/Co mbin ation Permit PERMIT NO: COM2004-01545ISSUED: 1211612004APPLIEDz 1211612004E)?IRESz 0611612005 VALUE: SITE ADDRESS: 1273 PARKER ST ASSESSOR'S PARCEL NO.: 1703264416800 PROJECT DESCRIPTION: Springfield TYPE OF Electrical Work Only TYPE OF USE: Alteration Residential the telephone Utility Notification RepairandrepracemiscerranlllEltf 6:ft ls"Jd'"HllTr\"t'Siresvouto NOtification Center. Those rules are set forth t6bnn 952-00i -cr010 through CAR 952 001- Owner: Address: HELGESON SCOTTJ & LISA R 1273 PARKERST SPRINGFMLD OR 97 Contractor Type Electrical Contractor WEILAND ELECTRIC INC C e ntqP6tnggu 3lj tipftUtion Date s8600 0u23t2005 Phone 541-485-3639 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Ft Other: pant Load: $ Per Sq Ft or multiplier Square Footage or Bid Amount nla Sidewalk Type: Downspouts/Drains REQUIRED PARI(NG Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated lrulrJl.rl]\ (, rr\,r UI{.rYll! I IV!'U D FOR Valuation Descrintion I Status: Issued 225 Fifth Street, Springfield, OR 541.:7264753 Phone 541-726-3676Fax 541 :7 26-37 69 I ns pe ction Line F PRIN Building/Combination Permit PERMIT NO: COM2004-01545ISSUED: 1211612004 APPLED z 1211612004E)PIRESz 0611612005 VALUE: Fees Paid Fee Description + l}oh Administrative Fee + 7%o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 12lt6t04 t2lt6t04 t2lt6t04 Receipt Number 2200400000000001522 2200400000000001s22 2200400000000001s22 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certiS that any and all work perf'ormed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ 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 timeo that each address is readable from the streeto 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 2of2 Kequrreq rnspecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200400000000001522 Date: 1211612004 1:21:16PM Job/Journal Number coM2004-0 r54s coM2004-01s45 coM2004-0 r545 Description Perm Serv/Fdr 200 amps or less + 7Yo State Surcharge + l0% Administrative Fee Amount Due 63.00 4.41 6.30 -sE rItem Total Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard WEILAND ELECTRIC ddk 016129 In Person 973.71 Payment Total: -Sffi tzn6/2004 Page I of 1 *rffatl:ra .!;&'):":r; t!\|{i.ai I t;.r* i3 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 ELECTRI CAL P ERMIT AP P LI CATI ON City Job Number COrn"rZOO"[-O TqTLS Date 1. LOCA'TION OFINSTAILA'I'ION 3.FEE \ryb QotXeY 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 ty unit. 4e ${300h bz.oo $ s0.00 $ 50.00 $ 25.00 $ 4s.00 00 LEG JOB DESCRIPTION A. New A 401 E. vVv-d)^trrir/J- are and expire if work is '' not started within 180 days of issuance or if work is Suspended for 180 daYs. B.)on Electrical Contractor Address Supervisor License Number Expiration Date 601Amps 1000 ffie'Y,gl'#i:;i ( 200 20t to 400 Amps to 600 Amps s 75.00 rf tlie rgll95.Sr slgno00-3322344r $ s0.00 $ 43.00 $ 3.00 Amps Amps Amps Constr. Contr. Numb ", ,7 I d a a Expiration Date ^2.ro3 of Owners Name Address I City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Over 1000 Reconnect One Circuit Each Additional Circuit or with Service or Feeder Permit a City C. Temporary Services or Feetlers 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 "B" above' New Alteration or Extension Per Panel n Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited EnergY/Commercial Minimum Electric Permit Inspection Fee is $45'00 * Surcharges 4. SUBTOTALOFABOVB lVo State Surcharge 10% Adminisffative Fee TOTAL 4.+t [o,3O 3 Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application I {3'doc T Relocation: Installation or /l-o;- ?-2 tto"" \K€'3(?7 2rirS Sr..gsrd,