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Home My WebLink AboutPermit Electrical 2007-06-21Status 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: COM2007 -00917ISSUED: 0612112007APPLIED: 0612112007 EXPIRESz 1212112007 VALUE: SITE ADDRESS: I42O PARKER ST ASSESSOR'S PARCEL NO.: 1703253312500 PROJECT DESCRIPTION: 200amp service change Springfield ,t0 \RE \r 1tE Phone TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Owner: Address: Contractor Type Electrical Contractor Number: 541- Expiration Date 0y2st2008 Phone 541-689-7973 ARDITH GAMBILL 1420 PARKER ST SPRINGFIELD OR 97477 N\PBOB FISHER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I 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 T Paved oh of I Au\l gO Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VB $ Per Sq Ft or multiplier nla f.q rO ,NO\ Type: Downspouts/Drains: ARKING ,rlb"' Square Footage or Bid AmountDescription Type of Construction Page I of2 Value Date Calculated 96275 Valuation Description L,l1V t1l-(rrIYlDI\ I 11\_r lJr(lYll\ r r\r1\ | Status Issued 225 Fifth Streeto Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00917ISSUED: 0612112007APPLIED: 0612112007EXPIRES: 1212112007 VALUE: Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $3.15 $s.04 $63.00 s77.49 Total Value of Project Date Paid 6t2U07 6t2U07 6tzu07 6tzu07 Receipt Number 2200700000000000993 2200700000000000993 2200700000000000993 2200700000000000993 Fees Paid Plan Reviews To Request an inspection call the24 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. Electric Service: Approval required prior to utility company energizing service. nsnections 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 wilt 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 Pase 2 of 2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt Jvelopment Services Department Public Works Department RECEIPT #: 2200700000000000993 Date: 0612112007 10:34:l0AM Job/Journal Number coM2007-00917 coM2007-00917 coM2007-00917 coM2007-00917 Description + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Perm Serv/Fdr 200 amps or less Amount Due 3.t5 5.04 6.30 63.00 Item Total:s77.49 Payments: Type of Payment Paid By ffibei Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBERT FISHER djb 020330 In Person Payment Total: 977.49 - cReceint I Page I of I 612U2007 {r.ffi** SPrU N G Fl ELD :+7};::i&'!*ffi #*.4 ,*;: ti:.,,,-;";,j.: j: ; ,.. ,*i;:"=,.- Qh,','w ZON tdL INITIALS N Tl/\ DATE SOURCE225 FIF"TH STREET r SPRINGFIELD,OR97477 . PH.(541)726-3753 . FAX: (54r)72G3689 ELE CTRI CAL P ERM IT AP P LI CATI O N City Job Number Cot^Ze(fr- oO7 /7 Date Z4 o 1. LOCATI'3 t\zo u€{L 5f LEGAL DESCRIPTIONI t7 D ) Zszs \zso o JOB DESCRIPTION Zoor+ s?vL cvlb{Qf Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. ,"Nerv Residential - Sing.le or iVlulti-Famill'p9r dwellilg unit', , Service Included 1000 sq. ft. or less (r.E##SffiIBrfBPq,AC' i"Pffffi1#\5tff5r6 aql Jo] icqurnu- ','Efdhi NHft|,fictldtseoeog D u I 1 ; ec ' ;.itrgoddad D1^,reffup$fis1pqR 1' 6;a6 Feeder $106.00 $ 19.00 $50.00 t00 'j 1 Electrical Contractor Address Constr. Contr. Number Expiration Date Owners Name LB?t? ?-< 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only A,tgpppnr or less {tml'tffite 4po Amps ,c,6gi,!,a!od{,ffi*e: D. IV b3 rl C- $ 63.00 $ 7s.00 $r2s.00 $163.00 $375.00 $ s0.00 Ciry Phone Supervisor License Number 7?zq I C..TemporaryServicesorFeeders....]... Expiration Date Installation, Alteration or Relocation N0 'Hto -o $ 50.00 $ 69.00 $ 100.00 'dil .,I&e " above. $ 43.00 $ 3.00 Signature of Supervising Electrician I:Lt*b,{( Address l\Z(>(cc(sr E. Cify iPr:D New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature Pump or irrigation Sign/Outline Lighting Limited EnergY/Residential Limited Energy/Commercial Minimum Electric Permit Inspection 50.00 s0.00 25.00 45.00 $ $ $ $ Fee is $45.00 + ) o8% State Surcharge l0% Administrative Fee 5% Technology Fee -Zaa---7777q9Inspection Request: 726-3769 4. TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application 8-06.doc lss tln u tB0 /O /D* /t'7 4tt 4lvy Phon"rui ''7J27