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Home My WebLink AboutPermit Electrical 2007-03-05Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Bax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00327ISSUED: 0310512007APPLIED: 03/0512007EXPIRES: 09/0512007 VALUE: SITE ADDRESS: 1456 PARKER ST ASSESSOR'S PARCEL NO.: 1703253312800 PROJECT DESCRIPTION: 200amp service change TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential License Expiration Date Phone 541-485-731 I Springfield Owner: Address: Contractor Type Electrical JONAS LIVING TRUST 84520 LORANE HWY EUGENE OR 97405 Contractor RICHARD STANLEY GROSHONG CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height qf Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Et lst Floor: Sq Ft 2nd Floor: Sq Ff'Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VB .ala Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Dist: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: /80 $ Per Sq Ft or multiplier 04,y /g 4 Rqd: /r Square Footage or Bid Amount PUBLIC IMPROVEMSI$PD Valuation Descrintion Description Type of Construction Page I of2 Value Date Calculated T r* IrUlrJtrll\(r rNr\rr(1Y!5,f !U1\ l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2007 -00327ISSUED: 0310512007 APPLIED: 03/0512007 EXPIRES: 09/0512007 VALUE: Fee Description + 10"/" Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $3.r5 $5.04 $63.00 s77.49 Total Value of Project Date Paid 3t5t07 3t5t07 3t5t07 3tst07 Receipt Number 3200700000000000131 3200700000000000131 320070000000000013r 3200700000000000131 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 dayn 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 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 alt 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 t(eourreo InsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir-' of Springfield Official Receipt D ,lopment Services Department Public Works Department RECEIPT #: 3200700000000000131 Date: 0310512007 2:3e:31PM Job/Journal Number coM2007-00327 coM2007-00327 coM2007-00327 coM2007-00327 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + l0oh Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:$77.49 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard RICHARD GROSHONG djb 051243 In Person Payment Total: $77.49 - cReceint I Page I of I 31512007 rmmftl iryvSPFIINGFIELD ,'. ::'"ZON o 1 INITIALS DATE SOURCE [v rvl 22sFIFTHSTREET o SPRINCFIELD,ORgT{77 o PH:(S'{!)726-3753 'FAX:(511)726-3689 E LECTRICAL PERM IT AP P LI CATI ON City Job Number Cot*t 7 -o.> 3Z -7 Date r. LOCATION OF INSTALL4TIAN: 3. COITIPLETE FEE SCHEDWE BELO\'y" qgU Qr. Uel s,l-I 7 C O I,{ T IL4 CT O R IN ST AL LAT I O N ONI, }-B. Sen'ices or Feeders - Installation. Alterations or Relocation: LEGAL DESCRIPTION t7o3 z 53 l? goo JOB DESCzuPTION Zoo S@vC c#v Permits are non-transferable and expire if work is not started n'ithin 180 days of issuance or if work is Suspended for 180 days. E I ectrical C ontrac tor -t e..j\i J 6 n\i.-*: t r^e- Address *16r/4. l-orav-q-- f&.1.f - Ciry Phone 4A(-"S 1 46 -b1?( 4nz 3 Expiration Date Constr. Contr. Nunrber Expiration Date Signature of Superv ising Al I t-t follow r .lotificati J090. Yo owners yu,n.Ta'-y' ( A. Nerv Residential - Single or i\'[ulti-Famil;- per dwelling 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 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 201 Arnps to 400 Amps 401 Amps to 600 Amps Pump or irrigation SignrOutline Lighting Limited Energy/Residential Limited Energy/Commercial $ 106.00 s 19.00 $50.00 L $ 63.00 $ 75.00 $ 125.00 $ r 63.00 $375.00 $ s0.00 $ 69.00 $ 100.00 L3 Supervisor License Number C. Temporary Sen'ices or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits " , '; ,' New Alteration or Extension Per f anel One Circuit $ 43.00 t $ 3.00 -Each Installation $ s0.00 $ 50.00 $ 2s.00 $ 45.00 Surcharges ("5 50{----EEo-- ---37{ oLo r {r'1, rns Orroon Litilitv Notiflcatter, ;,,r$eiHt:*n+-gse(Hrue/reeder not included)Address ,rrr@- rn*" OWNER INSTALLATION The installation is being made on propefty I own which is not intended for sale, lease or rent. Owners Signature: t{0El!@f[r.num Electric Permit Inspection Fee is $45.00 + IHIS BERflvpg .p4lHtfrrlr*PftIiY+t WORKAUTH0Rl&,OUrm,mfm$ fERMtT tS NOT ifl'Y l,il$ffiF"p,fi69$$oi' i b Foi' TOTAL 77't?Inspection Request: 726-3769 Shared Drive{T: )/Bui lding Fonns/Electrical Pennit Application 8-06.doc t/22h I