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Home My WebLink AboutPermit Electrical 2004-09-16Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01148ISSUED: 0911612004 APPLIEDT 0911612004EXPIRES: 03/1612005 VALUE: sITE ADDRESS: 3198 PARTRIDGE WAY Springfield TypE Or wbnX: I Etdcirftirlqbyp-b_& ASSESSOR'S PARCEL NO.: f 703221308900 .' i.- . i'ie tii',.,ijon Utility TYPE OF USE: : ,nOOrulOn are sefi55f{51621 PROJECT DESCRJPTION: Wire light above laundry area and add duplex outlet in kitchdrh: irricr:(,in CAR 952-00'l- obtain copies of the rules byrou n Owner: HOWLAND SCOTT & CyNTHIA Address: 3198 PARTRIDGE WAY SPRINGFIELD OR 97477 re ce nurnbei for the Oregon Utility Notilication Center is 1 Contractor Tvpe Electrical Contractor LR BRABHAM Expiration Date 12fi8,t2004 Phone s4t-747-6638 License 8699 CONTRACTOR INFORMATION } INFORMATION # of Units: Primary Occupancy 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: Height of Structure Type of Heat: Water Type: i # of Stories: Range Type: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: MIT SHALL EXPI Energy Path: ABA ZED UNDER THI CED O DAY P $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQI.IIRED PARI(NG Total: Handicapped: Compact: DEVELOPMENT INFORMATI( PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated rEl Cailil-iE Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01r48ISSUED: 0911612004 APPLIEDz 0911612004 EXPIRESz 0311612005 VALUE: Fees Pa Fee Description + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Date Paid 9n6t04 9n6t04 9tr6t04 9n6t04 Receipt Number 3200400000000000248 3200400000000000248 3200400000000000248 3200400000000000248 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl 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. Reouired Insnect 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 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 Date q Pase2 of2 LL.l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 3200400000000000248 Date: 0911612004 12:11:36PM Job/Journal Number coM2004-01148 coM2004-01148 coM2004-01148 coM2004-01148 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7oh State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LR BRABHAM njm 31127 By Mail $53.82 Payment Total: -T33.-ET 9lt6/2004 Page I of I t5llll|ilI:rl 225 FIFTH STREET . SPRINGFIELD, OP.97477 o PII:(541)726'3'753 o FAX: (541) PERIITIT APPLICATION ?f^,"Elklpa %City Job Number eo l. LOQATTON OF rNSrALr-qLTON . 3fi8 //tKrK/DG 17477 J _$l LEGAL DESCzuPTION A. B. C. E. 7o3 2a /3 o y/cv Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereofLdirz,lZ ftun rt JOB DESCRIPTION { non- not started within 180 days of issuance or if work is Suspended for 180 days. oti may obtain cse rules are set forth 1.;161rgh OAR 9^52-001 - copresctthe ftiB8t1r Each Feeder 4 Contractor L. R. Brabham, Inc . Address 6B West rrQrr Street ciry spf Ld. 97477 Phone 747-6638 Supervisor License Number 49445 Expiration Date Constr. Contr. Number B 699 Expiration Date // Signature of Supervising Electrician 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 tOOQ Voff see "B,'ab9ve,,,_.. D. Iirarrcli Circuiis, i . i::r .:.,-,';:;: i ,"r'.;:-;l{ Panel / /- 4J, 1-800-332-2344). $ 63.00200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only New AUtf E/Ion itir ffi frjiltsion Per One Circuit Each Additional Circuit or with Service or Feeder Perrrit $ 75.00 $ 125.00 s163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 s s0.00 $ 2s.00 s 45.00 3 Owners Name Address u/,tul ,non" -746,'0O.City $ 50.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Sigaature: Pump or irrigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 46 3.A v 7o/o State Surcharge 10% Administrative Fee TOTAL --2,-GT-s5N Inspection Request: 726-37 69 4. Shared Ddve(T:)/Building Fonns/Electrical Permit Application l-03.doc