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Home My WebLink AboutPermit Electrical 2006-11-22F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01495ISSUED: 1112212006APPLIEDz 1112212006EXPIRES: 0512212007 VALUE: SITE ADDRESS: 3265 PARTRIDGE WAY ASSESSOR'SPARCELNO.: r703221306300 PROJECT DESCRIPTION: Electrical Service Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Owner: Address: LADLEY JAMES M & LORI J 3265 PARTRIDGE WAY SPRINGFIELD OR 97477 Contractor Type Electrical Contractor CRAFTSMAN License r70183 Expiration Date 0s/30/2008 Phone s4t-954-7589 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oI Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: [0[[Fr, THIS PERMIT SHALL EXPIRE IF THE WORK COMMENCED OR IS ABANDON ED FOR Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bid Amount ANY 1BO DAY PERIODDescription Type of construction $ Per sq Ft or multiplier Pase I of2 Value Date Calculated ts U I LDI.N G INI UK1VTA I IUL\ DEVII,LUPIVIIIN I INTUT(IVIATTU1\ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01495ISSUED: 1112212006APPLIEDz 1112212006EXPIRES: 0512212007 VALUE: Total Value of Project Date Paid Fee Description + l0o 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 tu22t06 tU22t06 tu22l06 tu22t06 Receipt Number 1200600000000001 674 1200600000000001674 1200600000000001 674 1200600000000001674 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726'3769' All will be made the same working day, inspections requested after 7:00 day Electric Service: Approval required prior to utitity company energizing service. inspection requested before 7:00 a.m. a.m. will be made the following work 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 furthlr certify that any uno utt woit 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 tt u co--unity Services Division, Building Safety' I further certify that only contractors and employees who are in compliance with oRS 701.005 witl be used on this project' I further agree to ensure that all required io.p.ciion, are requestea at ttre proper time, that each address is readable from the street, that the permit card is located at the fiont of the property, and ttre appioved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase2 oI2 Date 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'- -of Springfield Official Receipt L- . elopment Services Department Public Works Department RECEIPT #: 1200600000000001674 Date: 1112212006 tt:24:074M Job/Journal Number coM2006-01495 coM2006-01495 coM2006-01495 coM2006-01495 Description Perm Serv/Idr 200 amps or less + 5% Technology Fee + 8% State Surcharge + llYo 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 Check CRAFTSMAN ELECTRIC njm I 180 In Person Payment Total: $77.49 - cReceintl Page 1 of I t'12212006 tirf,ttFiltS*s CITY OF SPRINGFIELD, OREGON 225 FIF-IH STRf,ET . SPRINGFIELD,OR97477 o PH:(541)726-3753 o FAX: (s4l)726-3689 APPLICATION 4ES I. LACATTON OF TTTTSTEIIETTON: J, G s,/,,q.BTa )n -,t tic-, ZON U INITIALS DATE SOURCE Date //-))-O (z 3. COMPLETE FEE SCHEDULE BELOW A. New Residential - Single or NIulti-F'arnily 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 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: T'ZSPRIN6} J ffi,G LEGAL DESCRIPTION /7 O3 22 /s oasoo JOB DESCRIPTION $ 106.00 $ r e.00 $ Electrical contractor W 200 Amps or less Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. G0NTRACTORTNSTALL-ATTON ONLY Address City Expiration Date /O-i-A 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Yhone5/r-zSf -75&F Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $ l 25.00 $ I 63.00 $375.00 $ 50.00 $ s0.00 $ 69.00 $ r 00.00 $ 43.00 $ 3.00 Supervisor License Number 3 7 ;i 6 ;S C. Temporary Sen'ices or Feeders D. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with N0TlCtitce or Feeder Permit Owners Name Address IS City vuone SFlc- BtP(0 MM OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: A HORIZE trHts PER -Oach Installation D ANY 1B DONED FOR Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges SUBT:OTAL AF ANOVE .,j.& 8% State Surcharge 10% Administrative Fee 5%o Technology Fee 5.er MIT IS NOT $ 50.00 $ 50.00 $ 2s.00 $ 45.00 lnspection Request: 726-37 69 4. TOTAL Shared Drive(T: )/Bui lding Forms/Electrical Permit ication 8-06.doc ELECTRICAL City Job Number Constr. Contr. Number / 7O/gs Expiration oat. 5. 35 - O 8 Signature of Supervising Electrician dt ilttlbtegggqg'ls *a0 Q-/.