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Home My WebLink AboutPermit Electrical 2004-04-13Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line SITE ADDRESS: 2786 VIEWMONT AVE ASSESSOR'SPARCELNO.: 1703244100105 PROJECT DESCRIPTION: 200amp service Owner: TRAVIS BIRKBY Address: iistvtPwN{oNT AvE SPRTNGFIELD oR 97477 Building/Combination Permit PERMIT NO: COM2004-00411ISSUED: 0411312004 APPLIEDz 0411312004 EXPIRES: 10/1312004 VALUE:. Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Phone Number: 541- Contractor Tvpe Electrical Contractor BUTLDERS ELECTRIC INC License 4296 Expiration Date 12n012007 Phone 541485-0922 # of Units: Primary Occupancy GrouP:R-3 Secondary Occupancy GrouP: Primary Construction TyPe Secondary Construction bJ # of Bedrooms: Rearyard Setback: Solar Setbacks: # of Stories:Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Street Improvements: Storm Sewer Available: Special Instruction: Notes: COMM irntun OR\ZED ENCED BO DAY SHALL UNDER OR \S PER\OD ABAN lHIS PERM t0R REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: NOTI lHIS GE: $ Per Sq Ft or multiplier 11 IS NO Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: AUlH DONED ANY 1 Total Value of Project Page I of2 Description Tvpe of Construction Value Date Calculated BUILDING lNtlUKIVTAr ruN I Structure the $aJ \he to(\ne i.{Frontyard {o\} Valuation Description Plan Building/C ombination Permit Status Issued 225 Fifth Street, SPringfield' OR 541-726-3753 Phone 541-726-3616Fax 541-7 26-37 69 InsPection Line Fee Description + l}oh Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amPs or less Total Amount Paid day. To Request an inspection call the24 will be made the same working day' $73.71 hour recording at 726'3769' inspections requested aftet 7 All inspection requested before 7:00 a'm' :00 a.m. will be made the following work Amount Paid $6.30 $4.41 $63.00 Date Paid 4l13l04 4l13l04 4lt3l04 PERMIT NO: ISSUED: APPLIED: EXPIRES: VALUE: coM2004-00411 0411312004 0411312004 1011312004 ReceiPt Number 1200400000000000468 1200400000000000468 1200400000000000468 ElectricService:Approvalrequiredpriortoutilitycompanyenergizingservice. Owner or Contractors Signature Date 1 By signature, I state and agree, that I havecarefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any "na "n work performed shall be done in accordance with the ordinances of the city of Springlield and the Laws of ihe 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 emptoyees who are in compliance with oRS 701.005 will be used on this project' I further agree to .nr,r.. thut all required insie"iions are requested at the proper time, that each address is readable from the street, that the permit card is tocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Pase2 of2 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt ,eveloPment Services DePartment Public Works DePartment Job/Journal Number coM2004-00411 coM2004-00411 coM2004-0041I RECEIPT #: DescriPtion Perm Serv/Fdr 200 amPs or less + 7o/o State Surcharge + lOo/o Administrative Fee 1200400000000000468 Date: 0411312004 8:29:43AM Amount Due 63.00 4.41 6.30 - Item Total: C Number How Received Amount Paid Payments: Type of PaYment Received BY Batch Number Paid BY 000353 045857 In Person Payment Total: $73 7l CreditCard KELLY OBRIEN djb 4/13/2004 Page I of I AFilH(irlTLl, L 225 FIFTH STREET ' SPRINGIIELD' OR97477 o PII:(541)726-3753 ' F ELECTRICN- PERMIT APPI,ICA T'ION Date 1. LOCA'I|oN OF INS'I'ALI.A'I'ION 3. Z7 s6v I eu4 t/ut O'n + Zoning as submitted has the lollowing require sPecitic land use -o City JobNumber fii44 Lll /3 o Date 200 Arnps or less 201 Amps to 400 AntPs 401 Arnps to 600 AtttPs 601 Amps to 1000 AntPs Over 1000 AnrPs/Volts Reconnect OnlY LEGAL DESCRIP'IION lt Z .lt-l I .oo to{ JOB DESCzuPTION ZC> OL =P-,/L Permits are non-transferahle and expire if rvork is not startea within 180 days of issuance or if rvork is Suspended for 180 daYs. 2.'' 1?NTRACTO R rNST'ALLA?rON oN LY Electricat contractor Btlildgf S 6leCl rlt tr ''Q Address acl Phone 4 A.Nerv llesiderrtial - single or l\lulti-Iralnil.v per dn'elling unit' Service Included 1000 sq. ft. or less Each additional 500 sq. ft' or portion thereof Each Manufact'd Home or Modular Dwelling Sen'ice or Feeder $-50.00 B. Services or feetlers - Inslnllntiolt, Allernliotts or Relocation: L3 n $ 63.00 $ 75.00 $ 1 2,s .00 s 163.00 s-17 5 .00 s -s0.00City-cn a Supervisor License Number 329 o.s C. Temporary Services or feetlers Expiration Date lD. l '04 Installation, Alteration or Relocntion Constr. Contr. Number $ 50.00 $ 6e.00 $ 100.00 Expiration Date .l 'B" above. Si sing Electrician Panel $ 43.00 $ 3.00 owners Nam" Tr2Avr :ZcB Address Zz86 \/ , -r'l la c,--'- l E. I\"[scellaneous (Sen'ice/feeder ttot irrcltrtled) -Iinclt Installation $ 50.00 s 50.00 $ 2-5.00 s 45.00 n Fee is 345.00 * Surcharges 5S tlq/ L30 7371Inspection Request: 726-3'169 Shnral Drive(T:)rBuilding Fonns/Electrical Pcnnil Application l -0-1.doc rq r.\Cn $ 106.00 s 19.00 or rvith 200 Amps or to D. nuinber the Service or Feeder Pernrit Pump or irrigation ciiiirir city lDt'\ pnone a Lightirrg Energv/Comnrercial SUBTOTAL OF ABAVE 79'o State Surcharge I0% Administrative Fee TOTAI,