HomeMy WebLinkAboutPermit Electrical 2003-09-184)
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: COM2003-00926ISSUED: 0911812003APPLIED: 09/1812003EXPIRES: 03/1812004
VALUE:
SITE ADDRESS: 2950 Wayside Lp
ASSESSOR'S PARCEL NO.: 1703224104600
PROJECT DESCRIPTION: Replace Service
Owner: WILLAMALANE pARKS
Address: 200 SOUTH MILL STREET SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair Public
License Expiration Date PhoneContractor Type
Electrical
Contractor
OWNER
CONTRACTOR INFORMATION
v
] INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Y 1BO DAY PERIOD
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Page 1 of2
Description Type of Construction Value Date Calculated
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: COM2003-00926ISSUED: 0911812003APPLIED: 09/1812003EXPIRES: 03/1812004
VALUE:
tr'ees Paid
Fee Description
+ l0oh Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$6.90
$4.83
$6.00
$63.00
$80.73
Date Paid
9/18/03
9n8t03
9n8t03
9n8t03
Receipt Number
1200200000000002163
r200200000000002163
1200200000000002163
1200200000000002163
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
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 Springlield 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, Buitding 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 Date
Paee2 of?
Kequlreo rlNDecuons r
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services DePartment
Public Works DePartment
Receipt #: L 1:14:41PM
Amount Paid
coM2003-00926
coM2003-00926
coM2003-00926
coM2003-00926
Perm Servffdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ ljYo Administrative Fee
Item Total:$80.73
63.00
6.00
6.90
4.83
Payments:
Type ofPayment Paid By Received By Batch Number Authorization Number How Received AmountPaid
Check
Check WILLAMALANE lkw 48027 In Person
Payment Total:
$80.73
$80.73
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676Fax
March 01,2004
WILLAMALANE PARKS
2OO SOUTH MILL STREET
SPRINGFIELD OR
Job Number:
Location:
97477
coM2003-00926
2950 Wayside Lp
Project:Replace Service
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at2950 Wayside Lp which is set to expire
on311812004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building S afety Supervisor
City of Springfield
Development Services Department
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676Fax
March 26,2004
WILLAMALANE PARKS
2OO SOUTH MILL STREET
SPRINGFIELD, OR 97471
pry
Date Permit Issued:911812003
Permit Number:coM2003-00926
Location:2950 Wayside Lp
Project Description:Replace Service
Dear Permit Holder:
Recently, our office sent you a letter notifying you that your permit(s) was about to expire.
Because you did not contact us to request an inspection or to call us to veriff that progress has
continued to be made on the project, your permit(s) has expired. This letter is a reminder that
the above referenced permit(s) expired on3ll8l2004. Please contact our office at Springfield
City Hall, 225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00
p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on
your project. There are additional permit fees that are due in order to complete your project.
Lisa Hopper
Building Safety Supervisor
SFRTII.GEIELD
,
22s FrFrH srREEr . spRrNGFrELD, oLs7477 o pH:(54r)726-37s3.1ffi'ff[ffigj#Jtr"T,l[':;*ffi1]xtJ'1".:''n
Ciry Job Number
1. LOCAT'ION AF INS'I-ALI.ATIOIr
ZlSo *66;iDE (*e
.]OB DESCzuPTION
RepLnce sorE
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if rvork is
Suspended for 180 days.
2. coA,rRACroR rNslxrl./..rroN 0NLY
Electrical Contractor
Address
approval
Zoning
Date3. COLITPLETE
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 Arnps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Be lr
H"
ITELOV/
1000 Volts see "B" above.
Extension Per Panel
Z
A. Nerv Residential - Single or Nlulti-F'arnily per dwelling unit.
$ 106.00
Phone
Supervisor License Number 1oz: s
Expiration Date (o*( -pMl
$ 19.00
$s0.00
B. Services or Feeders - Installation, Alterations or Relocation:
( $ 63.00 L,3'&)
$ 7s.00
s 125.00
$ 163.00
$375.00
$ s0.00
C. Temporarl"Sen'ices or Feetlers
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
City
Constr. Contr. Number
K--rAv-/,il-
Owners Name Lr;LLArv\aL^NE Pxau h<r,
Address ZOo 5, nn,C1-s1-
citv S-leilras-l4A-Phone ]q
OWNER TNSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
or
or
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
7o/o State Surcharge
l0% Administrative Fee
TOTAL
PTR
$ 43.00
$ 3.00 ee.t'
E. $Iiscellaneous (Sert'ice/feeder not included) -[ach lnstallation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minirnum Electric Permit Inspection Fee is $45.00 * Surcharges
SUBTOTAL OF ABOI''E ,L 1,oo
1,Bz
L,q of go-7 s
$ 50.00
$ 50.00
$ 2s.00
$ 4s.00
Inspection Request: 726-3769
4
Shared Drivc(T: )/Building Fonns/Eler,trical Perrnit Appl ication I -03.doc
CITY OF NrlIITtr'INI
Expiration Date
Signature of Supervising Electrician
Dn Y
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