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Home My WebLink AboutPermit Electrical 2006-03-15F 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: COM2006-00314ISSUED: 0311512006APPLIED: 03/1512006EXPIRES: 09/1512006 VALUE: SITE ADDRESS: 355 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262103601 PROJECT DESCRIPTION: Temp Service for Fire Damage Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: Repair Owner: Address: Contractor Type Electrical BASOMDARRELLD&JEANNE 355 WOODLANE DR SPRINGFIELD OR 97477 -u0.,_ ,ilOne calion Contractor ALERT ELECTRIC INC License 12772 Expiration Date Phone 0512212007 541-747-2213 *,# 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: r 1BO DAY Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R THIS PE RM ABANOO NE PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: D T Sidewalk Type: Downspouts/Drains: Handicapped: Compact: PERIO $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated I fa. 1- l, U r|.r,rNli !N ! llr(N4,qlll2Nl valM F 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: COM2006-00314ISSUED: 0311512006APPLIED: 03/1512006EXPIRES: 09/1512006 VALUE: ' Fee Description + l0Yo Administrative Fee + 87o State Surcharge Temp Power 200 amps or less Total Amount Paid Amount Paid $s.00 $4.00 $50.00 $59.00 Total Value of Project Date Paid 3nst06 3nst06 3nst06 Receipt Number 3200600000000000128 3200600000000000r28 3200600000000000128 Fees Paid 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. Temporary Electric: Approval required prior to Utility Company energizing pole. nsnections By signaturer l 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 OCCUPAIICY 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 stree! that the permit card is located at the front of the property, and the approved set of plans wiII remain on the site at all times during construction. Owner or Contractors Signature Pase? of2 Date CITY OF ING FIELD, OREGON 225 rIFTII STREET ;SPRINGX'IELD, OR City Job PERIUTIT APPLICA TION 91477 o W:(54-D7?e3753 o tr'AX: (S4t)T2Gfui L ;, ;; lz New Residential- Single or Multi-Family per dwelling unit. Permits are non-tranrferable and expire if work ir s106.00 $ 19.00 not rtarted within l&) dryr of irs uance or if rork is Each Manufact'd Home or Modular Dwelling Service or FeederSurpended for l&) days. 2' coNTRAcroR INSTALLATT1N DNLY B sen'ices or Feeders - Installation, Arrerations or Rcrocation: l Electrical Contactor r\1ert Electric I nc 200 Amps or less 201 Amps to 400Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Recorrrect Only Address 7970 ll. 28th Street Crty Spr .Inct field Phone (5 41 ) 7 47 -2213 Sr+ei:nisor License Number 2 435 C. Temporary Scn'ices or Fecdcrs Expiration Dat€ l0 / 0l / 2007 Inrte[etlou, Altentbr or Rebcrfl,on I. LOCATION OF INSTALLA TION3s5 LEGAL DESCRIPTION Constr. Coffi. Idmber 127 7 2 Expiration Date OWNER The installation is being made on prop€rty I own which is not inteoded for sale, lease or rent. Ovmers Signah:re: Date S : ls 3. COMPLETE FEE SCHEDULE BELOW A Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof $ 63.00 $ 7s.00 $r25.00 $163.00 $375.00 1- Signatue of Stryervising Electrician Oumere Each Additional Circuit or with Service or Feeder Permit $ 3.00 Address 35S I f Uf nU M- E. Miscellaneous (Sen'ice/fceder not inclurled) -Each Installation o,/er 6a Atr,bi 6i.ituS*l,T*f,ryr THE W0 R K'x#*+8,$ffi,#m:ll.'l;,'h- 200 Arnps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 4. SWTOTAI, OF ABOVE 8% State Surcharge I 0/o Administrative Fee TOTAL $ 50.00 / $ so.oo $ 69.00 $r00.00 I'01) $--ffi.--@ City ftrmp or irrigation $ 50.00 Sign/Outline LrChtinS $ 50.m Limit€d Eoergy/Residential $ 25.00 Limit€d Energy/Commercial $ 45.00 Mlnlmum Electrlc Pennit Inrpection Foe lr $45.00 * Surcherger 5a.{22' 5 . irz) Inrpectlon Requert 72613769 Sherod DrhndT:/Building Formr/Eloctricel Pcrmit Applicatioa l46.doc 01 nr,o953 -199k 50 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt Jevelopment Services Department Public Works Department RECEIPT#: 3200600000000000r28 Date: 0311512006 3:04:32PM Job/Journal Number coM2006-00314 coM2006-00314 coM2006-00314 Description Temp Power 200 amps or less + 8% State Surcharge + l0% Administrative Fee Amount Due s0.00 4.00 5.00 Item Total:$s9.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard STEVE J. HADELBERG/ALERT ELECTRIC njm 015083 Phone Payment Total: $59.00 $59.00 'i' 3n5/2006 Page I of I