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Home My WebLink AboutPermit Electrical 2007-05-30Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00778ISSUED: 0513012007APPLIED: 05/3012007EXPIRES: 1113012007 VALUE: SITE ADDRESS: 2052 5TH ST ASSESSOR'S PARCEL NO.: 1703262403502 PROJECT DESCRIPTION: Add fwo circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Phone Number: 541- Phone 541-344-4928 Owner: Address: Contractor Type Electrical JOSEF HATZEL 2052 N sTH ST SPRINGFIELD OR 97477 NO Contractor THIS PERMIT SHALL EXPIRilihlH&W0H&piration Date LIVEWIRE ELrygH+|lq+DFn urunrR THts pfltrpftT tS NoT 0s/16/2008 TION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: C0 Ft)l'i - ANY 1i]t] DAY PTBIl]T) # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: law r@ilrog 401 116rf;Imt Other: nt Load: REQUIRED PARKING Total: Handicappedr Compact: VB Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sidewalk Type: Downspouts/Drains $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of2 Value Date Calculated Valuation Descrintion I are set Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY F Building/Combination Permit PERMIT NO: COM2007 -00778ISSUED: 0513012007APPLIED: 05/3012007 EXPIRES: 1113012007 VALUE: Fee Description + lDoh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid 5t30t07 5t30t07 5t30t07 5t30/07 5t30107 Receipt Number 2200?00000000000E60 2200700000000000860 2200700000000000860 2200700000000000860 2200700000000000860 $4.60 $2.30 $3.68 $43.00 $3.00 $56.58 To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wilt be made the following work day. Rough Electric: Prior to Cover 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 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, tnat 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 Pase 2 of 2 Date _F ees raro I Reouired lnspecttons Cit' of Springfield Official Receipt Dv. elopment Services Department Public Works Department RECEIPT#: 2200700000000000860 Date: 0513012007 1:55:0EPM Job/Journal Number coM2007-00178 coM2001-00778 coM2007-00778 coM2007-00778 coM2007-00778 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total:s56.58 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard LIVEWIRE ELECTRIC djb 390134 In Person $56.58 PaymentTotal: ffiB- cReceiotl Page I of I 513012007 225 Fifth Street Springtield, Oregon 97 477 541-726-3759 Phone SPiilXGltri$A- 225 F[FTH STREET . SPRINGFIELD,OR97477 o PH:(54r)72G3753 o FAX: (541)72G36E9 E L E CTRI CAL P E RMIT AP PLI CATI ON cityJobNumber COytaZa-|- Od 77 K zoN INITIALS DATE SOURCE Date S--3o -6 ? '% LEGAL DESCRIPTION:ltcizezL ( o 3toL 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 iess 201 Amps to 400 Amps JOB DESCRIPTION: Supervisor License Number fit Crt(cu r7- kr r7/a/ B. /SA C. HAtL ER $106.00 $ 19.00 s50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 Permits are non-transferable and expire if work is not started within 1E0 days of issuance or if work is Suspended for 180 days. ) City Erectrical coot IJUEW|RE ELEf;H,lq' NC' P.O 1706 Address Phone C ANY 1BOji73 - Expiration Date Constr. Contr. Number Expiration Date Sigrrature of Supervising lollcw rulee adopte eBtion ceruer. 1-O010 ufrry651r'n Owners Name t"'l Address ZO S City .sa Phone OWNER INSTALLATION The installation is being made on property I own which is not intanded for sale, lease or rent. Owners Signature: 0#fffi <irwithr.(N &tfseafP&tctt 0 E. Pump or irrigation $ 50.00 Sign/Outiine Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 b/,ef olts see "B" above. Per Panel I $ 43.00 / s :.oo--+- 8% State Surcharge 10% Administrative Fee 5% Technology Fee 401 Amos to 600 Amos tdflffi*:"lt"nsoo^msrHtq,iffi;;ffiffi'( eaddil;utrl,D_rYUr_,,,,ryvrutU FORDAY PF 5 B/OD '/3 - 9' 5/r'58Inspection Request: 726-37 69 4. TOTAL Shared Drive(T:)/Building Forms/Electncal Permit Application 8-06.doc 1.3. A.itesirien*inl .Siugle lvsri{r}.-4?}b$or Rel+cafion: ',Tempora{,5er!-rtes or Fees*ers