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Home My WebLink AboutPermit Electrical 2006-09-22F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-126-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-01024ISSUED: 0912212006APPLIED: 08/0912006 EXPIRES: 0312212007 VALUE: SITE ADDRESS: 2687 sTH ST ASSESSOR'S PARCEL NO.: 1703233410200 PROJECT DESCRIPTION: NEW ELECT SERVICE and SH Springfield Owner: Address: Contractor Type Electrical Contractor ALERT ELECTRIC INC Expiration Date 0st22t2007 Phone 541-7 47 -2213 LEMONDS THOMAS P 7358 B ST SPRINGFIELD OR 97478 0090 You maY calling thecsnter' number torthe Oregon Wtity Notification l5 License 12772 CONTRACTOR INFORMATION # 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: Lot Size: Height of Structure Sq Ft lst Floor: Type ofHeat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Ntild'G[ratn: Sq Ft other: iffigf,Ektt$t!flFeL EX:',:,n/t I IE ffiSffiant Load: R-3 VB r. l Arb\,J{&B*Y.PERl0D. # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: :-:] FOR Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of 2 Value Date Calculated w hh lrUILlrIl\L, li\r(rI(tYlA t Ilrl\ | Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-01024ISSUED: 0912212006APPLIED: 08/0912006 EXPIRESz 0312212007 VALUE: Fee Description + l0oh 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 9t22t06 9t22t06 9t22t06 9t22/06 9t22t06 Receipt Number 3200600000000000483 3200600000000000483 3200600000000000483 3200600000000000483 3200600000000000483 $4.60 $2.30 $3.68 $43.00 $3.00 $56.58 To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. nsnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase 2 of 2 Date e Fees rfltfl I 1)€-. N r'-q -2S 4., =,o,..=',flXip Yt.o , t,,. '.. &922s FIFTH STREET o SPRINGFIELD, OR 97477 o PH:$a\726-3753 o FAX: (541)726'3689 E LECTRI CAL P ERMIT APPLI CATI ON City Job Nr-Ud 3. Date ? (- LEGAL DESCRIPTION \-r o-3 33 ())- L E. Address \aZC J L8ru sr. *rWpn," 1*-tZZi3 2 i,3E JOB v Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor Supervisor License Number Expiration Date tlt-b-? Constr. Contr. Number tffitL Expiration Date G-U'O1 Si gnature of Supervising Electrician Owners Service Included Center 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAr'olts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Each Additional Circuit or with Service or Feeder Permit B $ 63.00 $ 75.00 $125.00 $ 163.00 $375.00 $ 50.00 $ s0.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. New Alteration or Extension Per Panel /: i I One Circuit $ 43.00 t -) ) ( $ 3.oo notvytAdda Ciry pn"^" 74L -5)t5 OWNER ,ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. NO THI AUT ''s*ifffiilt*'Exptnr lF THE ,,CN, ---?vy ORK NOTUNDER THIS PERMIT IS COMMENCED OR IS ABA 7o/o State Surcharge l0% Administrative Fee TOTAL Shared Drive(T:)/Building FormVElectrical permit a "6cANY 1&8ilSi6,fFil$It' 7zil376s 4. l -03.doc 1.LOCAT'ION INSI'ALIAITION 0'Y A. Nerv Residential - Single or i\Iulti-Family per drvelling unit. 2. OoNTRACIOR TNSTALTATTON O^{LY C. 'femporary$crvices or Fceders 3 zL-Pump or irrigafion $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges A ..JO 5 Fifth Street rririgfield, Oregon 97 477 ll-726-3759 Phone C'- of Springfield Official Receipt [,r.. elopment Services Department Public Works Department RECEIPT #: 3200600000000000483 Date: 0912212006 2:46:22PM ob/Journal Number :oM2006-01024 :oM2006-01024 coM2006-01024 coM2006-0 r 024 coM2006-01024 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8%o State Surcharge + l0oh Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total:$s6.58 Payments: 'I'ype of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard STEVEN J. HADELBERG njm 022630 Phone $56.58 PaymentTotal: ffiB- cReceint I Page I of I 9/22t2006