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Home My WebLink AboutPermit Electrical 2005-11-04Buildin g/Co mbin ation Per mit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 I nspe ction Line PERMIT NO: COM2005-01548ISSUED: 11/04/2005 APPLIED: 11/01/2005E)GIRES: 05/0412006 VALUE: SITE ADDRESS: 299 sTH ST ASSESSOR'S PARCEL NO.: 1703353100900 Springfield TYPE OF TYPEOF USE: Electrical Work Only Addition CommercialPROJECT DESCRIPTION:Add electrical circuit for work at Ltd transit stop Owner: Address: Contractor Tvpe Electrical CITYOF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 54l-726-3753 Contractor re9' $ Per Sq Ft or multiplier 6n\al oreg e nla s0(e5e Expiration Date 03n7t2007 Phone 541-344-3561 # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: 6,o Type: Energy Path: Sprinkled Overlay Dist: # Street Trees 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: Occupant Load: rpoutMDrains REQUIRED PARJ(NG Total: Handicapped: Compact: Frontlard Setbactc Side I Setback: Side 2 Setback: Rearyard Setback: - Solar Setbacks: Street Storm SewerAvailable: Special Instruction: Notes: 0s Square Footage orBitl Amount Description Tvpe of Construction. lof2 Value Date Calculated the \\on No\t1tt'"^ SPRINGFIELD Buildin g/Co mbinatio n Per mit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2637 69 I nspe ction Line PERMIT NO: COM2005-01548ISSUED: 1110412005 APPLIED: 11/01/2005E)PIRES: 05/0412006 VALUE: :;' Fee Description + l0%o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Amount Paid $4.s0 $3.15 $43.00 $2.00 $s2.6s Total Value of Project Date Paid Lil4t05 tu4t0s tu4t0s lu4t05 Receipt Number 1200500000000001683 1200500000000001683 r200500000000001683 1200500000000001683 Fees Pa: Plan Reviews To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00 'a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature,I state and agree, that I have carefully examined the completed apptication and do hereby certify that all information hereon is true and correct, and I further certiS that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCT PANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ 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 C)wner or Contractors Signature 2of2 Date -225 Fiflh Street -- -fp-tingn"fd, Oregon 91411 slr:726-t159 Phone Citv of Springfield Official Receipt 'nelonment Senices D ePartme{ '" ='" *'i;;ic w orts D ePartment RECEIPT #: 1.200500000000001683 Date:1110412005 e:33:03Alvl Job/Journal Number coM2005-01548 coM2005-01548 coM2005-01548 coM2005-01s48 Description + 7% State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical AmountDue 3.15 4.50 43.00 2.00 Item Total:$s2.65 Payments: Tlpe of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard RUSS ROBBINS djb 004944 In Person Payment Total: $s2.6s -silar tl4l200s I of I ssr$xorlaLD a9;l6i;" """U- 22s FIFTH STREET . SPRINGFIELD, OR 97477 t PH:(541)726-3753 o FAX: (5al)726-3689 E LECTRI CAL P ERMTT AP P LI CATTON City Job Number &*1Zo or- olsqI Date l.oA -oJ- Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 $ s0.00 $ 69.00 $100.00 fuzrnq 1. ,::LACATTON OF TNSTALI-AIrOIr z?'r sf * 5f LEGAL DESCRIPTION l?o 33 53 I oo ?oo A. New Residential - Single or Multi.Family.pgl duelling unit. 3. JOB DESCRIPTION Ad[ I t{ C-vr. t Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Susnlnded for 180 days. )CONTRACT O R INSTALI,ATI ON A N LY B. Services or Feeders - Installation, Alterations or Electrical Contractor Address City €-ttat & q-A Supervisor License Number rr,\oc200 AmPs or less 201 Amps to 400 AnPS 401Arnps to 600 Amps 601 Amps to 1000 AmPs &- Phone 3 qq -35(^ L Over 1000 AmpsA/olts:e:-+'1:+ Reconnectonly Expiration Date Constr. Contr. Number ?OF fiCr Expiration Date Signature of Supervising Eiectrician C. Temporary Sen'ices or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with Service or Feeder Permit E. I{iscellaneous (Sen'ice/feedernot Installation UU cen $ 43.00 $ 3.00 ownersN"*" Cr !r,*.Sfp\ Address z?9 r(=+ city >)eO Phone zd-3 OWNER INSTAILATION The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature Pump or Minimum 4. ST]BTOTAL OFABOW 7o/o State Surcharge l0% Administrative Fee TOTAL \t 1H\$6Boo [B $ 2s.00 n $ 45.00u.- Fee is $45.00 * Surcharges $E Li-tq$ vTo ed5UInspection Request: 726-3769 bs Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03.doc COXIPLETE FEE SCIIEDDLE BELOI,V c/r 3/r