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Home My WebLink AboutPermit Plumbing 2004-12-27Building/C ombination 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: COM2004-01578ISSUED: 1212712004 APPLIEDz 1212712004 EXPIRESz 0711812005 VALUE: SITE ADDRESS: 2645 G ST ASSESSOR'S PARCELNO.: 1703361112300 TYPE OF USE: Repair PROJECT DESCRIPTION: Replace interior plumbing and rewire with service upgrade Springfield TYPE OF WORK: Single Family Residence Residential PhoneNumber: 541-517-9851Owner: Address: WALLY MILLER 36623 ALDERBRANCH RD SPRINGFIELD OR 97478 Contractor Type Electrical Contractor . BURRELL License t36446 rNC 130137 nla Expiration Date 08t2012005 06fizt2006 Phone 541-747-2724 541-746-299301tc OR\S ABA\ Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: \s1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: PER\OD R-3 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: CONTRACTOR INFORMATION Notes: Paee I of3 LL. Au1 # of Units:DA\Primary \ F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676F2x 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01578ISSUED: 1212712004 APPLIEDz 1212712004 EXPIRESz 0711812005 VALUE: Description Tvpe of Construction Fee Description + l0o/o Administrative Fee + 7o/o Stile Surcharge Fixture + l0o/o Administrative Fee + 7o/o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid Amount Paid $ Per Sq Ft or multiplier $11.20 $7.84 $r12.00 $r2.s0 $8.75 $106.00 $19.00 $277.29 Total Value of Project Date Paid Square Footage or Bid Amount 12t27t04 12t27t04 12t27t04 1/18/05 1/18/0s 1/18/05 1/18/05 Value Date Calculated Receipt Number 1200400000000001787 1200400000000001787 1200400000000001787 2200s00000000000062 2200s00000000000062 2200s00000000000062 2200500000000000062 Iees Paid Plan Reviews 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 2 of 3 Valuation Description I Keoutred !nsDectlons I Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line PERMIT NO: COM2004-01578ISSUED: 12/2712004APPLIED: 12/27/2004 EXPIRES: 07l18l2oos VALUE: By signature, I state and agree, that I havecarefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthlr certify firat any aiJ uu wort performed shan be done in accordance with the ordinances of the city of springfierd and the Laws of ihe state'of oregon pertaining to the work described herein' and that NO OCCUPANCy will be made of any structure without permission or tn. co--unity Services Division, Building Safety' I further certify that only contractors nno "*fmy."s who are in .ornpiiun.e with o*S 701'005 will be used on this project' I further agree to .nrur. th"t arl required hd;;il; "i. ,.qu.rt"JuTir," p.op.r time, that each address is readable from the street, that the permit card is located at the front of the prope.ty, *Jdru uppior.o sei of plans will remain on the site at all times during construction' Owner or Contractors Signature Date Page 3 of3 -L 225 Fifthstreet i,illf|;jji ;f ;;r' n e 7 47 7 City of Springfield Official Receipt v elo pment Services n"p".t_"ilt Public Works Ouprrt_urt Job/Journal Number COt{12004-01578 coM2004_01s78 COI'r12004-01579 coM2004-01578 RECEIPT #: Description Residence Wring Ea Addtl 500 + 7% State Surcharge + l|%Adminishative Fee Residence Wiring 1000 Sq Ft Date: 0t/t&/2005 9:47:27AM Amount Due 19.00 8.7s 12.50 106.00 Type of Payment paid By CreditCard BURRELL BROS Received By Batch Number djb Item Total: Number How Received 053014 In Person Payment Total: $146.25 Amount Paid $146.2s $146.2s 1/18/200s Page t of 1 225 F-IFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: (541) E L E CT'RI CAL P E RM IT AP PL I CATI O N '!.t?c Ciry Job Number ,)b Date l'l8-O 5 3 '7 GLIS (,$';, A.LEGAL DESCRIPTION tTof 3 et t t2300 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 t]OB DESCRIPTION + Permits are non-transferable and expire if work is not started vyithin 180 days of issuance or if work is Suspended for 180 daYs' 2. Electrical Contractor I sr e.b0 C!' $50.00 B. N TI i$ 63.00 $ 7s.00 $ 1 2s.00 $ 163.00 $375.00 $ 50.00 Address Burrell Bros. Electric 40159 Booth KellY Road Springfield, Oregon 97 478 \\\iRa)\Over 1000 Amps/Volts Reconnect Only loh State Surcharge 10% Administrative Fee TOTAL L;U Cir"v Supervisor License Number Signature of Supervising Electrician D. Orvners Name E. Address Ciry <-D f S Phone )l -18f I Pumpor C. Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 Over 600 or 1000 Volts see "B" above Those are set coPies ,.,€er{Et it t $ s0.00 Sign/Outline Lighting Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges I ? Expiration Date Constr. Contr. Number --t0IoI Expiration r". -\=\ 0 1 <.. $ s0'00 OWNER TNSTAILATION The installation is being made on property I own which is not intended for sale, lease or rent' Ou,ners Signature oo 4. t75e,lb ,f lnspection Request: 7 26-37 69 a Shared Driv{T:/Building Forms/Electrical Permit Application I {3 doc ,6 LOCA'L'LON OF INST IELIAT:ION ' S,! I ?p -r l. it EXPIRE 601 Util''tY $