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Home My WebLink AboutPermit Electrical 2006-09-12AFF}GI{XF|GLtr} GFIE Building/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: COM2006-01183ISSUED: 0911212006APPLIED: 0911212006EXPIRES: 0311212007 VALUE: SITE ADDRESS: 2812 6TH ST ASSESSOR'S PARCELNO.: 1703233411800 PROJECT DESCRIPTION: l00amp service and 2 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Phone Number: 541-747-5402 LicenseContractor Type Electrical KRISTI MOFFITT 2812 6TH ST ',{' SPRINGFIELD OR 97471 9u {q salnr aqt lo -t00-es6 uvo Contractor ROBS ELECTRIC INC LI UI Expiration Date 0811412007 Phone 541-686-s4448 # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: R-3 VN nla $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page I of 2 Value Date Calculated Owner: Address; OMMENCED OR IS ABANDONED Type: THE WORK A ANY -18( Valuation Description ul-y LLIJTNI[1\ I l1\ r rJrUYlA I l\-[\ I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-01183ISSUED: 0911212006APPLIED: 0911212006EXPIRES: 0311212007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.90 $3.45 $5.52 $6.00 $63.00 $84.87 Total Value of Project Date Paid 9n2t06 9n2t06 9nzt06 9n2t06 9n2t06 Receipt Number 2200600000000001 270 2200600000000001 270 2200600000000001 270 220060000000000 I 270 2200600000000001 270 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. ired Insnections 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 Paee 2 of 2 Date E L 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C' ' of Springfield Official Receipt L- . elopment Services Department Public Works Department RECEIPT #: 2200600000000001270 Date: 0911212006 3:05:58PM Job/Journal Number coM2006-01 I 83 coM2006-0t 183 coM2006-01183 coM2006-0r r 83 coM2006-0t 183 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8% State Surcharge + 10oh Administrative Fee Amount Due 63.00 6.00 3.45 5.52 6.90 Item Total:s8,tsz Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard DAVID LAWLER djb 058799 In Person Payment Total: s84.87 -$8-,i.57 cReceint I Page I of I 911212006 l><-Nr/\-t3-o v SPC:IN(iF PG 225 FIFTH STREE'I' . SPRINGFIELD, OR 97477 o PH:(541)72G3753 o FAX: (5{l)72G3689 E LECT RI CAL I' Ii RM IT AP PLI CATI ON City Job Number co,rtaDo6,- ottt3 Date l. ItocATroNot,3. COMPLETE ];EE SCITEDULE BELOW Z&IZ New Residcntial- Single oi tvtutU-Famity per dwelling unit. h, LEGAL DESCRIPTION--- t7-O3'2331/tttroo 6 $ 106.00 $ 19.00rLvLct {Ctt Permlts are non-trausl'e and explre lf work ls not started within 180 days of issuance or lf work ls Suspended for 180 da1s. 2, i ' jir'q:rt-i CONTRACTOIT INSTAL,LATION ONLY ' B. Scn'iccs or F ccders - Installation, Alterations or Rclocation: ' i...N . .'-'' JOB DESCzuPTION AtAr€ Electrical Contractor /? 4-0 3 Address ,// C,,, ,rtA A. Service Includcd 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 less' ' ' -r 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Anrps/Volts Reconnect Only Q, r,,lcmporary Scrvices or Feeders Installation, Altcrrrtion or Relocation 200 Amps or lcss 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits ,. jill,l . New Altcration or Extcnsion Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit i-ft City Phone 6 Fb -5'//4 $s0.00 $ 63.00 $ 75.00 s r 25.00 s 163.00 $375.00 s 50.00 $ 50.00 $ 69.00 $ 100.00 $ 43.00 $ 3,00 L7 Supervisor License N unrber Expiration Date //) -, Constr. Contr. Numbc, / 560 78 Expiration Date ,F -/ y' -/.'7 Sigrature of Superv is i n g Electrician fi,-r Z L Owners Name Address ?8tL S -+ 7tt7- sYoz l PhoneCitySr OWNER INSTALL.'\TION The installation is being made on property I own which is not intended for salc, lease or rent. Owners Signature: E. I\lisccllanco us (Scrvicc/fee$er not included) -pach Installation Punrp or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyrResidential $ 25.00 Limired Energy/Commercial $ 45.00 Minlmunr Electric Pcrmit lnspection Fee is $45.00 + Surcharges 6? ssz--zT-ffi.8% State Surcharge I 0% Adnrinistrative Fee 9 76teat r+c TO'fAL 3,'l{ Inspection Request: 726-3769 Sharerj Drivc(-f:)/Builrling Forms/Electrical Permit Application l-06.doc ---!t ,'OF I INSTALLATION , . .. 6+L i+ /oo a