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Home My WebLink AboutPermit Electrical 2004-12-16Building/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: COM2004-01540ISSUED: 1211612004APPLIED: 1211612004 EXPIRESz 0611612005 VALUE: SITE ADDRESS: 2875 6TH ST ASSESSOR'S PARCEL NO.: 1703233411300 PROJECT DESCRIPTION: Service and 2 circuits Owner: MyERS MARy L & NEIL C Address: 2875 N 6TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Onty TYPE OF USE: Alteration Residential K \S Expiration Date 03n7t200s Contractortitl-t c HALL \S PE,N]\\I SContractor Type Electrical R 1H Phone 541-344-3561EUGENED0 Square Footage or Bid Amount C0\"1 ANY 1 # 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: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: nla $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION Description Type of Construction Total Yalue of Proiect Value Date Calculated Paved o lollow calling the center. number for the Center Valuation Description I of the rules bY 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: COM2004-01540ISSUED: 1211612004APPLIED: 1211612004 EXPIRESz 0611612005 VALUE: Fees Paid Amount Paid Date Paid Receipt Number 2200400000000001s17 220040000000000r517 2200400000000001s17 2200400000000001s17 Fee Description + llVo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid $6.90 $4.83 $6.00 $63.00 12fi6t04 12n6t04 12fi6t04 12n6t04 $80.73 PIan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Reouired Insnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 70f .005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 tFetilcFlSLD City of Springfield Official Receipt relopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone RECEIPT #: 2200400000000001517 Date: 1211612004 10:06:25AM Joh/.Iournal Number coM2004-01540 coM2004-01540 coM2004-01540 coM2004-01s40 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 1Yo State Surcharge + l0Yo Administrative Fee Amount Due 63.00 6.00 4.83 6.90 Item Total:$E0.73 Payments: Type of Payment Paid By uneckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard RUSS ROBBINS djb 016981 In Person $80.73 Payment Total: -SEdF t2n6t2004 Page I of I 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: (541')726-3689 E LECTRI CAL PERMIT APPUUTTON Ciry Job Number -ot o Datc tz-l6 -OL( 1.3. Z 6){ (,fL <l LEGAL DESCRIPTION t7032 ]3Y /30c Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCzuPTION Ctt'Lc*7 h Permits are non-transferable and expire if work is not started within 180 days of issuance or if rvork is Suspended for 180 days. 7 Electricat Contractor EU t ette fuAfZtC SU,U\CZ. B. A =,crLJtcc Address l2O /Ilamle-Srr city AuarL Pnone 3 -1 Supenisor License Number 3 + 3ss Expiration Date Constr. Contr. Number dtoo Expiration Date 7 os Signature of Supervising Electr-ician Owners Name y'||/al /n y'€(L\ Each Manufact'd Home or Modular Dwelling Service or Feeder ,200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 s 75.00 s 125.00 s 163.00 $375.00 s 50.00 63 C. Installation, 200 Amps or 201 Amps to 401 Amps to Over 600 Amps or 1000 Volts see "B" above.,.,q K T Nerv Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with -Service or Feeder Permit L $ 3'00 L Ad&ess Ciry *---7 -7{ Phone f'u s\-E. fuilor OAR ooeoNhirY or lo0ta-url}tr_ !dlortt $ s0.00 $ 50.00 $ 25.00 $ 45.00 OWNER INSTAILATION Thc installation is being made on property I own is not intendcd for sale, lease or rent. Owners Signature: l0% Administrative Fee TOTAL a $45.00 * Surcharges r83 670 73lnspection Request: 7 26-37 69 Sbrmd Drivo(f:)lBuiHing Foro/Elccticd Pcflnit Applirlbo t{3.doc 6z \**-h*