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Home My WebLink AboutPermit Electrical 2006-03-20tirl.l'd,D Status Issued 225 Fifth Street, Springfield, OR 541-726-3153 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line F Building/Combination Permit PERMIT NO: COM2006-00325ISSUED: 0312012006 APPLIEDz 0312012006 EXPIRBSz 0912012006 VALUE: SITE ADDRESS: 1156 7TH ST ASSESSOR'S PARCEL NO.: 1703264311900 PROJECT DESCRIPTION: Service reconnect Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Phone Number: Residential : Owner: Address: Contractor Type Electrical Contractor REYNOLDS ELECTRIC Expiration Date 02t0812007 -4676 Phone 541-343-7297 GARY DAVISSON 2641 NW BRATTON LN BEI\D OR 97701 License 17252 # 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: # of Units: Primary Occupancy GrouP: Secondary C)ccupancY GrouP: Primary Construction TyPe Secondary Construction TYPe: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: VN nla ANY 1BO DA D OB IS ABA Y PERIOD. IS N $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase 1 of2 Value Date Calculated tion Street Improvements: Storm Sewer Available: Special Instruction: BUtLDrNU ll\llIxIrA r runJ ,: Yaluation Description I F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00325ISSUED: 0312012006APPLIED: 0312012006 EXPIRESz 0912012006 VALUE: Fee Description + l0Yo Administrative Fee + 87o State Surcharge Service Reconnect Total Amount Paid Amount Paid Total Value of Project Date Paid 3t20t06 3t20t06 3t20t06 Receipt Number 2200600000000000353 22006000000000003s3 2200600000000000353 $s.00 $4.00 $50.00 $s9.00 tr'ees Paid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Owner or Contractors Signature Page2 of2 Date xeM By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are ln compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is reedable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. L-{Z-ob and oeg. notE J 22s FIFTH STR-EET r SPRINGFIELD, OR 91477 t P*$a\726-3753 r FA,{: (5a1)726-3689 ELE PER.YIIT APPLICATION Ciry Job N Date A. B. ''Services Date Auttronzeo signature s 106.00 $ 19.00 s50.00 _ 1, LOCATION OFfi{STATTATION - J.' -+...-,-ti *-..J*r.ri-;-*Ei, 3. COfuIPLETE FEE SCHEDULE BELOW LECAL DESCRIPTION \-703 3 s-rD JOB DESCRIPTION Permits are non-trxtrsferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Service Included i000 sq. ft. or less Each additional 500 sq. ft. or pornon thereof Each Manufact'd Home or Nlodular Dwelling Service or Feeder 2. Electncal Contractor Address f \19 ( t.' l-Q nn Avs city E uqt- n C Phone lury] --jACi I_J- S upervisor Licease Number ExpirationDate lC \ aeac :C c-l Constr. Contr. Number 3C - \ 3= C- t' \ (_ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 AmpJ- 601 Amps to 1000 Arnps Over 1000 Amps/Volts Reconnect Only D p'" State Surcharge i0% Acimrnrsrranve Fee TOT.{L =ffi6t or s 63.00 s?5.0d s 125.00 s 163 .00 $375.00 Si gnature of Supervising Electncian N OWNER INSTALLATION The jnstallanon is being macie on properr-y i own which is not.intended for saie, lease or rent. Owners Signature: Iustallation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 ATTlefOo Amps oyrff-?tmM$0RK -' rn10,''.,.'-:,r:r;!,: NQI "-,,,,,ii]l.;*i;*: "-:*; N6i,,,&idet6Nef & 0RdfriABANmMD F0 R orrlt'LYrdd0 DAY PER[0D. s 43.00 Each Additional Circuit or with Service or Feeder Permit 5 3.00 E. Pump or imgation S 50.00 SigrvOutline Lighting S 50.00 Limited EnergyiCommerciai S 45.00 Minimum Electric Permit Inspectiou Fee is 545.00 + Surcharges ]. SCIBTOML OEABOVE 5c rD $ s0.00 s 69.00 s 100.00 Expiration Date -)- t-(-.Ur 5t50 C+ . Ol1 ADInspection R.equest: :iG31 69 $r$jhareo Dnvet T: ). Buridin g Forms/ Elecmcai Permrc .Lopi icauon i -0-1.cioc followinl 3Ao/ 2{.th center' ciWpno"l*1 -1V'1b 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone aity of Springfield Official Receipt .evelopment Services Department Public Works Department RECEIPT #: 2200600000000000353 Date: 0312012006 11:06:36AM Job/Journal Number coM2006-00325 coM2006-00325 coM2006-0032s Description Service Reconnect + 8% State Surcharge + l0o/o Adminishative Fee Amount Due s0.00 4.00 5.00 Item Total:$59.00 Plyments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid C'.'editCard ELLEN REYNOLDS NJM 056422 Phone Payment Total: $s9.00 -ssCId' {i lrr 3/20/2006 Page I of I I'lmmrt