HomeMy WebLinkAboutPermit Electrical 2004-09-29Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa,x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01207ISSUED: 0912912004
APPLIEDz 0912912004EXPIRES: 0312912005
VALUE:
SITE ADDRESS: 189015TH ST
ASSESSOR'S PARCEL NO.: 1703252302600
PROJECT DESCRIPTION: Add 5 circuits
Owner: MyERS GLENN E JR & MARGARET E
Address: 1890 15TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
You to
0 otContractor Type
Electrical LR the
Expiration Date
12n8t2004
Phone
s4t-747-6638
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
to(
$ Per Sq Ft
or multiplier
of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo of Lot
0
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
YN
nla
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$o$fii.apped:
ff,g,c"o""'
rs0
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains
Description Tvpe of Construction
Total Value of Project
Value Date Calculated
\t
uD a DLVf tYtDl\ I tt\ILrr\lvlAIl(rl\ I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01207ISSUED: 0912912004
APPLIEDT 0912912004
EXPIRESz 03129/2005
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 7Vo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$5.s0
$3.85
$43.00
$r2.00
Date Paid
9t29t04
9t29t04
9/29t04
9129/04
Receipt Number
120040000000000r405
120040000000000r40s
1200400000000001405
1200400000000001405
Total Amount Paid $64.35
To Request an inspection call the 24 hour recording
will be made the same working day, inspections
at726-3769. All inspection requested before 7:00 a.m.
day.
requested after 7:00 a.m. will be made the following work
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 application and do hereby certify that aIIinformationhereon is true and correct, and I further certify that and all work performed shall be done in accordance withanythe Ordinances of the City of Springlield and the Laws of the State of Oregon to the work described herein, andthat NO OCCUPANCY will be made of any structure without
pertaining
I further certify that only contractors and
permission ofthe Community Services Division, Building Safety.
I further agree to
employees who are in compliance with ORS 70f.005 wifl be used on this project.ensure that all required inspections are requested at the proper time, that each address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction.
Owner or Contractors Signature Date
Pase2 of2
alt
JE:g.gr r_EgJll l,ec tlon s I
r ees ralo i
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Aty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001405 Date: 0912912004 9223:L4ANI
Job/Journal Number
coM2004-01207
coM2004-01207
coM2004-01207
coM2004-0t207
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
12.00
3.8s
5.50
Item Total:$64.35
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check LRBRABHAM djb 31169 In Person $64.35
Payment Totat:
-56?iF
9/2912004 Page I of I
arrmxlo
'/o
e,s'aot
225 FIFTH STREET r SPRINGFIELD, OR97477 o PH:(541)726-3 r FAX:
E LECT RI CAL P EKMIT AP PLICATI O N
City Job Number6llTazr -ot70 )Date Z
or
or
B 1
$ 106.00
$ 19.00
$50.00$p se
J.1
Ar-
LEGAL DESCRIPTIONt?0<ZsZ\ C'Z@<>
JOB DESCRIPTION
A.
tilt u t;h/,,*
Permits are non-transferable and
not started within 180 days of
Suspended for 180 days.
or
t
Electrical Contractor L. R . Brabham, Inc .
Address 6B West rrQrr Street
Cify Spf Id. 974 77 Phone 747-6638
Supervisor License Number 49445
Expiration Date tl
Consff. Conrr. Number 8699
Expiration Date /
Signature of Supervising Electrician
td Amps
Over 600 or 1000 Volts see "B" above.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
0 0s
$ 63.00
s 7s.00
s125.00
$ r 63.00
.00
00
s 50.00
$ 69.00
$ 100.00
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
C.
D.
E.
201
40r
0043.00$
*5oW^",,Ole u, ?u 7$3.00 /a,
Name
Address lX4O AL l5
City eLo Phone Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes idential
Limited Energy/Commercial
Minimum Electric Permit lnspection Fee is $45.00 + Surcharges
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:,,
57%o State Surcharge
10% Administrative Fee
TOTAL frInspection Request: 726-37 69
4.
Shared Drive(T:)/Building Fonns/Electrical Permit Application l-03.doc
oa\,tt t>
City of SPringfield
225 Fifth Street, Springfield, OR97477' 541-726-3759 Phone
541-726-3676 Fax
April 19,2005
MYERS GLENN E JR & MARGARET E
1890 15TH ST
SPRINGFIELD OR 97477
Job Number:
Location:
coM2004-01207
1890 15TH ST
Add 5 circuits
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work *t i.t has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 1890 l5TH ST which is set to expire on
5ll5lZOO5. Our records indicate that you have not requested an inspection within the past frve (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726'3769. If you do
not request an inipection pr{or to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building S afety Supervisor
Project: