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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: