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Home My WebLink AboutPermit Electrical 2003-12-03F'IELD Building/C ombination Permit F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01205ISSUED: 1210312003APPLIED: 1210312003 EXPIRES: 06/0312004 VALUE: SITE ADDRESS: 248616TH ST ASSESSOR'S PARCEL NO.: 1703243402700 PROJECTDESCRIPTION: Service change Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: New Residential Phone Number: 541-Owner: Address: STEVEN ANGCO 248616TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor STAPLETON ELECTRIC License 41371 Expiration Date 02t05t2004 Phone 541-554-4554 CONTRACTOR INFORMATION BUILDING INI # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 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: Impervious Surface Area: REQUIRED PARISNG R-3 VN SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A Special Notelst ot\$ $ Per Sq Ft or multiplier o$s Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains:'otoo9\ Total Value of Project Page I of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated m- Valuation Description I t obl o1 A\. 19 1ol\€c Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01205ISSUED: 1210312003APPLIEDz 1210312003EXPIRES: 06/0312004 VALUE: Fee Description + l0o/o Administrative Fee + lYo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid t2t3t03 t2t3t03 t2t3t03 Receipt Number 2200200000000001829 2200200000000001829 2200200000000001829 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. 1 Electric Service: Approval required prior to utility company energizing service. Reouired Insnect 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 Date Pase 2 of 2 liees raro 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt Development Services Department Public Works Department 12t03t2003 63.00 4.41 6.30 Item Total:$73.71 coM2003-0120s coM2003-01205 coM2003-01205 Perm Serv/Fdr 200 amps or less + 7oh State Surcharge + l0o/o Administrative Fee Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard STAPLETON ELECTzuC djb 000238 333878 In Person Payment Total: $73.71 $73.71 ) 225 FIFTH STREET . SPRINGFIELD, OR97477 o PII:(541)726-3753 'FAX: E LE CTRI CAL P E RM IT AP P LI CATI O N City Job Number Lo$zodj- O I ZO {Date l>-L-Ob Date I. LOCAT'ION OT' INSI'ALIAT'ION 3 CAMPLET'E T-EE 1.'tgb ,V. I not as submitted has the tollowingreguire specilic lan LDE roval d use Zoning JOB DESCRIPTION 9 ttLvr<-e' LEGAL DESCRTPTIONi-to\ zL(3V OZzo<> Ll+r+,r/G€ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Confractor Address City lzl@J v Phone 9f ,l- i rfq Constr. Contr. Number Ttil I Expiration Date 2-9-o Ll of Supervising Electrician Owners Name lTcYa{ &zV G .c c' Address ?\ I6 / 6t-L 5 city -= ( t' ) Ytone A. Neu'Residential - Single or Ntulti-Famill' per drvelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 19.00 $ 106.00 $50.00 CONTRACTOR INSTALIATION ONII' B. Sen.ices or Feetlers - Installation, Alterations or Relocation: / s os.oo 0b, n200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Pump or irrigation Sign/Outline Lighting Limited EnergyResidential TOTAL $ 50.00 $ 50.00 s 25.00 $ 7s.00 $ 125.00 s163.00 s375.00 s s0.00 C. Temporar.v Services or Feetlers Jnstallation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 401 Amos to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Installatiott OWNER INSTALLATION The installation is being is not intended for$I Owners Signature: 10% Administrative Fee (r'to 7 37JInspection Request: 726-37 69 Shared Drive(T:/Building Fonns/Electrical Permit Application l-03.doc Supervisor License Number '?* V<5 Expiration out" lO ff -- tZ r-t E. n $E $ 4s.00 Electric Permit Inspection Fee is $45.00 * Surcharges 1i4. SABTOTALAFABAW L3 7Yo State Surcharge qL{ A\\t t"-