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Home My WebLink AboutPermit Electrical 2006-02-22Status: Issued 225 Fifth Street, SPringfield, OR 541:7263753 Phone 541-7263676Fax 541 :l 26-37 69 I ns pe ction Line SITE ADDRESS: 322816th St ASSESSOR'S PARCEL NO.: 1703243100200 PROJECT DESCRIPTION: Replace 200amp service Spring{ietd TYPE OF TYPE OF USE: PRIN Buildin g/Combination Permit PERMIT NO: COM2006-00209ISSUED: 0212212006 APPLIED z 0212212006 E)GIRESz 0812212006 VALUE: Electrical Work OnlY Repair Residential D PhoneNumber: 541-554-7158--Owner: Address: ARLEN KOPPERUD 3228 16TH ST SPRINGFIELD OR 97477 Contractor TVpe Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: \s $ Per Sq Ft or multiplier \t # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled License 80250 Expiration Date 04n012007 Phone 541-726-9847 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 vN nla Frontprd Setbaclc Side l Setback: Side 2 Setback: RearTard Setback: Solar Sefracla: Street Storm Sewer Available: Special Instruction: Notes: ad REQUIRED PARKING Total: Handicapped: Compact: \"' o\)s *,t:b* \\' ' ;.\r" t:.q\ g,\o \v Square Footage orBftl AmountDescription Type of Construction lof2 Value Date Calculated Paved Drive oh of Lot Valuation Descriotion I Type: DownspoutVDrains Overlay Dist: # Street Trees 10 ed tss Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax - 541:7 26-3769 I nspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2006-00209ISSUED: 0212212006APPLEDz 0212212006E)PIRESz 0812212006 VALUE: Fee Description' + l0o/o Administrative Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $s.04 $63.00 $74.34 Total Value of Project Date Paid 2t22t06 2t22t06 2t22t06 Receipt Number 1200600000000000r84 1200600000000000184 1200600000000000184 F ees Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Reouired fnsnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ 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 hereina and that NO OCCT PANCY wilt be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 2of2 Date 225 Fifth Street Springfitld, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt .,evelopment Services Department Public Works Department RECEIPT#: 1200600000000000184 Date: 0212212006 11:48:25AM Job/Jurrnal Number coM2006-00209 coM2006-00209 coM2006-00209 Description Perm ServlFdr 200 amps or less + 8% State Surcharge + l0Yo Administrative Fee Amount Due 63.00 5.04 6.30 Item Total:$74.34 Payments: Tlpe of Palment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LADCO ELECTRIC djb 1810 In Person $74.34 Payment Total: ----Sffi l,L 4 I .i. 4 212212006 lofl l'flllrr.o I 225 FIFTII STREIiT ' SPRINGFIELD'ORg7477 o PH:(541)726-3753 o FAX: (54 689 E LE CT RI CA L P E/f.TIIIT AP P LI CATON uoo,,ri,Q o -oG City Job Number o I. LOCAT'ION OF INSTAII-4'I'ION &2E tVo /6 4 LEGAL DESCRIPTIONt703zt43l oozoo JOB DESCRIPTION ?e4 t-r+<-e Zoo *n( Sovc- Permits are non-transferable and expire if work is not started within 180 days of issuance or if rn'ork is Suspended for 180 days. 2. coNTRACl',ORrNSTl4rLATraN 0NLY Address (..; -., Nerv Residential -'Single or Service Included 1000 sq. ft. or less Each additional 500 sq. ft- or portion thereof Each Manufact'd Home or Modular Dwelling Seruice or Feeder P".ur.-JO Dot 3. canqPLET'E A. 6o $1 s 19 ss0.00 B. Services or Feeders - Installation,Alterations or Relocatiou Electrical Contt-actor /- ,rt O F L..T 200 Amps or less \t 1HE W \S Supervisor License Number Expiration Date 4 - ic)*6, Constr. Contr. Number 5-o Expiration Date - 72 o? Signature of Supervising Electrician Name 2ceil PPerr-.-.\zzt Ll-L s toft- $ 63.00 $ 75.00 $ 125.00 $ r 63.00 $37s.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 ArnPs '$100'00 Over 600 Amps or 1000 Volts see "B" above' D. Brarrch Circuits New Alteretlcn or Extension Per Panel 8% State Surcharge l0% Administrative Fee TOTAL oRK t Ng'i /b-l toY _b7 "q 7A /-'* city 5pr-r,Xq;O a c Phone '22 A''29'( ZH: - S C.Temporary Services or Feeders Owners Address City S"F\ non" eSl - 7L !& OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SlraredDrive(T:)/BuildingFonns/ElectricalPentritApplicationl-06'doc 4. SUBTOTAL OF ABO\'E 6s One Circuit $ .13.00 Each Additional Circuit or with i\leg Service or Feeder Permit a\e E.Installation o\\ne 25.00 Limited $ 45.00 Minimum Fee is $45.00 * Surcharges eaal