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Home My WebLink AboutPermit Electrical 2003-08-08Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00732ISSUED: 08/08/2003APPLIED: 08/07t2003EXPIRES: 02/0812004 VALUE: SITE ADDRESS: 652 16TH ST ASSESSOR'SPARCELNO.: 1703362300100 PROJECT DESCRIPTION: Owner: SMITH KRISTINE G Address: 652 16TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electricat Work Only TYPE OF USE: Alteration Residential PhoneNumber: 541-521-8250 rego l-i law l'equlres YoU to Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: folloW,tulQtddo NotifictllPn Center may obtain copies of the rules I # of Stories:calling the center the telePhone Height of StructutUffi Type of Heat: Water Type: Range Type: Energy Path: berforthe O Notification Center is 1 REQUIRED PARKING Overlay Dist:Total: -0291 Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: # Street Trees Rqd: Paved Drive Rqd:tFgg{,fir*p0HK Handicapped: MIT S vo of Lot",t$ifo'#HALL EXPIRE UOTN THIS PE RMIT IS NOT NED IORZED U AY Square Footage or Bid Amount $ Per Sq Ft or multiplier 0 R IS ABANDO Sidewalk Type: Downspouts/Drains: Total Value of Project Page I of2 DEYELOPMENT INFORMATION Description Type of Construction Value Date Calculated Valuation Description I 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: COM2003-00732ISSUED: 08/08/2003APPLIED: 08/0712003EXPIRES: 0210812004 VALUE: Fee Description + l0Yo Administrative Fee + 7Yo State Surcharge Service Reconnect Total Amount Paid Amount Paid $s.00 $3.s0 $50.00 $s8.50 Date Paid 8/8/03 8/8/03 8/8/03 Receipt Number 1200200000000001924 1200200000000001924 1200200000000001924 PIan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl 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. Reou 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. Date Pase2 of2 \ tlees raro I Owner or Contractors Signature 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Date:8:32:27AM coM2003-00732 coM2003-00732 coM2003-00732 Service Reconnect + 7%o State Surcharge + llYo Administrative Fee 50.00 3.50 5.00 Item Total:---s5830- Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check BEACON ELECTzuC & LIGHTING ddk In Person Payment Total: $58.s0 $s8.50 EF!U;IAFIAO 225 FIFTH STREET ' SPRINGFIELD, OR97477 o E LECTRI CAL P E RIII IT AP P LI CATI O N City Job Number C C,Date I. LOCAT'ION OF- INS'CEIjA'I'ION 652 lbI} sT LEGAL \\D JOB DESCRIPTION PH:(54t1726-3753 o F4x: (54 i)726-3689 I h€ foltowtng proJed aS szur)irlg anc, dOeS notoapproval Zoning 3. COMPLE,TE Ii:BE Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or 40 t Amps to (r00 Arnps 60 I Amps to 1000 Arrrps Over [000 Anrps, Volts Reconnect Only 7% State Surcharge I 0%o Adnrinistrative Fee .TO-tAL ubmitted has require specific the tollowing tand use L>L I]ELO $ 106.00 -o !.aLtiunZce Stgnature A. Not Rcsidential - Single or lVlrrlti-Faruill' pcr dnellin g unit R I\rcT SERV I CE, Permits are non-transferable and expire if rvork is not started rvithin 180 days of issuance or if rl'ork is Suspended for 180 daYs. 2. 1jNTRACTOR TNSTALI-4TION ONLt', Electri cal Contractor Beacon Electric .\ddress 2585 Roosevelt Blvd City Eugene plrirrre ( 541) 461-0291 Superlisor License Nurnber 3485-S Expiration Dat.'10/01/03 Corrstr. Corttr Nunrber 38497 Expiration Date 01 110/04 Signature ol Supell E,lectrician Ga nsen rne -_f s -io.oo 50.OO s 12,5.00 Sr61 00 .$-l7-5.00 $ 50.00 s 50.00 s 25.00 $ 4-s.00 C- 1'cnrpnran Serlict's or Iieetlers Installation, Altcration or Relocatioll s -50.00200 Anrps or less 201 Anrps to 400 Amps $ 69.00 ff$Ttge to 600 Antps s100.00 lgiY$ pW,Ml,ISd A0q0 Mff[ftEelFBIt{EdylS R K DAUFPT0SM€II(dN0ER THIS PERMIT lS NOT q0M r{EAlt;E[hqF tQ,AS PoN Pg$#fi o R fu\trY dp&pAY PER|0D. s 43 oo Each Additional Circuit or with Service or Feeder Pentrit S 3'00 E. l.Iiscellaneous (Sen'icc/feeder lrol irrcluded) -Each Installationl(o City SP .)pt',one 521-825 o OWNER INSTALLATION The installation is being nrade on properl.v I own rvl'rich is not intended for sale, lease or rent. Owners Signature b52 Sr Purnp or in'igation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial IVinimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTAL OF ABOI|E 3.5o 5. oo 58 50 Slrlrrc<l Dlirc( [ ) t]urltirrru Fonrr''[:ltctriclll ['clrrrit Applic;rtrtrtt l'oi tlrtc Irrspection llccltrest: 72(t-3769 Eo.oO t\t _