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Home My WebLink AboutPermit Electrical 2006-02-14SITE ADDRESS: 27617TII ST a,SSBSSORS PARCEL NO': 1703362404600 PROJECT DESCRIPTION: Change out meter base Status: Issued 225 Fifth Street, SPringfield' OR 541:126'3753 Phone 541-726'3616Fax 541:7 2637 69 InsPe ction Line Owner: Address: Contractor TYDe Electrical Springfield TYPE OF TYPE OF USE: Buildin g/Co mbinatio n Per mit PERMIT NO: COM2006-00163 ISSUED: 0211412006 APPLED: 02/0812006 E)GIRES: 08/1412006 VALUE: Electrical Work OnlY Repair Residential FLETES JOSE L& KATHERINE R 276N 17TH ST SPRINGFIELD OR 97477 Contractor GROUNDED ELECTRIC License 158804 Expiration Date 0212412006 Phone 541 726-6858 N lHIS AUTHOR-tototvt VNANY 1 PE DO Range Type: Energy Path: Sprinkted Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: 0 NED IOR N01 # of Unib: Primary OccuPancY GrouP: Secondary OccuPancY Primary Construction TYPe Secondary Construction # of Bedrooms: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load:nla Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains $ Per Sq Ft or muhiplier Square Footage or Bful AmountDescriptbn Tvpe of Construction lof2 Value Date Calculated I Type: ru (eC rr\res'J ou to Uif'ttY 0 ILJI nL\ff\Ilv' ValuationDescription I Status: Issued 225 Fifth Street, Springfield, OR S4l:726a753 Phone 541-726-3676Ra'x 541:7 26-37 69 I nspe ction Line CITY OF SPRINGFIELD Buildin g/Co mbination Permit PERMIT NO: COM2006-00163ISSUED: 0211412006APPLIED: 02/0812006E)PIRES: 08/1412006 VALUE: ^ Fee Description + l0o/o Administrative Fee + 87o State Surcharge Perm Servffdr 200 amps or less Total Amount Amount Paid $6.30 $s.04 $63.00 s74.34 Total Value of Project Date Paid 2n0t06 2n0t06 2n0t06 Receipt Number 1200600000000000152 12006000000000001s2 r200600000000000152 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following ' work day. Electric Service: Approval required prior to utility company energizing service. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ 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 herein, and that NO OCCUPANCY will be made of any sfructure without permission of the Community Services Division, Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 will be used on this proiect. 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 t h r ees raro Keourreo lnsDecuons I 225 Fifth Street Springfield, Ore gon 97 47 7 541-72G3759 Phone City of Springfield Official Receipt )evelopment Services Department Public Works Department RECEIPT#: 1200600000000000152 Date: 0211012006 3:31:35PM Jeb/Journal Number coM2006-00163 ccM2006-00163 c11M2006-00163 Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + l0% Administrative Fee Amount Due 63.00 5.04 6.30 Item Total:$74.34 Payments: Tlpe of Payment Paid By Received By CheckNumber Batch Number Autrorization Number How Received Amount Paid CreditCard ERIC MAHAFFEY djb T70135 In Person $74.34 Payment Total: -Sffi l -L ,t 2lt0/2006 lofl smt[.D 225-FIFTH STREET . SPRINGFIELD, OB97477 o PH:(541)726-3753 o FAX: (541\726-3689 ELECTRTCAL PERMIT APPLICATION City Job Number @-vtZOO6 -oot 63 I LOCA"fiON Z?6 LEGAL DESCRIPTION t?o33 bzL(oV@o JOB DESCzuPTION L d*k Service 1000 sq. ft. or Each additional 500 portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 4. SUBTOTAL OF AEOI,'E 8% State Surcharge l0% Administrative Fee TOTAL ': Date Z-7-oL per drvrlling unit" BELOW e,s A. Nelr ')t . 14* bonfc or .-o $ 19.00 $s0.00 C{}}IIRACIOR I lSTH"t I-ATION OtrrI,y B. Services or Feeders - Instaltration, Alteralions or Relociltion: Electrical Contractor 200 Amps or less $ 63.00 67 00 Address trc,Ry *.00 .00 .00 00 City Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 'l Supervisor License Number Expiration Date o Constr. Contr. Number Expiration Date Signature of Supervising Electrician 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel $ 43.00One Circuit Each Additional Circuit or with Service or Feeder Permit $ 3'00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges l[-as€ fLZzb t7t^ s+E. l'Iiscellaneous (Service/feeder not ilrclutled) -Each Installation City >Pn> Owners Name s Address Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: $ $ $ $ 50.00 50.00 25.00 45.00 63 .soY Lro7ryInspection Request: 726-3769 Shared Drive(T: )/Building Fonns/Electrical Pennit Application I -06.doc 3. Dot Amps Amps G ,, {*; 201 Amps to 400 401 Amps Phone Tenrporarl' Sen'ices or Feeders p/s* /oL