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Home My WebLink AboutPermit Electrical 2005-10-04Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-01362ISSUED: 1010412005 APPLIEDT 1010412005 EXPIRESz 0410412006 VALUE: SITE ADDRESS: 323 19TH ST ASSESSOR'S PARCEL NO.: 1703361313800 PROJECT DESCRIPTION: Install200amp service and 10 circuits Springfield TYPE OF WORK: Electrical Work OnIy TYPE OF USE: Addition Residential nrrires You to Owner: Address: STEPHEN KRAMER 42113 DEERIIORN RD SPRINGFIELD OR 97478 Phone 54r-896-3205 n gsz-oot' Contractor Type Electrical Contractor EUGENE ELECTRJC SERVICE INC nurnr License 90200 les bY Iion Phone 03n7t2007 541-344-3561 BUILDING INFORM # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 100 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of2 Value Date Calculated T -er 11 te: the OR Valuation Description I Status 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: COM2005-01362ISSUED: 1010412005 APPLIED: 10/0412005 EXPIRESz 0410412006 VALUE: '' Fee Description + llYo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $9.30 $6.s1 $30.00 $63.00 $108.81 Total Value of Project Date Paid r0t4t05 t0t4t05 t0t4to5 t0t4t05 Receipt Number 2200500000000001369 2200s00000000001369 220050000000000r369 2200500000000001369 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 streetn 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. \s/cct/ o;-- Signature Pase2 of? Date lees tsaid I Keourreo lnsDecttons I Owner or 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200s00000000001369 Date: 1010412005 1:41:37PM Job/Journal Number coM2005-01362 coM2005-01362 coM2005-01362 coM2005-01362 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 63.00 30.00 6.51 9.30 Item Total:$108.81 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard RUSS ROBBINS njm 004549 In Person $108.81 Payment Total: -SiTTl3T iJ I t0t4/2005 Page I of I xnD 225 FIFTH STREET . SPRINGtr'IELD, OR97477 t PH:(541)726'37s3 ' FAX: E LECTRI CAL P E RM IT AP P LICATT ON City Job Number Cb*r zoo r - or36Z Date /o-v4 f 3. COXIPLETE FEE SCHEDULE BELOW . .,' ..-.',, ,1. LEGAL DESCRIPTION t7 o33 Lr3 138cc JOB DESCRIPTION Zoofia?srzuc O crrc.^i+S Permits are non-transferable and expire if work is 3 not started within 180 days of issuance or if work is Suspended for 180 daYs. ': A. New Residentiat = Single or Multi-Famity per dlvelling o']il. Service Included Each additional 500 sq. ft. or portion',thpffi r o N : o re g o n r aw rn-Fim-yo .l,'3 * EachMBrrufealfd+hdupcd by the Oregon Utility tvto{gSgpplgmgtrmgg" those ru tes are seWgo F*f,qq:nR 9s2-oo1-oo1o 52-001- zonrng, andtfoes noI Iic laniluse utnorized to 600 Amps $125.00 to 1000 Amps $163'00 City , Electrical Conkactor Address i2 Q YYlcin :\A Phone A ql!=h5lbL Supervisor License Number 417 5 S Expiration Date Constr. Contr. Number Expiration Date Signanrre of Supervising Electrician Srg?rt€i, gfueu6rt Er-rc,.-s-v\-a- Et< +rit SYY u( .J e,lnc200AIYS bpf"tgr the Or . fiE't{Hdp t egon Utility N -Boo-3322348. $ 7s.oo G)${FUb 201Amps 401Amps 601Amps Over 1000 Reconnect Amps/Volts Only s375.00 *oRt( lHls ilm0 69.00 $100.00 C. Owners Name Address qa l3 [^r/* City Phone OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: : 4. SWTOTAL OF ABOW One Circuit Each Additional Circuit or with Service or Feeder Permit lYo State Surcharge 10% Administrative Fee TOTAL Over 600 Amps or 1000 Volts see "B" above' Branch CircuitsD New Alteration or Extension Per Panel /c 30 E. }\,Iiscellaneous (Service/feeder not irrcluded) -Each Installation Sigrr/Outline Lighting $ 50'00 Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges $ 43.00 $ 3.00 8? L 3ZO{ Pump or irrigation $ s0.00 ?3 6rr 770 otr 8JI'Inspection Request 7 26'37 69 t\,5 Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03'doc B.