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Home My WebLink AboutPermit Electrical 2006-08-24t*r{{gppary Owner: Address: Contractor TYPe Electrical OF USE: RePair Residential Phone 541-434-5600 Status Issued 225 Fifth Street, SPringfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-31 69 InsPection Line SITE ADDRESS: 815 20TH ST ASSESSOR'S PARCELNO': 1703361205600 PROJECT DESCRIPTION: New meter main and panel' B uilding/C o mb in atio n P e r rnit PERMIT NO: COM2006-01091 ISSUED: 0812412006 APPLIEDz 0812412006 EXPTRES| 0212412007 VALUE: Springfield TYPE OF WORK: Electrical Work OnlY II Ar NCED 0n ANY 1 Phone Number: 741'2613 HIGDON.MADISON ROBIN LEE 7OO SUMMER ST NE SALEM OR 97301-1289 Contractor JULIE LEIGH FORD ! # of Units: Primary OccuPancY GrouP: Secondary OccuPancY GrouP: Primary Construction TYPe SecondarY Construction TYPe: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImProvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water TyPe: Range TYPe: Energy Path: Sprinkled Building: 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: Occupant Sidewalk TYPe: DownsPouts/Drains REQUIRED PARKING Total: HandicaPPed Compact: License 171130 Square Footage or Bid Amount Expiration Date 0712012008 $ Per Sq Ft or multiPlierDescriPtionTvPe of Construction Page 1 of2 Value Date Calculated TYPE xtt nla . rf tCl Building/Combination permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Fee Description + l0oh Administrative Fee + 57o Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid P_ERMIT NO: COM2006-01091ISSUED: 08t24/2006APPLIED: 08t24t2006EXPIREST 02t24t2007VALUE: Amount Paid $6.30 $3.1s $5.04 $63.00 $77.49 Total Value of project Date Paid 8t24t06 8t24t06 8t24t06 8t24t06 To Request an inspection call the 24 hour recording at 726-3769.will be made the same working day, inspections requested after 7 day. Receipt Number 2200600000000001 188 2200600000000001 188 2200600000000001 188 2200600000000001 188 All inspection requested before 7:00 a.m. :00 a.m. will be made the following work By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all woit pertormed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andthat 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. n Rev Owner or Contractors Signature Pase2 of 2 Date fthlstreet gtielil, Oregon 97477 /26-3759 Phone At ' of Springfield OfIicial ReceiptDs--lopment Services Departmeit Public Works Department /Journal Number )M2006-01091 )M2006-01091 1M2006-01091 cM2006-01091 Description Perm Serv/Fdr 200 amPs or less + 8% State Surcharge + lOYo Administrative Fee + 5% TechnologY Fee RECEIPT#: 2200600000000001188 Date:08/24/2006 to:36:1eANI Amount Due 63.00 5.04 6.30 3.15_EItem Total: ype of PaYment reditCard Paid By DOUG P ALMER ELECTRIC Received BY Batch Number ddk Number How Received Amount Paid s77.49023445 In Person PaYment Total: cReceintl Page 1 of 1 812412006 ET-D. OREGON(,[TY OF SPRI LEGAL DESCRIPTION: t1 0 5 IL 0sl06D JOB DESCRIPTION: + Etectical Contactor Address $106.00 $ 19.00 1000 sq. ft- or less Each additional 500 sq- ft' or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B.Serl'ites'or Feeder.s = I, C 200 AmPs or less '201 AmPs to 400 AmPs 401 AmPsto 600 AmPs 601 AmPs to 1000 AmPs Over 1000 Amps/Volts Reconnect OnlY \6n gPau iro 225 NITH gnX,ET t SPRINGFIELD, OR 97477 . Pil:(541)726'i75i o FAX; (s44n6s6se ELECTRTCAL TION City Job Number 0 IMTIALS DATE SOURCE Date 3. COM'I'I.liT'l' f"nI1 SCIIr;Ilti/'E LIjLOIi' A.Nerr.Residelrti:rl_Singleor[lulti-Farrrill;rertlr+'ellingunit. Senrice Included a , - t-I. LOCATION OF IN9TALI^AT\ON:q t5 N.?e+h Permits are non-transferable and expire if work is ;;i;*; within ltO davs of issuance or if work is Suspeaded for 180 daYs. 2. coNT RAcTaR rNsrAIr"{TroN ANLY $50.00 qg$l.lation, Alterations or I $ 63'00 $ 75'00 Relocation 03 ,ce $12s.00 $163.00 ciw LtV!-*o Phone tL\+S{r+b SupervisorLicensoNurnber r-?Lla S Expiration Date /r Constr. Contr. Number I \t Expiration Date -1 o8 Signature of OwnersName Address City Phone *7Ll t- aa/9 C. TemPorarY Sen'ices or Feeders Instellation, Altcration or Relocetion 200 AmPs or less 201 AmPs to 400 AmPs 401Ampsto600AmPs ----TOver 600 Amps or 1000 Votts see'B- above' D. Branih (-ircuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit - 50.00 $375.00 $ E. 4. SUBTO'TN' OF ABOVE 8Yo State Surcharge 10% Administrative Fee SToTechnolory Fee $ s0.00 s 69.00 $ 3.00 25.00 * Surcharges Miscellaneous (Service/feeder not included) -Each lnstallation PumP or itri9adot,'^ ..- : Sign/Outline Lighting Limited Enerry/Residential .----- $ Limited Energt/commercial -- $ Minimum Etectric Permit Inspection Fee is $45'fi) OWI{ERINSTALLATION The installation is being made on property I own which it "ot i"t""a"a for sale, lease or rent' Owners Signature: *t7 ,+1 lnsPection Rquesfi 726-3769 TOTAL Shared Drive(T:/Building Forms/Electricat Pcrmit Application 8-06'doc zoN L/7E- /o 1