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Home My WebLink AboutPermit Electrical 2004-03-24l; u 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: COM2004-00326ISSUED: 0312412004APPLIEDz 03t24t2004EXPIRES: 09124t2004 VALUE: SITE ADDRESS:325 23RD ST Owner: Address: 3200@YOu nter nurnber for the reg :^ r -aAO-3 Springfield TYPE OF WORIC Electricat Work Onty TYPE OF USE: use initials and two new circuits upstairs. License Expiration Date Phone 3849 0910u2004 541-741-2236 Contractor Tvpe Applicant Electrical Contractor CHARLENE MCGUIRE C & S ELECTRIC TION the rules i phone BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of2 LT PROJECT NO.:you Those ate Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00326ISSUED: 0312412004APPLIEDz 0312412004EXPIRES: 0912412004 VALUE: Description Type of Construction Fee Description + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Date Paid 3t24t04 3t24t04 3t24104 3t24t04 Value Date Calculated Receipt Number 3200400000000000015 3200400000000000015 320040000000000001s 3200400000000000015 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $7.20 $5.04 $9.00 $63.00 $84.24 Iees Paid Plan Reviews ffi 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. 1 Electric Service: Approval required prior to utility company energizing service. 2 Final Electric: When all electrical work is complete. 3 Rough Electric: Prior to Cover 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 onty 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. S/e-v/ D€D + or Signature Pase2 oI2 Date F) h. Valuation Description I 225 Fifth Street i'' Springfield, Oregon 97 477 541-726-3759 Phone Jity of Springfield Official Receipt Development Services Department Public Works Department #:Date: coM2004-00326 coM2004-00326 coM2004-00326 coM2004-00326 Perm ServiFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + 10%o Administrative Fee 11 63.00 9.00 5.04 7.20 Item Total:s8424 of Payment Paid By CreditCard MELISSA GEHRKE Received By Batch Number Authorization Number njm 000333 024597 How Received In Person Payment Total: Amount Paid $84.24 $84.24 ( 225 FIFTHSTREET . SPIIINGFIELD, OR97477 o pII:(541)726-3753 o FAX: (S4lr7l6_36tg PERMIT APPLICATION City Job Nr Date O 3. ril\ UT C. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or fplPortion thereof \ Jach Manufact'd Home or Modular Dwelling Service or Feeder TION:Ore 201 401 601 Over 1000 AmpsA/olts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see 'ts'kb"* D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit The following Proiect as submitted has the lollowinl' and does not require sPecific land use Date $ 106.00 $ 19.00 I LEGAL DESCRIPTION o I (IO JOB ttrr/3 Qvc*,r 13 Perm are non-transferable and expire if work is not started withln 180 days of issuance or lf work is Suspended for 180 days. irt B. Address ilQ8z City J- rno,,"Lll ZZL Supervisor License Number Llqqqs Expiration Date lD-c,l-OLl Constr. Conh. Number ,lKLl,l Expiration Date {-t -ov Signature of Supervising Electrician owners Nur" (hdrl Lr-r,t.( Address r?a r!. Phone OWNER TION The installation is being made on property I own which is not intended for sale, Iease or rent. Owners Signature: 3 Q.oo $37s.00 $ s0.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 $ 50.00 $ 50.00 $ 2s.00 $ 45.00 E. Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7o/o State Surcharge l0% Administrative Fee TOTAL 0't) A4Inspection Request: 726-3769 4. Shared Driv{T:/Building Forms/Elcctical permit Application t{3.doc t 2. 1 6D1-0010 cent6r.