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Home My WebLink AboutPermit Electrical 2003-12-22LD Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01265ISSUED: 1212212003 APPLIEDz 1211712003 EXPIRES: 0612212004 VALUE: SITE i\DDRESS: 1060 26TH ST ASSESSOR'S PARCEL NO.: r703361102100 PROJECT DESCRIPTION: Panel change Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: 541-746-9578Owncr: Addrcss: I}OB HOLDTNG 1060 26TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 09t0u2004 Phone 541-741-2236 License 3849 # of Urrits: Prima ry Occupancy Group: Secontlary Occupancy Group: Prima ry Construction Type Secondary Construction Type: # of Redrooms: SETBACKS Frontvurtl Sctback: Side I Scthack: Side 2 Sclback: Rearl'lrd Sctback: Solar Sct lrucks: Street Stornr Speci:r Notcs: overlay Dist: CiIMtulENCED 9l.l.S^ # StTCCt TTCCS Rqd: ANY 180 DAY PERIO Paved Drive Rqd: oh of Lot Coverage: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: IT SHALL D UNDER IH D. ED Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project Pase I of2 Descritrtion Type of Construction Value Date Calculated NGFIELD UUI\ II(AL TUI((JI(IVIA I lrutLlrll'\u l1\r(rruYlA I r(r1\ | Valuation Description I Building/C ombination P ermit 65 Status Issued 225 Fifth Street, SPringfield' OR 541-726-3153 Phone 541'726-3616Fax 541 -7 26-3'7 69 I nsPection Line Fee Description + 10o1, Atlministrative Fee * 77o St:ltc Surcharge Add, Alttr, Extend Circ Ea Add Perrn Scrv/Fdr 200 amPs or less Total Amount Paid PERMIT NO: COM2003-012issurur r2l22l2oo3 lPPlrrot 1211712003 nXrnBS | 0612212004 VALUE: Amount Paid $7.20 $5.04 $9.00 $63.00 $84.24 Date Paid 12122103 12122103 12122103 12122103 Receipt Number 1200200000000002647 1200200000000002647 1200200000000002647 1200200000000002647 To Ileqrrest will be Irlad day an inspection call the24 e the same working day' hour recording at 726-3769' Lll inspections requested after 7:00 inspection requested before 7:00 a'm' a.m. will be made the following work 1 Rough Electric: Prior to Cover i Ei..i.l. Service: Approval required prio.r 3 [inal Electric: When all electrical worK ls to utility company energizing service' comPlete. By signat rure, I state and agreet that I have carefullY examined the comPleted application and do herebY certifY that all information hcreon is true and correct, and I further certify that anY and all work performed shalt be done in accordance with the Ordinanc cs of the CitY of SPringfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCC UPANCY will be made of anY structure without Permission of the CommunitY Services Divisiono Building SafetY' I furtlrcr 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 strect, that thc grcrmit card is located at the front of the property'and the apProved set of plans will remain on the site at all timcs during construction' Ou rtcr or Contractors Signature Date Plan Pase 2 of 2 -ryTIL 225 FIFTH STREET ' SPRINGFIELD, oR97477 ' PH:(541)726'3753 r FAX: (541)?2#05&9sproje6 as submitted has the ro,owinoELECTRICAL PERMIT APPLICAION ;;;::y,"1^" does not require speciric rand use - Ciry Job Number @unzoo3 - OlZ6f D"," )Z - / 7 -o 3 Zoning 3 l.3. /060 z6t-L st lgnature LEGAL DESCRIPTIONt70ss6tt OZ(60 A. B. C. D. JOB DESCzuPTION Address €( Ch,* P r, Ror l'-\(z Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only Installation, Alteration or Relocation 200 Amps o'l*SfIiCE: 201 Amps,o.fffi$ppA 401 Amps to fiqjl'Fft$fft $106.00 $ 19.00 $50.00 Permlts are non-transferatrle and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , Electrical Contractor Ciry Supervisor License Number Phone -lll I-2zzL, 4qqqs $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 L3 WORK IS NOT * I D -f,l-CLlExpiration Date Constr. Contr. Number 3( Ll(?E MIT SH ZED UN AtrE}flfi UEF-rtts Expiration Date /-oVq- Over 600 Signahrre of Supervising Electrician New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit 3 $ 3.00 Owners Name dt3 a, Address /06o Z6+t^E. city S?f') phone ltf,-9f26 Pump or irrigation Sigr/Outline Lighting OWNER INSTALLATION $ s0.00 $ s0.00 Lirnited Energy/Residential $ 2s.00 $ 4s.00 Fee ls $45.00 * Surcharges AZ E01 7zo B'/ Z: Shared Driv{T:/Building Forms/Elecnical permit Application l{3.doc S1 I The installation is being made on property I own which Limited Energy/Commercial Permit Inspection tnbsdeslrcharge Fee 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone t City of Springfield Official Receipt Development Services DePartment Public Works DePartment l{eceipt #: 1200200 7 Date: 1212212003 2:16:18PM Jolti,lotrt r' l 5,,,tr1r"a l)r:script ion A nlor,rll coM2003-01265 coM2003-01265 coM2003-01265 coM2003-01265 + 7o/o State Surcharge + ljYo Administrative Fee Perm Servffdr 200 amps or less Add, Alter, Extend Circ Ea Add 5.04 7.20 63.00 9.00 -SEa.u-' Item Total: Payments: Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check Number CreditCard MELLISA GEHRKE djb 000255 022580 In Person Payment Total:$84.24 i $84.24 &F,ttta&FrELfl