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Home My WebLink AboutPermit Electrical 2004-10-21Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01303ISSUED: 1012112004 APPLIEDz 1012112004EXPIRES: 0412112005 VALUE: SITE ADDRESS: 1275 30TH ST Springfield ASSESSOR'S PARCELNO.: 1702303il02600; WORK: Electrical Work Only USE: Repair Commercial n Center. Those rules a TYPE OFin OAR 952-00i -00'10 throu gh OA PROJECT DESCRIPTION: Reconnect 200 Amp Service es of the rules by 0wner: Address: Owner: Address: calli MYERS KENNETH L number for the Oregon Uti lity Notification 1275 3OTH ST SPRINGFIELD oR 9747E 1 -800-332-2344). WILLAMETTE GRAYSTONE 37OO FRANKLIN BLVD EUGENE OR 97403 Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License Expiration Date 4296 12n0t2007 Phone 541-485-0922 CONTRACTOR INFORMATION ffi - # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/" of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARJ(NG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION Notes: Pase 1 of2 'Tl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2004-01303ISSUED: 1012112004 APPLIEDz 1012112004 EXPIRESz 0412112005 VALUE: Description Type of Construction Fee Description Total Amount Paid Total Value of Project Date Paid $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Receipt Number Date Calculated Amount Paid $0.00 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. eouired Insnections Owner or Contractors Signature Ptee2 of2 Date -L Yatuation Uescrip Fees ralo I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt -- Development Services Department Public Works Department RECEIPT #: 1200400000000001498 Date: 1012112004 2:56:59PM Job/Journal Number coM2004-01303 coM2004-01303 coM2004-01303 Description Service Reconnect + 7o/o State Surcharge + l0% Administrative Fee Amount Due 50.00 3,s0 5.00 Item Total:$s8.s0 Payments: Type of Payment Paid Bv CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard BUILDER'S ELECTRIC njm 018301 Phone $58.50 Payment Total: -$ffi 10/21/2004 Page I ofl rrl:il;lix 225 FIFTH STREET . SPRINGFIELD, OR97417 T PH:(541)726'3753 ' FAX: (54I) City Job Number PERMIT APPLICA 303 rION Date *%err I. LOCAT'ION OI] INS'TALI-A7'ION 3. CONI.PLET'E T'EEd, LEGAL DESCRIPTION a0 c?a 37 d2Qoo JOB DESCzuPTION Ct ttd Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. SONTRACTOR TNSTALLATTON ONLY A. New Residentiat - Single or Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or B. 9 $ l 63.00 000 Volts see "B" above. $ 43.00 $ 3.00 d unit. ,% Modular Dw'elling Service or $50.00 Feeder Services or Feetlers - Installation, Alteratiorts or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Anrps :+ $ 75.00 401 Amps to 600 AmPs $ l2-i'00Address lq 5 aclrS Or..r 601 Amps to 1000 Amps Cify CN Phone 4 85:_criAa Over 1000 Amps/Volts Reconnect Only Supervisor License Number 32go - s C. Temporary Services or Feeders Expiration Date lD, l-*c-lLo Electrical Contractor Constr. Contr. Number (o Expiration Date r2 - rD-c7 f Supervising Electrician Owners Name Address Phone OWNER TALLA'IION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature C lrrQ $375.00 Installationn Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 Amps $ 69'00 401 Amps to 600 AmPs 5100.00 Over 600 Arnps or 1 D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit l\,Iiscellaneous (Service/feeder trot included) -[nch lnstallation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial IVIinimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOW ,lo. cT?) 7% State Surcharge I 0% Adrninistrative Fee TOTAL \.)tf 3.5" 50.00 50.00 2_5.00 45.00 $ s $ $ 6&,7"Inspection Request: 726-37 69 Sharexl Drive(T: )lBuilding Fonns/Electricirl Pctmit Appl ication l -03.doc 3k o??