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Home My WebLink AboutPermit Electrical 2004-05-18Status 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: COM2004-00592ISSUED: 05/18/2004APPLIED: 05/1812004EXPIRES: 11/1812004 VALUE: SITEADDRESS: 117031STST ASSESSOR'SPARCELNO.: 1702303403101 PROJECT DESCRIPTION: Add 4 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: 541-726-9569Owner: Address: MCBROOM KATITY LYN 1170 31ST ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 09t0u2004 Phone 541-741-2236 License 3849 CONTRACTOR INFORMATION # 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: R-3 # of Stories: Height of Structure Type of Heat: Hrenrton'requires you to lollow rules Oregon Utility Notification set 0090. calli numl Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Storm Sewer Available: Special lnstructH0Tl C El THIS PERNotes: AUTHSRI !h'JiLlFJ[ilH'l'R3[ is lsnNooNED FoR Sidewalk Type: Downspouts/Drains MIT SHA ZED UND ANY 1BO DAY PERI $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated -',.! l'UlLrrIN U rN I UKrY!-q I rlzN_l 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/C ombination Permit PERMIT NO: COM2004-00592ISSUED: 0511812004 APPLIED: 05/1812004 EXPIRES: 11/1812004 VALUE: Fees Paid Fee Description + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $5.20 $3.64 $43.00 $9.00 $60.84 Date Paid 5n8t04 5lr8l04 5n8t04 5n8t04 Receipt Number 1200400000000000758 1200400000000000758 1200400000000000758 1200400000000000758 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. 1 Rough Electric: Prior to Cover 2 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\CY 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. Owner or Contractors Signature Date Reouired Insnect Paee2 of2 L 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone nity of Springfield Official Receipt _ ,velopment Services Department Public Works Department RECEIPT #: 1200400000000000758 Date: 0511812004 2:07:48PM Job/Journal Number coM2004-00s92 coM2004-00592 coM2004-00592 coM2004-00592 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard C&S ELECTRIC djb 000386 018957 In Person $60.84 PaymentTotal: ffiI 5n8/2004 Page I of I atfBil3..D 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 E LECTRI CAL P ERMIT AP P LICATION City Job Number CattrZC,Cq - OC,; 1 L Dare t.3 ll70 3t S+- LEGAL DESCRIPTIONtaOzrcs 'l c)f /o I A. JOB DESCRIPTION Lt ct {Lc,'i 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 AmpsAr'olts Reconnect Only Installation, Alteratlon or Relocatlon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Fee TOTAL -t.-l $ 106.00 s 19.00 Pernrits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor 1S $50.00 $ 63.00 $ 7s.00 $ 125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 Address Po Ro*lt\(z City J ,non"qV2Z1L, Supervisor License Number q.lS Expiration Date lD -r,t-c+ Constr. Contr. Number 3K.l,l Expiration Date q -t-cy Signature of Supervising Electrician a Owners Name Address 10 1>t sf City S f L Phone a76 -2 J61 OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. NOTICE: owners Signature: THIS pERMIT SHA AUTHORIZED UNDffiED0Ri ANY 180 DAY PER Inspection Request: 726-37 69 Over 600 or 1000 see "B"above- lollow ru N otif i cati o il\EUd&rffi6grydffi uonBlfd{rd OAR 95P000oof0 through oAR 952-001-$ 43.00 L/ s 0090. You by 6 s 3.00 | Q-*5o.*-calling umb B. C $ 50.00 $ s0.00 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 5L 4 t^aC Shared Driv{T:/Building Forms/Elotrical pcrmit Application l{3.doc approval, Zoning has the following land use /'r,zu{l<>lz'-