HomeMy WebLinkAboutPermit Electrical 2006-07-18CITY
Building/Combination Permit
PERMIT NO: COM2006-00904ISSUED: 0711812006APPLIED: 07/1812006
EXPIRES: 0l/1812007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
SITE ADDRESS: 2650 31ST ST
ASSESSOR'S PARCEL NO.: 1702193200501
PROJECT DESCRIPTION: Service change and 2 circuits
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
PhoneNumber: 541-746-5893Owner:
Address:
JACK SCALES
2650 N 3IST ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
K&KELECTRICINC
Expiration Date
04/30/2008
Phone
541-741-2663
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Typel
# 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:nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
" rt\I\n"(at\$
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Tvpe of Construction
Page I of2
Value Date Calculated
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Valuation Description I
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00904ISSUED: 0711812006
APPLIEDT 0711812006
EXPIRES: 0l/1812007
VALUE:
Fee Description
+ lDoh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$6.90
$5.s2
$6.00
$63.00
$81.42
Total Value of Project
Date Paid
7n8t06
7n8t06
7n8t06
7tr8t06
Receipt Number
1200600000000001089
r200600000000001089
1200600000000001089
1200600000000001089
Fees
Plan Reviews
To Request an inspection call the 24 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
nsnections
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 alt 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
Paee 2 of 2
Date
i
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci-' of Springfield Official Receipt
L --;lopment Services DePartment
Public Works Department
RECEIPT #: 1200600000000001089 Date: 0711812006 2:04:28PM
Job/Journal Number
coM2006-00904
coM2006-00904
coM2006-00904
coM2006-00904
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10Yo Administrative Fee
Item Total:
Amount Due
63.00
6.00
5.52
6.90
$81.42
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard K&K ELECTRIC djb 149292 In Person
Payment Total:
$81.42
-sEi7t
cReceinl I Page I of I 711812006
City of Springfield
225 Fifth Street, Springfield, OR91411
54L-726-3759 Phone
541-726-3676Fax
January 10,2007
SCALES JACK
2650 N 31ST ST
SPRINGFIELD oR 97477
Job Number:
Location:
coM2006-00904
2650 31ST ST
Project:Service change and 2 circuits
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 2650 31ST ST which is set to expire on
111812007. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726'3790.
Sincerely
Lisa Hopper
Building Safety Management Analyst
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)72G3753 o FAX: (541)726'3689
E LE CTRI CAL PERM IT APP LI CATION
CityJobNumber C*^uoe +o ?O V Date
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Electrical Contractor
Address
Phone
Supervisor License Number Sffi /-r
Expiration Date lcf L47
Constr. Contr. Number Za
Expiration Date
Signature of
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular
Feeder
Amps
Only
Permit Inspection
7o/o State Surcharge
l0% Administrative Fee
TOTAL
tv L 60r
$106.00
$ 19.00
$s0.00
$ 63.00
$ 7s.00
$12s.00
$ 163.00
$375.00
$ s0.00
63
6
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Fee is $45.00 * Surcharges
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
A.
C
D.
E.
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
Owners Name
Address >4a ''.3 /9
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
City /V ,^""" ,'// -3 Pump or 1HE
{0'tic
OWNER INSTALLATION
The installation is being made on propefiy I own which
is not intended for sale, lease orrent. \ r
Owners Signature:
r\tJ
Inspection Request: 72G3769
4.
Shared Drive(T)/Building FormVElectrical Permit Application l -03.doc
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1.LOCATION OF ntf$TeU,eTl0lv COMPLETE FEE SCHEDULE BELOWg
New Residential * Single or Multi-Family per dwelling unit.
or
- Installation, Alterations or Relocation:COIV:]RAC?OR INSTALIATION
City
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