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Home My WebLink AboutPermit Electrical 2004-05-05Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00522ISSUED: 0510512004APPLIED: 05/0512004EXPIRES: 11/0512004 VALUE: SITEADDRESS: 386SHELLEYST ASSESSORTS PARCEL NO.: 1703272400900 PROJECT DESCRIPTION: Add 2 circuits Owner: SIMONDS INDUSTRIES INC Address: PO BOX 500 FITCHBURG MA 01420 Springfield TYPE OF WORJ(: Electrical Work Only TYPE OF USE: New Commercial Contractor Type Electrical Contractor LR BRABHAM Expiration Date 12n8t2004 Phone 541-747-6638 License 8699 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: calling # of Stories: Height of Structure yotj to utilw setlorth 952s01' ol the rules by # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Street Improvements: N 0Tl CE: sto rm sewer,l""l"uru.[11'rt-tE#['J Special Instruction: 'COfVf nnf ruCf O NOTCS: ANY 1BO DAY SHALL EXPIRE IF THE WORK ui'rDERlHts PrnulT ls NoT tn rs ABANDoNED FoR PERIOD. is $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Ilandicapped: Compact: Total Value of Project Page 1 of2 PUBLIC IMPROVEMENTS Description Tvne of Construction Value Date Calculated '* DUll,[rl1\t, rl\I\rIUYrArrt l\ | Secondary Construction # of Bedrooms: OAR Valuation Description I F' Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00522ISSUED: 0510s12004APPLIED: 05/0512004EXPIRES: 11/0512004 VALUE: tr'ees Paid Fee Description + l0Yo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Date Paid 5t5t04 5tst04 5t5t04 5t5t04 Receipt Number 2200400000000000483 2200400000000000483 2200400000000000483 2200400000000000483 Plan Reviews To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 !q & Keourreo rnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Officiat Receipt . evelopment Services Department Public Works Department RECEIPT #: 2200400000000000483 Date: 0510512004 1:47:55PM Job/Journal Number coM2004-00522 coM2004-00s22 coM2004-00s22 coM2004-00s22 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LRBRABHAM djb 30558 In Person $53.82 PaymentTotal: -$ffi sls/2004 Page I of 1 225 FIFTE STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 . FAXfo{6Al}3ffqffi9. submitted has the forowing E LECT RI CAL P ERMIT AP P LI CATI O N Ciry Job Number e:.ornaivL)u1 -<>rC 5ZZ Date zonrng, and does not require specific land useapproval. r Zoning ,uthorized te I J LEGAL l7o3z-7 L\ Oo ? o-(3 JOB DESCRIPTION Permits are and expire if work not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor L. R . Brabham, Inc . Address 6B West rrQrr Street Cify Springfield Phorc747-6638 Supervisor License Number 4944s ATI TICN: Expiration Date to/0L'rules ad Constr. Contr. Number 8699 in OAR 9s2-001-0010 Expiration Date 72 / LB /@l ng the center. -mTnE-ertorthe Signature of Supervising Electrician Center is A. B. C. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or 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 Amps/Volts Reconnect Only * Relocation olts see "B" above. $50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $37s.00 $ 50.00 $ 3.00 a0 3,il New Alteration or Extension Per Pane) One Circuit I Each Additional Circuit or with t Service or Feeder Permit $ 43.00 Owners Address 1fr0rtO S E. / OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. NOTICE: owners Signature: THrs PERMTT SHALL EXPIRE lF AUTHORIZED UNDER THIS PER ANDON ANY 1BO DAY PERIOD. Inspection Request 726-3769 Pump or irrigation \ Sigrr/OutlineLighting t/ LimitedEnergylResidential Limited Energy/Commercial MIT lqflQfite Surcharge ED F0fr% Administrative Fee TOTAL Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Tti Phone 50.00 50.00 25.00 45.00 $ s $ $ €x ,ae 53 Shared Drive(T:)/Building Fonns/Electrical Permit Application l-03.doc $106.00 $ 19.00 $ s0.00 $ 69.00 s 100.00 00