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Home My WebLink AboutPermit Electrical 2005-08-26Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 54l-726-3676Fax 541:7 26-37 69 Ins pe ction Line GFIELD Building/Combination Permit PERMIT NO: COM2005-01159ISSUED: 0812612005APPLEDz 0812612005 E)GIRESz 0212612006 VALUE: SITE ADDRESS: 625 33RD ST ASSESSOR'S PARCEL NO.: 1702312102400 PROJECTDESCRIPTION: Upgrade service Springfield TYPE OF TYPEOF USE: Electrical Work Only Alteration Residential Owner: Address: Contractor Type Electrical ARCHIE GLOVER 625 33RD ST SPRINGFIELD OR 97478 Phone Number: 541- Contractor GROTJNDED ELECTRIC License 158804 Expiration Date 0212412006 Phone 541 726-6858 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyrrd Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of 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: Occupant Load: \E -no1' Square Footage or Bful Amount nla Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: DownspoutVDrains \N 01 ix'{ ?g'tt'" $ Per Sq Ft or multiplierDescription Tvpe of Construction lof2 Value Date Calculated U('I\ I I(AL I UI( TN T UK1YTA T TUN-.] l, U tl. Dill (jA {llllvrA r runl Valuation Description I CITY F Buildin g/Combin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspe ction Line PERMIT NO: COM2005-01159ISSUED: 0812612005 APPLIEDz 0812612005 E)PIRESz 0212612006 VALUE: - Fee Description + l0oh Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $4.41 $63.00 $73.71 Total Yalue of Project Date Paid 8t26t05 8t26105 8t26t05 Receipt Number r200500000000001246 1200500000000001246 1200500000000001246 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCT PANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certis 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 liom the stree! 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 2of2 Date Iees raro I Keourreo lnsDecnons I 225 FifthStreet 'Springfield, Oregon 97 477 541-726-3759 Phone riry of Springfield Official Receipt ;velopment Services Department- Public Works Department RECEIPT#: 1200500000000001246 Date: 0812612005 8:35:5eAM Job/Journal Number coM2005-01159 coM2005-01159 coM2005-01159 Description + 7Yo State Surcharge + l0% Administrative Fee Perm Serv/Fdr 200 amps or less Amount Due 4.4t 6.30 63.00 Item Total:$73.71 Payments: Tlpe of Palment unecKNumDer Auttrorrzauon Paid By Received By Batch Number Number How Received Amount Paid Check GROI.'NDED ELECTRIC djb I 165 In Person $73.71 PaymentTotal: -Fffif 8/26/2005 I of I anffilla,a ' .t q'rv approval L ing 225 FIFTE STREET . SPRINGNELD, OR 97477 O PHZ6AD72G3753 T FA)ft (54 L)726-3689 EI,ECTRIUL PERMIT APPLICATTON Date 8 ZCity Job Number col/.zo6f -c2l I s? 1.3. N,3 3 Sr LEGAL DESCRIPTION A. t?o T lzt o eqoo Service Included 1000 sq. ft. or less Each additional 500 sq. portion thereof Each Manufact'd Home JOB DESCRIPTION ft. or 4* and erpire if work is or i not started within f80 days of issuance or if work is Suspended for 1E0 days. 2. 52-001 oS $106.00 s 19.00 Q6 Ore on in n coPies ol t $ 53.00Electical Contractor Address I 601 Over 1000 AmpWolts Reconnect Only 7o/o Stile Surcharge l0% Administrative Fee TOTAL te: the $ 75.00 s125.00 $163.00 s375.00 $ s0.00 City S,fu *oo" 4,' R S.( SupervisorlicenseNumber SZiiG S c. ExpirationDate Constr. Contr. Numb* ,l.f?ffi? Expiration Date of Supewising Electrician Owners Name Address 67-S 33 ra{ Sl- city )P F\..Phone OWNER INSTAILATION The insallation is being made on property I owu which is not intended for sale, leasc or renL Owners Signature: Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Aops $ 69.00 401 Amps to 600 A.nps $100.00 Over 600 or 1000 Volts see "B" above. D. E. Pump or irrigation Sig/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges New Alteration or Extension Per Panel One Circuit S 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3'00 $ 50.00 s 50.00 s 25.00 $ 45.00 4..oD .{t 3 73Inspection Request 726-37 69 Shared Drive(T: /Building Forms/Electricat Permit Application I 43.doc Modular