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HomeMy WebLinkAboutPermit Electrical 2005-04-18Building/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: COM2005-00434ISSUED: 0411812005 APPLIEDT 041181200sEXPIRES: 10/1812005 VALUE: SITE ADDRESS: 682 34TH ST ASSESSOR'S PARCEL NO.: 1702312104100 PROJECT DESCRIPTION: Replace Service Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential 1iliow rules adopted by the Oregon Utility hiuiifrcation Center. Those rules are set lortt in OAR 952-001-0010 OAR cop the telephone Owner: Address: Contractor Type Electrical Contractor PAUL'S ELECTRIC RITZDORF ROBERT W & DENISE K 88041 TIKI LN SPRINGFIELD OR 97478 nurr[.;er for the Oreoon Utilitv Notification c e rrltip gtioo-s[U4i$$ign Date 162841 01t26t2007 Phone 541-746-9752 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated Ttl Valuation DeseriUtlon l OF SPRIN 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: COM2005-00434ISSUED: 0411812005APPLIEDz 0411812005EXPIRES: 10/1812005 VALUE: Fee Description + l0oh Administrative Fee + 7oh State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 4n8t05 4n8t05 4n8tos Receipt Number 2200500000000000442 2200s00000000000442 2200500000000000442 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. Reouired fnsnections 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. /2.,"{0 Owner or Contractors Signature Pase 2 of 2 Date Fees rard 225 Flfth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000442 Date: 0411812005 10:10:02AM Job/Journal Number coM2005-00434 coM2005-00434 coM200s-00434 Description Perm Serv/Fdr 200 amps or less + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check PAUL'S ELECTzuC nJm 1007 In Person $73.71 Payment Total: -Sffi- ,! 4/t8/2005 Page I of I Hlx3r3,,.o 225 FII-IH STREET . SPRINGFIELD, OR97477 r PH:(541)72G3753 o FAX: (541)72G3689 PERMIT APPLICATION Ciry Job o.5 Date -o I. LOCATION OF INSTALIATTON 6 trt /f. 3 {-tq 3. COMPLETE FEE LEGAL DESCRIPTION A. New Residential - Single i " o> 3t >1 o/tfl Servicelncluded unit. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Ampsto400Amps $69.00 401 Amps to 600 Amps --_:____ $l-00.00 Over 600 Amps or 1000 Volts see "B" above. New Alteration or Ertcmio* Per Panel One Circuit $ 43.00 Each Additional Circuit or urith Service or Feeder Permit $ 3'00 E. il.Iiscellaneous (Sen'ice/feeder not included)-Each Installation %,Pf $ 50.00 $ 50.00 $ 2s.00 $ 45.00 3o 73 '7 I JOB P. 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. coI\4rRACroR rNsTALrATroN 0NLY ServicelopJesde6*- f,*\'r Ql q"*.r.200Electrical Contractor 3o.?,o ttl 201 Address 401 emn66g6Wd#Pfuv obtain copiesof $ltl0Bs ny City Phone ReconnectOnly Center is 1-800-332-234S[0.00 Supervisor License Number 3szo s C. Temporary Services or Feeders hJo.lt".r', [{o 7{L-?-<L 601 Amps tedm&tgprenter. (Nqle.lhe t6}Ftffiie_ over I 000 riumbMds th e O re g o n_lllllal'fifilfffilion Expiration Date o o( Constr. Confr. Number Expiration Date LD o Signature of Supervising Electrician Owners Name -r Address qg o'f I T,l^ ciry <p{-A Ynone Z{7.-9231 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, Iease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABOVE b3"L TYoState Surcharge l0% Administrative Fee TOTAL ,ff (, I Inspection Request: 726-3769 Shared Driv{T:/Building Forms/Electrical Psmit Application I {3.doc CITY OF -0010 / t2tr4 I ?J- 8;r,