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Home My WebLink AboutPermit Electrical 2005-09-27Y OF SPRINGFIELD Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Frx 541:7 2G37 69 Inspe ction Line Building/Co mbination Permit PERMIT NO: COM2005-01319ISSUED: 0912712005APPLEDz 0912712005E)GIRESz 0312712006 VALUE: SITE ADDRESS: 1048 S 34TH PL ASSESSOR'S PARCEL NO.: 1802062402100 PROJECT DESCRIPTION: 200 amp service. Springfield TYPE OF TYPE OF USE: Electrical Work Only Alteration Residential Owner: Address: WAGNER GLENN C & LANA R 1205 CLEARWATER LN SPRINGFIELD OR 97478 PhoneNumber: unknown Contractor Type Electrical Contractor Secondary Construction # of Bedrooms: t Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: \t $ PerSq Ft or multiplier License 73995 Expiration Date 05t24t2008 Phone s4t-744-070s # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Ft Basement: Garage/Carport Other: Load: Total: Handicapped: Compact: PARIilNG Sidewalk Type: DownspoutVDrains Square Footage or Bful AmountDescription Tvpe of Construction lof2 Value Date Calculated T u: ( # of Unib: Primary Occupancy Secondary Occupancy Primary Construction ,,a$ $, t$o Valuation Description I CITY OF BuildinglCo mbination Permit PER]\'IIT NO: COM2005-01319ISSUED: 0912712005 APPLIEDz 0912712005E)?IRESz 0312712006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pe ction Line Fee Description + l0oh Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 9t27t05 9t27tus 9127lls Receipt Number 1200500000000001404 1200500000000001404 120050000000000r404 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilI be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ffi the stree( that the card is located at the front of the property, and the approved set of plans will remain on the site at during 7 o{ Owner or Contractors Signature 2of2 Date \I I ees raro I By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCI PAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ that only contractors and employees who are in compliance witlt 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 - 225 Fifth Street Springfield, Oregon 97 477 54l:726-3759 Phone City of Springfield Of{icial Receipt :velopment Services Department Public Works Department RECEIPT #: 1200500000000001404 Date: 0912712005 11:31:29AM Job/Journal Number coM2005-01319 coM2005-01319 coM2005-01319 Description Perm Serv/Fdr 200 amps or less + 7o/o State Surcharge + lUoh Administrative Fee Amunt Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Palment Paid By CheckNumber Auftorization Received By Batch Number Number How Received Amount Paid Check GLEN A CAMPBELL jmp 3744 In Person Payment Total: $73.71 -ffi?r )I 9/27/200s lofl anIffiD \ 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 E LECTRI CAL P ERM IT AP P LICATI ON Date q-z-1 -oSCity Job Number aief.-A ?fr 5- or?\ 3 Service Include0ate 1000 sq. ft. or les$'th d has e tollowing tano use,.. $ 106.00 $ 19.00 ss0.00 s 63.00 $ 75.00 $12s.00 $ 163.00 $375.00 $ s0.00 $ 43.00 $ 3.00 s s0.00 $ 50.00 JOB DESCRIPTION ?ort< e P{^ th 3 A. New and orized Signature o1% q ,.,d\ 3'ii tu< LEGAL DESCRIPTIONt8 oa ObZ0. oztoc Permits are and expire if work is ". not started within 180 days of issuance or if work is Suspended for 180 daYs. Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder V Sgrvices or Feeders - Installation, Alterations or Relocation: r\) Electrical Contractor City SupervisoilLicense ANLY a// €(a. rl^,2 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 AmPs .- ' 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Address 0'O ' lb 6 Y--2b 12rra'L{eu,ttLP Phone 74Gf*0 \of c ..o' 5 Expiration Date Constr. Contr. Number a)r3q9 Expiration Date 0 Signature of Supervising Electrician Q. Owners Name Address (+,- rV fi/<- tlL City Phone D$tANoco't'+ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Temporary Services or Feeclers Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 C. \- 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits r l New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. tr'Iiscellaneous (Servicelfeeder not included) -Each lnstallation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges b3,oo 4,4 |. 7%o State Surcharge l0% Administrative Fee TOTAL *13,-1\b,"o Inspection Request: 726-3769 5 Shared Drive(T:)/Building Forms/Electrical Permit Application I 43.doc 1. LOCATION OF b3.a ,$ ax\ e