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Home My WebLink AboutPermit Electrical 2003-06-05Gity of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676Fax 541-726-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00138 6t5t2003 6tst2003 t2tst2003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: 2470 35THST 1702194200800 Add 3 circuits Springfield TYPE OF WORK: TYPE OF USE: New Residential OWNER/APPLICANT: WENDT KIM D 2470 35TH ST SPRINGFIELD OP.97477 ELECTRIC 541-895-2440 Date: 0711812003 Description + l0%o Administrative Fee + 7%o State Surcharse Add. Alter. Extend Circ Add. Alter. Extend Circ Ea Add Amount Paid 4.90 3.43 43.00 6.00 Date Paid 06t0s/2003 06t0s12003 0610s12003 06105/2003 Receipt Number 2200200000000000989 2200200000000000989 2200200000000000989 2200200000000000989 To Request an inspection call the 24 hour recording at726-3769. All inspections 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 working day. RequAed lnqpealiorli By Signature, I state and agree, that I have carefully examined information hereon is true and correct, and I further certify the Ordinances of the City of Springfield and the laws of the THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORI THIS to the work described herein. I further NOTICE: that all in accordance with certify that only contractors and employees who are in compliance with ORS 701.055 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, and that the approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Signature Date Pase I of I lrmafjrr obtain coPi r. (Note: ann 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfietd Development Services I)epartment Public Works Department Official Receipt Receipt #r 2200200000000000989 Dste: 06/0s/2003 ELE2003-00138 ELE2003-00138 ELE2003-00138 ELE2003-00138 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0o/o Administrative Fee + 7o/o State Surcharge 43.00 6.00 4.90 3.43 Item Total:$s7.33 DIXON ELECTRIC ddk 57.33CheckIn Person Payment Total:$s7.33 6t512003 10:24:29ANI Page I of I cRcccipt.rpt *GffiGM* 225 FIFTII STREET o ELECTRICAL PERMITAPPLICA Ciry Job Number SPRINGFIELD, OR 97477 o pH :(541)726-3753 o FAX: (S4t)726-3689 TION t4 Date I o LEGAL DE JOB DESCRIPTION Permits are non-transferable and expire if work isnot started within 1g0 days of issuance or if work isSuspended for lg0 days. 7 Electrical Contractor Address L IV\ city CJ&-tr+&!L pho,"{'}-rtcto Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion 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,{/olts Reconnect Only B. $ r9.00 $ 63.00 $ 75.00 $125.00 $ 163.00 $375.00 $ s0.00 Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signafure of Supervising Electrician Owners Name Address <+ Installation, Alteration or Relocation 200 Amps or less $ 50.00 401 Amps to 600 Amps $100.00 C. 4VJ+1 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited EnergyiCommercial or 1000 Volts see..B,'above. D. N One Circuit AND OR $ 43.00 Y3'ooEach Additional Circuit or with Service or Feeder Permit ?$ 3.oo (" od N E. City Phone (-,/(;f: OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. .\.0t o3 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4 7% State Surcharge l0% Administrative Fee TOTAL --44o- €:1 5. J651r $ s0.00 s s0.00 $ 2s.00 $ 4s.00 1,-lb Owners Signature: \.\8,C8 Shared Drive(T:)/Building Forrns/Elecaical Permit Application 1 -03'doc CITY OF onrcou COISITTACTOR INSTALI.ATONOTTLT tollowing use per dwelling rmii. A.]Ysrv r t.l F- Resideii{ial Alteratior:s or. Relocation: SGtq: 3.o-fllC Serviees'br Feetters Miscellaneorm (Sen'ice/feeder not incl udctl)-[acn .[rrrta$atiou oFAsow 4l oo ULBF City of Springfield 225 Fifth Street, Springfield, OR 97 477 541-726-3759 Phone 541-726-3676Fax December 02,2003 WENDT KIM D 2470 35TH ST SPRINGFIELD Job Number: Location: oR 97477 ELE2003-00138 2470 35TH ST Project:Add 3 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 wthin 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 2470 35TH ST which is set to expire on t2/512003. Our records indicate that you have not requested an inspection within the past frve (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, piease 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 S afety S upervisor