HomeMy WebLinkAboutPermit Electrical 2004-11-30ITY F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01460ISSUED: 1113012004
APPLIEDz 1112912004
EXPIRES: 05/3012005
VALUE:
SITE ADDRESS: 395 36TH ST
ASSESSOR'S PARCELNO.: 1702311303300
PROJECT DESCRIPTION: Service change and circuits
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
Owner:
Address:
VICKIE BRADFIELD
25089 PARADISE DR JI'NCTION CITY OR 97448
Contractor Type
Electrical
Contractor
C & S ELECTRIC
Expiration Date
09/01/2008
Phone
541-741-2236
License
3849
I{ATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# 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:
to
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
vN
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/I)rains:
Valuation Description
Description Type of Construction
Total Value of Project
Value Date Calculated
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01460ISSUED: 1113012004APPLIEDz 1112912004EXPIRES: 05/3012005
VALUE:
Fees Pa
Fee Description
+ l0o/o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$7.20
$s.04
$9.00
$63.00
$84.24
Date Paid
tu30t04
ru30t04
tu30t04
tu30t04
Receipt Number
1200400000000001665
120040000000000166s
120040000000000166s
120040000000000r665
Plan Reviews
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Owner or Contractors Signature Date
Paee2 of2
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.
Kequrreo tnsDecuons l
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.
225 Fifth Street
Springfield, Oregon 97 477
54i-726-3759 Phone
^ity of Springfield Official Receipt
lvelopment Services Department
Public Works Department
RECEIPT#: r20040000000000166s Date: 1113012004 7:50:58AM
Job/Journal Number
coM2004-01460
coM2004-01460
coM2004-01460
coM2004-01460
Description
Perm ServiFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7oh State Surcharge
+ l0% Administrative Fee
Amount Due
63.00
9.00
s.04
7.20
Item Total:s84.24
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MELLISSA GEHRKE djb 030046 In Person 584.24
Payment Total:
-53li7l
tt/30/2004 Page I of I
tllllataS.o
2?5 FIFTI{ STREET . SPRINGFIELD;OR 97477 . PH:(541)126-3753 . FAX: (5411r2
E LE CTRI CAL P ERMIT APP LI CATI O N
Ciry.Tob Date
1.
3 Zg 3G*,^ s+
LEGAL DESCRIPTION
OL 3 0'330 0
JOB DESCzuPTION
*{Lvlcs Ltk-o,ls
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if rvork is
Suspended for 180 days.
2
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 $50.00
( $ 63.00 6)
$ 75.00
s 125.00
$ l 63.00
$375.00
$ s0.00
$ 50.00
$ 69.00
$ 100.00
$ 43.00
$ 3.00
$ 50.00
$ s0.00
lou tci-$ 25.00
B.
Electrical Contractor
Pntux)vg>
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
Installation, Alteration or Relocation
200 Amps or less _ -: -_:__
201 Amps to 400 Amps
aol Amps to 600 Arnps - ll-
-
Over 600 Amps or 1000 Volts sed *Bt above.
Nerv Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
}S h..
Address
City
Supervisor License Number q{7 q S
Expiration Date lo -o l-o'l
3saq
Expiration Date 1-t-ce
Signature of Supervising Electrician
Constr. Contr. Number
C.
D.
E.
Gerdtr
TOTAL
Pump or inigation
Sign/Outline Lighting
Owners Name
Address
!t.c \c,? 7r*A CdJ
Zf,psl -hta*$rsr D(
?
civT.1a-fu=phone 73 f '!-2tr (
OWNER INSTAILATION
The installation is being made on property I own wtrif0llOW
is not intended for sale, lease or rent.N
h OAR
Ou.ners Signature:0090.
calling
numb8r
$ 45.00
ru
$Hffg$o-tsCEbEis $45.0 0 + S urcharges
7Z
5o'r
-2344)
, ree '72c,
SY Z'(
Notificattor
2
Inspection Request: 7 26-37 69
Shared Drive(T:),tsuilding Forms,Electrical Permit Application 1 -03.doc
?", .J{- Pho^" 7q/->}s6
CitY of SPringfield
225 Fifth Street, Springfield, OR97417' 541-726-3759 Phone
541-726-3676Fax
April 19,2005
BRADFIELD VICKIE
25089 PARADISE DR
JLINCTION CITY OR 97448
coM2004-01460
395 36TH ST
Job Number:
Location:
Project:Service change and circuits
Dear Permit Holder:
The Springfield Buiiding 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 within 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 at395 36TH ST which is set to expire on
513012005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please 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.
Lisa Hopper
Building Safety Supervisor
t-L