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HomeMy WebLinkAboutPermit Electrical 2005-02-24___ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00226ISSUED: 0212412005APPLIEDz 0212412005 EXPIRESz 0812412005 VALUE: SITEADDRESS: 275S38THST ASSESSORTS PARCEL NO.: 1702314103500 PROJECT DESCRIPTION: Replace meter base and mast Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Owner: Address: GEBERT LIVING TRUST 275 S 38TH ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor C & S ELECTRIC ATTENTIO follow rules Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: Phone 541-741-2236 REQUIRED PARIilNG Total: Handicapped: Compact: N01 1H\S R AUlHO $ Per Sq Ft or multiplier COMM ANY 1 Square Footage or Bid Amount DEVELOPMENT INFORMATION Valuation Descrintion Description Tvpe of Construction Pase I of 2 Value Date Calculated L you to \-lJ,I\ I I(ALI(-,T( II\IUry.] by - € Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00226ISSUED: 0212412005APPLIEDz 0212412005 EXPIRESz 0812412005 VALUE: Fee Description + l0Yo Administrative Fee + 77o 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 2124105 2t24t05 2t24tus Receipt Number 2200s0000000000021s 2200s00000000000215 2200500000000000215 Plan Reviews To Request an inspection call the 24 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 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. Owner or Contractors Signature Date Pzse2 of2 t(eourreo lnsDectlons I 225 Fiftb Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt .:velopment Services Department Public Works Department RECEIPT #: 2200500000000000215 Date: 0212412005 e:48:46AM Job/Journal Number coM2005-00226 coM2005-00226 coM2005-00226 Description + 7%o 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: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard MELLISA GEHRKE djb 305550 In Person Payment Total:$73.71 $73.71 2124t200s Page I of I &FetixtttGLD I CITY OF GFMLD, ORE.GON 225 FIFTII STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 r FAX: (541 E I, E CTI{T CAL P E r.NI TT AP P LI CATTON Ciq/.Tob Number Co,^zc,of - O OZZ6 Date z-z'1-o f I 3. za f 5. 38rt^ LE(]AL DESCRIPTION A. Z*ckc{ *rLr*bne *-l ,^nF Permits are non-lransferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. \1OZ 3tV I D"3 to o .]OI} DESCRIPTION 'l Electrical Contractor Adrlress Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or porti.on thereof Each Manufact'd Home or Modular Dwelling Servicr: or Feeder $ $ n Phone 7r't *tio Supervisor License Number ? Expirztion Date lC * o/ *?oa7 Constr. Contr. Number 38v1 Expimtion Date 1 * t- ?atK Si of Supervising Electrician Ow'ners Name Al,trr Ad,iress Z'?f 5 38{-q ciqv SPFj)Phone OVINER INSTALLATION Thr: installation is being rnade on properly l. own which is not intended for sale, lease or rent. Oraners Signature: 'frc.200 Amps or less $ 63.00 $ 7s.00 $ 125.00 201 Amps to 400 Amps 600 Amps Ioub-- $163'00 rules are set Ur,,ry._ forth-- ore 200 Amps or -2344), 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or i000 \/oits see "B" above. D. New Alteration or Extension Per Panel $ 43.00 $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residenti al Limited Energy/Cixnmerr:ial $ 50.00 $ 50.00 $ 25.00 $ 4s.00 7%o State Surcharge l0% Adminisfrative Fee TOTAL Minimum Electric Permit Inspection Fee is $45.00 + surcharges B. A aw ru 0090 You mca,ling ber for c f $50.00 s375.00 $ s0.00 s 50.00 $ 69.00 $100.00 63 fi T - One Circuit Each Additional Circuitor with Service or Feeder Permit 63 v"/ &30 73"7t Inspection Request: 726_3769 4. Shared Drive(T:.),Euilcling Fonns,&lectncal pennit Applicarion I _03.doc I AUIH E.