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
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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
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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.
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