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Home My WebLink AboutPermit Electrical 2006-03-23Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax . i 541-7263769 Inspection Line CITY GFIELD Buildin g/Co mbinatio n Permit PERMIT NO: COM2006-00345ISSUED: 0312312006APPLIEDz 0312312006E)AIRES: 0912312006 VALUE: SITE ADDRESS: 6680 THURSTON RI) ASSESSORS PARCEL NO.: 1702341102300 'l PRoJECT DESCRrprroN: Add I circuit Springfield TYPE OF TYPE OF USE: Electrical Work Only Addition Commercial ',-'Owner: Address: FIRST CHRISTIAN CIIURCH 6680 THURSTON RI) THURSTON OR N482 Contractor Type Electrical Contractor CONRICH ELECTRIC LLC License r49s09 Expiration Date tu02t2007 Phone 541-607-3447 # of Units: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: # of Stories: Lot Size: Height of Sq Ft lst Floor: Type ofHeat Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: SqFt Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot NO Comoact: v{0R( LLEXP lRE \S NOI REQUIRED PARI(NG Total: Handicapped: c0M ANY HA RIS 180 Square Footage or Bful Amount ABAN DONED bnv Pr ft\@ewalt<Type: DownspoutMDrains lF lHE [t $ Per Sq Ft or multipter DEVELOPMENT INFORMATION Description Tvpe of Construction lof2 Value Date Calculated u\r1\ I I1A\- I (rI( l1'trlr.tri.lYlA I I(rl\ I Valuation Deseription I F SPRINGFIELD Building/Combinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone , 541-726-3676Ftx 541:7 2637 69 I nspe ction Line PERMIT NO: COM2006-00345ISSUED: 0312312006APPLEDz 0312312006E}PIRESz 0912312006 VALUE: Fee Description + l0Yo Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Amount Paid $4.s0 $3.60 $43.00 $2.00 $s3.10 Total Value of Project Date Paid 3t23t06 3t23t06 3t23t06 3t23t06 Receipt Number 2200600000000000374 2200600000000000374 2200600000000000374 2200600000000000374 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reouired Insnections By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all . information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCTIPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature 2of2 Date rees rato I 'r 225 Fifth Street Springfield, Oregon 97 477 5!l-726-3759 Phone -1 aF.$llottrl'o ,1ity of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT#: 2200600000000000374 Date: 0312312006 11:05:09AM Jcb/Journal Number CbtvtZOO0-OO:eS coM2006-00345 coM2006-0034s coM2006-0034s Description + 8% State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical Amount Due 3.60 4.50 43.00 2.00 Item Total:$s3.10 Payments: Tlpe of Payment Paid By CheckNrmber Aut[orization Received By Batch Number Number How Received Amount Paid Check Cash Change ELECTRONIC PRODUCT DESIGN THURSTON CHRISTIAN CHURCH THURSTON CHRISTIAN CHURCH djb djb djb 2082 In Person In Person In Person Payment Total: $43.00 $20.00 ($e.eo) $53.10 Jab/Journal Number csM2006-00345 cDM2006-00345 cbuzooo-oo:+s coM2006-00345 Description + 8% State Surcharge + l0% Adminishative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical Amunt Due 3.60 4.50 43.00 2.00 Item Total:$53.10 Payments: Type of Payment Paid By Received By CheckNumber Batch Number Authorization Number How Received Amount Paid Check Clash Change ELECTRONIC PRODUCT DESIGN THURSTON CHRISTIAN CHURCH THURSTON CHRISTIAN CHURCH djb djb djb 2082 In Person In Person In Person Payment Total: $43.00 $20.00 ($e.eo) $53.10 JrS/Journal Number c\fM2006-00345 Description + 8% State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical coM2006-00345 cbuzooo-oo:+s ctiruzooo-oo:+s Amount Due 3.60 4.50 43.00 2.00 Item Total:$s3.10 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check Cash Clrange ELECTRONIC PRODUCT DESIGN THURSTON CHRISTIAN CHURCH THURSTON CHRISTIAN CHURCH djb djb djb 2082 In Person In Person In Person Payment Total: $43.00 $20.00 ($e.e0) r.-tli 4 : 'r, I 3t23/2006 lofl $53.10 !. Project as s 225 FIFTH STREET . SPRINGFIELD, OR 97477 c PH:(541)726-3753 r FAX: (541 E LECTRI CAL PE RMIT APPLI CATION City Job Number ",-o06 *eo3 v5-Date 3 z o CAMPLETE FEE SCHEDULE BELOW A. l\ew Residential - Single or I'Iulti-Famil;' per drvelling unit' eS..r'ice lncluded 1.3. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor Address 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder LEGAL DESCRIPTION Md / d.al*DoZ3V I oL10 ON $106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 $ s0.00 s 69.00 $ K $ 43.00 43,oo $ 3.00 $ 50.00 $ 50.00 s 25.00 $.00 rcharges 0) 360 q t-o ijtY JOB DESCRIPTI frJI t , (c,rir-( , I t..^--r:^-- ,.- I)^I^rafi coNTILAcToR I rs?ellArroN o]vIy B. services or l-eeders - Installationo Alterations or Rtlocation: L < 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs n City Supervisor License Number 7q5 Expiration Date Constr. Contr. Number Expiration Date 0 S Owners Name OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners dte pnone 60"7 -3?(7 601 Amps to 1000 AmPs Over 1000 AmpsAr'olts Reconnect OnlY Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs Over 600 or 1000 V tt 0R\S with Pump or inigation Sign/Outline Lighting Limited Energy,&.esidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee 6 C. Temporary Sen'ices or Fee<ters 100.00 _ S 1H C A- Address l,b&D -rAutsh^?d , E. l\'liscellaneous (Sen'ice/feeder not included) -Each tnstallation cfty Sp/d- *""ffi*U 87o State Surcharge 10% Administrative Fee TOTALInspection Request:726-3769 n rub-olQ 4. Shared Drive(T:/Building Forms/Electrical Permit Application l -06 doc r'/.rqg and does not af -//8) <_ U, \rn OREGONCITYOF