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Home My WebLink AboutPermit Electrical 2003-09-17Status Issued 225Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00914ISSUED: 0911712003APPLIEDz 0911712003EXPIRES: 03/1812004 VALUE: SITE ADDRESS: 1436 WALNUT RI) ASSESSOR'S PARCEL NO.: 1703342302300 PROJECT DESCRIPTION: Install new service and feeder Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: TERRy JOHNSON Address: 1436 WALNUT ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor ROBS ELECTRIC INC Expiration Date 08114t200s Phone 541-686-5444 License 1s6678 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type .vN Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: #of $l to$ Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area:os Path: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARJilNG Total: Handicapped: Compact: rO Total Value of Project Pase I of2 Description Type of Construction Value Date Calculated Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: \o i{rtjr\(obaq\i:ltl a o1\ne )- \\ ^A\' o$ \o\\:.:ar\o( \1"t$'-i"otl ' -'.c. I nld P'En Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00914ISSUED: 0911712003APPLIED: 0911712003 EXPIRESz 0311712004 VALUE: Fee Description + l0o Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Total Amount Paid Amount Paid $r3.80 $9.66 $63.00 $75.00 $161.46 Date Paid 9n7t03 9n7t03 9tr7t03 9fi7t03 Receipt Number 1200200000000002151 1200200000000002151 1200200000000002151 1200200000000002151 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wilt be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 rees raro I Keourreo lnsDecttons 225 FIFTH STREET . SPRINGFIELD, OR97477 . PI{:(541)726-3753 . FAX: E LECTRI CAL P E RM IT AP P LICATIO N CiryJobNumber (nuzr<;S -OOg,q Date ? - l7 -OS tLt3G wtAuryotr N\ LEGAL DESCzuPTION 70'33\23 OZ3o o 6+fMef6f,6$fproiecf as submiued has the ronlwinszorrtng and does not require specilic lano useapproval 3. l\ufftonzed signature A. JOB DESCRIPTION 5'I&\\ u-br.{-{lJ,'&E Permits are non-transferable and expire if IS not started rvithin 180 days of issuance or if u'ork is Suspended for 180 days. 2- Plione Address 2t55 oh)o di Ciry Co6,gr\l Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Horne 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/Volts Reconnect Only lnstallation, Alteration or 200 Amps or less s r 06.00 $ 19.00 s50.00 s 63.00 L3'l s 7s.00 7 _t s 125.00 s r 63.00 s375.00 s 50.00 s 50.00 s 69.00 s r 00.00 s 43.00 s 3.00 B. Supervisor License Number Expiration Date -c Constr. Contr. Number \6 G Expiration Duo. 8'l/ - oS Signature of Supervising Electrician Y/, @'l 7'/'i S C. *o 1g 201 Amps to 400 Amps 401 Arnps to 600 Arnps owners Name -Tcg .l cl r,.-t1{1So,/ Address lL(36 l,J/tLN*( p\ City Phone Over 600 or 1000 Volts see "B" above. Nerv Alteration or Extension Per Panel One Circuit Each Additional Circuit or rvirh Service or Feeder Permit Pump or OWNER INSTAfLATION The installation is being made on property I own which is not intended for sale, Iease or renL - - Owners Signature: s 45.00 Fee is $45.00 * SurchargesMinimum tB6*-v6r, 7%o State Surcharge I 07o Administrative Fee TOTAL l)s" Lt6lnspcction Request: 726-3769 4. Shared Drive(t: /Building Fonns/Eleclrical permit Application I {3.doc l. zonins (T{e Elecrricar conrra*or RO b5 e kC tci C G$C'5'aqq I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Rec€ipt #: 1200200000000002151 Date: (D/17l2003 -- ldld)3AM coM2003-00914 coM2003-00914 coM2003-00914 coM2003-00914 + 7%o State Surcharge + l0%o Administrative Fee Perm Serv/Fdr 200 amps or less Perm ServlFdr 201 to 400 amps 9.66 13.80 63.00 75.00 Item Total:$161.46 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check TERRY JOHNSON djb In Person Payment Total: s 161.46 $161.46