HomeMy WebLinkAboutPermit Electrical 2005-06-09Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00705ISSUED: 0610912005APPLIED: 06/0912005
EXPIRESz 1210912005
VALUE:
SITE ADDR-ESS: 3195 WAYSIDE LP Springlield TYPE OF WORI(:
ASSESSORTS PARCEL NO.: 1703224101700
TYPE OF USE:
PROJECT DESCRIPTION: Add new circuits for kitchen remodel. Electric only.
Owner:
Address:
Contractor Tvpe
Electrical
JOSEPH VERRET
3195 WAYSIDE LOOP
SPRINGFIELD OR 97477
Contractor
LIVEWIRE ELECTRIC,INC
License
56697
Expiration Date
0sn6t2006
Phone
s4t-3444928
CONTRACTOR INFORMATION
)RMATION
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: ATTENTION Oregon
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Energy P"tht lollow ru
Sprinkled BuiWilfiLrt,o les adoot
n ceB{6'
:ed b
Tho e
0 throLrgh OAR
rn copt(
$ Per Sq Ft
or multiplier
Calltng tirr.,c0 lti, ,; , i
Overlay Dist: nL.lrn5gr fi-rr ti r.. t ,r.r
# Street Trees Rqd: Cei-iit, r i ,
Paved Drive Rqd:
%o ofLot Coverage:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of2
Value Date Calculated
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ANY l B0 DAY PERIOD.
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Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2005-00705ISSUED: 0610912005APPLIED: 06/0912005EXPIRES: 1210912005
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$s.s0
$3.8s
$43.00
$12.00
$64.3s
Total Value of Project
Date Paid
6t9tos
6t9tos
6t9tos
6t9t0s
Receipt Number
2200s00000000000751
2200500000000000751
2200500000000000751
2200500000000000751
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
Page2 of2
Date
Keourreo lnspecttons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
levelopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000751 Date: 0610912005 1:21:0ePM
Job/Journal Number
coM200s-0070s
coM200s-0070s
coM2005-00705
coM200s-0070s
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
12.00
3.85
s.50
Item Total:$64.35
Payments:
Type of Payment Paid By
checl( NumDer Authorization
Received By Batch Number Number How Received Amount Paid
Check LIVEWIRE ELECTRIC ddk r0152 In Person $64.35
Payment Total:
-56ffirl
6t9t200s Page I of I
ryt
225 FIF'TH STREET . SPRINGF'IELD, OF.97477 o PII:(541)726-3753 r FAX: (541)726-3 689 bb
E LECTRI CAL P ERMIT AP P LI CATI ON
City Job Number -o Date
1.3.
LEGAL DESCRIPTION
JOB DESCRIPTION
tDnod o'I
KI r.^/ /lbrtrillt /t/44J' n/cu,T5
Permit's are non-transferable and expire if work is
e not started within 180 days of issuance or if work is
Suspended for 180 days.
)
Electical ContractorLlffi
P.O. BOX 231il
Phone -/728
Supervisor License Number 73?3 - s
Expiration Date l0- [- o7
constr. contr.Numb * f 9'tr6 ? 7
Expiration Date I -tC -zoo(a
Signanue of Supervising
Owners Name
Address
City
OWNER INSTALLATION
The installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signature:
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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Ouly
401 AaiiisgD'dooatuF
olts
New Alteration or Extension Per Panel
One Circuit
i
Ipstallation, Alteration or Relocation
200 Amps orless
2Ql Amps to4o0 Amps
$106.00
s 19.00
Address
B.
c.
D.
s50.00
$ 63.00
$ 75.00
$12s.00
$163.00
$375.00
$ s0.00
s s0.00
s 69.00
$100.00
City
Each Additional Circuit or with ti
Service or Feeder Permit
-l--
Lj'? -s 43.00 | J
t" -$3.00 /L
E.
I
I nump or irrigation $ s0.00
Sign/Outline Lighting
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surchargest/-
7%State Surcharge
l0% Administrative Fee
TOTAL
,
/z'?4Inspection Request: 726-3769
4.
Shared Driv{T:/Building Forms/Electtical Permit Application l -03'doc
THE WL
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676Fax
October 20,2005
VERRET JOSEPH
3195 WAYSIDE LOOP
SPRINGFIELD OR
Job Number:
Location:
97477
coM200s-00705
3195 WAYSIDE LP
,1tu
Project:Add new circuits for kitchen remodel. Electric only
Dear Permit Holder:
The Springfield Building 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 at 3195 WAYSIDE LP which is set to
expire on 121912005. Our records indicate that you have not requested an inspection within the past
five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you
are ready to request an inspection for your proj ect, please phone the inspection line at 541-726-37 69 . 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
Sincerely,
Lisa Hopper
Building S afety Supervisor