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Home My WebLink AboutPermit Electrical 2004-12-07Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01497ISSUED: 1210712004APPLIED: 1210712004EXPIRES: 0610712005 VALUE: SITE ADDRESS: 1368 WIMBLEDON PL ASSESSOR'SPARCELNO.: 1703342200805 PROJECT DESCRIPTION: Add alter 4 circuits Owner: RONALD CRAWFORD Address: 1368 WIMBLEDON PL SPRINGFIELD OR 97477 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential PhoneNumber: 541-744-0648 Contractor Type Electrical Contractor LIVEWIRE ELECTRIC,INC License s6697 Expiration Date 05fi612005 Phone 541-3444928 CONTRACTOR INFOR]VIATION # of Units: Secondary Occupancy Group:$0't 1H\S R-3 $l\\1 SHIPrimary Occupancy Group: PER D UNUPrimary Construction Type ORSecondary Construction Type:Au1 VN NCED # of Bedrooms:c0 M\I\E O DAY1SANY Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Type: PE Path: Sprinkled Building:n/a Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: to REQUIRED PARKING Total: Handicapped: Compact: #of $ Per Sq Ft or multiplier NORK S NOl iiED toH Square Footage or Bid Amount )PMENT INFORMATION Description Tvpe of Construction Total Value of Project Value Date Calculated l' U ll-r,rN (; rN r ur(]YrA,!!lIN-l Valuation DeseriBliqn l Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01497ISSUED: 1210712004 APPLIEDz 1210712004EXPIRES: 0610712005 VALUE: Fee Description + l0Yo Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $s.20 $3.64 $43.00 $9.00 $60.84 Date Paid t2t7t04 t2t7t04 r2t7t04 r2t7to{ Receipt Number 3200400000000000359 3200400000000000359 3200400000000000359 3200400000000000359 Plan Reviews 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. 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 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 Page2 of2 Fees ratfl I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone oty of Springlield Oflicial Receipt :velopment Services Department Public Works Department RECEIPT #: 3200400000000000359 Date: 1210712004 2:30:57PM Job/Journal Number coM2004-01497 coM2004-01497 coM2004-01497 co}l2004-01497 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LORNE CURRAN djb 2944 In Person Payment Total: $60.84 $60.84 t2/7/2004 Page I of I 3PTIIi|GFIILO 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH;(54r)726-3753 o FAX: (541 ELE CTRI C,4L P ERM IT APP LICATI ON city JobNumbq Cc:v^ z-o q - O ( W 7 o^r" 1.r€si*dA1-@.:@Aw;t"j.!%.s 4ffi iia? il,t--l/.r/a-r LEGAL DESCRIPTION\7c'3]LtZZ AoYaf lL-o 7-o !( Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work ls Suspended for 180 days. )B. Elecricalconractor /; ^ L),>, Address (2 Supervisor License Number 33 735 c. Expiration Date o constr, cont.Number .-L -i {, {q I Expiration Date o€ Sigrature of Electrician t SPtrlII\'GFIELT' ss0.00 JOB DESCRIPTION /a i\\ "(a-L +-(Cr-t-( .a - ,-., u - !9.1$i1i tl l00Q 4rrpr $163'00 ciw t,sJ:c n z- Phone '3?+ ?7 , I ,,,,,fytr.ttog,fryesrvS$ $37s.00 Reconnect Only S 50.00 ', 200 {.mps or less $ 63.00 2}]Anps to 400 Amps $ 75.00 , . 401 Arnps to 600 Amps $125.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel Owners Address {,>. City Phone 7* " OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease orrent. One Circuit Each Additional Circuit or with ,/ $ 43'oo /law UtiliUl$olrlrodiarPo - $ 45.00 Minimum Electrlc Permit Inspection Fee is $45.00 4 Surcharges t7 7o/o Stale Surcharge 10% Administrative Fee 56Y 5L: TOTAL 60 8: t Inspection Request: 7 2G37 69 4. Sharcd Drive(T:/Building Forms/Electrical Permit Application l'03.doc A. 3. Owners Signature: through G!pies