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Home My WebLink AboutPermit Electrical 2006-04-27Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line o Building/Combination Permit PERMIT NO: COM2006-00498ISSUED: 0412712006 APPLIED: 0412712006 EXPIRES: 1012712006 VALUE: SITE ADDRESS: 355 WOODLANE DR Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703262103601 TYPE OF USE: RePair Residential PROJECT DESCRIPTION: Service reconnect, rebox hall and install smoke detector system Phone Number: 541-Owner: Address: Contractor Type Electrical DARRELL BASOM 355 WOODLANE DR SPRINGFIELD OR 97477 r-oo1- Iesbt Contractor MITCHS ELECTRIC INC Expiration Date 0v1812007 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: nla Occupant \S 'otal Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Phone 541 -52 r -5690 PARKING # of Units: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction TyPe Secondary Construction TYPe: # of Bedrooms: Fronfyard 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: Energy Path: Sprinkled Building: R-3 VN $ Per Sq Ft or multiplier Square Footage or Bid Amount n Description TvPe of Construction Pase I of 2 Value Date Calculated rrJ to [\'j in co Overlay # Street Paved Drive oh of Lot \t J \80 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54r-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00498ISSUED: 0412712006 APPLIEDz 0412712006EXPIRES; 1012712006 VALUE: Fee Description + lloh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Service Reconnect Amount Paid $6.80 $5.44 $18.00 $50.00 Total Value of Project Date Paid 4t21106 4t27106 4t27 t06 4t27106 Receipt Number l 200600000000000s59 l 2006000000000005s9 r 2006000000000005s9 l 200600000000000559 Total Amount Paid $80.24 To Request an insP ection call the 24 hour recording at 726-37 69. All insPectio n requested before 7:00 a'm' wilt be made the sam e working daY, insPections requ ested after 7:00 a.m. will be made the following work day Rough Electric: Prior to Cover ElectricService:Approvalrequiredpriortoutilitycompanyenergizingservice. Final Electric: When all electrical work is complete' By signature'I state and agree,that I have carefullY examined the comPleted applicatio n 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 a ny structure without permission of the CommunitY Se rvices 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 Paee 2 of 2 Date -r I r ees ralo 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cit, of Springfield Official Receipt L ,lopment Services Department Public Works Department RECEIPT #: 1200600000000000559 Date: 0412712006 e:44:46ANl Job/Journal Number coM2006-00498 coM2006-00498 coM2006-00498 coM2006-00498 Description Service Reconnect Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10Yo Administrative Fee Amount Due 50.oo r 8.00 5.44 6.80 Item Total $E0.24 Payments: Type of Payment Received By Batch Number Check Number Authorization Number How Received Amount PaidPaid By djb 131570 In Person PaYment Total: $80.24CreditCardMITCHS ELECTRIC $80.24 cReceint I Page I of I 412712006 225 FIFTH STREET . SPRINGtr'IELD, OR97477 o PH:(541)72G3753 o FAX: (541)726-3689 ELECTRICAL City Job Number C PERMIT APPLICATIONu|Zoo6-oocl? I Date 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or I 1.3 3tS lJoo { LEGAL DESCRIPTION r?Ds z6z( o 36o 1 Service Included A. JOB DESCRIPTION s tr2,**t-t3g 6 Ctr<^ifs Permits are non-transferable and if work is Suspended for 180 days. ' not started within 180 days of issuance or if work is Modular Dwelling F, $106.00 $ 19.00 $50.00 l0TlGt SHATL UI'iDER t1\ 7 Electical Contractor N PER\I 5 AI\ City ANY Address o(F ytorc 5zi'S\z o Supervisor License Number 4l t l,S C. Expiration Date lo -al- D 1 Constr. Contr. Number i\(;qs Expiration Date 0 -l{-o D. Signature of Supervising Electrician Owners Name bnao.{[SRrQr- Address 3Sy LJao t,bry{ U City ?F\Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent' Owners Signature: Installation, Alteration or Relocation 200 AmPs or less $ 50'00 201 AmPs to 400 AmPs $ 69'00 401 AmPs to 600 AmPs $100'00 ,2$ AmPs or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 Amps Over 1000 AmPs/Volts Reconnect OnlY $ 63.00 s 75.00 $125.00 s163.00 $375.00 _-i---yD Over 600 or 1000 Volts see'T!" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00(= __E E. Pump or irrigation Si grr/Outline Li ghting Limited EnergY/Residential Limited EnergY/Commercial Minimum Electric Permit Inspection Fee . irt,, :!s^:; :"1:,':_ _ilr! ::4;':t.' ; :;J":tt'r' \".:l,il.,lii t.' iwiArAL,"oF,ABow"' ;:' ;':,,,';1 ' I ;:j; l :;i* ,Fil:il : ;rii' 'i;a '' nil:' :* :: : : r ' ?% State Surcharge l0% Administrative Fee TOTAL is $45.00 + Surcharges 6b ivv 5ro Bo 2L s 50.00 $ 50.00 $ 25.00 $ 45.00 Inspection Request: 726'3169 Sharcd Drive(T:lBuilding FormVElectrical Permit Application 143'doc L.# or 'l