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Home My WebLink AboutPermit Electrical 2005-05-06Buildin g/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00539ISSUED: 0510612005 APPLIED: 05/0612005EXPIRES: 1110612005 VALUE: SITE ADDRESS: 369 35th St ASSESSOR'S PARCEL NO.: 1702312412601 PROJECT DESCRIPTION: Add 2 circuits in garage Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Phone Number: 541- n req to follow rules adoPted by tile@on Utf,llPiration Date Phone s4t-747-0811 Owner: Address: Contractor Tvpe Electrical DENNIS WARI) 369 35TH ST SPRINGFIELD OR 97477 ATTENTIContractor L H MORRIS # 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: are set forth6/08/2005 the rules by calH'rgtStsrf6pter. (Note: the telephont ot Size: nunffaghrotm0eqen Utility NotificatioBq Ft tst Ftoor: TypenlEeis 1-800-332'23441. Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: U VN $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total:Overlay Dist: # Street Paved o/o of Handicapped: Compact: Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page 1 of2 Value Date Calculated \ SH ALt Valuation Description I 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: COM2005-00539ISSUED: 05/06/2005APPLIED: 05/0612005 EXPIRESz 1110612005 VALUE: Fee Description + l0o/o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Total Value of Project Date Paid 5/6/05 st6t05 st6t05 5t6t05 Receipt Number r200500000000000583 1200500000000000583 1200500000000000s83 1200500000000000583 Fees Paid 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 Springlield 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 certiff 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 Paee2 of2 Date 225 Fifth Street Springfield, Oregon 97477 54r-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200500000000000583 Date:05/06/2005 l:17:06PM Job/Journal Number coM2005-00539 coM2005-00539 coM200s-00s39 coM2005-00539 Description + 7Yo State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Due 3.22 4.60 43.00 3.00 Item Total: Payments: Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid Check LH MORzuS djb 115264 In Person $53.82 Payment Total: --BET s/6/2005 Page I of I -$ffi J-ob + 4L 5" K 225 FIFTH STREET o SpRINGFIELD, OF.g7477 . PH:(541)726-3753 o FAX: (54L)726'3689 E IE CTRI CAL P ERMIT AP P LI CATT O N ( Dttr of -OO 53?Date - o-E g!lrrInrGl,I€LI} 9.00 1.3. L 3 { LEGAL DESCRIPTION t7o L L JOB DESCRIPTION ( o rrgaG*<- t-tt r r'rt t r\J L4*,L.{ J< A. c. E. 6r+a4 tG Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor u.il. Nbr(i6 E Address Service Included 1000 sq. ft or less Each additional500 sq. ft. or porrion thereof Each Manufact'd Home or or drr**EoEn{po 601 Over 1000 AmpsA/olts Reconnect Only hr hrot dt oARgsasoa.oo $375.00 $ 50.00 O t , <0^o Phone l4l-Ot l, Supervisor LicenseNumber @to S Expiration Date lo -l-o-l Constr. Contr. Number Expiration Date -8-oS Signature o f Supervising Electrician 4 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 4$$[fnrye 600 Amps $100.00 Orrer Vi One Alteration or Extension Per Panel circuit \ s 43'oo Each Additional Circuit or with i - Service or Feeder Permit I $ 3'00 c +a"- .14 3 or,ro"r, Nu." \ u/Nl \ lrrfR\ Address =6?itff^ \F City aPr'\ puone OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential $ 50.00 s 50.00 $ 25.00 3 zL Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.4bry 7o/o Stzte Surcharge l0% Administrative Fee TOTAL rc3{>Inspection Request: 726-3769 Shared Drive(T:YBuilding FormVElectrical Permit Application l{3'doc City Job Number ( I