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Home My WebLink AboutPermit Electrical 2004-06-22Building/Combination Permit Status Issued 225 F'ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00738ISSUED: 0612212004APPLIEDz 0612212004 EXPIRESz 1212212004 VALUE: SITE ADDRESS: 1405 S 2ND ST ASSESSOR'SPARCELNO.: 1803020000600 PROJECT DESCRIPTION: 200amp service change Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Owner: Address: ALLEN ALFRED A & JACQUELINE 1405 S 2ND ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor ROSE CORPORATION Expiration Date 09t30t2004 Phone 541-686-0905 License 54431 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 #of $ Per Sq Ft or multiplier the Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: to set tortr a(e -001'952 ru\es bY Square Footage or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARI(NG Total: Handicapped: Compact: 1HE $t'tt r0R PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated r.}.I -lru ll:-l-rlL\ (J ll\ I (JILIYIA I I(r1\ | Vafuation Oescriptd Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00738ISSUED: 0612212004APPLIEDz 0612212004 EXPIRESz 1212212004 VALUE: Fee Description + l0o Administrative Fee + 7o/o State Surcharge Perm Serv8dr 200 amps or less Amount Paid $6.30 $4.41 $63.00 Date Paid 6t22t04 6t22t04 6t22t04 Receipt Number 2200400000000000830 2200400000000000830 2200400000000000830 Total Amount Paid $73.7r To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 OCCUPAITCY 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, thatlhe permit card is located at the front of the property, and the approved set of plans will remain on the siie at all times during construction. Owner or Contractors Signature Date Reouired Insnecti Pase2 of2 r1 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200400000000000830 Date: 0612212004 1:36:40PM Job/Journal Number coM2004-00738 coM2004-00738 coM2004-00738 Description Perm ServlFdr 200 amps or less + 7o/o State Surcharge + l0Yo Administrative Fee Amount Due 63.00 4.41 6.30 ltem Total:$73.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ROSE CORP djb 000417 157247 In Person $73.71 Payment total: -Sffi 6t22t2004 Page I of I ruD Feb*1I-04 O3:SIp, 225 FIFTH STREET r SPRINGFIELD, OR gT477 t pH:(5{t)726-37S3 r FA)ft E IaCT RI CAL P E RIUI IT AP P I.I CATION Ciry Job Number -e7X Da." L*ZZ*+.t ,:: ...:. . - 3. CODIPI,ETEI."EESCI{ED(.TLE {7",:.';'',t.r' 'h6 A. Itiew Residentiat - Singte or lVlulti-Family per Senlce Included 1000 sq. fr or less LECALDESCzuPTTONlgosozDo (io(*o JOB DESCRIPTIONA sfiwrca Permis are non-transferable not starlrd within 1E0 days of Suspended for lEO days. 7"col\rrfiAcToR Elcctrical Conbaclor Address Phone Constr. Contr. Numbcr Expiration Datc 3c L Signature of Supcrvising Elcctrician P-()2 r. LocA'IroN ot'tNs'f/./'rATToj|J- . lYo f S, Z"'t s I SH ALL flofflh' IS NOI of or or $50.00 Scrricesor Feedcrs - Installetion, -A,ltcretions or Relocation: AuI D frc ll* 1 200 Amps or less 201 Amps to 400 Amps {01 Amps ro 600 Amps 601 Amps o 1000 Amps Over l000ArapsVolts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Arnps ro 400 Amps 401 Amps to 6ff) Anps Ovcr 600 Amps or 1000 Volts see "B" abovc. D. .Branch Circuits ': New Atterotion or Ertrnsion Per Panel OneCircuit Each Additional Circuit or with Service or Fecder Pennit HU 6f ''o'E4/ute 6BL-oqcs $ 63.00 $ 75.00 $12s.00 $ r 63.00 $3?5,00 $ 50.00 s 50.00 $ 69.00 $ r00.00 $ 43.00 $ i.00 LSagSupervisor License Number q C, Tqmporary Servicer or Feederr Expirarion Date c a O Osners Name Addrcss lLl Ct t-st E. IVliscellnneous (Service/feeder not irrcluded) -Ench lnstallation Ciry sfio Phone Pump or irrigation $ 50.00 !B.oo O\f,'NER INSTALLAI'IOI The iqstallatioo is being made on propcrty I own which is not intended forsale, leaseorrent. Owners Signarure: Min 4. TOTAL 73 7/ CITY OF RINGFIELD. OREGON Inspectiuu Requesu 726-3769 Sharcd DrivdT:lBuilding Porm$ElLrtrical Perrul Applicarioo l-0i.doc $r06.00 $ 19.00 I Each Sqq=I Oregon Llo \