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Home My WebLink AboutPermit Electrical 2004-03-17FIELD Building/C ombination Permit PERMIT NO: COM2004-00292ISSUED: 0311712004APPLIEDz 0311712004EXPIRES: 0911712004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 873 S 47TH ST ASSESSOR'S PARCEL NO.: 1802051209301 PROJECT DESCRIPTION: Wire sump pump SCHAFFER GRANT B 797 PRESCOTT LN SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: Address: Contractor Tvpe Electrical Contractor SCOFIELD ELECTRIC Expiration Date 12t2u2005 Phone 541-686-8612 License 38702 CONTRACTOR INFORMATION BUILDING INFC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN R-3 DE' PARI(NG ATTENTIOI Oreg Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: rules aooPrr lion Center' neo-nO1-OO'throug o/o of Lot Coverage:) telePhone r Notification Special rnstructi!$fu.[ICE:ALL EXP RMIl IRE PERt'j\ $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: IF.tHE \j!ORK IS NOl Notes:1H\S \1 SH DUN R 1HI SPE NEt TORHORIZE1ANDO C ANY 1 BO DAY PER\OD Total Value of Project Pase 1 of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated q al1 t Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00292ISSUED: 0311712004APPLIEDz 0311712004 EXPIRESz 0911712004 VALUE: 'aid Fee Description + l0o Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Date Paid 3n7t04 3n7t04 3n7t04 3n7t04 $4.60 s3.22 $43.00 $3.00 Receipt Number 1200400000000000337 1200400000000000337 1200400000000000337 1200400000000000337 $53.82 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. Reouired Insnecfions By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 I IX 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfiekl Official Receipt Development Services Department Public Works Department : 1200400000000000337 ate:lz45 coM2004-00292 coM2004-00292 coM2004-00292 coM2004-00292 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + ljoh Administrative Fee 43.00 3.00 3.22 4.60 Item Total:$s3.82 Type of Payment Paid By Received By Batch Number Authorization Number [Iow Received Amount Paid Check Cash Change SCOFIELD ELECTRIC SCOFIELD ELECTRIC SCOFIELD ELECTRIC djb djb djb 28212 In Person In Person In Person Payment Total: $53.52 $0.35 ($o.os) $53.82 coM2004-00292 coM2004-00292 coM2004-00292 coM2004-00292 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + lYo State Surcharge + lloh Administrative Fee 43.00 3.00 3.22 4.60 ss3.82Item Total: Payments: Type of Payment Paid By Received By Check Number Batch Number AuthorizationNumber llowReceived Amount Paid Check Cash Change SCOFIELD ELECTRIC SCOFIELD ELECTRIC SCOFIELD ELECTRIC djb djb djb 282t2 In Person In Person In Person Payment Total: $53.52 s0.3s ($0.05) $s3.82 coM2004-00292 coM2004-00292 coM2004-00292 coM2004-00292 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo Slate Surcharge + l0%o Administrative Fee 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check Cash Change SCOFIELD ELECTRIC SCOFIELD ELECTRIC SCOFIELD ELECTRIC djb djb djb 28212 In Person In Person In Person Payment Total: $53.s2 $0.35 ($0.05) $53.82 225 FIFTH STREET . SpR[NGFIELD, OR 97477 . PH:(541)726-3753 o f l$"[94iyz]"4p3ff]'jI'Hi:fl;ELECTR CAL PER]V{TT APPT,TCATT*N J-},e-City Job Number 62227,Date 7 :ipprU v ai Zr.;nino ** the following land use 3-r o $ 106.00 1 8"3 1 ,!_7""STREET LEGAL DESCzuPTION troz 0Sr Z o 730 A. B. .. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Voits Reccnnect Only C J). Seryice Included 1000 sq. ft. or less Each additional 500 sq, fr. or pofrion thereof Each Manufact'd Home or Modular Dwelling Se.rvice or Feeder I JOB DESCRIPTION {^IIRE SUMP PIIMP Perrnits are non-transferable and expire if rnork isnot started within 180 days of issuanie or if work isSuspended for tr80 days.$50.00 2 Electrical Conttactor SCOFIELD LECTRI C CO.F Address pO BOX 27 65 Citv rlcrmr,oq qz40? phone 6g6-86t2 S upeivisor Licease Number qo 8-s Expiration Date 10_1 -04 Constr. Confi-. Number 8702 ExpirationDare l2-2L-05 Signature of Superwising Eleckician Owners Name GRANT S ER Address 8Zi ll7 tt^. Sr- Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps 401 Amps to 600 Amps $ 69'00 $ 100.00 s 63.00 $ 75.00 $ 125.00 $ 1 63.00 $375.00 $ 50.00 Qnn Over 600 or 1000 Volts see.,B,,above. ew Alteration or Extension per Fane! One Circuit Each Additional Circuit or with 1 $ 43.00 43 .00 Serviceor'Feederpennit - 1 $ 3.00 s.E. city spRtttcrrnt,n Phone 744-s5,qq pump or irrigation ]WNER rNsrALLArro*N 0 T t c t Sign/Outline Lighting Limited EnergylResidential lhe installation is beiag mad{'Sii property ffo&H A.lblictx P I R E I F fttrtttq $Rgey/commercials not intended for sale,lease or rent.iD UlrDEft THIS&Ann*n B#&Ic permit lYo State Surcharge 10% Administrariye Fee TOTAL $ 50.00 $ 50.00 s 25.00 $ 4s.00 trnspection Fee is g45.00 + S urcharges 4.60 )ryaers Signafure:CED OH S ABAN rspection Request: 726_3769 L/ t4. shared Drive(T:)Bui1ding Forms/Eiectricat permit Application 1-03.doc regon 3. "2 _____53_82__