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Home My WebLink AboutPermit Electrical 2006-09-22OF Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01224ISSUED: 0912212006 APPLIEDz 0912212006 EXPIRES: 0312212007 VALUE: Owner: Address: SITE ADDRESS: 815 20TH ST ASSESSOR'S PARCEL NO.: 1703361205600 PROJECT DESCRIPTION: Sub Panel Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: N.* Residential taw requilos you to 74t-2613 tollow OAB ottro rubs b\ rrtllw n Date Phone 541-434-56009072505/03/2008 HIGDON-MADISON ROBIN LEE 7OO SUMMER ST NE SALEM OR 97301-1289 Contractor Type Electrical Contractor DOUG PALMER CORP # 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 Improvementsl Storm Sewer Available: Special Instruction: Notes: 1H\S OR\ZE #E'R\S Paved DAY P ER1OD' oh of ABAND ONED otal: R-3 VN # of Stories; Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Handicapped: Compact: nla Occupa nt Load: \RE \ 0u NDER .IH\S PERt'll[t \ D0 Sidewalk Type: Downspouts/Drains: PARKING $ Per Sq Ft or multiplier Square Footage or Bid Amount TIUEilEIMPROVEMENTS Description Type of Construction Paee I of 2 Value Date Calculated Th@€ B U rLDtN! ll lllrilYlu..,l Valuation Description I ITY F Building/Combination Permit PERMIT NO: COM2006-01224ISSUED: 0912212006APPLIED: 09122/2006 EXPIRESz 0312212007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-31 69 Inspection Line Fee Description + l0'h Administrative Fee + 57o Technology Fee + 8%o State Surcharge Perm Serv/Fdr 200 amps or less TotalAmount Paid Amount Paid Total Value of Project Date Paid 9t22t06 9t22t06 9t22t06 9t22t06 Receipt Number 2200600000000001341 220060000000000r341 2200600000000001341 2200600000000001341 $6.30 $3.15 $s.04 $63.00 $77.49 )aid To Request an inspection call the 24 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 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 Pase 2 of 2 Date Keoulreo lnsDectrons r 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone RECEIPT #: 2200600000000001341 Date: 0912212006 3:33:0ePM Job/Journal Number coM2006-01224 coM2006-01224 coM2006-01224 coM2006-01224 Description Perm Serv/Fdr 200 amps or less + 57o Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:$77.49 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard DOUG PALMER ELECTRIC djb 052334 In Person Payment Total: s77.49 - cReceint I Page I of I 912212006 *sn**r&FtrL"$Citv of Springfield Official Receipt L _ lopment Services Department Public Works Department Zl5 }IrTtr STREET r SPRINGFIELJ), OR 947, . Plt(3tl)7263753 o FAX: (54r)ZG36t9 ELECTRICAL PERMTT APPLICATION City Job Nwrber Loua@o6 - ol L?/L4 zoN u--)C_ INITIALS DATE SOURCE Date 6 3. COfrTPI-ET'E FNE SCHEIIWE BEI,AW A- New Residential * Sixgl* on ll{ulti-Family pe r drvelling unil Scrviccbdrdcd l(XX) sq ft. orlcss tr106.00 Eadr additioml 500 sq. ft- m pwtion dr€rcof $ 19.00 EEh Mlnufact'd Hornc ur l{o&hr l}relliry Savice or Fdcr $50^00 B. Sen'ices or Feetlers - Instellation. Alterations or Relocatior;; I. LOCAT'ION OI; IFTSTAII,ATIPN: 8/ { Z&L sf LEGAL DESCRIPTION:l7o33btZ DS6oo JOB DESCRIPTION: st^g ,pn*el Fcrib rn ror{trxfrreblc d cxSre if rvorl is rot stu&d ;illir lt0 drys of krnucc or if rmrt k Srycraca frrl$dry* Z. {:ANWIIA{:5'OH IA/Sf"ALI.a^"!:I{}N {}N[,i' E lec.trical Contract or Address t"L\d <,-rrr"'u t' ut!,.l!/u tollow N OAR s 63.00 L3200 Ampcrlss 201 Amoa to 400 4$1 $7e St^Lts 'liurul*ir; t07; Admud{trativc Fee 5?;'l'ochtxlklm, Fee $ 7s.ffi $r25.00 $163.00 s s0.00 city L*&eAx.- SrycrvimLiwNumbcr Expiration Date \o /r /oS crrJlff. cnnr.l*rsr*rcr 11 I llD Exflratbn f og i C]j:':Tlmpor*ry Services or teedem Instellatiou, Altcration or Relocation 200 Anps oks 3 50.00 201 Amps to 400 Arnps $ 69-00 401 Ampsto600 Amps $100.00 Ovcr 6(tr Amps r 1000 Volts sce'B" above. D. Branch Cireuits Itkr AEcnlioe or Ertcrsion Pcr Frncl One Circuit 3 43.00 Saoh Additidtal Circuit or with Se.rvice or Feeder Permit -- $ 3'00 Installatior 1H\S 50.0r) ( {n o(l 3 25.00 s 45.fi) k;lettie Ff ilsit lnsstctr$tr !cr. k $dS.00 r l*$nrherccr il&J's-^OwrersName Adtu 700 st /€ city .9-&D*\ Pl"ln* ?1kfu3 OIV}{EB I}I{STALI"ATION t lre itrr{rihron is trernc nrarie ur propqty I own whl;tl i! ttot itrffi* ftrr sie- Ieast nr rart. 67 JDtI6i- =rf7?y2tnrp+c{ioa *crg*asf ir(blrf,*Tr}TAI shid friwi}yltttlinq foilni4itcctri:rl Fcrmit Appli$fun &06.doc t.ITY OF'SPRI GFIEI.D- OREGON .3-?ria 5 !hrot$h OAR .^{ rhe T1165-*, r i 1-.t6l'',: