HomeMy WebLinkAboutPermit Electrical 2007-04-17Status 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: COM2007-00559ISSUED: 0411712007APPLIED: 0411712007EXPIRES: 1011712007
VALUE:
SITE ADDRESS: 220 S 2ND ST
ASSESSOR'SPARCELNO.: r703353207600
PROJECT DESCRIPTION: 200 Amp service and two circuits.
Springfield
itv Noti{rcatto
2344)
Work Only
Residential
Phone
541-687-5770
Owner:
Address:
Contractor Type
Electrical
Contractor
JB ELECTRIC
BEARD CHRISTOPHER P & MARCY L
220 S 2ND ST
SPRINGFIELD OR 97471
n3er
the
License
t04929
Expiration Date
0311412008
# 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:
# of Stories:
Ileight 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:
Occupant Load:nla
ANY 180 DAY PERIOD
NOTIGE:
il:#|;:|. *JFrs PERMTT sHA
;ffi;;;;i.riAutH o R rzE D u N D
o/o of LotCoverag@Q[/MENCED 0R
REQUIRED PARKING
LL EXPIHTOTFU Ht WORK
FR THiS EEHtTPMqqOi
rI' nsANf8ft'FffFon
Sidewalk Type:
Downspouts/Drains
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
m=i
telePhone
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
OF SPRIN
Building/Combination Permit
PERMIT NO: COM2007-00559ISSUED: 0411712007APPLIEDz 0411712007
EXPIRESz 1011712007
VALUE:
Fee Description
+ l0o Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or Iess
Total Amount Paid
Amount Paid
$6.90
$3.45
$s.52
$6.00
$63.00
$84.87
Total Value of Project
Date Paid
4n7/07
4t17 t07
4tr7 t07
4n7107
4n7t07
Receipt Number
2200700000000000546
2200700000000000s46
2200700000000000546
2200700000000000546
2200700000000000546
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
nsnections
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
F ees rard
225 Fifth Street
Springfield, Oregon 97 477
54t-726-3759 Phone
Cih, of Springfield Official Receipt
D. ropment Services Department
Public Works Department
RECEIPT #: 2200700000000000546 Date: 0411712007 1l:00:2eAM
Job/Journal Number
coM2007-00559
coM2007-00559
coM2007-00559
coM2007-00559
coM2007-00559
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 57o Technology Fee
+ 8% State Surcharge
+ lUoh Administrative Fee
Amount Due
63.00
6.00
3.45
5.52
6.90
Item Total:s84.87
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard JB ELECTRIC ddk 001757 Phone
Payment Total:
$84.87
-ra,i37
cReceint I Page I of I 411712007
225 mfTE STREET . SPRINGFIELD, OR 97477 o PHz(541)12G3753 o FAX: (541)72G3689
ELECTRICAL PERfuIIT APPLICATTON
City Job Number Date 51ffi{D
3.
h @
""tl'dfr585? oqtou)A.
CL90o
JOB DESCRIPTION
4
Permits are non-trunsferable and if work is
not started within 1t0 days of issuance or if work is
Suspended for 180 days.
2.
ElectricalContractor JBElectric,
Address 4685 tsabelle Street
City Eugene Phone 687-5770
Supervisor License Number 2708-S
Expiration Date 7lUO6 (CCB 104929 3ll4l0l[
of Supervising Electrician
N... &'
220 2f,dSt
City Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amp#Volts
Reconnect Only
on{Hfl$dftERMlI SHA[-i t x
Eo"h ylf, Ff tim{ SrtW iot tviur
s"'rr'^gltrgR#tfiWit
i s n i
$106.00
$s0.00
B.
$ 63.00
$ 7s.00
s125.00
$163.00
$375.00
$ s0.00
be.oo
C.
D.
Installetion, Alteretion or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see *8" above.
Ne*{Sid{i*bn or Extension Per Panel
*ti6d
#P"*fi'#U6 a,oo
Owners
Address E.
Pump or irrigation
Sigr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
('!%s*rusurcharge
I @/o Administrative Fee
*lo'Tech Pzc-
TOTAL
$ s0.00
$ 50.00
$ 2s.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + SurrharBes
4.d0
.t,5fl.-
b.q o
Inspection Requesfi 726.3769
3.9
0RE(it )NCI"I \' ()I] Sa li(;f:[.[)I
1. t i -.-:
)2c S.,'"rrf
$ 19.00
the Orego n UtilitY
ExpirationDate l0lllo7
Constr. Contr. Number 37587C
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