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Home My WebLink AboutPermit Electrical 2004-09-22Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination permit PERMIT NO: COM20O4-0tt7tISSUED: 09t22t2004APPLIED: 09t22t2004EXPIRES: 03t22t2005 VALUE: yoLrto SITEADDRESS: 76526THST ASSESSOR'S PARCELNO.: 170336112500 PROJECT DESCRIPTION: Two new circuits & replace outlets. owner: ENGELpRopERTIESLLC Address: PO BOX V SPRINGFIELD OR 97477 "ii i, Hh[ ffi# i ^::T3sr"lr6i !,if b s rusiaen,iar number for the Oregon Utility Notificatjon Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 09t0U2008 Phone 541-741-2236 License 3849 # 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: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: $ Per Sq Ft or multiplier Square Footage or Bid Amount nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated I'IAII \ ULY LLIJTIYTDI\ T T1\f l-,ItlVIAIIlJl\ I Valuation Description I 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: COM2004-0ll7rISSUED: 0912212004APPLIEDz 09122t2004EXPIRES: 03t22t200s VALUE: Fee Description + l0oh Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid i;iL i-ir ,,1, I Sri,i.L .-):?i!-iE lF TfiE \t,r0HK U*l!f.-T,tt ; ? ; -, ; I' j["N.idt,'*t r,/ton o i ryt lttUg,,,i pLRrirD ^UUr8,;lb6)rSUfiroorr,9t22t04 22004000000000011899t22t04 22004000000000011899t22t04 2200400000000001189 Amount Paid $s.20 $3.64 $43.00 $9.00 $60.84 A C A Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. (a 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 OCCUPAI\CY 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. 1l;>lo,{A\r--- Owner or Contractors Signature Date Ld- Pase2 of2 Keourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone .t1y of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT#: 2200400000000001189 Date: 0912212004 12:53:37PM Job/Journal Number coM2004-01l7l coM2004-01171 coM2004-01l7l coM2004-01l7l Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard MELISSA GEHRKE nJm 022708 Fax $60.84 Payment Totat: -56TlBji- 9t2212004 Page I of 1 altl5a35 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: (54 ELECTRI PERMIT APPLICATION Citr),.Iob 1. LEGAL DESCRIPTION LSfD JOB DESCzuPTION Permits are non-transferable and uot started within 180 days of issuance or if rvork is Suspended for 180 days. )> Service Included 1000 sq.'ft. or less + Each additional 500 sq. ft. ot i ''portion thereof $ Each Manufact'd Home or Modular lril,dlntaB Ifu,StoO re g o n Ut i I i ty Feeder Center is 1 -800€02"3*4) Date ? A. C D 3 \ B2 Electrical Contractor }S Address Pntux)vg> City Phone 7 Supervisor License Number q{fq a Expiration Date )o -o l-o7 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial '7Yo State Surcharge l0% Administrative Fee TOTAL $ 63.00 $ 75.00 $ 125.00 $ I 63.00 $375.00 $ s0.00 Ht Constr. Contr. Number 3g u" Expiration Date 1-t- oB S i gnature o f Supervising Electrician Installation, Alteration or Reloca tion 200 Amps or less $ 50.00 zor afdiJ'td800ii\dilb5'EiirLD $ 6e.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. New Alteration or Extension Per Panel (PI s 43.00 3 $ 3.oo z+3 . q .(5-J N"*.C)cr-\-r (3r:q " q.-- Address 5i e- =o 5.8<t- E Yno,"flQ1.4tylJ Owners O\ATI.{ER INS TAI,LATION The ilstallation is being made on properly I own which is not intended for sale, lease or rent. Oumers Signature 50.00 50.00 25.00 45.00 $ $ $ $ Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.ctr) 3 .a.1 5 ,Zrt fi (r,t - z4Inspection Request: 726-37 69 Shared Drive(T: )/Buildin g Forms/Elec trical Permit Application I 43.doc o,6 RK ('l'l'\' ( )lr slrl{lN(itrllil ,l)., ( )|il1(;()N FILE No.995 09222 ,04 10:36 ID:C&S ELECTRIC,INC. I-EGAL DESCRIPT'ION A, JOB DESCRIPTION Perrnlts Bre non.trflnrfcrablc rrncl erplre lf worlr tr not itartcd wlthln 180 dnyr of lrsuancc or [f work k Suspeuded for lt0 dayr. 7 B. Electricnl Conlfactol ///-'.Drc{ "t(bor* on// fi. fusluCd,l# FAX:541 747 2473 PAGE 1 225 I'IFIH srRnDT r SPRINGI'IELD, oR 9?477 r pt[(541)?26-i7s3 . FAXr (s4l)726.3 NLECTRIU,L PERMTT A.PPLICATION ^Ciry,rob Nunrbsr ,*" 1,2?A { 3 Servlce Includcd 1000 sq. ft. or lese Eaoh edditional 500 sq. ft. or portiort thercoJ' Eoctr Msnqfa.ct'd Floure or Modulnr Dwclling Sewico or Feeder Punrp or in'igation Sign/Outlirto Lighting Lirn itod Errorgy/Rcsidential Lirn i ted Encrgy/Commorcial TOTAL $5o,oo $ 63.00 $ 75.00 $ 12s.00 $ 163.00 $3 7s,00 $ s0.00 $ 43.00 $ 3.00 $ 50.00 $ 50,00 $ 2s,oo $ 45,00 $ r 06,00 $ t9.00 City Supenisor Liceusc Numbor Exph'ation DEte Consff, Conu', Nu.mhor Expirnt{on Datc Stgnarur'e of Suporvisin g Electriciarr Owncru NRme Acldrouri City Ph.,, W0:'963 8 OWIYER INSTAI,LATION Tho irtstullation is beitg rnndo on propeffy I own whiclr is not intc[ded. for stlo, leaRc or rent, Ownots Sigunture: t{; "1 -- Ph*," 7 Yl ->'>36 200 Anrps ol Iess 201 Arnpe to 400 Anrps 401 Ampe to 600 Amps 501 Anrps 1o 1000 Arnpe Ovcr 1000 Ampe/Voltr Roconnect Only Each Additiorral Cilcuit or with -Selvico or Focdel Pemrit r bBo, I yg> c, D, E, Inrttllrttlttlt, Alterntlon or RelocRtlon 200 Anrpr or lens $ 50,00 201 Alrps to 400 Arttps $ 69,00 401 Arnps to 600 Arnpe $100,00 Ovcr 600 ol 1000 Voltn uoc "B" Ebovo. Ncw Alterntlon or Ertsnslon Per l'anel One Circuit :3a ?00 Mlnlrnum Electrlc Psnnlt Inrpectlon Fce k $45,00 * tlurchnrgor -oo 7% Stutc Surcharge 3. 6q I 0% Adnrinistrativo Foe --5.)o ba 8y >S !,iitl lnspoctlon llequert: 726-3769 4 Sherod Dliv(TlVBullrtlng Formr/Eloctricnl Poflnlt APpllcutlon I -0X.doc Addrcss