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Home My WebLink AboutPermit Electrical 2007-05-21Status 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 -00726ISSUED: 0512112007APPLIEDz 0512112007 EXPIRESz lll2ll2007 VALUE: SITE ADDRESS: 875 25TH PL ASSESSOR'S PARCEL NO.: 1703361107900 PROJECT DESCRIPTION: Service Upgrade Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential the Oreg on UtilitY rules are set fofi Owner: Address: Owner: Address: MARTICHUSKT COLLEEN E 875 25TH PL SPRINGFIELD OR 97477 INMAN DELONA L 875 25TH PL SPRINGFIELD OR 97477 Contractor Type Electrical Contractor KS ELECTRIC ,lotitication ,a oAB 952 # of Stories; Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ose regon UtilitY Notiticati ^^o.OQAA\Lot Size: Phone s4l-686-6236 # 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: COMMENCED OR I ER THIS PIBMIT IS) Nr) i i nsAt'i o o NE$+BHTRED PARKING on Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Total: Handicapped: Compact: nla il:::llililUqdo DAY P ERr o r) Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of2 T I Status 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: COM2007 -00726ISSUED: 0512112007APPLIED: 0512112007EXPIRES: lll2ll2007 VALUE: Description Type of Construction Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or Iess Total Amount Paid Total Value of Project Date Paid 5tzu07 5t2U07 5tzu07 st2u07 Value Date Calculated Receipt Number 3200700000000000320 3200700000000000320 3200700000000000320 3200700000000000320 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $6.30 $3.1s s5.04 $63.00 $77.49 Fees Paid Plan Reviews To Request an inspection call the24 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. 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 ensur€ 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 Pase2 of2 Date Valuation Description I l(equrreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;'' of Springfield Official Receipt L rlopment Services Department Public Works Department RECEIPT #: 3200700000000000320 Date: 0512112007 e:28:5eAM Job/Journal Number coM2007-00726 coM2007-00726 coM2007-00726 coM2007-00726 Description Perm Serv/Fdr 200 amps or less + 5oZ Technology Fee + 8% State Surcharge + l|Yo Administrative Fee Amount Due 63.00 3.l5 s.04 6.30 Item Total s77.49 Payments: Type of Payment Paid By Received By Check Number Batch Number Number How Received Amount Paid Check KS ELECTRIC nJm 5404 In Person $77.49 PaymentTotal: ....-.........ffiiF cReceint I Page I of I 512112007 tsfur{atrls Authorization SPF'IIGFIELC, Date 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 SOURCE 5 -a/- )oDa $106.00 zoN INITIALS DATE (-h,225FIFTHSTREET o SPRINGFIELD,OR97477 o PH:(541)726-3753 oFAX:(541)725-3689 E L E CTP.I CAL P ERMIT AP P LI CATI O N ./1CityJobNu^arr(3fttl6o1- 047)(/ . 1.3. A.NervResidential_Sirrgleorl\{ulti-Familyperdwellirrgunit.LEGAL DESCRIPTION / 7os sb //o7867) JOB DESCzuPTION: SaZdr c Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor $ 19.00 $50.00 Address s3 COATRACTOR IjYS?AI LATIONONI}' B. SCTT'iCCS OT FCCdCTS - Installation, Alterations or Relocation: 200 Amps or less / s or.oo r' 2 61)o >- Installation, Alteration or Relocation 200 Amps or less S 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 "B" above. New Alteratiohi ilFs.*F4i$tlslTpRryls Pt. R Iu lT I S N0T City Supervisor License Number 3 Expiration oate /O '30- dT Constr. Contr. Number a8 Expiration Date -?1) -Ar Signature of Supervising Electrician Frr{ Ptone bto 6)36 g 4 D. one Circuit $ 43'oo Each Additional Circuit or with Service or Feeder Permit $ 3'00 E. N,Iiscellaneous (Service/feeder not included) -Each Installation Owners Name Address 3 Cify pnone J,l) - Ob€ Z OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited EnergY/Residential Limited EnergY/Commercial 8% State Surcharge l0% Administrative Fee 5% TechnologY Fee s 50.00 $ 50.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges': a3.do 5 o 77-1? Inspection Request: 726-37 69 TOTAL Shared Drive(T: )iBuilding Forrns/Electrical Application 8-06.doc LOCATION OF k .r / t ,tO rrr2- 201 0090-: ? E- -0010 obtain -.^ ^iD- 4.