HomeMy WebLinkAboutPermit Electrical 2005-10-11CITY F PRJN D
Buildin g/Co mbin atio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspe ction Line
PERMIT NO: COM2005-01422ISSUED: l0llll2005
APPLIED z l0llll2005E)CIRESt 0411112006
VALUE:
SITE ADDRESS: 682 36TH ST
ASSESSOR'S PARCEL NO. : 17 02312102900
PROJECT DESCRIPTION: Install additional branch circuits
Springfield TYPE OF
TYPEOF USE:
Electrical Work Only
Addition Commercial
Owner:
Address:
Contractor TVpe
Electrical
WILLAMALANE PARK & REC
2OO S MILL ST
SPRINGFIELD OR 97477
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacls:
Street
Storm Sewer Available:
Speciat Instruction:
Notes:
Path:
Sprinkhd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
h$
Phone Number: 541-736-4044
Expiration Date Phone
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
\a'll 1
ge
\h(#of
$ Per Sq Ft
or multiplier
Sipare Footage
orBfuI Amount
nla
os
NT INFORMATION
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
lof2
Value Date Calculated
r\,
CITYOF
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-01422ISSUED: l0llll2005
APPLIED: 10/11/2005
E)PIRESz 0411112006
VALUE:
Fee Description
+ l0o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount
Amount Paid
$6.70
$4.69
$43.00
$24.00
$78.39
Total Value of Project
Date Paid
10/11/05
10/1rl05
10/11/05
r0/11/05
Receipt Number
1200500000000001491
1200500000000001491
1200s0000000000r491
1200s00000000001491
Plan Reviews
To Request an inspection call the24 hour recording at 72C3769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnecfions
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ 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 certiS 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 stree{ 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
2of2
Date
r ees ralo I
225 Fifth Street
Springtield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001491 Date: l0llll2005 8:27:52AM
Job/Journal Number
coM200s-01422
coM200s-01422
coM200s-01422
coM2005-01422
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
24.00
4.69
6.70
Item Total:$78.39
Payments:
Tlpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check WILLAMALANE PARK AND
REC
djb 59594 In Person
Payment Total:
$78.39
s78.39
i
,{
toltt/2005 lofl
.EIIIA'Ij,D
.S),
STREETTSPRINGFIELD,OF-IT4TToPII:(541)726-3753oFAX:
, uECTRI CAL P ERMIT AP P LICATI ON
City Job Number ?@r- o Z Date
1. LOCAT"ION OF INSTALIA'I'ION 3.COXTPLET'E"T'EE
LBz N( 3L S-\-..-''t"
LEGAL DESCRIPTION
10 L3 t?,O L7ot
JOB DESCRIPTION
( tqs-raLe asNT,avac Rl<,nlvc H ct i?Cc^TI(
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. 10NTRACTOR TNSTALLATT0N oNLY
Electrical Contractor
Address
No
A. Nerv Ilesidential - Single or Multi-Farnily per drvelling unit'
Service Included
1000 sq. ft. or less $106.00
Each additioual 500 sq. ft. or
portion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B. Services or Feeders - Installation, Alterations or Relocation:
to\ovl
\nO
FI1 ENil
200 s 63.00
s 7s.00
$12s.00
$ 163.00
$37s.00
s 50.00
$s0.00
$ 43.00
$ 3.00
T\20t to 400
600
Only
gO
City Phone 009\
C
Supervisor License Number 4oz3 s C.
Expiration DaIe (O .-
Constr. Contr. Number lrt A
Expiration Date
of
$o
Services or Feeders
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
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit I
Y- ^t800-c'1-
43 ""
'z 4 o.2z.- \Each Additional Circuit or with
Service or Feeder Permit
Owners Nu "
Address E. lVliscellarteous (Service/feeder not
ciry €,FRr1:aEEA_ Ynorc'7 36--46*zl Pump or irrigation \t
Sign/Outline
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:OFABAW
7%o State Surcharge
l0% Administrative Fee
TOTAL
-Each Installatiolt
\l s 50.00
$ s0.00
$ 2s.00
$ 4s.00
Fee is $45.00 + Surcharges
P,
1 -6q
L,"7 0i t a,31
02
Inspection Request: 726-3769
4.
Shared Dr ive(T:/Building Fonns/Electrical Permit Application I -03.doc
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City of Springfield
225 Fitth Street, Springfi eld, OR 97 47 7
541-726-3759 Phone
541-726-3676Fax
March 30,2006
WILLAMALANE PARK & REC
2OO S MILL ST
SPRINGFIELD OR 97477
Job Number:
Location:
coM2005-0t422
682 36TH ST
Project:Install additional branch circuits
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 1g0 days.
According to our records, you obtained a permit for a project at 682 36TH ST which is set to expire on4/LI/2006. Our records indicate that you have not requested an inspection within the past five (S;
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you u.. ."uOyto request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor