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Home My WebLink AboutPermit Electrical 2005-06-21Status 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: COM2005-00767ISSUED: 0612112005 APPLIEDT 0612112005 EXPIRESz 1212112005 VALUE: SITE ADDRESS: 746 5TH ST ASSESSOR'S PARCEL NO.: 1703352110700 PROJECTDESCRIPTION: Servicechange Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PhoneNumber: 541-342-8028Owner: Address: Contractor Type Electrical JOHN HOLDWAY 746 sTH ST SPRINGFIELD OR 97477 Contractor KS ELECTRIC License 70889 Expiration Date 12t30t2008 Phone 541-686-6236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 ,rr\es ado yNt Oregon settorth 952-001'bY n/a Square Footage or Bid Amount Cente -001-00 00'90. You m caUing the the CenterFrontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: nu mber {or Street Improvements: Storm Sewer Available: Special Instruction: Notes: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated s r-rrr.\ r r(AL t (rI( lI\I lJruvtA I llJI\ I l,UlrJr-rlr\ (, rl\ r uKrytA. _u!2N l to UtilttY itication 0 is1 L EXPIRE IF THE ! R THIS Ptnrvrr lo lYv I ]ONED I.UH Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-007 67ISSUED: 0612112005 APPLIED z 0612112005 EXPIREST 1212112005 VALUE: Fee Description + l0o/o Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 6t2U05 6t2u05 6t2u0s Receipt Number 2200500000000000798 2200500000000000798 2200s00000000000798 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. Electric Service: Approval required prior to utility company energizing service. By signaturer l 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 Springlield 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 Pase2 of2 Date ll T F ees rar(I l(eourreo InsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000798 Date: 0612112005 9:15:11AM Job/Journal Number coM2005-00767 coM2005-00767 coM2005-00767 Description + 7%o State Surcharge + l0% Administrative Fee Perm Serv/Fdr 200 amps or less Amount Due 4.41 6.30 63.00 Item Total:$73.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check KS ELECTRIC djb 4716 In Person $73.71 Payment totat: -Sffi 6/2U2005 Page I of I EED the tolrowrilI land use 225 FIFTI{ STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 r FAX:t)726d68N ELECTRICAL PERMIT APPLICATION Date Cify Job Number CtA{?pO 6 6hur"6-a l -or Autnortzed signature 3. 5 LEGAL DESCRIPTION t70 33 Se(lo"oo JOB DESCRIPTION SzBd,, u Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. B. C. D. $106.00 $ 19.00 $s0.00 2 2 Electrical Contractor Address 0.b 2 -r 2 /?33 City E't < l,t^l-pno," b f,l'6 zs67- Supervisor License Number ? r'925 Expiration Date to/t,/a-< Constr. Contr. Number 70 €gz Expiration Date Signature of Supervising Electrician Owners Name Ah\) 4:loO AmPs or less | $ 63.00 67 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 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Recorurect Only New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 7o/o State Surcharge l0% Administrative Fee TOTAL 4 $ 75.00 $125.00 $ 163.00 $375.00 $ s0.00 $ 43.00 $ 3.00 Address ? YG 54 ,frazt E. City s/,,-pnone 3 1) - €o L? U 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 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 67 $ s0.00 $ s0.00 $ 2s.00 Lt V/ b=o 3 "/Inspection Request: 726-37 69 4. Shared Driv{T:)/Building Forms/Electrical Permit Application l{3.doc CIT'Y OF IOREGON5 COMPLET]E.{.EESC}IB-I)I"]LE BHLOI4/ ] or Multi.*Sanr ily perdwell*ng u nit, 1.LOCAT' T ON O I; INST'ALI-4' I'I ON ?/a L CONTRACTOR IT{,sruffA"TON OAItr I'Services ol Feeders Installation; Alter*tions oi Relocation: ffiAapoul eqlrclrequnu 6u;pc ulElqo ,(elUnql:g6g.oo 0r0&ti'dO t4).oo Miscellaneous (Iiervice/f'eeder not inciildi.o) *Each installaiion /4 ?f {,* - )r//,r- 1'.t SrjBTOTAL AF A}JOW