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Home My WebLink AboutPermit Electrical 2004-10-11Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01256ISSUED: l0llll2004APPLIED: 10/1112004 EXPIRESz 0411112005 VALUE: SITE ADDRESS: 1652 32ND ST ASSESSOR'S PARCEL NO.: 1702300001931 PROJECT DESCRIPTION: 600 amp service and 2 sub panels Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial Owner: MCKENZIE CO Address: PO BOX 703 SPRINGFIELD OR 97477 Contractor Type Electrical Contractor PROCESS AUTOMATION INC License r51750 Expiration Date 09n9t2006 Phone 541-935-9321 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: thB Util'rty Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo oflot Coverage: 1 bllor fir6 h OAR 0000'w' ca[lng rules arc eot 952'001 ol thg rulec by tslephon9 Notilicatlon Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nrstbd nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARI(NG Total: Handicapped: Compact: \5 r0s $ Per Sq Ft or multiplier Square Footage or Bid Amount )RMATION Description Type of Construction Total Yalue of Project Value Date Calculated \\\$ \ss Valuation Description I ITY Buitding/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01256ISSUED: l0llll2004APPLIED: 10/1112004 EXPIRESz 0411112005 VALUE: Fees Paid Fee Description + l0o/o Administrative Fee + 1oh State Surcharge Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps Total Amount Paid Amount Paid $2s.10 $17.57 $126.00 $125.00 $293.67 Date Paid t0ltu04 t0nu04 t0nu04 t0nu04 Receipt Number 1200400000000001452 r20040000000000r4s2 1200400000000001452 120040000000000r4s2 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All 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. Reouired Insnections 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 correcl 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 Date Psee2 of2 225Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ^ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: r200400000000001452 Date: l0llll2004 9z27z45ttM Job/Journal Number coM2004-01256 coM2004-01256 coM2004-01256 coM2004-01256 Description Perm Serv/Fdr 401 to 600 amps Perm ServlFdr 200 amps or less + 7%o State Surcharge + l0% Adminishative Fee Amount Due 125.00 126.00 17.57 25.10 Item Total:$293.67 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check PROCESS AUTOMATTON rNC djb 2089 In Person Payment Total:$293.67 $293.67 l0lll12004 Page I of I atgeilatD 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PII:(541)726-3753 o FAX: ETECTRICAL PERMTT APPLICATTON City Job Numbcr Co"a?e<> LEGAL DESCRIPTION l70z 300<> D*J,,,ot 73( JOB DESCRtrTION Permits are non-transferable and expire if work is F not started within 180 days of issuance or if work is Suspended for 180 daYs. ) Electrical Contractor 'Dfuco<< il... l"'rt z.'Lo,t Address Phone Supervisor License Number Expiration Date Const Cont. Number Expiration Date q -/?-nb of Supervising Electrician 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 Alteration or Relocation 200 Amps or lcss 201 Amps to 400 AmPs 401 Amps to 600 AmPs Limited Limited 7Yo State Surcharge l0% Administrative Fee TOTAL .: $106.00 $ 19.00 $50.00 & $63'00 iz(: City $ 75.00 I $125.00 $163.00 $375.00 $ s0.00 $ 50.00 - $ 69.00 $100.00 ( D. Owners Nrme tu5 <29 t(r r--E. Address City T Puone l4?'3s6c PumP OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is M5'00 * Surcharges Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per One Circuit Each Additional Circuit or \t Smrice or Feeder $ 3.00 $ 50.00 s s0.00 $ 25.00 $ 4s.00 9( t7fl z<'o 273 67 4. Inspection Request 72G37 69 Shared Drivc(T:VBuilding FormVElectrical Permit Aplication l{3'doc 3. 20r A. B. D',1 t.\qrJ-4 /5/7so \r\\ho \he r0 ..1 - D-] /t//?