The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-10-03F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01006ISSUED: 1010312003APPLIED: 10/0312003EXPIRESt 0410312004 VALUE: SITE ADDRESS: 2309 5TH ST ASSESSORTS PARCEL NO.: 1703262101800 PROJECT DESCRIPTION: Add 4 circuits Owner: JANET NASH Address: 2309 sTH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Contractor Type Electrical Contractor GLOBE BUILDING & ELECTRIC License 103677 Expiration Date 0u04t2004 Phone s4t-683-7077 CONTRACTOR INFORMATION Vr BUILDING II SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft lor'NT\ON:o( $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Area: ARIilNG Yo ofLot Coverage: Total Value of Project Pase I of2 PUBLIC IMPROVEMENTS Description Type of Construction Value Date Calculated # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: OTICE: THIS PERMIT AU THORIZED IaV'l by Compact: Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01006ISSUED: 10/03/2003APPLIED: 10/0312003 EXPIRESz 0410312004 VALUE: Fees Paid Fee Description + lOoh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $5.20 $3.64 $43.00 $9.00 $60.84 Date Paid r0/3i03 r0t3t03 10/3/03 10/3/03 Receipt Number 1200200000000002269 1200200000000002269 1200200000000002269 1200200000000002269 Plan Reviews To Request an inspection call the 24 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. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 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 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 Date Paee2 of2 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt Development Services Department Public \ilorks Department #: 1200200000000002269 Date: 10/03/2003 2:08:58PM coM2003-01006 coM2003-01006 coM2003-01006 coM2003-01006 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + l0%o Administrative Fee 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check BARI SWARTZ djb In Person Payment Total:$60.84 $60.84 as submitted has the following not require specific land use 225 FIFTH STREET . SPRINGFIELD, Ox-97477 o PH:(541)726-3753 o FAX: (541)726r46ft$e ELECTRICAL lo*o -ofloN Date Lo--?o\Date Authonzed SignatureCity Job Number ,l- \ aE 5e lt' 1 3. LEGAL DESCRIPTION A. JOB DESCRTPTION Electricar cono*r66 ik- tJtD,wE k-,-t, $106.00 $ 19.00 $s0.00 $ 63.00 $ 7s.00 $125.00 ttod $res.oo lToSzLZl ot troo 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 200 Amps or less 201 Amps to 400 Amps 4-Ct lLc'tt Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Address Cify 87"? t ki-Ln6\t/-,401 Amps to b.rs 1"\a* phorle AT-t $375.00\ so.oot '\i Supervisor License Number Expiration Date D Consff. Contr. Number ,/ D ] 6'7'7 Expiratiou Date Signature of Supervising Electrician 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit $ 43.00 t/S TISN RK $ 3.00 r s 50.00 Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection F'ee is $45.00 + Surcharges L lYo State Surcharge l0% Administrative Fee TOTAL q 5Zu $ s0.00 $ 69.00 $100.00 s 50.00 $ 2s.00 $ 45.00 Owners N, Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: lro alInspection Request: 726-37 69 4. Shared Drive(T:/Building Fonns/Electrical Permit Application l-03.doc 7oo"3 4lo ABYeZt B. Services orrFeed€is':.,, stallation, Alterations or'Relocation: ,t . ::,:.::....:,,.,::::,:::':: .. a.:. a lll:. 1*t q-{ /,/r: U h 5+t^, AU SP/'A 180 EachICE: ME Phone