HomeMy WebLinkAboutPermit Electrical 2006-03-07ect as su e following
not land use
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225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX; (541 Yze-1gtls
E I,E CT RI CAL P ERM IT AP P L I CATION
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A.
B.
C
D
E.
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LEGAL DESCRIPTION
JOB DESCRIPTION
Wrhrt srlrc-
Adrlress ?c Box )y tr>
t)o3Z6Z ( o.( 6co 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
Dc.200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps
Over 1000
t*$ r 06.00
$ 19.00
$50.00
Permits are if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2
Electrical Contractor $ 63.00
$ 75.00
$125.00
b3
pnoo" 79'/-2236
Suyreruisor License Number aKf "'s
Expiration Date JQ e) ?c:'a7
3Ky I
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 \/olts see "B" above.
Per Panel
$ 43.00
or with
or Feeder Permit Z $ 3.oo C
SPr=\Phone
rE_ $163.00
,1 $375.00
$ s0.00
s 50.00
s 50.00
$ 2s.00
Pump or irrigation
Sigrr/Outline Lighting
Limited Energy/Residential
1oh State Surcharge
l0% Administrative Fee
TOT'AL
'n
Constr. Contr. Number
Expimtion Date 1 - l- )atK
of Supervising El
t
Ow'ners Name CL
,ZED
TD
1B DAY P
Address
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5+^
OWNER INSTALLATION
The installation is being made on properqy L own which
is n.ot intended for sale, lease or rent.
Ouners Signafure
Limited Energy/Cornmercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
61
5
6eo
Bt '!!Inspection Request: 726-3769
4.
Shared Drive(T:)/Builtting Forms/Electrical Permit Application l -03.doc
CITY OF OREGON
o
unit.
,Sni;Ialk+tiion
Status: Issued
225 Fifth Street, Springfield, OR
541J26-3753 Phone
541-726-3676Fax
541 -7 26-37 69 I nspection Line
CITY OF SPRIN
Buildin g/Co mbination Permit
PERMITNO: COM2006-00261ISSUED: 0310712006APPLED: 03/0312006E)PIRESz 0910712006
VALUE:
SITE ADDRESS: 2252 5TH ST
ASSESSOR'S PARCEL NO.: 17032 62104600
Springfield TYPE OF
TYPEOF USE:
Electrical Work OnIy
Repair Residential
PROJECT DESCRIPTION: Repair service conductor and weatherhead
Owner:
Address:
Contractor Type
Electrical
CHERYL SMTTH
2252 sTH ST
SPRINGFIELD OR 97477
Phone Number: S4l-
Contractor
C & S ELECTRIC
Expiration Date
09t0U2008
Phone
541-741-2236
ne
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
. Frontyrrd Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sebacks:
R-3
VN
lcE:EXPI
# of Stories:
Height of
Type of Heat:
o/o of
BE \I
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ne
nla
Notes:
Sidewalk Type:
Dowrspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or muftip[er
Square Footage
or Bful Amount
Description Tvpe of Construction
lof2
Value Date Calculated
Orego n
les
lentet
in OAH t
Street
Storm SewerAvailable:180 DAY
ANY
Notitication
N01
UDY LL\-rr tYrEr\ r 11\{YSlEjlf]llll l
Valuation Description I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
" 541:726-3769 hspection Line
CITY OF
Buildin g/Combinatio n Permit
PERMIT NO: COM2006-00261ISSUED: 0310712006APPLIED: 03/0312006EIGIRESz 0910712006
VALUE:
Fee Description
+ l0%o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Sery/Fdr 200 amps or less
Total Amount
Total Value of Project
Date PaidAmount Paid
$6.90
$s.s2
$6.00
$63.00
$81.42
Receipt Number
1200600000000000258
1200600000000000258
1200600000000000258
1200600000000000258
3t7t06
3t7106
3t7106
3t7t06
Plan Reviews
'To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00'a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Electric: Prior to Cover
Electric service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed apptication and do hereby certify that a1
information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfietd 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 certiff 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
2of2
Date
Fees rato I
Keoutreo rnsDecDons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
'W of Springfield Official ReceiPt
evelopment Services DePartment
Public Works Department
RECEIPT #: 1200600000000000258 Date: 0310712006 8:28:00AM
Job/Journal Number
coM2006-00261
aoM2006-00261
ccM2006-00261
coM2006-00261
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0Yo Administrative Fee
Amount Due
63.00
6.00
5.52
6.90
Item Total:$81.42
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Aulhorization
Number How Received Amount Paid
CreditCard C&S ELECTRIC djb 561 136 In Person
Payment Total:
$81.42
t(
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it'
I
il
317/2006 lofl
3mr*n
City of Springfield
Development Services Department
Community Services Division, Building Safery
541-726-3759 Phone
541-726-3676 Fax
September 18,2006
CHERYL SMITH
2252 5THST
SPRINGFIELD, OR 97477
Date Permit Issued 3t712006
Permit Number:coM2006-00261
Location:2252 5THST
Project Description Repair service conductor and weatherhead
Dear Permit Holder:
As stated on your permit and/or approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period. Because you
did not contact us to request an inspection or to call us to veriff that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on91712006. Please contact our office at Springfield City Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are additional permit fees that are due in order to complete your project.
S
Lisa
Building Safety Analyst
Dave Puent, Community Services Manager
Code Enforcement
cc
gPEII.IOFItLU
CitY of SPringfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676 Fax
August 21,2006
SMITH
2252 5THST
SPRINGFIELD
Job Number:
Location:
Project:
Dear Permit Holder:
Sincerely,
Lisa Hopper
CHERYL
oR 97477
coM2006-00261
2252 5THST
Rdpair service conductor and weatherhead
The Springfield Building Safety code Administrative code provides that in order for a permit to
rernain uul-id, the work *t i.n has been authorized by the permit rnust begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a pennit for a project at2252 5TH ST which is set to expire on
g1112006. Our records indicate that you hive not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. if you are
ready to request an inspection for your project, please phone the inspection line at 541-726-3769' lf
you do not request an inspection j.io. to the expiration date, your pennit(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.
Building Safety Management Analyst
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