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Home My WebLink AboutPermit Electrical 2007-03-06Status 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: COM2007 -00329ISSUED: 0310612007APPLIED: 03/0612007 EXPIRESz 0910612007 VALUE: SITE ADDRESS: 826 sTH ST ASSESSOR'SPARCELNO.: 1703352109800 PROJECT DESCRIPTION: 200amp service upgrade Springfield TYPE OF WORK: Electrical Work Onlv TYPE OF USE: Repair Residential Phone Number: 541-Owner: Address: Contractor Type Electrical ILSE RATHBUN-MOSER 826 N 5TH ST SPRINGFIELD OR 97477 Contractor CRAFTSMAN License 170183 Expiration Date 0s/30/2008 Phone 541-954-7589 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: p.\rtd* Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: AND ONED Sftwak Type: Downspouts/Drains: 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: R-3 # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: ttu $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase 1 of2 Value Date Calculated |,Ul_LlrlL\ (J l1\r lJrr,lvtA I l\Jt\ is hNY 180 DAY Valuation Description I \S 1H\S Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00329ISSUED: 0310612007APPLIED: 03/0612007 EXPIRES: 09/0612007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid 3t6t07 3t6t07 3t6t07 3t6t07 Receipt Number 1200700000000000239 1200700000000000239 1200700000000000239 1200700000000000239 $6.30 $3.1s $s.04 $63.00 s77.49 Fees Paid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Reou 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 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 Pase 2 of 2 Date 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone Cit-' of Springfield Official Receipt D .lopment Services Department Public Works Department RECEIPT #: 1200700000000000239 Date: 0310612007 10:44:58AM Job/Journal Number coM2007-00329 coM2007-00329 coM2007-00329 coM2007-00329 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:$77.49 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CRAFTSMAN ELECTRIC djb 1264 In Person Payment Total: $77.49rc cReceintl Page I of I 3t6t2007 SPHINGFIELD zoN INITIALS DATE 225 FIFTH STREET . SPRINGFIELD,OR97477 t PH:(541)726-3753 r FAX: (541)7263689 E LECTRI CAL P ERMIT AP P LI CATT ON City Job Number CO,ptZOs-7 - O O 3Z ? 3 Yd6 5 er LEGAL DESCRIPTIONl7e33szl o t600 SOURCE Date l;3-6-O ( JOB DESCRIPTION: Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,, Electrical Contractor Address /4 3 b ,4rl<- Phone oor- z-*tr7 Supervisor License Number Expiration Date ,/6t/*92 Constr. Contr. Number Expiration Date of Supervising Elecrician Address city 5P F\ puon" OWNER INSTALLATION The instatlation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 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 to 600 Amps to 1000 Amps $ 106.00 $ r9.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ s0.00 $ 69.00 $100.00 $ 43.00 $ 3.00 Ls City or Relocation owners Name lL>e lnll^L^nez6 - g+T s+ Service or Feeder a E. Pump $ 50.00 $ s0.00 s 25.00Limited Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 400 Amps to 600 Amps or 1000 Volts New Alteration or One Circuit Each Additional 8% State Surcharge 10% Administrative Fee 5% Technology Fee 77 q? b-5 Inspection Request: 726-3769 4. TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06'doc t *ffY oF-sr GoN 1. LACATTAN AF INETALI."d'ItrO]V;FAE SCHENWE BELOIA. A. NewResidential-Single or Multi-Family per not included)-Each Installation B. :,serviees or Feeders * Installfltion, Alterations or Relocation: or Feederr Circuits SABTOTALOFESOVN -------rc--------T-