HomeMy WebLinkAboutPermit Electrical 2005-06-07Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00681ISSUED: 0610712005
APPLIEDT 0610712005EXPIREST 1210712005
VALUE:
SITE ADDRESS: 1040 6TH ST
ASSESSOR'S PARCEL NO.: 1703352100300
PROJECT DESCRIPTION: Service reconnect and 2 circuits
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
Owner:
Address:
Contractor Type
Electrical
Phone Number: 541-
Contractor -
GROUNDED ELECTRIC
License
158804
Expiration Date
02t24t2006
Phone
541 726-6858
CONTRACTOR INFORMATION
# of Units:ATTENTION:O
Primary
Primary
# of Bedroonsslling the center. (Note: the telephgmrgy Path:
number for the Oregon Utility Notificdinftkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh ofLot Coverage:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
t!
T
A
Ct
AI
x ii ffi Tll r,:il$i h
ffi):,fAfil+:insfOIUh4ENCED OR IS A
NY l BCl DAY PERIOD.
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
SALLY CARVER
PO BOX 1543
SPRINGFIELD OR 97477
|, U lLlr.r\ (J r.\ -r (,r(lvra!!!2fl
0 thrq4gh OAR
of Structure
Heat:
Valuation Description I
Building/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: COM2005-00681ISSUED: 061071200sAPPLIEDz 06107/2005
EXPIRESz 1210712005
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ Ea Add
Service Reconnect
Total Amount Paid
Amount Paid
Total Yalue of Project
Date Paid
617105
617t05
6t7t0s
6t7tus
Receipt Number
2200500000000000723
2200500000000000723
2200s00000000000723
2200500000000000723
$s.60
$3.92
$6.00
$s0.00
$65.52
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
Pase2 of2
Date
__5
rees raro I
Keourreo lnsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
velopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000723 Date: 0610712005 10:19:55AM
Description
Service Reconnect
Add, Alter, Extend Circ Ea Add
+7o StateSurcharge
+ l0% Administrative Fee
Item Total:$65.52
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MARK OBzuEN djb 101287 In Person
Payment Total:
$65.s2
-$6s-g
6/7/2005 Page I of I
ry!
Job/Journal Number
coM200s-00681
coM200s-0068r
coM200s-00681
coM2005-00681
Amount Due
50.00
6.00
3.92
5.60
,l
CII'Y OF'8P
t
225 FIFIH STREET . SPRINGFIELD, ORn477 o PH:(541)72G3753 o FAX: (541)726l36E9
E LECTRI CAL P E RM IT AP P LI CATI ON
City JobNumber @ota,ZPO5:-croLYl Date
I. LOCATION OF INSTALIATION 3. COMPLETE FEE
cL{0 4{r ,t b
LEGAL DESCRIPTION A. New Residential -t703 3 tZ(()<>3OO Serwicelnctuded
JOB DESCRIPTION 1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
unit.
?ec-r,^ne-*- { Z r,r,Ac,u. f
Permits are non-tran.*,[-"oo*-o*" ,r**u *
not started within 180 days of issuance or if work is
Suspended for 180 days.
Qos t s"A
S
$106.00
$ 19.00
$50.00
2. CONTRACTORINSTALLATION ONLY B. Services or Feeders- Installation, Alterations or Relocation:
Electrical Contractor fovul 4,
Address
City tr l
Expiration Date Z-z
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
s125.00
s163.00
$375.00
$ s0.00
$ s0.00
$ 69.00
$100.00
toPhone
Supervisor License Number 7rc 5
Expiration Date 0- l-o
Constr. Contr. Number
Z6 6N 58
iollofl rute6
ln OAR
rc+tlro8
rub8 $c
olthc rutes
lorlh
tBleFFnc--
Notilicalio*-l-06 "B" above.
Signature of Supervising Electrician D.Circuits
€rl
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit L $ 3'oo 6
Owners Name
Address otr3 ts(3 E. Miscellaneous (Service/feeder not included) -Each Installation
tor
7o/o State Surcharge
l0% Administrative Fee
TOTAL
50.00
50.00
25.00
45.00
* Surcharges
9L
31?
S6.)
6f 5?
ctv SP l2=,\ Phone
-
Pumporirrigation
-
$
Sigr/Outline Lighting _ $
OWNER INSTALLATION Limited Energy/Residortial _ $
The installation is being made on property I own which Limited Energy/Commercial
-
$
is not intended for sale, lease or rent. Minimum Electric permit Inspection Fee is $45.00
Owners Signature: 4. SUBTOTALOFABOVE
Inspection Request: 726-37 69
Shared Drive(T:/Building Forms/Electrical Permit Application l-03.doc
RINGFIE[-D, OREGON
law
City of Springfield
225 Fifth Street, Springfield, OR91477
541-726-3759 Phone
541-726-3676Fax
October 20,2005
CARVER
PO BOX 1543
SPRINGFIELD
Job Number:
Location:
oR 97477
coM200s-00681
1O4O 6TH ST
SALLY
Project:Service reconnect and 2 circuits
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must 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 permit for a project at 1040 6TH ST which is set to expire on
121712005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify 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. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
Sincerely,
Hopper
Building Safety Supervisor
If you have any questions, please feel free to phone me at 541-726-3790.