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Home My WebLink AboutPermit 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.