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Home My WebLink AboutPermit Electrical 2005-09-16Status: Issued 225 Fifft Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pe ction Line CITY O Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01267ISSUED: 091L612005APPLIEDT 0911612005E)3IRES: 03/1612006 VALUE: SITE ADDRESS: 10416TH ST ASSESSOR'S PARCEL NO.: 1703351204300 PROJECTDESCRIPTION: Rewire. Springfield TYPE OF TYPE OF USE: Electrical Work Only Repair Residential Owner: Address: Contractor Type Electrical OBERMAN OSCAR F IO41 N 6TH ST SPRINGFIELD OR 97477 Contractor DELLS ELECTRIC License 109864 Expiration Date 0U14t2007 Phone 541-935-2154 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: aw requires yorfiEQUInro PARIflNG Total: Handicapped: Compact: of the rules by Sidewalk Type: DownspoutVDrains regon $ Per Sq Ft or muftiplier Square Footage or Bid AmountDescription Type of Construction l of 2 Value Date Calculated t}- |,uu,r-rlN(, r1'\! lldrvrA r l!-rlLl Overlay tter. (Note: the tele phone # o//o calling the ce 'ul,Llu rMft(t,Yt lvllN rsl Valuation Descrintion I '< Buildin g/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-7264676F.ax 541 :7 26:37 69 Inspection Line PERMIT NO: COM2005-01267ISSUED: 0911612005APPLIED: 0911612005E)PIRES: 0311612006 VALUE: Fee Description + 1006 Administrative Fee + 7Vo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Amount Paid Total Value of Project Date Paid 9n6105 9n6105 9lt6t05 9fi6t05 Receipt Number 12005000000000013s5 12005000000000013ss r200s00000000001355 12005000000000013ss $7.00 $4.90 $43.00 $27.00 $81.90 Plan Reviews To Rcquest 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Renrrirpd Insnecfions 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 certiS 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 certiff that only contractors and employees who are in compliance with ORS 70f .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 liom 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. Orvncr or Contractors Signature 2of2 Date ry,r H pps rard I 3PE}l{Ag'BD City of Springfield Official Receipt :velopment Services D epartment Public Works Department 225 Fifth Street Springfield, Ore gon 97 477 541:726-3759 Phone RECEIPT#: 1200500000000001355 Date: 0911612005 4202:27PM Job/Journal Number coM200s-01267 coM2005-01267 coM200s-01267 coM200s-01267 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 27.00 4.90 7.00 Item Total:$81.90 Payments: Type of Paprent unecKNumDer Aum0rlzatron Paid By Received By Batch Number Number How Received Amount Pald CreditCard DELL'S ELECTzuC ddk 098923 In Person Payment Total: $81.90 -SEi3o'i i", 9116t2005 lofl 225 FIFTH STR-EET . SPRINGFIELD, OR97477 o PH:(541)72G3753 o FAX: E LE CTRI CAL P E RM IT APP LI CATI ON City Job Number (n Ol2b7 out" I. LOCA:TION OF INSTALIATION 3 COMPLETE FEE SCIIED l0 At taUn 3L. JOB DESCRIPTION Keto w<-. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. )ONLY Electrical Contractor t-DK.-. 6-3689 Zoning ULE BELOW A. New Residential - Single or IVlulti-Familv per dwelling unit. 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 $50.00 Sen'ices or Feeders - Installation, Alterations or Relocation: $106.00 $ 19.00 B. Address citv 1 i,t 4Ant Phone b 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAy'olts Reconnect Only Installation, Alteration or Relocation 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100100 J,o : s7 o'l iceTt2,L $ 63.00 $ 75.00 $125.00 $ 163.00 $37s.00 $ s0.00 f'S C. I'ernporary Services or Feetlers .)I{ Supervi sor License Number Expiration Date tD lDt I oV Constr. Contr. Number 1D??b"l Expiration Date 0 Signature of Supervising Electrician Over 600 Amps or 1000 Volts 9ee f 'B'l above. , ,D. Branch Circuits New Alteration or Extension Per Panel one circuit I s +:.oo 4S.OO Each Additional Circuit or with A, Service or Feeder Permit $ 3.00 z7.oo E. Miscellaneous (Service/feeder not included) -Each Installation il rl-* , Owners Name Address lO +t lath SE. City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Ynone 74{tt'W Pump or irrigation $ s0.00 Sign/Outline Lighting $ s0.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABOVE 7%o State Surcharge 10% Adminishative Fee TOTAL ' ( 1o.0D+a+.10Icff -7,OO7!eInspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical Permit Application I -03.doc ql ,p CI?Y OF GF'IELD, OREGON | -'i LEGAL DESCRIPTION 11 07 zsSt?- o+rc \ i\, *Y;y,fre.4