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HomeMy WebLinkAboutPermit Electrical 2007-01-05Status Issued 225 Fifth Street, Spring{ield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: COM2007 -00029ISSUED: 0110512007APPLIED: 0110412007 EXPIREST 0710512007 VALUE: SITE ADDRESS: 1430 7TH ST ASSESSORTS PARCEL NO.: 1703264309401 PROJECTDESCRIPTION: Replaceservice Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Owner: Address: Contractor Type Electrical MCCALL FLOYCE 1430 7TH ST SPRINGFIELD OR 97477 Contractor ROBS ELECTRIC INC License r56678 Expiration Date Phone 0811412007 541-686-5444 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/" of Lot Coverage:[g;iilrffi REQUIRED PARKING Total: Handicapped: M - # of Stories: Lot Size: R-3 Height of Structure Sq Ft lst Floor: Type ofHeat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Compact: $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount DEVELOPMENT PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated Valuation Description I 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 -00029ISSUED: 0110512007APPLIED: 0110412007 EXPIRESz 0710512007 VALUE: Fee Description + lOoh Administrative Fee + 5oZ Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $3.15 $s.04 $63.00 $77.49 Total Value of Project Date Paid U5t07 u5t07 U5107 U5107 Receipt Number 2200700000000000026 2200700000000000026 2200700000000000026 2200700000000000026 Fees Paid To Request 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. Electric Service: Approval required prior to utility company energizing service. 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 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 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 Paee 2 of 2 Date l(eourreo lnsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone f''n of Springfield Official Receipt . ,elopment Services Department Public Works Department RECEIPT#: 2200700000000000026 Date: 0110512007 2222:37PtI Job/Journal Number coM2007-00029 coM2007-00029 coM2007-00029 coM2007-00029 Description + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Perm Serv/Fdr 200 amps or less Amount Due 3.15 5.04 6.30 63.00 Item Total:$77.49 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard DAVID LAWLER djb 026370 In Person Payment Total: $77.49 -l'iffi cReceint I Page I of I l/512007 1 cqru v; 225 FIF-IH STREET o SPRINGFIELD, OR 97477 o PH:(541)72G3753 o FAX: (541)7263689 E LECT RI CAL P E RM IT AP P LICATI ON City Job Number C4yvl7oo-?- Og OZ?Date I. LOCATTON OF 3.COMPLETE }.'EE SCHEDULE BELOW 1Y 3()v IS LEGAL DESCRIPTION ?o3 ZLVS D7A6-o JOB DESCzuPTION ?frPLA<e s&vtct Permlts are non-transferable and explre lf work ls not started within 180 days of issuance or lf work is Suspended for 180 days. Address Supervisor License Number A. NcwResidential - Single jir Muld-Family per dwelling unit. Service Included 1000 sq. ft. or less $106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 ,,".:,N CONTRACTORINSTALI^ATION ONLV .L. ....,..-..,.u,rr . -ir.. ' /a Electrical Contractor ,('c,b'5 L/Cc /rt. //)a ,/rl gry, B. Scrviccs or Fccders - Installation, Alterations or Rclocation: 63200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000Amps Over 1000 Amps/Volts Reconrtect Only $ 63.00 s 7s.00 s 125.00 $ 163.00 $375.00 $ s0.00 City t g ."' ' Pnone (: fb -5//y' Expiration Date constr. contr. Numbe, / 56O 7f Expiration Date ,f-/y'-,7 Signature of Supervising Electrician C. Tcmporarl' Scrvices oq Feeders Installatiou, Altcration or Relocatlon 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits . ,.i.,. i.., . Ncw Altcration or Extension Per Panel One Circuit S 43.00 Each Additional Circuit or *'ith Serv'ice or Feeder Pernrit $ 3'00 E NI iscella net-r u s (Service/feeder not included) -Each Installation Pump or inigation $ 50.00 Sign/Outline Lighting $ s0.00 Limited EnergyrResidential S 25.00 Limited EnergyrCommercial $ 45.00 Mlnlmum Electric Permit lnspection Fee is $45.00 * Surcharges 4. SUBTOTAL OF ABOW:.-rx. :....: - -.., 8% State Surcharge l0% Adnrinistratire Fee5% Tca+ iw TO'I'AL l3 /2 -/ 17 ,z^./>'z- Owners Name ,o c*l Address ltl3 o 1 6 City S Ptr\Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature : Inspectlon Requcst: 726-37 69 Sharcd Drivu('f :)/Building Forms/Electrical Permit Application l-06 doc N]f, CITY ? l @ lao 3Q ltt qI