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
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