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Home My WebLink AboutPermit Electrical 2005-04-26Building/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: COM2005-00491ISSUED: 0412612005APPLIEDz 0412612005EXPIRES: 1012712005 VALUE: SITE ADDRESS: 1328 8TH ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703264307400 TYPE OF USE: Addition Residential PROJECT DESCRJPTION: Panel Change Out. Modify existing permit to whole house rewire Owner: Address: Contractor Type Electrical DEHAVEN THOMAS M 1328 N 8TH ST SPRINGFIELD OR 97477 Contractor OWNER License Expiration Date Phone CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Lot Size: Height of Structure Sq Ft lst Floor: Type of Heat: Sq Ft 2nd Floor: \ilater Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: ATTE}TNOTT Orogonlil r?srr€s yotrto rules are set lorth REQUIRED PARIilNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescriPtion TYPe of Construction Page I of 2 Value Date Calculated l,uILIING rNrut(lvr3]gl I.,Il,VULUTryTlljN I INTUIflVIA TTUN I InOAR by 0090. You maY obtain Valuation Description I B uilding/Com bination permitStatus Issued 225Fitth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO ISSUED: APPLIED: : COW200S-00491 04/26/2005 04/26t200s t0/27/200sEXPIRES: VALUE: Fee Description + l0o Administrative Fee +7%oStzte Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0o/o Administrative Fee * 7o/o State Surcharge Minimum/Adj ustment Electrical Total Amount Paid Total Value of Project Date PaidAmount Paid $8.r0 $5.67 $18.00 $63.00 $4.40 $3.08 $44.00 $146.25 Receipt Number 1200s00000000000507 1200500000000000s07 1200s00000000000507 1200s00000000000507 2200500000000000551 2200s0000000000oss1 2200500000000000551 4t26t05 4t26t05 4t26t05 4t26t05 5/9/0s s/9/0s st9l05 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. Reouired Insnections 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 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 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt lvelopment Services Department Public Works Department RECEIPT #: 2200500000000000551 Date:05/09/2005 1:30:20PM Job/Journal Number coM2005-00491 coM2005-00491 coM2005-00491 Description + 7o/o State Surcharge + l0% Administrative Fee Minimum/Adj ustment Electrical Amount Due 3.08 4.40 44.00 Item Total:$51.48 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard SIMON GRAVES djb 859293 In Person $51.48 Payment Total: -$51/=5. 5191200s Page I of I i amlln 225 FIFTII STREET . SpRlN,GF'IELD,OR97477 o PH:(54I)726-3753 o FAX: (54ELECTRICALPERMITAPPLICATION Cify Job Number Zoo S-o oq t ( our" I 3?-8 LEGAL DESCRIPTION7o3 ZL JOB DESCRIPTION c2fsr oTYoO l tr{(r Pe<ut^^ if l,4.o.,-r, 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Vols Reconnect Only Installation, Alteration or Relocation 200 New One 3. vr tL€ C. ? . Permits are non-transferable and expire if work is' not started within 180 days of issuance or if work is Suspended for 180 days.$50.00 ) Electrical Contractor Address Phone Expiration Date Constr. Conff. Number Expiration Date Signature of Supervising Electrician B. IT At D. $ 63.00 $ 75.00 $125.00 $163.00 s375.00 $ 50.00 City D. t-eOOtgg2'8aa)-or wlth $ 43.00 Owners Name -1T OWNER INSTALLATION zf/-rs/f Each Service or Feeder Permit Pump or irrigation Sigrr/Outline Lighting 7%o State Surcharge l0% Administrative Fee TOTAL $ 3.00 $ s0.00 $ s0.00 Address l3\* ?*4 City sPr,^d*IL Phone 1fl-llOt E. The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 5r"^ o tr Limited Energy/Residential $ 2s.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges t7{ -al 3 qqo 5rInspection Request: 726-3769 4. Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc .lb $iis*x!t&t c}rJ;E$s ,ioderrcN I t 3 u try l<( Supervisor License Number A. I $ Those l___ Del,tav l_V\