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Home My WebLink AboutPermit Electrical 2004-01-02Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 lnspection Line PERMIT NO: COM2004-00011ISSUED: 0110212004APPLIED: 0110212004 EXPIRESz 0710212004 VALUE: SITE ADDRESS: 725 8TH ST ASSESSOR'SPARCELNO.: 170335121150r PROJECT DESCRIPTION: new service mast Owner: WONG THOMAS D Address: 82092 MAHR LN CRESWELL OR 97426 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Contractor Tvpe Electrical Contractor DIXON ELECTRIC Expiration Date 07n8t2005 Phone s4t-895-2440 License 66894 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-1 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Special Instruction: Notes: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: "/o of Lot s Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Other: Surface Area: o PARIflNG $ $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page I of2 Valuation Descrintion Description Type of Construction Value Date Calculated l, U lLLrlI\ (, ll\ I tr-F(lYrAl*:l]J $ l Type: Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00011ISSUED: 0110212004 APPLIEDT 0110212004 EXPIREST 0710212004 VALUE: Fees Pa Fee Description + l0oh Administrative Fee + 7Yo State Surcharge Service Reconnect Total Amount Paid Amount Paid $5.00 $3.50 $s0.00 $s8.s0 Date Paid u2t04 u2t04 U2t04 Receipt Number 2200400000000000002 2200400000000000002 2200400000000000002 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times construction. Signature Date Insnections Paee 2 of 2 )- z- z@q 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #:22 Date:0 coM2004-00011 coM2004-0001I coM2004-0001l Service Reconnect + 7Yo State Surcharge + l0%o Administrative Fee 50.00 3.s0 5.00 Item Total:$s8.s0 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check DIXON ELECTRIC,INC.jmp 5716 In Person Payment Total: $s8.s0 $58.50 fiFfi*t*f 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 r FAX: E LE CTRI CAL P ERM IT AP P LI CAruON CityJobNumberc:DM a0o4- " OOO t \ Date O\ - U--OQ A.lrilsrtat ri Stuneturc as submitted has the lollowing nol require specific land use -o3 $ 106.00 $ r9.00 $ 50.00 $ 69.00 100.00 .00 $ 3.00 -Each Installation 1.LOCAT'ION OF' INSTEUAION Z LEGAL DESCRIPTION \1 o3 "s t-L \\ 5c){ JOB DESCRIPTION NYa Srn-tlvc.r-I Permits are non-transferable and expire if rvork is not started within 180 days of issuance or if work is Suspended for 180 days. 2. co TRAC:nOR INSTALLATTON ONLY Electrical Conrractor -)f <f ql Et*tSO+f Address 3.CAMPLET'E I,'EE SCTEPLILE I}ELOI,IT A. Nerv Itesidential - Single or NIulti-Farrrily per duelling 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 B. Services or Feetlers - Installation, Alterations or Relocation: $50.00 $ 63.00 $ 75.00 $ 125.00 $163.00 $37s.00--T-- .$ so.oo -To- C. Temporary Services or Feetlers Installation, Alteration or Relocation ,u1,+g City puone 8?5'7uln0 3 btq s3;M- 200 Amps or less 201 Amps to 400 Amps 401 Arnps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 V Supervisor License Number Expiration Date * Zoo Constr. Contr. Number /,bal Ll Expiration Date 7 - ls -zoof .S Superuising Electrician D. New Alteration or One Circuit Each Service or L t-t t3 - 31e,1 Pump Limited Limited TOTAL 6 Owners Name 0 Address A City *so OWNER INST The installation is made on property I own is not intended for sale, lease or rent. Owners Signature ,f $ 50.00 t+ c $ 50.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges SUBTOTAL OF ABOVE 5o 99. 7o/o State Surcharge .so l0% Administrative Fee 5.oo 58.SDInspection Request: 726-37 69 which 4. Shared Drive{ T: )/Bui lding Fonns/Electrical Permit Application I -03 -doc E.