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HomeMy WebLinkAboutPermit Electrical 2006-04-11Status 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: COM2006-00095ISSUED: 0411112006APPLIED: 0112412006EXPIRES: 10/1t12006 VALUE: SITE ADDRESS: 580 r2TH ST ASSESSOR'S PARCEL NO.: 1703351405900 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Replace 200 Amp Electrical Service and Circuit for Hot Tub Phone Number: 541-747-4202Owner: Address: Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 09/01/2008 Residential Phone s4t-741-2236 ALLEN JEFFERY L & LORI J 580 12TH ST SPRINGFIELD OR 97477 License 3849 # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Street Improvements: Storm Sewer Available: Special Instruction: Notes: nla Down IHIS PERMII AUIHORIZED COMMENCED REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: spouts/Drains: SHALL EXPIRE IF THE WOI"IK I\4IT IS NOI ED FOR $ Per Sq Ft or multiplier UNDER THIS PER OR IS ABANDON number for the Oregon UtilitY Center is 1-8C0-332-2 Tvpe of Construction Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Paee I of3 Value Date Calculated rL,I\ IT(AL l, u lL|-rlr\ u rl\ r uKlvr,q_!_!!_rN_.] #IDl,\ 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: COM2006-00095ISSUED: 0411112006APPLIEDz 0112412006 EXPIRES: 10/1112006 VALUE: F'pes Peid Fee Description + l0oh Administrative Fee + l0o/o Administrative Fee + 87o State Surcharge + 87o State Surcharge Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 200 amps or less Refund - + l0o/o Administrative Refund - + $oh State Surcharge Refund - Add, Alter, Extend Ci Refund - Perm Servffdr 200 amp Total Amount Paid Amount Paid Total Value of Project Date Paid 4nu06 4nu06 4nu06 4nu06 4ltu06 4nu06 4nu06 4nt/06 4nU06 4llu06 4nu06 4nu06 Receipt Number 1200600000000000448 r200600000000000453 1200600000000000448 1200600000000000453 1200600000000000448 1200600000000000453 1200600000000000448 r 200600000000000453 r200600000000000452 1200600000000000452 1200600000000000452 1200600000000000452 $6.60 $6.60 $s.28 $s.28 $3.00 $3.00 $63.00 $63.00 $-6.60 $-s.28 $-3.00 $-63.00 s77.88 Plan Reviews To Request an inspection call the24 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Renuired Insnecfions Page 2 of3 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: COM2006-00095ISSUED: 0411112006APPLIED: 0112412006EXPIRES: l0/1112006 VALUE: 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 Safefy. 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 Date Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;& of Springfield Official Receipt L elopment Services Department Public Works Department RECEIPT #: 1200600000000000453 Date: 0411112006 7:45:33AM Job/Journal Number coM2006-00095 coM2006-00095 coM2006-00095 coM2006-0009s Description Perm Serv/Idr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0o/o Administrative Fee Amount Due 63.00 3.00 5.28 6.60 Item Total:s77.88 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check Cash C & S ELECTRIC C & S ELECTRIC llh ilh 13561 By Mail $74.34 In Person $3.54 Payment total: -5788- Job/Journal Number coM2006-00095 coM2006-00095 coM2006-00095 coM2006-00095 Description Perm Serv/Idr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0o/o Administrative Fee Amount Due 63.00 3.00 5.28 6.60 Item Total:$77.88 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Check Cash C & S ELECTRIC C & S ELECTRIC llh llh 13561 s74.34 $3.54 By Mail In Person Payment Total:$77.88 cReceint I Page I of 1 4n112006 ailrmm* Amount Paid