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Home My WebLink AboutPermit Electrical 2003-11-03Status Issued 225Bifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2003-01109ISSUED: 1110312003APPLIED: 11/0312003EXPIRES: 05/0312004 VALUE: SITE ADDRESS: 1658 1TTH ST ASSESSOR'S PARCEL NO.: 1703253103900 PROJECT DESCRIPTION: Low voltage Owner: ALVORD TAyLORHOMES INC Address: 405 N A ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Contractor Type Electrical Contractor LAING ENTERPRISES INC License 134668 Expiration Date 04t07t2005 Phone 541-485-3566 )R INFORMATION ESY outo Utr\ttY # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories:tor Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot coveratrg611gg. PER MIT SH ALL EXPIRE I N CED OR IS ABANDO NED TOR ANY 180 $i$PPfftl[fte: Downspouts/Drains R-3 VN $ Per Sq Ft or multiplier Square Footage or Bid Amount Surface Area: REQUIRED PARKING Total: Handicapped: Compact: F THE WORK Total Value of Project Page I of2 )RMATION Description Type of Construction Value Date Calculated Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01109ISSUED: 1110312003APPLIED: 11/0312003EXPIRES: 05/0312004 VALUE: Fee Description + 1006 Administrative Fee + 7o/o State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $4.s0 $3.1s $2s.00 $20.00 $s2.6s Date Paid tu3t03 tu3t03 tu3t03 tlt3t03 Receipt Number 1200200000000002407 1200200000000002407 1200200000000002407 1200200000000002407 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Low Voltage: Prior to cover. Reouired Insnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 2 of 2 rees raro I LEGAL DESCRJPTION Ct+L':.t - 4lt 4,Plsr\,L lpeciffi ffi1$pri5ily per thvelling unit. Service Included 0 sq.ft. or sq. ft or portion thereof Etrch Mamrfd Home or Modular Drvelling Senice or Feeder The tollow zontng and doe$ O,C) not require 293 I JOB PESCRIPTION lt)ci (at a/tcc A ,*to K lrosa( rrT f t-( *" *ff r6tgrq 1/r< Permits are non-transferable and expire if r,vork is not started rvithin 180 days ofissuance or iflvork is suspended for 180 days. 2 TALLATION ONLY B. Services or Feeders Installntion, Relocation:Electrical Address not inc Limited Limitecl Energv/Comm l\linimum Electric Permit Inspcction F ,1. SUBTOTAL OF ABOVE 7oh StNe Surcharge , ,8"/o Administrative Fee TOTAL Date ervising Electrician s<>L 'r ao' 5?+ 500 Items Cost Sudn $l06.00 -- $ 19.00 \45.00 * Surcharges Supen'isor License Nurnber Expiration 'Cf t) {:: Constr Contr. ' Expiration Orvners ' \.9{al- OWNER INSTALLATION The installation is being made on propeffy I olvn lvhich is not intended for srle, lease or rent, 200 amps or less' ' 201 anrps to 400 alnps -l() I anrps to 600 amps 60 1 lnrps to 1000 anlps Over 1000,amps/volG Reconnect Only Services or Feeders r.olts see "B" flbove ' .: ' D. Branch Circuits Nerv Alteration or Estensiott Per Pancl Sign/Outline : $ 63.00 $ 75.00 - $ 125.00 _ _ $163.00 $375.00 _ _ $ 50.00 _ $50.00---f $25.00 -Z* v ) Y-{ L t.7 3tj'- O'wncrs Signature: 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt , Development Services Departr.rent Public Works Department #: 1200200000000002407 Date: 1110312003 9:30:01AM coM2003-01109 coM2003-01109 coM2003-01109 coM2003-01109 + 1Yo State Surcharge + l0o/o Administrative Fee Low Voltage - Residential Minimum/Adj ustment Electrical 3.15 4.50 25.00 20.00 Item Total:$52.6s Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard DAVID BROOKS djb 000210 6tt345 In Person Payment Total: $s2.6s $s2.6s (