HomeMy WebLinkAboutPermit Electrical 2005-03-31Building/Combination Permit
Status Issued
225Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00371ISSUED: 03/31/2005APPLIED: 03/3112005
EXPIRES: 09/3012005
VALUE:
SITEADDRESS: 2432L7THPL
ASSESSOR'S PARCEL NO.: 1703243400341
PROJECT DESCRIPTION: Wire hot tub
Springfield TYPE OF WORI(: Electrical Work Only
TYPE OF USE: Addition Residential
Owner:
Address:
Contractor Type
Electrical
STEVEN FLEISSNER
2432I7TIilPL
SPRINGFIELD OR 97477
Contractor
SCOFIELD ELECTRIC on
# 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:
R-3
VN
License Date
.fS?$? rr;quires
rules are set torth
Floor:
Floor:
Ft Garage/Carport
Sq Ft Other:
nla Occupant Load:
Phone
541-686-8612
REQUIRED PARJflNG
Total:
Handicapped:
Compact:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
Sidewalk Type:
$ Per Sq Ft
or multiplier
Downspouts/Drains:
Square Footage
or Bid Amount
TION
Description Type of Construction
Pase I of2
Value Date Calculated
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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: COM2005-00371ISSUED: 03/31/2005APPLIED: 03/3112005
EXPIRES: 09/3012005
VALUE:
Fee Description
+ 1006 Administrative Fee
+ 7Yo State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Amount Paid
$4.s0
$3.1s
$43.00
$2.00
$52.6s
Total Value of Project
Date Paid
3t3u05
3/31/05
3/3U0s
3/31/05
Receipt Number
1200500000000000398
1200500000000000398
1200500000000000398
1200500000000000398
Plan Reviews
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
eouired 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
Ptse2 of2
Date
Fees rard I
225 Fifth Street
. Springfield, Oregon97477
541-726-3759 Phone
City of Springfield Official Receipt
;velopment Services Department- Public Works Department
RECEIPT #: 1200500000000000398 Date: 03/31/2005 l0:37:45AM
Job/Journal Number
coM2005-00371
coM200s-00371
coM2005-00371
coM2005-00371
Description
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Amount Due
3.15
4.50
43.00
2.00
Item Total:$52.63
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check SCOFIELD ELECTRIC CO djb 29621 In Person $52.65
Payment Total:
-$52.6-f
313t/2005 Page I of I
225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: (541
E L ECT RI CAL PERMIT AP P LI CATI ON
CityJobNumber @ Date
I
?lta? N^I 7TI{ PT.ACE
A.
oo3Ll I
oo6
3.
LEGAL DESCRIPTION
l-to3ztlsLl
JOB DESCRIPTION
WIRE HOT TUB
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,
Electrical Contractor SCOFIELD ELECTRIC C0
Address P0 BOX 2765
City EUGENE Phone 686-8612
Supervisor License Number 508-S
Expiration Date 10-1-07
Constr. Contr. Number 38702
Expiration Date L2-2t-0
Signature of Supen'ising Electrician
Owners Nane gldd
Address z\l3z a+l^
city S?F\Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Service Included
1000 sq. ft. or less
Fach additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder $s0.00
B.
lotl
Noti
in
0r
n
C
D.
New Alteration or Extension Per Panel
One Circuit 1
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
43 .00
E.
Purirp or irrigation
Sign/Outline Lighting
Limited Energy,/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
45 .00
7o/o State Surcharge 3.15
l0% Administrative Fee a^so
TOTAL
$ s0.00
$ 50.00
$ 25.00
$ 4s.00
52.65Inspection Request: 726-37 69
4.
Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc
#CITY OF OREGON
L O CAru OI$ O F IN ST'AL IATT A N fiL'E
Resiclential - Single or unit.
1H\
I
CO, TRA TOR IN S"TALLATI ON ONTY Services,oi Feeders'' Installation. Alteratifirs or Relocation:
Temporarl'Serviees or Feeders
Installation, dteration or Relocation
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.
Circuits
-Each Installation
M\
AU
CO
At'
SUBTOTALOF.ABOW