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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 ffi UtJI\ IT(ALTUK tl\TUryJ r-. ,rt /-\t\ Energy Yalualiaaleseuplloa ] gPBIHCFIGLD 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