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HomeMy WebLinkAboutPermit Electrical 2007-04-20Status 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: COM2007-00580ISSUED: 0412012007 APPLIEDz 0412012007EXPIRES: 1012012007 VALUE: SITE ADDRESS: 177 l9TH ST ASSESSOR'S PARCEL NO.: 1703364201100 PROJECT DESCRIPTION: 200 Amp service change. TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Springfield Owner: Address: Contractor Type Electrical ANDERSON DAVID W & KAREN A 177 N 19TH ST SPRINGFIELD OR 97477 Contractor C PERKINS ELECTRIC INC License 159537 Expiration Date 04n5t2008 Phone 541-895-4466 ]TOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla ,\Tl-ENTION:Oregon law requrres you tL Frontyard setbatn*low rules adopted by the OrqgondJtlt$: Side I Setba.p,rlotification Cenler. Those rulos*hfitrqlf{oms Rqd: Side 2 Setbacktn OAR 952-001-0010 through OAf?SDrgg.Rqd: Rearyard Setb0090" You may obtain copies ofthefrLg6$?verage: Solar Setbacks: calling the center. (Note: the tslephone Street Improvements: Nprf f S: Storm SewerAvailabte: Tr,iiS pERillT SHALL EiiF;hE lF IHE W0tiKSpeciallnstruction: A,lritirgrzFlt ui!DER THis pERtiltits NorNotes: C0i.r ,:rrCrL 0H lS ABANI0IIED FOR ri[,, ' 180 DAY F. RIOD. Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Valuation Description Description Tvpe of Construction Page I of2 Value Date Calculated LI I, U ILI-'I1\ U T1\ T Ur(lYTryJ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line CITY OF G Building/Combination Permit PERMIT NO: COM2007-00580ISSUED: 0412012007APPLIED: 04/20/2007EXPIRES: 1012012007 VALUE: Fee Description + lUYo Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $3.15 $5.04 $63.00 s77.49 Total Value of Project Date Paid 4t20t07 4t20t07 4/20t07 4t20t07 Receipt Number 2200700000000000562 2200700000000000562 2200700000000000562 2200700000000000562 rees Paid To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Reou 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 witl 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 Pase 2 of 2 Date City of Springfield Upon review and approval by your local iurisdiction, permit will be e-mailed or faxed within one business r"rectrical Authorization To Begin Work E-mailed To: stacic.perkins@hotmail.com Check on status of permit By Phone: (541)7 26-37 53 or Email : permitcenter@ci.sprin gfi eld.or.us * City Receipt # EC510490 412012007 7:44:03 AM 5o/o Local your day' with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building depaftment may determine that an Authorization To Begin Work is nult and void if it does not meet applicable land use laws and local ordinances. p t or z famrly dwelling l-l N,lulti-family l-l Commercial / Industrial New construction I X I Addition/alteratiorVreplacement Job no.:Jobaddress: 177 I9THST city/stare/zlP: SPRINGFIELD, OR 97477 -5002 Suite/bldg./apt.no.:FRANKLIN BLVD. TUM RIGHTONTO SAST/ I-um LBI',I-onto S 19IH S l^()R-126 BRrroJect name: Cross street/directions to job site: Subdivision Lot no.: Name: david and karen anderson 20Oamp Tax map/parcel no.: 1 70336420 1 1 00 Fax: 747-6861Phone: (541) 747-6861 Email: CCB lic.no.: 159537El. lic. no.: 20-521C Business Name: C PERKINS ELECTRIC INC Contact: staci Address: PO BOX ll93 City/State/ZlPi CRESWELL OR 97426 Fax:5418954366Phone: 541 8954466 Email: stacic.perkins@hotmail.com City lic no.:Metro lic no.: Supervising electrician's lic. no.: 29705 Supervising electrician's name: CLYDE I PERKINS 1,000 sq. ft. or less Description ffi R€sidenrlsl SE{$-LE-. 0Il multi- attarhed garrge Qty.Ea.Total Ea. addl 500 sq. ft. or portion - Limited energy, residential (with above sq. ft.) alteratiiinril I $63.00 stioil tlrltiliilr.i - Limited energy, multifamily 200 amps or less 201 amps to 400 amps 401 amps to 599 amps 200 amps or less :n.installaii, ,, . i 201 amps to 400 amps t, 401 amps to 599 amps ffi 'Branc[: iirtui{d;r; j-tlEW, atttratio A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circurts without service or feeder fee, first branch circuit, each addl branch circuit Service reconnect only Each manufactured or modular dwelling. service and/or feeder Pump or rrrigation circle Sign or outline lighting energy panel, alteration, or extension. not offered online at this jurisdiction .00Subtotal Signal or $s.04State $9.45fees * s77.49PERMITFEf, This Authorization To Begin Work must be posted at the job site until replaced by a Permit. FEE SCHEOULE.. per City Ol 'I'()'tAL 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Citu of Springfield Official Receipt I .:lopment Services Department Public Works Department RECEIPT #: 2200700000000000562 Date: 0412012007 e:16:2eAM Job/Journal Number coM2007-00580 coM2007-00580 coM2007-00s80 coM2007-00580 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + lDYo Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:$77.49 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE C Perkins Electric Online Payment Total: s77.49 s77.49 cReceint I Page I of I 412012007 ilFitaaiBFlilLn