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Home My WebLink AboutPermit Electrical 2006-08-02Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line OF Building/C ombination Permit PERMIT NO: COM2006-00951ISSUED: 0810212006APPLIED: 0712812006EXPIRES: 0210212007 VALUE: SITE ADDRESS: 245 l9TH ST ASSESSOR'S PARCEL NO.: 1703364201500 PROJECT DESCRIPTION: Add 3 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Phone Number: 541- you to n UtilitY Owner: Address: Contractor Type Electrical RONNI NIGH 245 I9TH ST SPRINGFIELD OR 97477 nrles are setl Contractor C & S ELECTRIC Expiration Date 09/0r/2008 Phone 541-741-2236 License 3849 ffi - # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh 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: R-3 VN nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated 'aoon law reqt ln 0 EIFTHEW PEBMIT IS ]ONED FOR Valuation Description I CITY F Building/Combination Permit PERMIT NO: COM2006-00951ISSUED: 0810212006APPLIEDz 0712812006EXPIRES: 0210212007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Fee Description + lOoh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $4.90 $3.92 $43.00 $6.00 8t2t06 812t06 8t2t06 8t2t06 Total Yalue of Project Date PaidAmount Paid $s7.82 Receipt Number 2200600000000001091 2200600000000001091 2200600000000001091 2200600000000001091 n 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 Pas.e 2 of 2 Date I ees raro I .:'l . .:1 i....i....,...'..i::..1:l,il;:...i:-.:il.ri.,.-,l...l 22s FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726:3753 r FAX: (541)726-36g9 uy8la>) tu ffi5p.r,13 Date Z/Zrr/e// 3. t:olwlrt.t;t'ti tttif:s{-'IlI;/.}trL ti tfi;l.ott, A. l"icrv llesirlcnlial - Singlc or ]ltrlti-Furtill'pul rlrlrllill. 1.1r'1 r,l l-.ii{ ' t'Jtl rl-!l L },IiJiil I I'{' A I}I}t f {.lA ?'I ON City Job Number Ciwtzs (5 L -c>o ?sl| l. l.i !i.'.1 L{}N J}J;'L\'5 il.il_I.t:r,l{)zqY t9+t^ s LEGAL DESCRIPTION t-703 3LqZ D/ Soo JOB DESCRIPTION Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder One Circuit Each Additional Circuit or with Service or Feeder Permit ,i\l f- /JJ 3 ctrc-,-,.\l $ 106.00 $ l9.oo $50.00 E Address l- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t ,ll.-tr;t?T (i,\.vtl'B. Scrr iccs or f'ccders - Instu!latlort. Allereti{}lls r;r' Rr:llic:rliutr Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Recormect Only C. -l'r-'lrrpuritr'.r, Strrir:cs or' liculcrs lnstallation, Alteration 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. D. l-lrrrnc!rC'irtrrits New Alteration or Extension Per Panel q3 Supervisor License Number I Expiration Date Phone zqf I e lc Qrrroo 2_ -22aL o 07 tl, $ 63.00 , $ 7s.00 $ 12s.00 $ 163.00 $375.00 $ 50.00 Constr. Contr. Number Expiration Date Signanrre of Supervising Electrician F Orvners Name I L $ 43.00 $ 3.00 L Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature E. ir lisrtll;nri,orrs (Scrviceif'cetter nol incluile rt) --t,.rrr.lr In.u;rllrrtirrn Pump or irrigation $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 lHinlmum Electric Permlt Inspection Fee ls $45.00 * Surcharges 4. :;; L: Iil ( ,7.;l L (lf '..11r(.i1 tla Ll 1 8% State Surcharge 10% Administrative Fee TOTAL 3ez Ll ro S?f \ Phone ez gglnspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permir Application l-06.doc :l . ":i, :.. ' I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;*' of Springfield Official Receipt L elopment Services DePartment Public Works Department RECEIPT #: 2200600000000001091 Date: 0810212006 1l:20:28AM Job/Journal Number coM2006-00951 coM2006-00951 coM2006-009s 1 coM2006-00951 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10Yo Administrative Fee Amount Due 43.00 6.00 3.92 4.90 Item Total:$s7.82 Payments: Type of Payment Check Number Received By Batch Number Number How Received Amount PaidPaid By CreditCard C & S ELECTRIC NJM 503226 In Person Payment Total: $57.82 -wT' cReceint I Page I of I 8t2t2006 *r*m$asFt*f,rl