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Home My WebLink AboutPermit Electrical 2007-05-22rF Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00739ISSUED: 0512212007APPLIED| 05t22t2007 EXPIRESz 1112212007 VALUE: SITE ADDRESS: 281 22ND ST ASSESSOR'SPARCELNO.: 1703361302300 Springfield TYPE OF WORK: Electrical Work Only AT'TENTIO follow rules PROJECT DESCRIPTION: 200 amp service change. rJotification C enter. Those rul es are 0090" you may obtain copie s of the rulescalling the center.(Nore:the telephononumberforthe Ore )"a41 rl i{sflil'oFusrij<luopted oy the Or h{tCIPafiou to Residential regon Utitity Owner: Address: Contractor Type Electrical BROMLEY EDWIN C & DIANE L 281 W 22ND ST SPRINGFIELD OR 97477 Contractor C PERKINS ELECTRIC F-^ ^oo- License 159537 Expiration Date 04t1512008 Phone 541-89s-4466 CONTRACTOR INFORMATION # 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: # 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 IF'THE WOR IER THIS PERMIT IS NO IS ABANDONED FOR t0D REQUIRED Total: PARKING AUTHOR ZED UND Handicapped: Compact: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated -I' UILDTNG TN} UI(IVTA T TUN.] 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: COM2007-00739ISSUED: 0512212007 APPLTED| 05t22t2007 EXPIREST 1112212007 VALUE: Fee Description + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $3.1s $s.04 $63.00 $77.49 Total Value of Project Date Paid st22t07 5t22107 5t22t07 5t22t07 Receipt Number 2200700000000000801 2200700000000000801 2200700000000000801 2200700000000000801 Plan Reviews To Request an inspection call the24 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 will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that onty 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 B'ees Pard I City of Springfield $r{{ffr** Supervising electrician's name: CLYDE I PERKINS Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business 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 department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. El"ctrical Authorization To Begin Work -mailed To: stacic.perkins@hotmail.com Check on status of Permit By Phone : (541)7 26-37 53 or E m ail : perm itcenter@ci.sprin gfi eld.or. us Of Springfield l}VoLocal Admin Fee; 5% Receint # EC5ll666 512212007 l:ll:10 PM x [| I or 2 family dwelling I Uulti-famitv ! Commercial / Industrial New construction Addition/alteratiorVreplacement Job no.:Jobrddress: 281 22NDST City/State/ZIP: SPRINCFIELD, OR 97 477 -5102 Suite/bldg./apt,no.: Project name: Cross streeUdirections to job site: Start out going SOUTH on 5TH ST toward A ST. Ium LEFT onto S A ST / OR-126 BR E. Continue to follow OR-126 BR E. Tum LEFT cnto 2lST ST. Tum SLIGHT RIGHT onto A ST. Tum LEFT onto 22ND Lot no.:Subdivision: Tax map/parcel no.: 1703361302300 DESCRIPTION Name: ed vronley Phone: (541) 520-6198 Fax CCB lic. no.: 159537El. lic. no.: 20-521C Email: Business Name: C PERKINS ELECTRIC INC Contact: staci Address: PO BOX ll93 City/StatelZlP: CRESWELL OR 97426 Fax: NonePhone: (541)8954466 Email: stacic.perkins@hotmail.com Metro lic. no.:Citv lic. no.: Supervising electrician's lic, no.: 29705 Qty.Ea,Total 1,000 sq. ft. or less Ea. addl 500 sq. ft. or portion - Limited energy, residential (with above sq. ft.) 200 amps or less $63,00 venergy, above $63 201 amps to 400 amps 401 amps to 599 amps OR feeders installation, alteration,serYlces 200 amps or less 201 amps to 400 amps - NEW, alteration,0R extension, per circuit. A. Fee above service or feeder f'ee, 401 amps to 599 amps B. Fee for branch circuits without service or feeder fee, first branch circuit; each addl branch circurt Service reconnect only Each manufactured or modular dwelling, service and/or f-eeder Pump or inigation circle Sign or outline lighting energy panel, alteration, or extension, not offered online at this lurisdictionor $63.00Subtotal PERMIT $s,04State Surcharge (8% ofpermit fee) City Of Springfield fees r $9 45 .49TOTAL PERMIT FEE This Authorization To Begin Work must be posted at the job site until replaced by a Permit TYPE OF WORK CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION 200 amp service change SITE CONTACT CONTRACTOR FEE SCHEDULE Description Rosidential SINGLI!- OR multi-I'amily dwclling unit. Includes attached garagc Services OR feeders installation, alteration, AND/OR relocation I Miscellaneous 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone CiF' of Springfield Official Receipt D - -lopment Services Department Public Works Department RECEIPT#: 2200700000000000801 Date: 0512212007 3:13:43PM Job/Journal Number coM2007-00739 coM2007-00739 coM2007-00139 coM2007-00739 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:$77.49 Payments: Type ofPayment Paid By UheckNumber Authonzation Received By Batch Number Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE C Perkins Online Payment Total: $77.49 - Page I ofl s/22t2007 *&mi*reF[w.*]