Loading...
HomeMy WebLinkAboutPermit Electrical 2004-12-01Bu\il\ng\ttuhrnt\\tnttt\tr\\ Status Issued 225 Fifth Street, Springfield, OR 541-726a753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PD,RMIT NO: COM2004-01463ISSUED: 1210112004APPLIED: 11/3012004EXPIRES: 06/0112005 YALUE: SITE ADDRESS: 2289 23RD ST ASSESSOR'S PARCEL NO.: 1703251204000 PROJECT DESCRIPTION: RElocate 200amp meter panel Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Phone Number: S4l-owner: CHARLES REIFSCHNEIDERAddress: 2289 23RD ST SPRINGF,IELD OR 97477 Contractor Tvpe Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Contractor C & S ELECTRIC License 3849 Expiration Date 09t0u2008 Phone 541-741-2236 # of Stories:Lot Size: Sq Ft Ist Ftoor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 PERM \ llhtri'rLL EXPI ER lHISecondary R\ZE# of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: D UND \S ABOR Path: COMM ENCED PER\OD.DAY Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: AfiENTlON:Oregonlarv requlres yu, to REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage orBidAmounf Description Type of Construction ?otal Value ofproject Yalue Dafe Calculated N01 Genter.rules are setforffi 0090. You oAR952101_ calling the number for rules by Centeris Utility 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: COM2004-01465ISSUED: 1210112004APPLIED: 11/3012004EXPIRES: 06/0112005 VALUE: Fees Paid Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $7.s0 $5.25 $12.00 $63.00 $87.7s Date Paid 12nt04 t2nt04 t2nt04 t2nt04 Receipt Number 1200400000000001674 r200400000000001674 1200400000000001674 1200400000000001674 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 !!ec!{c Service: Approval required prior to utility company energizing service.Final Electric: When all electrical work is compleie. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I furthlr certify that any "na au wortr performed shall be done in accordance withthe ordinances of the city of springlield and the Laws of ihe statebf oreg-on pertainin!1o trre work described herein, andthat No occuPANCY will be made of any structure without permission ortnu co--,irity s.*i.es Division, Building Safety.I further certify that only contractors and employees who are in compliance with oRs 701.005 will be us"o orit is project.I further agree to ensure that all required insfeciions are requestJ a1 the proper time, that each address is readable from the:,[t""J'rt#:f;r'#Hffi: is Iocated at the front of the propertv, and ttre approvea sui oipr"ns wlr remain oo ir," site ar a, Owner or Contractors Signature Date Pase 2 of2 225 Fifth Street spiingn.rd, Oregon 97 41 1 541-126-3159 Phone liff of Springfield Oflicial Receipt - ;;ililient"Services DePartment Pubtic Works DePartment rrnlralltrl.'D 1200400000000001 Date:12t0112004 8:1?:42AM Amount Due 63.00 12.00 5.25 7.50 -siF 674 RECEIPT #: Job/Journal Number coM2004-01465 coM2004-01465 coM2004-01465 coM2004-01465 DescriPtion-P.*i Serv/Fdr 200 amPs or less AJd, Alt"r, Extend Circ Ea Add + 7% State Surcharge + l}Yo Administrative Fee Received BY djb Item Total: Number How Received 001452 In Person Payment Total: Batch Number Amount Paid $87.7s of PaYment Paid BYType Ssz. t2/t/2004 Page I of I 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: ELE C?|RT CAL P ERM IT AP P LI CATI O N Ciry.iobNumber LO,,{,|ZjJ,O!.-AlLtbS Date l/ - 3A=O1 1. Z LEGAL DESCRIPTION t703 ZSt z OYooo JOB DESCzuPTION fu otq z<so S{zv1 Permits are non-transferable and expire if work is not started *,ithin 180 days of issuance or if rvork is Suspended for 180 days. 2 i+i6:di;iidii orrNsrALterrov",.'",,,.tx,i.:Ii,ii*ilii*-'iill;ii)S;7:tLliiiAiii$t;'l::t:i":.i;:i.':;:::-;;';.:.KS 71ar =l-t/L) I L- / }S 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to i000 Amps Over 1000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Arps Over 600 or i000 Volts see..B',above. Pump or irrigation $ 19.00 $s0.00 $ 63.00 $ 75.00 $ 12s.00 $ I 63.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $ 100.00 $ 50.00 $ s0.00 $ 2s.00 $ 45.00 Fee is 945.00 * Surcharges J B. Electrical Contractor Address Pnfux)vg> lrzc.bs City Phone 7U =-.-<6 tlgTt/.SSupervisor License Number Expiration Date lc-ol -o7 C. D Constr. Contr. Number Expiration Date 38 qq 1-t- c e of Sup a Ele New Alteration or Extension per panel One Circuit Each Additional Circuit or with ---l- $ 43'00 Service or Feeder permit L{ $ 3.ooowners Name C '.'.^ t (t-[^.,Jr-cSc Address Z ZK?23p St E. citv }D.A pnon. OWNER INSTALLATION f,""I;?*Hx : : i::, H:.": Lo,To.*, "*dil$,fit'J I owners Signarure: ,lTl"-'*l 7 4. Sign/Outline Lighting 67o gfrd6q6pthgL6 7f ;7t 7fo Fhone Administr-ative Fee uU-\,.r2 -2344). TOTAL 8aI Inspection Request: 726-3769 Shared Drive(T: ),lBuilding Forms/Etectrical permit Application I {3.doc AfP I NOTICE: ERMIT SHA NDER I \JU NCED OR IS 1 Center is