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HomeMy WebLinkAboutPermit Electrical 2004-10-14Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01271ISSUED: 1011412004APPLIED: 1011412004 EXPIRESz 0411412005 VALUE: SITE ADDRESS: 405 23RD ST ASSESSOR'S PARCEL NO.: 1703361407700 PROJECT DESCRIPTION: 200amp service and 4 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Owner: Address: ROOT EDWIN & RUBY 405 23RD ST SPRINGFIELD OR 97477 in co Contractor Type Electrical Contractor DELLS ELECTRIC (Note the telePhone on Utility Notiticatlon 0u14l200s Phone 541-935-2154 1 # of Units: Primary Occupancy Group : Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARKING Total::\' Handicapped: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Compact: R-3 VN nla $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of2 Value Date Calculated lollow lult Notl tication n adopteo Center' T law reqrtt:et througrr UAI r' U rLUrN (, l\ rrl2dn4.ql rvN_l \l\ Valuation Description I CITY F Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01271ISSUED: 1011412004 APPLIEDz 1011412004 EXPIRESz 0411412005 VALUE: Amount Paid $7.50 $5.25 $12.00 $63.00 $87.75 Date Paid Receipt Number 2200400000000001287 2200400000000001287 2200400000000001287 2200400000000001287 Fee Description + l0o/o Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid t0n4l04 t0n4l04 t0n4t04 10fi4t04 Plan Reviews 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reouired Insnect 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. S:o.^r.q "D(qt=\o//alor( rJn- -r- Owner or Contractors Slgnature >-L Date Pase2 of2 I I{ ees raro I 225 Fifth Street Sprin!field, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt _ velopment Services Department Public Works Department RECEIPT #: 2200400000000001287 Date: 1011412004 9:25:57AM Job/Journal Number col['.{2004-01271 coM2004-0127t coM2004-01271 coM2004-0r271 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0o/o Adminishative Fee Amount Due 63.00 12.00 5.25 7.50 Item Total:$87.75 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard DELL'S ELECTRIC njm 014132 Phone Payment Total: $87.7s -S8-iF t011412004 Page I of I m,o 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX E LE CTIiI CAL P ERM IT APPLI CATI ON CityJobNumber@/ Dut. 1. LOCATIONOFINSTEII-ETION qot Z3aL sl /o o7 A. New Residential - Single or 3. $P. $ 106.00 $ 19.00 $s0.00 LEGAL DESCRIPTIONtao3 s6t Ll caToo JOB DESCRIPTION ft {L<-wi +jZo,t sA/L Permits are no and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR Electrical Contractor 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 B. Senices or Feeders - Installation, Alterations or Relocation: b3 Address 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 City 2uqerte Phone V Supervisor License Number b7t"5 C. Temporary Services or Feeders Expiration Date o Installation, Alteration or Relocation 200 Amps or less $ 50.00 Constr. Contr. Number / o?141 201 Amps to 400 Amps $ 69.00 Expiration Date 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel / Signature of Supervising Electrician N-JL*,^ K.-^t*A .r- \ ownersName A A QOOf IZ Address qOt Z3r>L S+-E. Miscellaneous (Servicelfeeder not included) *Each lnstallation City 3Pr)Phone One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or imgahon Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7o/o State Surcharge l0% Administrative Fee TOTAL $ 43.00 $ 3.00 $ s0.00 $ 2s.00 $ 4s.00 $ s0.00 v( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOVE 7f tz< 7fo 6a 7fInspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical Permit Application I -03.doc CITY OF SPRINGFIELD, OREGON ) /,,1 /,,v 21?o7 !TPRIHCFT.ELD April20,2005 ROOT EDWIN & RUBY 405 23RD ST SPRINGFIELD, OR 97477 Date Permit Issued:r011412004 Permit Number:coM2004-0127r Location:405 23RD ST Project DescriPtion:200amp service and 4 circuits Dear Permit Holder: Recently, our offrce sent you a letter notifying you that your permit(s) was {9ut to expire. Because you did not contact us to request an inspection or to call us to veriff that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(s) expired on 411412005. Please contact our office at Springfield City Hall, 225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your project. There are additional permit fees that are due in order to complete your project. Sincerely, Lisa Hopper Building Safety Supervisor City of SPringfield DeveloPment Services DePartment Community Services Division, Building Safety 541-726-3759 Phone 541-726-3676Fax --! Y City of Springfield 225 Fifth Street, Springfield, OR97477' 541-726-3759 Phone 541-726-3676Fax March 16,2005 ROOT EDV/IN & RUBY 405 23RD ST SPRINGFIELD OR Job Number: Location: 97477 coM2004-0t271 405 23RD ST Project 200amp service and 4 circuits Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 405 23RD ST which is set to expire on 411412005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety