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
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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