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Home My WebLink AboutPermit Electrical 2004-05-07OF FIELD Building/Combination Permit PERMIT NO: COM2004-00539ISSUED: 0510712004 APPLIEDz 0510712004 EXPIRESz 1110712004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 511-726-3676 Fax 541-726-37 69 Inspection Line SITE ADDRESS: 405 23RD ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703361407700 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: New electrical service and subpanel plus two circuits Owner: ROOT EDWIN & RUBY Address: 405 23RD ST SPRINGFIELD OR 97477 Phone Number: 541-746-7180 Contractor Type Electrical Contractor PIIANTOM INC Expiration Date 0U14t2005 Phone 541-935-2154 License 109864 CONTRACTOR INFORMATION BUILDING INF( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . ,., . jCEi # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARTilNG Total: Ilandicapped: Compact: U Street IniprdvEffMltT:SHALL EXPIRE lF THF U/0Rr storm'sewLr &llfi&JJl,l D E R T H I S P E R fvt I T I S tr 0 I SpecidlrriCtrucN&ED 0R lS ABAND0NED t.0i.{.i,rr .,DAypEBlOD. Notes: rulcc adopted by the Oregon Utitity rules are set foril oAR 9s2-001 of the rules b e telephone number for the Oregon Util ity Notification Centeris 1-800-382 -2344\ $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase I of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated -:!r nLlLB in OAR 0090. Valuation Description i calling 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: COM2004-00539ISSUED: 0510712004 APPLIEDz 0510712004EXPIRES: 1110712004 VALUE: Fees Paid Fee Description + l0%o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $13.20 s9.24 $6.00 $r26.00 $154.44 Date Paid st7t04 5t7t04 5t7t04 5t7t04 Receipt Number 120040000000000067r 1200400000000000671 1200400000000000671 r200400000000000671 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. nsnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is Iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee2 of2 ffi.1L 225 Fit'th Strcct Sprin glield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt r,elopment Services Department Public Works Department RECEIPT #: 1200400000000000671 Date: 0510712004 e:02:05AM Job/Journal Nuntber coM2004-00s39 coM2004-00539 coM2004-00s39 coM2004-00539 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 126.00 6.00 9.24 13.20 Item Total:$r54.44 Pa1'nrcn ts: Typc ol l'ityrrtcnt I'aid By CheckNumtrer Autnonzatton Received By Batch Number Number How Received Amount Paid CreditClrd DELLS ELECTRIC llh 00378 017030 Phone Payment Total: $154.44 -$iBAZZ- ; 51112001 Page 1 of I il, al|llltBrlflD f L tir Sl*IEIeSmtrEE r. $PBIITGFIEE&AR 97+77. ] pr*(54t}?2(37s' r F-a)ft ELECTRICAL e6rJobb.+umber. . +. LOCA:{IANOFINST/IIATIOI{3. as submitted hasnot require speciric the tollowinc ,and use - 2oning LT)(a Date 4e* An6ted0e3dret-$t2i0+ - q l(?. ()n $3710+ $ 50.cr0 -----------r-- Date 4oe \rl" sb LEGAL DESCRIPTION IA=FF}EEFETE'F}d\#JVU ULSE}u> I TV}\ not*tarffiwithin-l80 days ofissumee-ar iFttrk is Suspen&d foi I80 dnys. 2. C;ONTRACTOR TNSTALLATTON ONLY E1*+;n6+F#gt*w" Address F-;**J'hra {ri r DLffi I Expiration Date -o Constr. Contr. Number /0gtQ7 Ex1**ion Date Sierrrturs stsuprviuirrg: Etmiciu p h A. Irtuwf,rsidentirt-sindffilultt@ Service Included rffisF &eiess ' . Each additisna! 500 sq. ft. or portion the.reof Eaeblv{anufaet' * Ho{te or tvffiarDrrel+i*g Swieesr fied,er $rs6.oo q lonn $.s+00 B. Services or Feeders - Installation, Alterations or 20&,rffirFscr-LE* - n $63.0S--201 Amps to 400 Amps I $ 75.00 Relocation: \AaP fnstatl*ion-,-{#er*ien-er+e}eea+ie* 200 Amps or iess $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over Vel*+see "Bl above. krPanel 952-001' (l€.$FUrwith t may |ortte -0010 ls 1 -- $ 433Q $ 3.@ rt so oo $ 5&3e s2soo $4!0e l-;k, Owners Namc DL^.A OWI{ER INSTALLATION fe iestaUstieq i*b€i"C made o+prepe4y' t+r#D'whi€h ,+eeriareade*&r,.$te hasgtreui . . Owners Signature: D'r'-6 ^r irricafinnr eurl, vl Sigo4Slr$i$e-Lighiry. Limited EnergylResidential Li@ 1o/^ l*qta Srrrnharca [0% :Adnaimstrative Fee TQEA*L M4rges m d 0s t,.+6q r-f'f--rr'r^rlt-I I j' 'vni OiTEGO}\r UNOER THIS OR,S WORK b,e Iffinfunu*Shceic krniehryectio{ F'ee is $4f.0fr + \ 4. SUBToTALOFAqOW