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HomeMy WebLinkAboutPermit Electrical 2006-01-18Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 2637 69 I nspe ction Line Building/Co mbinatio n Permit PERMIT NO: COM2006-00070ISSUED: 01/18/2006APPLED: 01/1812006E)GIRES: 0711812006 VALUE: SITE ADDRESS: 152 28TH ST ASSESSOR'S PARCEL NO.: 1703364100200 PROJf,CT DESCRIPTION: Replace mast wire Springlield TYPE OF TYPE OF USE: Electrical Work Only Repair Commercial Owner: Address: GET N GO GROCERY 150 N 28TH ST SPRINGFIELD OR 97477 Contractor \a$ I eO\N IContractor TVpe Electrical # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbaclis: Street Storm Sewer Available: Special Instruction: Notes: dtoo' INC License 136446 nla Expiration Date 08t20t2009 Phone 54t-747-2724 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: DownspoutMDrains REQUIRED PARJSNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bitl AmountDescription Type of Construction I of 2 Value Date Calculated - E L\ Type: Yaluation Descriotion I Lr|! v lrLLrrlYll,l\ I rl\r1rl(]YrA r rL,r\ | CITY F SPRINGFIELD Buildin g/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Frx 541:7 26-37 69 I nspection Line PERIVIIT NO: COM2006-00070ISSUED: 0111812006APPLED: 01/1812006E)?IRES: 07/1812006 VALUE: Fee Description + l0Yo Administrative Fee + 87o State Surcharge Service Reconnect Total Amount Amount Paid $s.00 $4.00 $s0.00 $59.00 Total Value of Project Date Paid yt8t06 ut8l06 ut8t06 Receipt Number 1200600000000000049 1200600000000000049 1200600000000000049 Plan Reviews To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. f nsnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ 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 wilt be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 Owner or Contractors Signature 2of2 Date LLJ rees raro 225 Fifth Street Springfietd, Oregon 97 477 541-72G3759 Phone ^W of Springfield Official Receipt _./evelopment Services Department Public Works Department RECEIPT#: 1200600000000000049 Date: 0111812006 1:16:11PM ' Job/Journal Number -. coM2006-00070 :j coM2006-00070 ccM2006-00070 Description Service Reconnect + 8% State Surcharge + l0% Administrative Fee Amount Due 50.00 4.00 5.00 Item Total:$s9.00 Payments: Tlpe of Payment Paid By CheckNumber Auttorization Received By Batch Number Number How Received Amount Paid CreditCard JOSHUA BURRELL djb 020758 In Person Payment Total: $s9.00 -Sse.-0d'1 ;r i :l t ,t U1812006 lofl aDatrerS,o is.* $i06 00 ll: FIFTH STRIET ' SPRINGFIELD, OR 97417 ' I: LECTR]CAL PERMIT APPLICATION , r, lrb \umber (OnlZOO6- 6cO7Oourc LOC4'1'I' /SZ z4v 0 'tu oozoo PH:(541)726'3753 ' FAX: (541)726 l- ta-06 Service Included I 000 sq ft. or less Each additional 500 sq. ft. or porrion thereof Each MLnufact'd Home or Modulal Qwelling Service or Feeder ,' B. C.,,;;l 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over I000 Amps/Volts Reconnect Only D New AJteratl One Cucuit Each Additio Service or Feeder Permit tt Pump or inigation Sign/Outline Lighting Lim ited EnergylResidential Lim ited Energy/Commercial 3 A .;tulif rh Wt l'crrrrrtl ir( norl'transferable and explre ii work is nor starred rlithin 180 days of issuance or if work is Suspended for 180 daYs. -:,j i- DESCRIP O3 DESCRIPTION $ s 0.00 $4100 $ 3.00 $ s0.00 $2s00 $ 4 5.00 U'- !:it:;i $ 61.00 $?500 $ 125 00 $r63 00 $3?5 00 --f $5ooo .--9 C \s \-J Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69 00 401 Amps to 600 Amps $ 100 00 Over 600 [06.vot,,t:.rrailon Date :r-:: ci SupervrsLng tncran tsrBRttoottr D FOR .- .' l,:li \?iIf 6-G /SO z6# >f 5Pr'l\ Phone $ 50.00 O\\ \E11 I\ST.{LLATION -l'ic ::rsl::larrcn rs being made on properry ] own which rs nci :nlenoed lor sale, lease or rent.M.inimum Electric Permit Inspection Fee is 545.00 * Surcharges 5o Ll 7% State Surcharge I0% Administrative Fee TOTAL So/o3 s lrrspectir.,n Requesr: 776-3169 Sbarcd Driv(T:/Buildi-o g Forms/Elcctrica I Pcrrojt Appl ic at roo I -'! ) o I Iroll: i, :,r:,.::i ccnrracror h"*-US-t tit.fa-ic ,..-::1..j, Do Box G9)*tl!{;'u" -\-')::-,:iJ. License Number S - -: s:: Ccntr Nr.rmber tl0n 3.,:rers Sign:rure: