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Home My WebLink AboutPermit Electrical 2005-06-27Building/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: COM2005-00805ISSUED: 0612712005APPLIEDz 0612712005EXPIREST 1212712005 VALUE: SITE ADDRESS: 2529 Z7THST ASSESSOR'S PARCELNO.: 1703244103015 PROJECT DESCRIPTION: Two Circuits. One for dishwasher follow rules Work Only are set forh Owner: Address: Contractor Type Electrical MADDEN RUTH M 2529 27THST SPRINGFIELD OR 97477 Contractor THINK ELECTRIC License 154326 OAR Expiration Date 02mt2007 Phone 541-232-1212 CONTRACTOR INFORMATION )RMATION # 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 lleat: Water Type: Range Type: Energy Path: Sprinkled Building:nla 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: Occupant Load: EX Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INF( Description Type of Construction Paee I of2 Value Date Calculated yolrb r) Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00805ISSUED: 0612712005APPLIEDz 0612712005 EXPIRESz 1212712005 VALUE: Fee Description" + l0%o Administrative Fee + 1Yo State Surcharge Add, Alter, Extend Circ, Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 s3.22 $43.00 $3.00 $53.82 Total Value of Project Date Paid 6t27tus 6t27tus 6t27t05 6t27t05 Receipt Number 3200500000000000387 3200500000000000387 3200s00000000000387 3200500000000000387 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 Final Electric: When all electrical work is complete. 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. Owner or Contractors Signature Paee2 of2 Date rees raro I Keoulreo InsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt ,evelopment Services Department Public Works Department RECEIPT #: 3200500000000000387 Date: 0612712005 1:25:01PM Job/Journal Number coM2005-00805 coM2005-00805 coM2005-00805 coM2005-0080s Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0oh Adminishative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type ofPayment Paid By Check Number Recelved By Batch Number Authorization Number How Received Amount Paid CreditCard ANDREI DZIEDVIZ nJm 003849 003849 Phone Payment Total: $s3.82 -Ssr.-E .t 612712005 Page I of I / 225 FIFTH STREET . SPRINGFIELD, OR 97477 c PH:(541)726-3753 o FAX: PERMIT APPLICATION City Job 3 LEGAL DESCRIPTION A. 7,o'tu/ Ihgtottgwrr rY t" v'--- - zoning and does not aoProval Servlce Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each tvlAil'rff Ettilf H$ft d0re g o n c Livr;, JOB Electrical Contractor Address Supervisor License Number Expiration Date raa $106.00 $ 19.00 you toPermits are non-transferable if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 law requires Modular Dwelling Service or by the Ore Feed1q.r,ification Center. Th ose are set 200 Amt$[r,"155Jhe center. (Note: the tels$ooo 201 Arf,iltejzfugfgh1se Oregon Uii-lity ruoUiriltn 601 Amps to 1000 Amps $163.00 OvEr 1000 Amps/Vols $375.00 Reconnect Only $ 50.00 Installation, Alteration or Relocation B. C D. City Pho* "AL-,JlJ I o Constr. Cont. Number Expiration Date Signature of Supervising Electrician Owners Phone OWNER TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Over 600 or 1000 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or inigation Sigrr/Outline Lighting Limited Energy/Residential 7o/o State Surcharge l0% Administrative Fee TOTAL $ s 50.00 69.00 see "B" above. I $ 50.00 $ s0.00 $ 25.00 cf) $ 43.00 //3-P33.00$ Limited Energy/Commercial $ 45.00 Mlnimum Electric Permit Inspection Fee is $45.00 * Surcharges ) a 5 3. CITY OF SPRINGFIELD,OREGON Inspection Request: 72G3769 4. Shared Drive(T:/Building Forms/Electrical Permit Application l-03,doc \ 1. ONLY New %f* 4 6,xr -> 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Arnps E. Miscellaneous (Service/feeder not included) -Each Installation w //( .60