The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-03-30Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00349ISSUED: 0313012004APPLIED: 03/3012004EXPIRES: 09/3012004 VALUE: SITE ADDRESS: 750 S 28TH ST ASSESSOR'SPARCELNO.: 1803010000100 PROJECT DESCRIPTION: Replace 200amp service Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial Owner: Address: SPRINGFIELD AUTO RECYCLERS INC PO BOX 127 SPRINGFIELD OR 97477 Contractor Type Electrical Contractor EASTSIDE ELECTRIC INC License 117770 Expiration Date 10t04t200s Phone 541-915-9828 CONTRACTOR INFORMATION # 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: # of Stories: Height of # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN ellil \ON o( \ o et Street Improvements: Storm Sewer Available: Special Instruction: \ho $ Per Sq Ft or multiplier t0 Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: Handicapped: Compact: Notes: Total Value of Project Page 1 of2 Description Type of Construction Value Date Calculated It U Ll]l-rll\ rJ f i\ I UI(VL{:]!:!I Dist: 1 H\$ Valuation Description I F 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: COM2004-00349ISSUED: 0313012004APPLIED: 03/3012004 EXPIRES: 09/3012004 VALUE: Fee Description + lOoh Administrative Fee + 7%6 State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 3130t04 3t30t04 3t30t04 Receipt Number 1200400000000000407 1200400000000000407 1200400000000000407 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. I Electric Service: Approval required prior to utility company energizing service. 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 Date Pase2 of2 ]r}i,] \ l( ees raro I Keourreo rnsDecnons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City uf Springfield Official Receipt Development Services Department Public Works Department Date: 0313012004 1:34:38PM coM2004-00349 coM2004-00349 coM2004-00349 Perm Serv/Idr 200 amps or less + 7%o State Surcharge + l0o/o Administrative Fee 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid By Received By ehecENumb-er Batch Number Authorization Number How Received Amount Paid CreditCard ROGER KING 000339 030926djb In Person Payment Total: s73.7t $73.71 $&$*fiat*\a{}r**Lf3 225 FIFTII STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726'3689 ELECTRICAL PERMIT APPLICATION , CityJobNumber COur,tZoc.r{ -OO3q ? Date 3')O-OY 1.' OCAIION OF ttts?|et LATION " i .".,. .:..r..1r,::-7so 50, )8'rl LEGALDESCRIPTION I sP FcO Avr o Re c,Y 3. JOB DESCRIPTION Cdfrre€ Joo il approval Zoning tnP PA Permits are non-transferable and expire ffSUfFgS Signature not started within 180 days of issuance or if work is Suspended for 180 days. sq. ft. or less Modular Dwelling Service or Feeder or $106.00 $ 19.00 ss0.00 B.) Electricat Contractor {"A575 /O€' €L€ct(t C Address 36,2t3 8oScA6€ CN, City SP €CO Phone Supervisor License Number \727 s Expiration Date 1a't - L) Y Constr. Contr. Number j t777@ Expiration Date lo-l-oq Signature of Supervising Electrician Owners Name A*L Address "75.-<> Str C. Installation, Alteration or Relocation 200 Amps or less t $ 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps $100.00 @ Over 600 or 1000 Volts see "B" above. Panel $ 43.00 $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ s0.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 6'3 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only 7o/o State Surcharge l0% Administrative Fee TOTAL $ 63.00 $ 7s.00 $125.00 s163.00 $375.00 $ s0.00 63,s0 City is not intended for sale, lease or rent. Owners Signature: (\o s 50.00 $ 2s.00 $ 4s.00 t/ / 7() ^ -tl/> --Inspection Request: 726-3769 own which Shared Drive(T:)/Building For:ns/Electrical Pennit Application I -03.doc .i:\ N s r= TO tY /'/ /q? OWNER The installation is being i::t I :t I l 1t One Circuit Additional Circuit or with Service or Feeder Permit E. . . Nllscellaneous (Sen ice/feef gr :rot includg{) -Ea ch lns talla f-ior' .:: . , 4. -. SUBTOTAL AF ABO\TE riii:i:i,.:: I i ll