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Home My WebLink AboutPermit Electrical 2005-02-04LD 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: COM2005-00144ISSUED: 0210412005APPLIEDz 0210412005EXPIRES: 08/0412005 VALUE: SITE ADDRESS: 705 26TH PL ASSESSOR'S PARCEL NO.: 1703361111801 PROJECT DESCRIPTION: Add 2 circuits Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential License Owner: Address: Contractor Type Electrical RALSTON CLAYTON V & CHERYL 705 N 26TH PL SPRINGFIELD OR 97477 Contractor ROBS ELECTRIC INC ,A/.n Expiration Date 08n4t2005 Phone 54r-686-5444 # 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: R-3 YN Floor: Load: REQUIRED PARKTNG Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: t B Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page 1 of2 Value Date Calculated t 4rr._c1 Range Energy Path: Sprinkled Building: to nla caMi,4 ]IZED II\,CED U ANy 1 80 DAY Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00144ISSUED: 0210412005APPLIEDz 0210412005EXPIRES: 08/0412005 VALUE: Fee Description + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Total Value of Project Date Paid 2t4t05 2t4t0s 2t4t05 2t4t05 Receipt Number 1200s000000000001s2 1200500000000000152 12005000000000001s2 12005000000000001s2 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. Ilnsnections 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 Pase2 of2 Date r ees ralo l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt _- .velopment Services Department Public Works Department RECEIPT #: 1200500000000000152 Date: 0210412005 1:15:19PM Job/Journal Number coM2005-00144 coM2005-00144 coM200s-00144 coM2005-00144 Description + 7Yo State Surcharge + l0%o Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Due 3.22 4.60 43.00 3.00 Item Total:$53.82 Payments: Type ofPayment Paid By l-hect(Number Authorization Received By Batch Number Number How Received Amount Paid CreditCard DAVID LAWLER djb 036349 In Person 553.82 Payment Total: -Sss.-BT 21412005 Page I of I CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET . SPRINGFIELD, OR 97477 c PHz(541)72G3753 o FAX: EIfr CTRICAL PERMIT APPLICATION City JobNumber Ca*tzt:a'l -oot L{L( Date I 70t z b(u- p t- LEGAL DESCRIPTION lf ()j 3 btl tl 6'cl JOB DESCRIPTION dA <-t, tlc"*i Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. Electrical Contractor Address Phone Supervisor License Number Expiration Date Consfi. Cont' Number Expiration Date Signature of Supervising Electrician {*-- Owners Name A Address 20 City SP OWNERINST The installation is being is not intended for sale, Owners Signature: 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 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs 1000 AmpsA/olts Only TOTAL Shared $ 19.00 $s0.00 s 63.00 s 7s.00 $125.00 $163.00 $37s.00 $ 50.00 B. City New One Circuit Each Additional or with -l-"Z*1=1,.--Service or Feeder Permit E. Pump or irrigatron SigrVOutline Lighting Limited EnergYlResidential Limited EnergY/Commercial Electric Permit Inspection Fee is 545'00 + Surch State Surcharge 10% Administrative Fee or Relocation $ 50'00 $ 69.00 s100.00 "B" above, Per Panel L/3 $ s0.00 $ 50.00 $ 45.00 arges L/6 "Z r--5> / t ot.oo .00$3 InsPection Request: 12C37 69 Drive(T:)/Building FormJElectrical Permit Application I -03'doc L A ^BbSW(/O t 5 /... D. (