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Home My WebLink AboutPermit Electrical 2004-05-26Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buitding/C ombination Permit PERMIT NO: COM2004-00619ISSUED: 0512612004APPLIEDz 0512612004 EXPIRESz 1112612004 VALUE: SITE ADDRESS: 195 33RD ST ASSESSOR'S PARCEL NO.: 1702313102900 PROJECT DESCRIPTION: Install meter panel for new meter location Owner: KIRKVELMA H Address: 195 N 33RD ST SPRINGFIELD OR 97478 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: S4l-747-7967 Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 0910y2004 Phone 541-741-2236 License 3849 TION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Special D # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh 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: REQUIRED PARKING Total: Handicapped: Compact: R-3 \rN 1s0 nla $at,Notes: $ Per Sq Ft or multiplier {otl Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Tvpe of Construction Total Value of Project F Value Date Calculated L(/\ I' U ILUIN U TN Ti U|(]VT,4\ I II2N-.] E{w trD \n Valuation Descriptiorfl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ra'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00619ISSUED: 0512612004 APPLIEDT 0512612004EXPIRES: 1112612004 VALUE: Fees Paid Fee Description + l0oh Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $12.60 $8.82 $126.00 s147.42 Date Paid st26t04 5t26t04 5t26t04 Receipt Number 22004000000000006s6 22004000000000006s6 2200400000000000656 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Electric Service: Approval required prior to utility company energizing service. Insnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 -\ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200400000000000656 Date: 0512612004 9:o2z42AM Job/Journal Number coM2004-00619 coM2004-00619 coM2004-00619 Description Perm Serv/Fdr 200 amps or less + 7%o State Surcharge + l0%o Administrative Fee Amount Due 126.00 8.82 12.60 Item Total:$t47.42 Payments: Type of Payment Paid By unecKNumDer Authorization Received By Batch Number Number How Received Amount Paid CreditCard MELLISA GEHRKE djb 000394 026491 In Person Payment Total: $147.42m 5t2612004 Page I of I SPETil6F|LLO 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST :'7 26 -31 6() OFFICE: 726-3759 ELEI ,CAL PERMIT APPLICATION LOCATION OF INSTALLATION tct S 339l' st LEGAL DESCRTPTIONlloz313l oz70o JOB DESCRIPTION , AZ.s|r-\\ uvrao//,wot- I-n- 'ac,-ruL-D<-"aLTraN Permits are ron-transferable and expire iflvork is not started rvithin 180 days ofissuance or iflvork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 3. COMPLETE FEE SCFIEDULE BELOW A. Nerv Residential-Single or Multi-Family pcr dn'elling unit. Sen'ice Included: Ilems Cost .$ 106.00 Citv 10()0 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Horne or Modular Drvclling Sen,ice or Feeder B. Serlices r-rr Fee ders Installation, Alterations or Rclocrrtion: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 1 000 Job Number G)lg,Zrctl - (}O 6l Y *CKAec,+r;c $ 19.00 $ 50.00 _ Electrical' Contract Address Expiration NT So&lqt'D3bPhone 00$ 63. $ 75. $ 125 15 nurber 3f qq c' ratio. Date q IExpi rlov 201 amps to 400 amps Over.l0l to 600 antpsSignrrturc of Super-vising Electrician Orvners N ^*"{€{oox* WeL Adtrress t? t 33 &l :,+ OWNER INSTALLATION The installation is being utade on propert]* I orvn rihich is not intended [or sale. lease or rent. re. 'tHE WORK ATTE de the rutes bY N )ferviceor E. Nliscellaneous (Sen'ice/l'eeder not inclutled) -Each iuslrllation Punrp or irrigation Sign/Outline Ligltting Liruited Energr'/ltes Limited EnergviComm d. SUBTOTALOFABOVE 7oh Stile Surchitrgc 8% Administrative Fce num $ 3.00 NOT].cE: "tHSP{qtu ALL EXPIRE IF $50.00 $_50.00 $25.00 $15.00D UNDER I H$ PERN IS NOT AU lHORIZE ANY 180 D TOR I\'[inimum Electric Permit Inspcction Fec is S-15.00 * Surchargcs o DAY PERIOD. TOTAL I Authorared Signature 200 amps or less $50.00 $69.00 _ $100.00 _ $43.00 --"- Supcrvisor License N,r,ber LffqLN ID a ln OAR cit), Sp F\ Pnon"-?4J 'f I b*/ Ovcr 600 0090. copies calling the IZC---gzr---T7@- H7G