HomeMy WebLinkAboutPermit Electrical 2005-12-13SPriii{OF|ILE
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-72646768ax
541 -7 2637 69 Ins pe ction Lin e
PERMIT NO: COM2005-01699ISSUED: t2ll3l200s
APPLIEDz 1210612005E)GIRES: 06/1312006
VALUE:
SITE ADDRESS: 470 35TH ST
ASSESSOR'S PARCEL NO.: 1702312411201
Springfield TYPE OF
TYPE OF USE:
Single Family Residence
Remodel Residential
PROJECT DESCRIPTION: Electrical permit (Building w/o Permit)
Owner:
Address:
MISSAKIAN CYIITHIA
470 35TH ST
SPRINGFIELD OR 97478
License Expiration Date Phone
CONTRACTOR INFORMATION
# of Units:
Prim ary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
,. Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes
R-3
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
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:nla
CO
ANY l SPoArFpgfiffiains
S PERMIT SHALL EXPIRE IF THE WORK
REQUIRED PARKING
Total:
Handicapped:
Compact:
S PERMIT IS NOT
NOONED FOR
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
)PMENT INFORMATION
Description Type of Construction
lof2
Value Date Calculated
Contractor TYpe Contractor
lJU I LLrlL\(, lNtr (-rt(V+q, f_!!2lY
l.
1
ain copies of the rules bY
Center is 1 -800-332 -2344),
Valuation Descriotion I
_. :.r.. .:-f IELD
CITY OF SPRINGFIELD
Buildin g/Co mbinatio n Permit,
Status: Issued
225 Fifth Street, Springfield, OR
,-.541:726-3753 Phone
511-726-3676Fax
5 4l:7 26-37 69 Inspe ction Line
PERMIT NO: COM2005-01699ISSUED: 1211312005
APPLIEDz 1210612005E)PIRES: 06/1312006
VALUE:
Fee Description
+ l0'/o Administrative Fee
+ 7'1, State Surcharge
r\dd, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
I'enalty Fee - BWOP Electrical
Total Amount
Amount Paid
$11.60
$4.06
$43.00
$1s.00
$s8.00
$131.66
Total Value of Project
Date Paid
t2n3t05
t2n3t05
t2n3t05
t2n3t05
t2lt3l05
Receipt Number
1200500000000001809
1200500000000001809
1200500000000001809
1200500000000001809
1200500000000001809
Fees Pai
Plan Reviews
To Request an inspection call the24 hour recording at 7263769. AII inspection requested before 7:00
a.m. rvill be made the same working day, inspections requested after 7:00 a.m. will be made the following
u,ork day.
Final Electric: When all electrical work is complete.
Reouired fnsnections
Ry signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
inlbrrnation hereon is true and correct, and I further certiS that any and all work performed shall be done in accordance
' u,ith t he 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 b€ made of any structure without permission of the Community Services Division,
Ruilding Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I lurther agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the streef 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 tiryres during construction.VZ*r,€ZZf-
olu., or-&nt ^"to.. signrilru-
- ?'L
2of2
Date
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225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o
E LE CT RI CAL P E RM IT AP P LI CATI ON
City Job Number
LEGAL 0r q?v? (
JOB Rart f
rAZfi^I
its are non-transferable and expire ifwork is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
TION ONL
FAX: (541)726-3689,
Date
200 Amps or less
201 Amps to 400 AmPs
401 Amps
tled
n
to
3.
x
A. Nerv Residential -IIulti-Familj per dwelling unit.'
Service Included
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
oortion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
:,,,
Services or Feeders - Installdtion, Alterations or Relocation:
..r : :t. I :,,...:: :..-.:i,:..,.; ,... :Y
Frnutr ts NoT c. l
Electrical Contractor $ 63.00
$ 75.00
$125.00AddressION: O
Phone
SH ALL EXP
UNOt*,S
601Amps
Over 1000
Reconnect
City
NOTICE:
S
THE WORK
iHts PEntntr
'hWlmhmeu
ED AB AN
r n srau a tion, Ar rBtunbF bfc[Jlaerft n 091
^u^til
i t y N c t
200 Amps or ress center is 1-80031256$64)
Constr. Contr
Date
Signature of Supervising Electrician
201 Amps to 400 AmPs
401 Amps to 600 AmPs
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit L/ $ 43.00 /3 o-o
a
&
o6
Owners
Address
Name
Service or Feeder Permit o J'vv / ') '
I
' ) :'' 1. :l"' ;r' :'''lili':'"'":-l-i"'::' :'' :. l-'''l
E., Nliscellaneous (Service/feeder not,included)'-Each Installationa
City Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, Iease or rent.
Owners
Inspection Request: 726'37 69
lre a lk*bl l,t+$I1,::;iL',IflIi"*",
Pump or irrigation $ 50.00
s 50.00
s 25.00
BWPP- $4ffis
Minimum Etectric Permit Inspection Fee is $45.00 * Surcharges
4. SUBTOTALOFABOVE
7oh State Surcharge
+99#erdministratit++se byl/OP 5^,4
rorAl, /o7o A)*tY fd //,ao
* 4/a1,k Do,otc tN zas
(Pa owDe)
Shared Drive(T)/Building FormsiElecu:ical Pennit Application l-03.doc -/3 /,66
( ; i rof -c'6 ??Oo\
C\?!
1.'v
to 600
ru les
oAR 952-001
1
"w-
2f5 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
EPr&tGFr*Lo
W of Springfield Official Receipt
r)evelopment Services Department
Public Works Department
RECEIPT#: 1200500000000001809 Date: 1211312005 2:06:37PM
Job/Journal Number
coM2005-01699
coM2005-01699
cfM2005-01699
coM2005-01699
coM2005-01699
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Penalty Fee - BWOP Electrical
+ 7Yo State Surcharge
+ ljoh Administrative Fee
Amount Due
43.00
15.00
58.00
4.06
I1.60
Item Total:$13r.66
Payments:f pe of Payment Paid Bv
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
C oeck LARRY NELSON DLM I 599 In Person $131.66
PaymentTotal: ffi
rf
'1
.,
*
i
12n312005 lofl