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Home My WebLink AboutPermit Electrical 2003-12-016PEt.l{6FlALD FIELD Building/Combination Permit F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01188ISSUED: 1210112003APPLIEDz 1210112003EXPIRES: 06/0112004 VALUE: SITE ADDRESS: 2279 35th Street ASSESSOR'SPARCELNO.: 1702194305000 PROJECT DESCRIPTION: Low voltage Owner: VINCE BURROUGHS Address: 39264 JASPER LOWELL ROAD LOWELL OR 97452 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: 541-953-4182 Contractor Tvpe Electrical Contractor DIYERSIFIED ELECTRONICS INC License 144685 Expiration Date 06t23t2004 Phone 54r-484-9078 CONTRACTOR INFORMATION m # of Units: Primary Occupancy Group: Secondary Occupancy Group : Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive fiqd: 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: Impervious Surface Area: R-3 VN SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING ]e oregon "r ;e 1-800' Total: Handicapped: Compact: Sidewalk Type: N0TICE: Downsnouts/I)rains: THIS PEBMIT SHALL EXPIRE'IF THE WORK AUTHORIZED UNDER THIS PEBMIT IS NOT COMMENCED OR IS ABANDONED FOR $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page I of 2 PUBLIC IMPROVEMENTS Description Type of Construction Value Date Calculated --1 ill Valuation Description I CITY OF G 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: COM2003-01188ISSUED: 1210112003APPLIED: 1210112003 EXPIRES: 06i0112004 VALUE: Fee Description + l0oh Administrative Fee + 7o/o State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amouni Paid Amount Paid $4.50 $3.1s $2s.00 $20.00 $52.65 Date Paid t2tU03 t2nt03 t2nl03 t2nt03 Receipt Number 1200200000000002523 1200200000000002523 1200200000000002s23 1200200000000002s23 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 2 of 2 IL rees ralo I Keourreo tnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfieid Official Receipt Development Services Department Public Works Department Date: 1210112003 11:00:06AM coM2003-01188 coM2003-01188 coM2003-01188 coM2003-01188 + 7o/o State Surcharge + lUYo Administrative Fee Low Voltage - Residential Minimum/Adj ustment Electrical 3.15 4.50 25.00 20.00 Item Total:$s2.6s Payments: Received By Batch Number Authorization NumberType of Payment Paid By How Received Amount Paid CreditCard ALLANWOOSTER djb 000234 055837 In Person Payment Total: $52.6s -$s2.o-f ( 225 FIFTH STREET . SPRINGFIELD, OR97477 o PII:(541)726-3 rf,4ryi,".ffi..p.sfl :l?"'JI[':"S:fi ;753 r FAX:the tollowing land usezor alrprovalELECTRICAL Ciry Job Number Cd PERMIT APPLICATION )2.o l LlpZoning 3.COIVIPLET'E T'EE 14/ $ 63.00 $ 7s.00 s125.00 $163.00 $375.00 s 50.00 -0 .:.:i. .'ri r '.'1.d1. ${9lli"e,"l}!;,:ii; / 1. toceruox or LZ-t9 35{-k sf LEGAL DESCRIPTION lao 111/3 o rc()o JOB DESCRTPTION LDvJ E { Permits are non'transferable and expire if work ls not started within 180 days of issuance or if work is Suspended for 180 daYs. Electrical Contractor Address Stt ?vO Phone Ll ict-9t:1tr A. New Residential - Single or Nlulti-Family pcr Service Included I 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 $ 19.00 ss0.00 B. Services or Feeders - Installation, Alterations iir 2. City ics 200 AmPs or less 201 AmPs to 400 AmPs 401 AmPs to 600 AmPs 601 AmPs to 1000 AmPs Over 1000 AmPsA/ols Reconnect OnlY Supervisor License Number Constr. Contr. Number 1qbY5 Expiration Date o Signature of Supervising Electrician Jt Owners Name E*.. Over 600 Amps or 1000 volts see "B" above. .: . ;r jrrri..: ,:,!irr,tli!tti.."lii D. Branch Circuits . .' ".' . : ,.:*u ui New Alteration or Extension Per Panel One Circuit $ 43'00 C. Temporary Serl'ices or Feetlers Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 Limited EnergY/Commercial s 45.00 3EQ 05 e Expiration Date lo /l .rC"({r),Address L{\€6{L Ciry Lovt tll Phone OWNER INSTALLATION The instaltation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee 4. SLIBTOTAL OF ABOW 7%o State Surcharge l0% Administrative Fee TOTAL Surcharges Lli gt5 Ll fo fszf Inspection Request: 726'37 69 Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1{3'doc (" I Pn .Rnx q A Each Additional Circuit or with Permit $ s0.00 s s0.00 Limited EnergY,Residential I s 2s.00 zT