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Home My WebLink AboutPermit Electrical 2003-10-02Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-00997ISSUED: 1010212003APPLIEDz 1010212003 EXPIRESz 0410212004 VALUE: SITEADDRESS: 240535THST ASSESSOR'S PARCEL NO.: 1702194202700 PROJECTDESCRIPTION: Service change Owner: CHERI JEROLAMON Address: 2405 35TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: 541-747-1673 Contractor Type Electrical Contractor DELBERT LEROY MCGEE License 144s60 Expiration Date 06122t2004 Phone s4r-937-893s CONTRACTOR INFORMATION ION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms:o( Frontyard Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Dist: Street Trees Rqd: Paved Drive Rqd: %o of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: o REQUIRED PARKING Total: Handicapped: Compact: CE; ANY EWOB'Kt80 NO IFOB $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 Valuation Descrintion Description Type of Construction Value Date Calculated \s1 DAY 0R 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: COM2003-00997ISSUED: 1010212003APPLIEDz 1010212003 EXPIRESz 0410212004 VALUE: Fee Description + l0Yo Administrative Fee + lVo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Date Paid t0tzt03 t0t2t03 t0t2t03 t0tzt03 $6.90 $4.83 $6.00 $63.00 Receipt Number 12002000000000022s7 12002000000000022s7 1200200000000002257 1200200000000002257 $80.73 Plan Reviews To Request an inspection caII the24 hour recording at 726-3769. AII 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. 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. 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 Paee2 of2 I(eoutreo lnsDecuons I Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt ^ Development Services Department Public Works Department 1sPM coM2003-00997 coM2003-00997 coM2003-00997 coM2003-00997 Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 1%6 State Surcharge + llYo Administrative Fee 63.00 6.00 4.83 6.90 Item Total:$80.73 Payments: Type ofPayment Paid By Received By Batch Number Authorization Number IIow Received Amount Paid Check DELBERT MCGEE djb In Person Payment Total: s80.73 $80.73 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o E LE CTRI CAL P ERM IT AP P LI CATI O N City Job Number CtJnI Z,*@ 7 Date 1.3. LEGAL DESCzuPTION A. Nelv Rcsidential - i70 \ qLl7_() ZToo FrmF6trPd6$669tapproval Zoning submitted has the tollowing require specilic land use R h-4-D4 per drvelling unit. JOB DESCzuPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 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 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 106.00 $ 19.00 $s0.00 f l/t e /? B. Services or: Feeders - Installation, Alterations or Relocation: /' 200 Amps or less i $ 63.00 I - \Electrical Contractor W Address 0 ,La rC k City Frr /Phone QZI "17, $ 7s.00 s125.00 $ r 63.00 $375.00 $ s0.00 License Number *f Z f 5 C. Temporar.v Sen'ices or FeedersSupervisor Expiration Date Owners Name Address City 12-ai-aL/Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $ 100.00 600 Amps or 1000 Volts see "B" above. Constr. Contr. Number o Expiration Date 6'.7-a Signature of Supervising Electrician /$ 43.00 Alteration or Extension Per Panel UNDER,10 \\s 'ffiilFFd', UHK / Nor- t2 E. "*,.ANY1 cOWNERINSTALLA The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges $ 50.00 s 50.00 $ 25.00 $ 45.00 tl8) 7%o State Surcharge l0% Administrative Fee TOTAL L?o b 73 Inspection Request: 726-3769 Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03.doc w LO CAT', r O N' A p tX SrlttaT'r oN -eZ €{"," ( 3f*t- C O NT IL4C,rOR .T^rSTHI IAT I O N O N LY UAY i Installatiorr :