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Home My WebLink AboutPermit Electrical 2004-06-01Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00643ISSUED: 0610112004APPLIED: 06/0112004 EXPIRESz 1210112004 VALUE: rf' SITE ADDRESS: 228136th Court ASSESSOR'S PARCEL NO.: 1702194305800 PROJECT DESCRIPTION: Install2 wall heaters Owner: pAMELA pEARSON CRAIG Address: 2281 36TH CT SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential PhoneNumber: 54f-687-0488 Contractor Type Electrical Contractor KS ELECTRIC License 70889 Expiration Date t2t30t2004 Phone 541-686-6236 CONTRACTORINFI Valuation BUILDING INFOI # 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: $ Per Sq Ft or multiplier nla Sidewalk Type: \oNl bY s01 0 ort REQUIRED PARKING Total: Handicapped: Compact: ORK Square or Bid DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project $01 \sv alue Date Calculated T tl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00643ISSUED: 0610112004APPLIED: 06/0112004 EXPIRESz 1210112004 VALUE: tr'ees Paid Fee Description + l0oh Administrative Fee + 7Yo 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 $s3.82 Date Paid 6l!04 6tu04 6nt04 6n104 Receipt Number 1200400000000000831 1200400000000000831 1200400000000000831 1200400000000000831 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. Reouired Insnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 2 of 2 E T 225 Fifth Street . Springfi'eld, Oregon 97477 541-726-3759 Phone nity of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 1200400000000000831 Date: 0610112004 10:03:00AM Job/Journal Number coM2004-00643 coM2004-00643 coM2004-00643 coM2004-00643 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 ltem Total:$s3.82 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check KS ELECTzuC djb 4321 In Person Payment Total: $s3.82 -$ffi 6lt/2004 Page I of I rel E LECTRI CAL P ERMI:T AP P LT CATI ON City.Tob Number -c>O6q 3 Date e/,/oyT3. CAMPLET'E 2'2 36s ar LEGAL DESCRIPTION A. New Residential - iaD -l?q S 05 KOo Service Included I. LOCATION OT'INS1'ALI-A?ION JOB DESCRIPTION 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. OO.NTRACTOR INSTALT.ATION ONLy 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. Sen'ices 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $50.00 *r'Feeders - Installation, Allerations or Relocation: per drvelling unit. $ 106.00 $ 19.00 $ 63.00 $ 7s.00 $ 12s.00 $ 163.00 $37s.00 $ s0.00 Electrical Contractor Address o ciry L q{;o,a Supervisor License Number pn"ne 6 f,6 -A ZJ 4 Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Address Ciry OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Orvners Signature: C. Temporar-v Services or Feeders Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 OBK $ 100.00 1 Yd6 see "B" above. SH FOR Nevr' I $ 43.00 Y) $ 3.00 not included) -Each lnstallatiott D Minimurn TOTAL IH\S P ERM\I u1H0 R\ZED-ouur or Extension Per Panel DAY P Each Additional Circuit or with Service or Feeder Pennit 2:?*/ 3b 4 Czr E. l\{iscellaneous (Service/feeder Phone 6 f,? tr Pump or A NCED Ctr ,16 7%o State 3'42 l0% Administrative Fee q(," 57 'zInspection Request: 7 26-37 69 4. Shared Drive(T: )/Bui lding Fonns/Electrical Pennit Application I -03.doc CITY OF OREGONt, 225 FIFTH STREET o SPRINGFIBLD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 /ttt'-rz /' 2 'i , E{t 3?q^. ,\s Ft., ' i(^t'r/t+w.