HomeMy WebLinkAboutPermit Electrical 2007-01-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00087ISSUED: 0111912007APPLIED: 0llt9t}007EXPIRESz 0711912007
VALUE:
SITE ADDRESS: 214 37TH ST
ASSESSOR'S PARCEL NO.: 1702314202900
PROJECT DESCRIPTION: Replace Electrical Service
Springfield TYPE OF WORK: Electricat Work Only
TYPE OF USE: Repair Residential
PhoneNumber: 541-726-7025Owner:
Address:
Contractor Type
Electrical
SEALY JAMES F
214 N 37TH ST
SPRINGFIELD OR 97478
Contractor
DOUG PALMER CORP
License
90725
Expiration Date
05/03/2008
Phone
541-434-5600
# 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 Improvements:
Storm Sewer Available:
Special [nstruction:
Notes:
# 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 ofLot 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:
nl
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
?a
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
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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: COM2007-00087ISSUED: 0111912007
APPLIED: 0111912007
EXPIREST 0711912007
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amPs or less
Total Amount Paid
Amount Paid
$6.30
$3.15
$5.04
$63.00
$77.49
Total Value of Project
Date Paid
ut9l07
utgt07
utgt07
ut9l07
Receipt Number
2200700000000000083
2200700000000000083
2200700000000000083
2200700000000000083
Fees
Reviews
To Request an inspection call the24 hour recording at 726-3769' All
will be made the same working day, inspections requested after 7:00
inspection requested before 7:00 a.m.
a.m. will be made the following work
day
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 furthir certify that any ooa uu woit perlo.med shall be done in accordance with
the ordinances of the city of springfield and the Laws of ihe State Lf oregon pertaining to the work described herein' and
that NO OCCUPANCy will be made of any structure without permission ,r tn. collllnunity 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 io.p..iioo, are requesteo at tne proper timeo that each address is readable from the
street, that the permit card is rocated at the fiont of the property, and tne appioved set of plans wil remain on the site at all
times during construction.
Electric Service: Approval required prior to utility company energizing service'
Owner or Contractors Signature
Paee2 of 2
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cii' of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT#: 2200700000000000083 Date: 0111912007 1:34:38PM
Description
Perm Serv/Idr 200 amps or less
+ 57o Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
63.00
3.15
s.04
6.30
Item Total:s77.49
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorrzation
Number How Received Amount Paid
CreditCard DOUG PALMER ELECT llh 033359 Phone 577.49
Payment Total:
-Sffi
cRecernt I Page I of I U1912007
Job/Journal Number
coM2007-00087
coM2007-00087
coM2007-00087
coM2007-00087
Permits rnd expirc if work is
not strted within l&) deys of isuascc or if work b
Suspeuded for lfll daYs.
Elecrrical Contractor
Addrcss
Scnice Includsd
1000 sq. ft or lss
Each additional 500 sq. ft. or
pution thereof
Each Manufactnd Hcrne or
Modulr Drrelling Servie or
Feeder
ZON
INITIATS
DATE T .-:-2--()YSOURCE
xxr,{}T{
$106"00
$ 19.00
s50.00
or Relocation:
$ 63.00
$ 7s.00
$125.00
$163.00
s37s.00
$ 50.00
s50.m
$ 50.00
25.00
45.00
-t ti{mherg"t$
225mfTUSTAf,ET r SPf,INGflELD, OR97477 o PH:(541)72G3753 oFAX; {s4t)7263689
ELECTRTCAL
City Job Number
1.3. C'OJI,II}IST E
{LD/LWD A- Nex Rtsidential - Si*gls or i\Iulti-Family pr rlwelling *nit.
1 c$rv"EAe-rsxSnns'3Hr.{.4'?rtrvorgf, r B $ervices or Fesdel's * Ixstsll**ion, Alterntions
C 200 Amps or less
201 Amps to 400 AmPs
401 Ampsto600AmPs
601 AmPsto 1ffi0 AmPs
Ovcr 1000 AmPdVolr
Reconnect OnlYc,ty f ,.&plo . Pbonc ]$+Sk$b
Srpm,iwt.icemaNrrfu
"1-?tl
> 5
Expiration Date \o /r *)
ConS. Contr.Number l-1 t l3p
Expiration
*l OB
Signatre
C. T**rp*rxry"$srvir*s *r F*eder-s
Inrtrlletloq Alteration or Relostion
200Anrpsmlcss $ s0'm
201 Ampsto40o AmPs $ 69'00
. 401 Amps to 600 AmPs $100'00
Over 6{t0 Amps or 1000 Vo}ts see oB" above'
D- Branch Circuits,r r.lAH g5
r0S0. you
C3llino r
Owners
Ad&,ffi
cnv
OltrilEnI}'STALLA
Ths imttlkion k being m& on proe€rty I own wttich
isrd inmdd frr sb. k ot rwt'
hrnporinigAion
Sign/Ch"rtline Liehtine
LimitEd Eners/Residq*i8l
-
I
LimidEmr$//f.onrmerciel -- S
iilidmere Elcctrk Ilermit In*pctti*u ltec tu ${5"H}
4. slrr0rAr; aflarpvg
- LLEXPIREIFffiM;,""
AUTHCR IZED UNDE R THIS PgPffiTig*PgIPU TEC
rry..d: rn e ""ffi ir?' ; ii iJ* ', : $ ' ^
- D 0 N EtUm&sh.*d
urirorrl*& rc',,E,"nio* ksr
L9lU3
&06.&lc
{:Iry or sP'ft OftEGON
{}p'
$ 43.00
$ 3.00
r*t tuclud*d) ;E:reh l*st*Ilatio*
Panel