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Home My WebLink AboutPermit Electrical 2005-04-21Status 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: COM2005-00466ISSUED: 0412112005APPLIEDz 0412112005EXPIRES: 1012112005 VALUE: SITE ADDRESS: 2460 37TH ST ASSESSOR'S PARCEL NO.: 1702194206800 PROJECT DESCRIPTION: Security system Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PhoneNumber: 541-686-8438Owner: Address: HALFWAY HOUSE SERVICES INC 910 JEFFERSON ST EUGENE OR 97402 Contractor Type Electrical Contractor ACTION LOCK FIRE & Date ol the Size: 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: Phone 541-342-8455 REQUIRED PARJ(NG Total: Handicapped: Compact: # 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 Instruction: Notes: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: R-3 VN 0 tUn \Uut'' Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Paee I of2 Value Date Calculated I,lVlIll\ I D I the \5 HO\ CUw NN\ Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00466ISSUED: 0412112005APPLIEDz 0412112005 EXPIRESz 1012112005 VALUE: Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $4.50 $3.15 $2s.00 $20.00 $52.65 Total Value of Project Date Paid 4tzu05 4t2u05 4tzu05 4tzu0s Receipt Number 1200500000000000492 1200s00000000000492 1200500000000000492 1200500000000000492 tr'ees Pa 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. Low Voltage: Prior to cover. Reouired Insnecti 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 Pase2 of2 Date _l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt tevelopment Services Department Public Works Department RECEIPT #: 1200s00000000000492 Date: 0412112005 1:22:15PM Job/Journal Number coM2005-00466 coM2005-00466 coM2005-00466 coM2005-00466 Description + 7%o State Surcharge + l0% Administrative Fee Low Voltage - Residential Minimum/Adj ustment Electrical Amount Due 3. l5 4.50 25.00 20.00 Item Total:$52.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ACTION LOCK FIRE djb 363142 In Person Payment Total: $s2.6s -$s2"6-f 4/21/200s Page I of I ) o FAX: (541225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 E LT, CTRI CAL P ERM IT AP P LI CATI O N City Job Number C o L()e f-eei Date 1.OF INSTALI-AT'ION 3. COMPLETE ?Ll Go No1 LEGAL DESCRIPTION A. New Residential - l7 o7 | 7\L (>b Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ $50.00 $ 63.00 $ 7s.00 00 5.00 fi.50.00 $ 50.00 $ s0.00 L-' $ 25.00 $ 45.00 %o JOB DESCRIPTION 1A<,7+((SeC., n-1 tTc Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 daYs. CO NT RACT O R INSTALLATI ON O NLY Electrical Contractor M !r. ILAddress / 74C /2- r{c constr. contr. Number ccfj fr1 6Z I 3 2 Expiration Date Signature of Supervising Electrician B.) City Over Supervisor License Number 39te t€4 C. Temporary Expiration Date o Ot zoo f of theI Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 D^,a Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel T". One Circuit $ 43.00 Each Additional Circuit or with ServiceorFeederPermit - -. S 3'00 Owners Name Address City frnot-o raon"6!D[b&,fi--v OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E. Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited EnergyiCommercial Minimum Electric Permit Inspection 2-5 69 3 /r 7o/o State Surcharge l0% Administrative Fee TOTALInspection Request: 726-3769 4. Shared Drive(T:)/Building Forms/Electrical Permit Application I {3.doc .$ - Installation, Alterations or Relocation: law the Installation :4- c) (-)'