HomeMy WebLinkAboutPermit Electrical 2005-8-19
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CI,TY OF SPRINGFIELD
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170327/2"
-- ~ - .
10B DESCR.IPTlON
Ad J '?-' l:-\r~r~
Service lncluded
- -- - - -_.
- .. ..-
1000 sq. It. or less
Each additional SOO sq. ft. or
po~on lhereof
. .$106~00
$ 19.00
Permits are Don-transferable and expire if work is Each M~ct'd Home or
not started within 180 days of issuanee or it work Is Modular Dwelling Service or
----.._._ ,Suspended.for_1.Sad3ys.. '_____. __.. ...Feeder_
$50JlO
,- :..-Electrical Con;...~~~.... 60i{-.M., ..:l31cLdrT\:';'.. ..~..v\.O--- 200-Amps~or"!.~"-=-:-.. ,.-" -_ _:.. -=- $ 6~.OO. ....
-., ,,- --..-.... -,- - ,.-- .. -:-.. --- - "-201 AiiipS-uj"400'Amps- ~-.- ":---1$.75,00"-
_ ___ -Address -\~-Mrn."I<~~'8\.::-'.--.....--- 401 Amps 10 600 Amps i :H2i.uu
'feS 'l~t~ to 1000 Amp$ ---I' $16:;'00
_ City t:v~ Phone .3 <-\ ~~~~~9on ~~~ AmpsIVolts $375.00
,ON..Ofeg 0 'O'l \ne ate ~~ Only S 50.00
t-:t,t:.~ aoo~\e ose tu\eS ~~ 2-0
"-.---,.- ~ ~~ .~. ~}of' ,\ ~- ..". $~~.t~~~
,'''c~~~~. ~~\~~...=..,
_.....on.ua%e.. .~~ ~,("e.. NO~\ ..,.I.
90. 'fou (.'~ cen\et. ~n U\\\\\'j tJ,'ArlfJ Amps or less ' $ 50.00
ConsEr. Contt'. Number CYi$~~,J: '.ne Otel~~~2-2~ 201 Amps to 400 Auips S 69.00
1.n~De{c ....\et \S , 401 Amps to 600 Ainps I $100.00
Ex iration Date :3> 0' e" I
p. Over 600 or 1000 Volts see ".8" ab~e.
~'>!.....~_. :1'
D. t:I:.:,.;, ..
Sipture of Supervising Electrician
~a,(~ e~:J
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~ Name f}1lC" l,,;Je( 15)As..~c (
Address Z '3 ~ S- . c ( t:Ar "r-l.e W
So ?,= 'h..
New Attention or Extension Per P3nel
One Cin:uit , --L _ S 43.00
Each Additional Cirouit or with I
ServiccorF~Permit I $ 3..00 . 1
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City
Phone
IDsped10n Request: 716-3769
Pump or irrigation $ 50.00
!.- Sign/Outline ~~\t\ '" s SO.OO
OWNER INSTALLATION . " Limj.ted:~tR.':i~J-l I $ 25.00
...:~l?W\'- -n\\l\\~\'" ~ . I
The installation is being made on property I.o~wbich S\;\I\\...\... ~ t~iYt ?~etCUll S 45.00
isnot iutemIed for sale. lease or rent. \{ \J) \ \, ~ Q ~\\\ ,Miiiiitl. EleCfr~~8rm1t IN c " .~ . ... Feels S't5.00 + Sn........rAes
l1\S ?~,,_ \) \J\\\....~ ~~\~- _ .' ~---6
OwntnSignatDm: .\P -r.O?\Lf Q~.~.~:!-o'~:r_"'f":.. '~, ' :.: ~ 11/
I\\J\ c~\C/t.\) c'. ~M=...... " .< ... . " b
~\ \\I\\.- \" ~ ? ~ l"""" ~"'''''''C',.
GO", '\ CO\) \) ~ 7% State Sutcharse. . '. . "3 'Zl.
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01128
ISSUED: 08/22/2005
APPLIED: 08/19/2005
EXPIRES: 02/22/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
:., 541-726-3769 Inspection Line
SITE ADDRESS: 2385 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271203800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
, PROJECT DESCRIPTION: Add 2 circuits
-'-- Owner: MICHAEL BLASDEL
Address: 2385 CLEAR VUE LN
SPRINGFIELD OR 97477
I CO~~TOR INFORMATION I
, , ., \)\\\,l ~~
Contractor Type Contractor ~~b~e. ~o{\ se\ \0 'i:J" License
Electrical EUG~!'il\cm;~f\Xl'l'C.\~~l~IP!~. 90200
~O~'6~~\0;~OSe ~~~r.~~ORMATION ,
~~ ~0S ~ ~0'<' 0 ~~o \eS y \e\'6,. '.O-\~ \.
# of Units: f~\O~~o~ce ~S)O\ ~{\co~ e'.\~~~~~ies:
Primary oeeupan~o\'fl.'>~'l..\)Il ~ ~ ~o" 0\~~~.f Structure
Secondary occuPii!~~~g\) ~'8 c0{\\e'<. eQP{\ !?>~me of Heat:
. Primary ConstructMR~. ~0 ~~V~~~ . Water Type:
: Secondary construct~n~~~0'<\0'< ~0~\S . Range Type:
, # of Bedrooms: ~-v.~'O Cl~~ Energy Path:
. ' Sprinkled Building: n/a
..;..
Expiration Date
03/17/2007
Phone
541-344-3561
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~\)~'f..
. ~v,'t.. ...,(\\
I PUBLIC IMPROVEM~~;~~~~\\ \~~
. l'-~\..- y \-\\~ {'~ ~
-:\\C~. ~\\ S\\~'Vt.~ \~\\\~'V\)~fdeWalk Type:
~\J ~S ?t.?\ It.'V '0~ ~ \S \\~ Downspouts/Drains:
\~ -:\0-\)~\ ~t.'V \) ~\\)\).
\\'0...l\~\:.~ ~?~
(,\)\'1\ \ ro~ \)
\\~'{
Notes:
...
"
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal.!e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01128
ISSUED: 08/22/2005
APPLIED: 08/19/2005
EXPIRES: 02/22/2006
VALUE:
.' 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
,. 541-726-3769Inspection ~ine
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.60
$3.22
$43.00
$3.00
8/22/05
8/22/05
8/22/05
8/22/05
2200500000000001133
2200500000000001133
2200500000000001133
2200500000000001133
Total Amount Paid
$53.82
1,
I Plan Reviews'
To Request an inspection call the 24 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.
LReouired Inspections I
Rough Electric: Prior to Cover
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 inspectio-ns 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
Pal.!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt :
velopment Services Department ; ,
Public Works Department
RECEIPT #:
2200500000000001133
Date: 08/22/2005
10:26:59AM
Job/Journal Number
COM200S-01128
COM200S-01128
COM200S-01128
COM200S-01128
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Payments:
Type of Payment Paid By
CreditCard RUSS ROBBINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 022111 In Person
Payment Total:
Amount Due
3.22
4.60
43.00
3.00
$53.82
Amount Paid
$S3.82
$53.82
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8/22/200S
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