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Home My WebLink AboutPermit Electrical 2005-2-17 Status Issued , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00192 ISSUED: 02/17/2005 APPLIED: 02/17/2005 EXPIRES: 08/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1421C ST ASSESSOR'S PARCEL NO.: 1703362310300 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Re-Connect Service . n.u to ATTENTION!cY~~fl!W:rooqu'mij>lilr , , follow rules adopted by the Oregon Utility .. .'L:__';~~ r'ontpr Those rules are set forth h~,,"---- . hOAH~::>~-UUI- in OAR 952-001-001 0 thro~9 0090. You may obtain caples of the rules by callin the center. (Note: the te\~~hO~e g . ~ _ _. I I.;\:+.'] t\1,..,tlflr.~lon numoer IUI lilt:; VI '-'::1~". - I CONTRACTOR INFORMwno~f-332-2344). Residential Owner: Address: BERRY ERNEST K 1421 C ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 I BUILDING INFORMATION. -.....,. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heati~ Ct riG E: Sq Ft 2nd Floor: Water Type:T {I" PERMIT SHALL EX~~f1Ff! ~a~e,!pt~t:ORK Range Type: ~ iJ I Sq. Et Gar.age/Carp.ort Energy Path:AUTHORIZED UNDER TPs~itfmh~t: Ij I\lU I S . kl dB '''la.' ,:.AENCEO Q/n IS ABAl\lnOi\1l=n. I=nQ prlO e Ul ulOg:/I n a uccupantLLoad: A Po 1\ I .<4 r\ n n 1\ \/ n C 0 Inn "I~I I'lJV ......,,', . -...--- I DEVELOPMENT INFORMATION I Front yard 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 ;-S.PIFli..1NG.' F'.iEl,.!D... iij..... '.. . ...... Ilk' -At 'W<:_ . ~. ~ . -,.,.. "----~- ..,....~,...,,..,.. " - Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00192 ISSUED: 02/17/2005 APPLIED: 02/1712005 EXPIRES: 08/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid-l Fee Description + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid $5.00 $3.50 $50.00 2/17/05 2/17/05 2/17/05 Receipt Number 2200500000000000187 2200500000000000187 2200500000000000187 Total Amount Paid $58.50 1_ Plan Reviews I 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. L Reouired Insoections . Electric Service: Approval required prior to utility company energizing service. 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 ofthe 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. SJ; () / GiJr1j ~ tJ~L- ~ Owner or Contractors Signature ~I (7 (0 ----- ) JJJ/'..- ...... Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00192 COM2005-00 192 COM2005-00 192 Payments: Type of Payment CreditCard 2/17/2005 RECEIPT #: C'ity of Springfield Official Receipt velopment Services Department Public Works Department 2200500000000000187 Date: 02/17/2005 Description Service Reconnect + 7% State Surcharge + 10% Administrative Fee Paid By Received By BUILDERS ELECTRIC/KELL Y nJm Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 056889 Fax Payment Total: 11 :09:25AM Amount Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 $58.50 , 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PII:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERlU1T APPLICATION ",:I)sro//. City Job Numbe~ 2As05 - c:a \ <1 ~te ~ ( I L ( ~ an s illJlJ~~1}1J, :1}*il},g1J vil/ (t (j, "'0/& , o&.s Ct q 3. C01HPLE1'E F~CI~ULE'Bii1~~ '-4 ~I},g qllil; ~tts(t % S.s I) 01)'<>. '/Jsc' <l.s II) , e(t 11t'c e {, A. New Rcsidcntinl- Sin-g~cW 'Iv pcr d,~~g/oij~lit. lIr", .ss & ~ -~ ~ 1. ; '~OCA)10N OFJNSl'ALIA110N \4'2-1 c ~\ LEGAL DESCRIPTION \ I 03 3 <.0 '2..-- 'S \ 'D (~C-> L.-' JOB DESCRIPTION ..... ~'Lo(\f\SL~\-- S~ \/1~ 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. Tr?:".- ,::~",,>':". "I.. . '" r01V1;RA-.CrORINST A,LIATIOlV ONLY . -j-', :.~j"~i~r ';.Jo-.:1>:, L. '.., ' . '. Electrical Contractor BuJcters . tJectrl t It)C Address Il::) Mad,s Qr\ City ~L0fn( Phone 4 ~S ~ en~:z Supervisor License Number 3:J.q 0 ..' :.~ E . . D I t',,. I - G. A;--O -, f1J xplratlOn ate U "l ( Constr. Contr. Number 4 ~q ( 0 Expiration Date \ "J - 10 - 07 S;g{;!;;:;~\E:";dan OwnersName~<5\ ~0f'~ Address ) Lt 2." \ c 'S \ .z....~~+-~ City SPF\o\ Phone OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included -# 1000 sq. f1. or lesG\TTENTION: Or U' Eacl~ additional jo~~~ (tiles adopted by the "~!O portIOn thereotNotrf/cation Center ,Thosa I ~8 trlity. o ~~fi? ru es arEfSetTonn Each Manufac)~ 11 t1r.001.001~ through OAR 952..()()1- Modular Dwe! lI1e ~ tbQ)\8y obtain copies q#>l@(J'Ules by Feeder a Irng the center. (Note. the telephone number for the Oregon Uti/i'-Y. No 'fi,..~tj B. Services or Feeders QmWfl~f.!&a~32~~~~il'R@fflaniOn: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 60 I Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 ~ 0 ,0- u C. ':TemJ~~~HliS~~'ices or Feeders T~I~ ~ERfVi/T SHALL EXPIRE IF InstllIl1l1,iJ~~m~~"8!JlV~Rom~ig1=>E THE WORK 200 Anfp9~I-I'r~~CED OR IS A8ANDO~~I ~~.~lPT 201 Am~~Yo 11!Ol5 ~,~'r1flERIOD. I {Q~oo 40 I Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts se~ "8.: above. D. Branch Circuits '.. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pel111it $ 43.00 $ 3.00 E. J\'liscellllneous (Service/feeder not includcd) -Ellcll Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residentinl Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1~50. ov 5.50 5 . uu $- 6 <{ 50 \ Sharcd Drivc(T: )lBuilding Fonns/Electrical Pcnnit Application I-OJ,doc 4. SUBTOTALOFABOVE 7% State Surcharge 10% Administrative Fee TOTAL