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Home My WebLink AboutPermit Electrical 2004-6-15 ,~0Q 0"~'~ ~ "'~ ~~'~"'0 ....'b-'" . <:-0' ~ 225 FIFTH STREET '. SPRINGFIELD, OR 97477 · PH:(54~)726-3753 · FAX:(541~~t~~9 . ELECTRICAL~m< ~PP~ON ",<:,.0i::-~~~~' /IQ~<:-~ ( 10 ~O V ~...0 City Job Number _ ,:' Date ' 'b-<{~ c;,~~~ 1.~[~O:$flIQN!OJ~lft$!#~fjofi}i~~iC:{ 3. :l[:cgj~Iffift.?iijlf![SGH~itP~,~~rojY3~~'~- ft~Cr l::QDe.rU?".7~-'-~"-'" ..,~""'".,...-"'>,,~- '--"-"'=" "".\i,..~.. '~""'_N~SJ"--".,"-':~"'-~." .. L\1D3{~~ ll4W ~s:~~~~~0~~2!ii!E~~~f~X~~jM;:~ :QC0AO~. .. \ ~l~v I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended fo,r 180 days. 1(.71:7~;Z?:ff:,:'/;;~,::::- .,1'; ':;':':;~~~?j ~--":-':::Y:~::7~~'{:'.~Y:J5fr:'T~~_7 ,~~~t;:~:::{-~7:'~.":~~ ?,:n:7'.:-:-':-',~ ~. ~..{':~.~~ 2.' ~:CjR~~~lJl;rpj)tMl~JZ2!ti/2tllFfi~ I B. Electrical Contractor V;t;:t) (1 Et dt7 G Ur ' Address Pn P-Di 2.8 ZI City -;:-'l!)o.kr\.Q. .. Phone 61~_ . -5qfy! -- () Supervisor License Number Ll7 L/ L/ S C. Expiration Date J C --r: / --{] t/ /:."lIlltdmON: ~flIWi\teration or Relocation' - ' , __ ,.,d,:,,'^' rules a~ requrresyouto I .kh / -)t~3lif/cation C ~<fh~:e~egon UtTry Constr. Contr. Number / ~ I. ~ ~.:\:l n~ entoo ~e>rW8~gs II $ 69.00 <:), ; ,.~ ~J2'001~1~~~setforth $10000 Expiration Date 0 - <./_-{) ~'..~: YoU may obtaj~,C() . 52-00f_ ' T' ~~.. ~ th ..,Qver lJ\TR.~~~rllnOOtU e "B" above. Signature of Supervising Electrician !~ I, .. :.: :~~ :~'a~.~~&l' . Se:i:Ui iNe~00t~I~7~ .4fSfWJh Per Panel ~L ~ One Circuit -- Each Additional Circuit or with r1 tX) Own,,, Nom' CO t 11. . \.~ soy\ SoMc, or Food" p,rmit $ 3.00 ':."). Address ~r~ \ q~ ,-~tueJ'LUI E.IEHl1!i;r:~[[~I~~1~~(f~~J~H~~t:~~~lf1'~~G~;~~~~~~t~il~~rin' City 0~t~ (donel4~.,..u,....,l3. 21- Pump or irrigation $50.00 '\. - - -'I ... Sign/Outline Lighting $ 50.00 OWNER INSTALLA ION.. Limited EnergylResidential $ 25.00 The instal:NWti>e:ipg made on property I own which Limited Energy/Commercial $ 45.00 is not inte1HlsutS~1~, lease or rent. lVlinimum Electric Permit Inspection Fee is $45 00 + Surcharaes I ERMIT SHALL EXPIRE IF THE WORK ',.~-"--,'~'n"'-'.', ~~7-;;7',".',' ....~'.,,'~.. - ,; .:. " .~'" Owners si~OORIZED UNDER THIS PERMIT IS NO~. "Sf.TBt:otABOF~O~: ' . :"':,''' ,:, .' , 00 COMMENCED OR IS ABANDONED FOR . -^ - ~.:. -"~_.:.- ~..~_..;;',;o;,}..,c~.".-:, " .. ... .", ." .' , ANY 1BD DAY PERlOn 7% State ~urcharge ,\.1) ~ 10% Administrative Fee t 0 .-to () 11 /L~ Inspection Request: 726-3769 ~ tot\o ~~\ 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I Lo~ .(1) $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 43.00 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pel1nit Application 1-03,doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00703 ISSUED: 06/15/2004 APPLIED: 06/14/2004 EXPIRES: 12/15/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2319 BEVERLY ST ASSESSOR'S PARCEL NO.: 1703272204300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: 200 Amp Service and 1 circuit Owner: THOMPSON JOHN T & ELAINE K Address: 2319 BEVERLY ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ROBS ELECTRIC INC License 156678 BUILDING INFORMATION I # of Units: # of Stories: , Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type' Water Type: Secondary CO~mto~t;regon taw reqUlresllt&TYPe: # of Bedroom!\: ,ath: rollow rules adopted by the Orego dB 'ld' . Notification Center, Those rules are sSfWJ UI mg. n/a in OAR 952-001-001 0 throu~t.ijpmNT INFORMATION I 0090. You may obtain copie~ ....1....... L, c~IJ,ing the center, (Note: the telephone , F~ontyard Set~tfr'h:ber for the Oregon Utility Notiff2~mi\Y Dlst: S~de 1 Setback: Center is 1-800-332-2344). # Street ~rees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Repair Residential Expiration Date 08/14/2005 Phone 541-686-5444 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: . Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WORK Downspouts/Drains: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft . or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2e 1 of2 Value Date Calculated ~....~?,.#?> CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00703 ISSUED: 06/15/2004 APPLIED: 06/14/2004 EXPIRES: 12/15/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less' Amount Paid Date Paid $6.60 $4.62 $3.00 $63.00 6/15/04 6/15/04 6/15/04 6/15/04 Receipt Number 2200400000000000774 2200400000000000774 2200400000000000774 2200400000000000774 Total Amount Paid $77.22 I 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 Reauired InsDections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 ofthe 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 Pal!e 2 of 2 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00703 COM2004-00703 COM2004-00703 COM2004-00703 RECEIPT #: rity of Springfield Official Receipt velopment Services Department Public Works Department 2200400000000000774 Date: 06/15/2004 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard ROBS ELECTRIC 6/15/2004 4'~~ IJI t, . Item Total: Check Number Authorization Received By Batch Number Number How Received llh 00410 015614 Phone Payment Total: <. .'1' . ., ...." ,.IIb.. . " .. : b.,. . .... If Page I of I 7:37:16AM Amount Due 63.00 3.00 4.62 6,60 $77.22 Amount Paid $77 .22 $77.22