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Home My WebLink AboutPermit Electrical 2004-8-16 125 .1'11' 1.1:1 STREET. SPRIN\#I'JIl.1..D.Oll97477 · PIJ:(541)7Z6-3753 · FAX: (541)7Z6-3~89 \ lU . ' ~ ELEta. .KlC4W-E~ APPUCA'[lW'{--<' I . . ~ ~ City Job Number ~2:cr1JJ;z~V/:-0rIjf>-~ 11.0 I oW-' 6)CJ.;';,~lJI~ . I" ~~ 9'> ~ ,'. ,"""". - ,,,...,... ""~'" --", j:'i.f.St'i "',""to.. <;!, ~~'-;>~ '!.:"i:-;:J';o~',.:",..,,,..',..,,>,;,:,,,,,~c;,,,,: ~""";;,,,,,,:,"',,,,:=~;,,.,,::,,",.,,,,,,,,:,,':.'~:;;;;" -",,, """ ,'. ", ,':>", Ck L jt,:;pcA,~:,,, :,,:,..,:f,,',.~, .0.: !rf~OF.:.)i'il~it~::.~:,':,,~"";~,._~,:.;3~,:'.t",~.:;~~i~,_r.~ 3 ~:~D'.uI.I:E.l)!.'1"~ .:s~'BELOWi':!.0i':"..:p;"(~..,' " " :0 _..... q_' a- __ ~~ Al-a.lij.....~.- -=-." _.-. _ ., ~'.:::b.i,';'~~f:-~~:,:j:.~:~'s.;~~~~,:~-:.i'':'''I",,;il.:':;.:W1.':.!tf:':'~~,::,,;:,,:':':":~:I..:"'~..!::~~::i=,""'S;4-.;;:'~:,~:i%+~:.,>::~:~ ~, ::-'" ~ ~. . (o7~i1-"~.~Lue~-- ','- , (Q ~ LEGALDESCRIPTION :", A. g;ii~~~~~}Mll1~t\:MlT': ' " .;,.',",,.,,\,~,,'i"",,;;J:, .,~,c-TO'lio-W: rf.iitrs'ritfrim~cfBY'1'he"O(cyu j'l ().""').... 3. 'f Lf ~ 00 ~ Service IncludAAJtification Center. Those rules are set orttt JOB DESCRIPll0~,' 1000 sq. ft. or I~OAR 952-001-.001 n thm.u~W~R A52-O.Q1. ). _ ' L. E~ additioua1e~ffl..'fbarmay obtain copies of the rules by '-E.D 0 C ~ vuk. ; ,-' ~ pomon th~f calling the ceAtef.-!~!~to~tffe<>≤:~Gr.s Permits are non-traIbh..:..ble and expire if work is Each Manufact'd ifilg~ for the Oregon U.tility Notification not started wlthln 180 d~yJ of iSsuance or if work Is Modular Dwelling Service~nter-is 1.800-3~~0'2.4.i1\. ' Suspended for 180 days.: Feeder '. . ~9:~1 .., 2. ~_'1~/~~!~ El_~l~="" 5io/,~ fkct~fc ~~ AddreSs 1 d () ^-lDin fJM., S r ' ertyfUpO {)~ p~ 2ft ~3S leL ~ -1305 I DJ oL( 002-00 D3/oS .:' Supervisor License N~ i EXpiration Date ' Co1lStr. ConlT. Number Eltpimtion Date Signature of Supervising eJecuician gJ ~'J' V '.- OwneI8N~("I (Am,ob..QL_ Address (' 01 ( eq _ 6k.. 0 b..cO J.~./ CY CitY ;Sp () __ Phone I 0,",1 \.Jl.A INSTALLATION The installation is being nMe on 1'....'J'...~/l own which is not in~ed for sale. i !:SSe or rent Owners Sigcatute: 'I ! i i lnapectton Request: 7)6..3769 too '" . ~i;jffi';-<~x:~f.::',f?"'~I"ri:;'il.~~*i!!!.~~~~~~z. B. ~;sefi~r;F~ed+u~~rr :;:rs..~~j~~:~~,i!o_\~~;\;!~~JJ~~~4~::J.'~~~~~';l' ':'~~~!ili~t1~ 200 Amps or less $ 63.00 201 Amps to 400 Amps $75.00 40'1 Amps to 600 Amps $125.00 60.1 ~t@i~s \' $163.00 Over loWlmnv~~Jt$T SHALL EXPIRE IfSjJS.GdNUHl\ RJlc~tfffroRIZEO UNDER IHIS PEf$r$~:pQS NU I , ~~ l _ .' ' {", ~~!." c. if .;:..~ c " ' t, ~,i: \.. l~.:;.,..~:;;!f: ""..o'~ 1-\,: ' - ,. ., ~h' :Q.-- Installation, Alteration or Relo~tIon 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps . Qver600 Amps or 1000 Volts see "Bn above. D. ~r:J:~:~'~~~ ' ,~~, .~~~ $ 50.00', $ 69.00 $100.00 New ~tel'iltion or Extension Pel' pani One Circuit . Each Additional Cireuit or with Service or Feeder Permit $ 43.00 43;00 3.00 I . $ 3.00 '''''J!,~~'''', '.~-:;;T.r,;r.~'.":Trr'r~~'-;~~'1'''''!7ZIY::;1.':'I'f:a."l';i~~'P'!:r:''"=t9lF.~~ :.~:''''.'1.,,::., ~.~.I~'V.:ill!"O'O"'~*:-A.l:~:'.!.:.l':r~~.i'~' ......"1" --i.'..:1.~~-:-.-:-....- .'" J~l~~~~:~~~l;~~~~~~.~t!~~ Pump or irrigation $ 50.00 SignlOut1ine Lighting $ 50.00 Limited Energy/ReSid.emial S 25.00 Limited Energy/Couuncreial $ 45.00 Minimum Electric 1! .... ".,it Inspedion Fee is $45.00 + Surcharges ~~'-~'~~r;?~" ~~,. '-=r,-.,-" . .'~i..~/..'1f~,,,,':"~r~..~. :' ,.;;;~ . . '~:'!'. .. 4. ::-.." >.u, ""'(),J!:! .:l?Bt~.-t( tI'.. .. .,....., -, ", .~ '., ~l"""I~..i:e. . ~~'V;..-..-.:...:; _'..-~~I!"":" ~:i:;.-.):..r,.;'.":J>..-.-:i.'"'''''''''' ;0"-- ii/I,'t~l\i ,-_'''''-~oI. --'- ..r. .~..._~ ,_.- 4(f.OO -g '. 0-0 3 ' dd-, db53 .~ 2- 7% State Surcharge 10% .A.~;''';':..rc Fee TOTAL Shmed DrM(T:)IBuiIcSlJI; 'annsIEI_l...J Pemdt ~'l'~' ~,'~ 1-43.doc O1gId~NIHdS dO XlI~ 6Q9C9ZLttg YVd tt:80 ~ to/lZ/tO Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01016 ISSUED: 08/16/2004 APPLIED: 08/1612004 EXPIRES: 02/1612005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Add two circuits. SpringfieldAm~H-~Wc9rRK: Electrical Work Only follow 'r~/e,~" ~~gon law requires YOll to NotifT..VP,F'nOSE:ed bRepaif.)regon U,Residential . ,.;ar,Q', enter Th onLy In OAR 952-001-00'10 /se rules are set forth OO!=ln YI"III~..' hrough OAR Q&:;'J ()')~ 'J.J VUla1l1 cople f - CAMPBELL JOHN M & MICHELE A calling the Center (N s 0 the rules by 6769 BLUE BELLE CRT SPRINGFIELD OR 97478 number for the Or~ ote:. ~he telephone r-~-t -' gon Utllltv N()t;fi,..."'t;~'f. I- _n .... ,.;) I-OUU-J32-2344 - . I CONTRACTOR INFORMATION I ). SITE ADDRESS: 6769 BLUEBELLE CT ASSESSOR'S PARCEL NO.: 1702344400806 Owner: Address: Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03/17/2007 Phone 541-344-3561 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I # of Stories: NOTICE: Lot Size: Height of Structure THIS PERMIT SHSLl~ J;"t l~t Floor: Type of Heat: AUTHORIZED UN~Ft~{j/Fijj~ THE WORK Water Type: COMME Sij:Flt B1J.~I1'"l~Mr' Range Type: ANY 180NCED OPsij)FAg;,~rwlfJElfi~[f ~Jp NOT Energy Path: DA Y PEr~ijJfJ. Other: OR Sprinkled Building: nla Occupant Load: 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 Total Value of Project Paee 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L Fees Paid. Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend CircEa Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 8/16/04 8/16/04 8/16/04 8/16/04 Total Amount Paid $53.82 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01016 ISSUED: 08/16/2004 APPLIED: 08/16/2004 EXPIRES: 02/16/2005 VALUE: Receipt Number 1200400000000001220 1200400000000001220 1200400000000001220 1200400000000001220 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. I Reouired Insoections '. Rough Electric: Prior to Cover 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 of the State of Oregon pertaining to the work de~cribed 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 ~ature Pae:e 2 of 2 'B'/l <-e{ O(l o ,v- Date 225 Eifth Street , ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1 0 16 COM2004-0 1 0 16 COM2004-0 10 16 COM2004-0 10 16 Payments: Type of Payment CreditCard 8/16/2004 RECEIPT #: r:ty of Springfield Official Receipt velopment Services Department Public Works Department 1200400000000001220 Date: 08/16/2004 Description Add, Alter,'Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By Received By EUGENE ELECTRIC SERVICE nJill Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 000474 016910 In Person Payment Total: 2:43:24PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82