The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-5-24 ". ( T 1'\ () II)!) 'I:i\:( '11-/'[ I ! ! . '- , I '- " . ,,") 1 C) J.< 1. I, ( ,J ()"t\'I! L..ff::2:- i,:;pr:i(C~~".'(~S::. )oP I ; ( . ~k . ! I -. .', MA~ JflA L.,. I_I~'~~O 5/1.1( ~b , · 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54])726-3753 . FAX: (54])726-3689 BLECI1?JCAL PBRJViITAPPLICAIJON City Job Number CO""'"" ZC::>O to -00 to ZO Each Manufact'd Home or Modular Dw~ll~g'Service or ',_ \C'. \ , Feeder '. ~ ' '.\.~ , --J - "", '.). \ " I'. . . i.,'" '..0\\'\'\ . . 2 1: CONJ~R.4.C'TOR INSTALLA1TOJVONLY B. t. '8c.l"';'J,C(;'" IJB Fcc:Ci't.)i!,t-In:;t,:Hali<H1. Ahei'ations or Rc1oe2tion: . , . . ' !" c"~ ~.'i}.;:,k -~)'1 ' ..... \ - 0 -' .' ',~". -U\3':> $ 63 00 Electrical Contractor ~u.o,Q...VI. t E\-l.("""" it c'")u,,,'\j'\.{,.L+POIA. mps.or#'ss e ' () . '- ',':;,'0 U\ . , .~'r10n .. '. 'f{J.l'Aii:ips,~o400,Ailipson $ 75.00 . .1...;..1 . '0' I.\\v ...".('C\.\.\ . , .' I L;, _ 40IJAmp,sto.6001}\'rhps $125.00 ,- . :_,-,,\,~\. ,. ",\.)\\\\1.'1 ""'\- L ~ _ ~,:.:. ~.~ '.> O\~g:II\Aii}PtJB'2J!@O\l)'Amps $163.00 Phone ..3!::I4;'~'3~~lii.'('\\v, S ,\OYe9-~~0 AmpsNolts $375.00 {l0\' \'-' - Cei\1.3\ \ Reconnect Only } $ 50.00 1. ! LOCATION OFn\'SI,}~I.,LA.TlOI'/ ! 5/0 lSroo Y-.dA- /~ Av LEGAL DESCRIPTION /703 ZZLl Z JOB DESCRIPTION 03 '00 S€rl/ L '-f::.' 12-C=~vt~ e~, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for ]80 days. Address \ ~()''Y'l ~"" X'O&"" ?,\. City ~. 0 \I'\-L... o Supervisor License Number ~ I '" ~ ~ Expiration Date \ 0 \ ' \ ~ "1 Constr. Contr, Number qo ~ 0 0 Expiration Date 31r, \ 07 Signature of Supervising Electrician ~J~ (7 Owners Name wd OSCJo,e:::- lA-rc.. L- S~lVL ~o-c; ~1- 9/0 City f::';" 6+Ht:- Address Phone OWNER INST ALLA 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 Date 3 i (Vj./I,^}:I T F""/> }':r;.,,; ."C'I"j.lT' T if t',' "tE', (.J..\ftl . J "t ~I! . J..J.-.Jl1-1 .!~lj __l .1. .J}.}L'_..J ~ 1; ._...1,,' 1 , . , . . ,. A. :. j\cw He;'icien1ial- Sing,!l or l\'llJW-Famjj~' plot' d;."cllillg unit. Service Included JOOO sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19,00 $50.00 50 . . . . C i.'''I'crj'I'I'('I''''T' c,,,,\':,,,p,, r.,' r.aPflE'r" .. t' .. ..' .....- ~. ''';-'. ~-.."" v.. }.........--. .") Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps e.~,00 401 Amps to 600 Amps "\\\'t '-N\'$O~O'OO Over 6,~0 Amps or I 000 ~gtts?sk ~~~~.o~,~ D$s"~~\~~\t~\~f\\.~~ "\\\\S ~C)~t.$ \G 11 ~Ri~at~lJ b~\~#'n~~r Panel ~f~ir~uit Gt.\) C)~ \C)\)' acl\~~ait~~~Ni~ir~di~r with S[~Y?1 or\Reeaer PemlJt ~, ,- . t>-: . , ,.' '. .' ". E. !' !\'EsccHaucom .(Scl'viceifc('aer not included) -'-Each Ir.std!<~tiOl1 $ 43.00 $ 3.00 Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ;. ',' '. '" . ., 4. !',8UBTCJIA.LCJFA.BOVE i;~ . i". . I ...,. .. ' . ..':. ""i, 'I 8% State Surcharge 10% Administrative Fee 50 1../ S" S- ~ ..- TOTAL Shared Drive(T:)/Building Fonns/Eleetrical Permit Application J .06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00620 ISSUED: OS/25/2006 APPLIED: OS/24/2006 EXPIRES: 11/25/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 510 BROOKDALE AVE ASSESSOR'S PARCEL NO.: 1703224203900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service reconnect Owner: Address: FORECLOSURE SOLUTIONS LLC 910 LARCH ST EUGENE OR 97405 Contractor Type Electrical I CONTRACTOR INFORMATION I C t t L' , ." ''J'J tOE ' 'D Ph on rac or Icense' ,''':\\' >xplratlOn ate one ~ '\ vI. "J EUGENE ELECTRIC SERVICEINC 90200', \ _~'i"o~\n03/17/2007 541-344-3561 BUILDING INFORMATION I. :';; 95'2.-00i- , ",,:p 'o\} '~(::l' ,- ~\J\e5 ., , . ,,~ ',., 0\ \ne , . # of Stones: ,~i~O"v5 \el"lnolltot SIze: ~\-\'J.J, 'e\8 t' 'Q. Height of Structure\.iO\8', \,\ ~ t\\\Ca\\S.. Ft 1st Floor: Type of HeJa,t:\\8L \' ~II 'J'\\\\\\}~) Sq Ft 2nd Floor: _WaterT~p~,:,e 0,e900_33'2.-'2.?A' Sq Ft Basement: \\B-~nge' TtI?\\e\ \5 \ -'0 Sq Ft Garage/Carport EnergyC'PiIth: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: comt~\\" % of Lot Coverage: 't.'f..?\\\'t. W ~\ \S \,\0\ _<:I'~r,~'. ,...\1~'\.. \f Ot5\ ,\f)P. I PUBLIC IMPROVEN1~~n'l\\W1\~ ~~Dt.\\ \~~\'\DO~'t.v - ,- U~\l~\.J 0. ~~ ~\J ~\)\\-\ c~c,'~UJ~afuOlJ}pe: rOWl~'- ~'.J ?'t.':\ . v ,I '\ t)1J \Downspouts/Drams: ~~, Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: , Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Tvpe of Construction' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00620 ISSUED: OS/25/2006 APPLIED: OS/24/2006 EXPIRES: 11/25/2006 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 I Fee Description + 10% Administrative Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $4.00 $50.00 5/25/06 5/25/06 5/25/06 2200600000000000653 2200600000000000653 2200600000000000653 Total Amount Paid $59.00 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. I ReQuired Insoections I 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 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 , Date Pal.!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00620 COM2006-00620 COM2006-00620 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 8% State Surcharge + 10% Administrative Fee Paid By JOHN DEAN C of Springfield Official Receipt l_ ,elopment Services Department Public Works Department 2200600000000000653 Date: OS/25/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 025057 In Person Payment Total: Page 1 of 1 7:56:02AM Amount Due 50.00 4.00 5.00 $59.00 Amount Paid $59.00 $59.00 5/25/2006