The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-4-16 ".,/<",--: ::'-CfrYOF'SPI . TGFiELD~OREGON':.'^'" ,,:'.' "'-.'~~~'~':-.'_:'\\':"'_~~":' , '-....,_:.~ ",_.-'. . _, ."..~.,J~,~. ,> - tI .' . ~ ; s submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FANtI~g~.j11.I24o)681llt require specific land use ELECTRICAL PERMIT APPLICATION awova' /J)/C.. 1131 Zoning' City Job Number COl41ZOOl{-OO j Date I-/-It.,-O'+ ~ Ud.:e 3. r;OOMe1fJ!i-,,j;iEitE~;s~~mpll(,fifj-~~~_'i1ii:?i~I\ 1i~{.::f"t.~"""'~~~-_'::2_';~""'''''_'~''''''_-''''-"''-''''?~'''''~''''''''''''--"~"''''''~;&,r'c:a&c:r~..2:j'T;~ 1. fR~@{jj)4lt7@NfeEmsrt~i'f:l@N;~,*~~~:l , ..t"'-n.<,....'~"""... "..~.~"'.~, ....~_;r~~,..,.^~....: =-or-"'>"-z,~t'"t7~L~;~ -Z L( :> r- It-"i'=t """",3 LEGAL DESCRIPTION /7033 bLfI 01 S-OD JOB DESCRIPTION c:o-D ,4vV1~ sJVc.. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. F:~$~~li~'r~g.;:;i1'~-i!":(,~,,,w':'$~,<;~~.,,~'1?~~:iri! 2 (G.O.~lifJi.0R.INST>&l1IffAI~~rfi', . ]>:':(!:>" ~,IG"~lI'~~~~'8::"'c"tI'!~~L" :s~ Electrical Contractor (lJ6~ r/~c TlC.I'S ItJc. Address 11-0 40N ~G City Gvb6I'lG Phone 3 4t.J -?fS/g J Supervisor License Number " ::; 73 ., ,<:;" Expiration Date 10 -/- 0 '-/ A. ~~if~gli8*ffti1ii;~(si~~~~MNiti~Flffi~~ytA~~~~'i'i'i'rigttl'illt~1t~ ~~ &6ieU:r.:::l,~,'";'':.r--''i''' ti'W"..flxl~~m;"" "'0' *"'''-~..:u:;.1<~;:'J!f51 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereo f Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 1!:~ll'lf~~ll";"'''''~~iT'''~~'''''''''~'F.'~~ . B. ~~l~~~~~~~fl~~t~1~Jtt~~~~Jt.~~~~t~~~~~~~ 6~ 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only I $ 63.00 $ 75,00 $125,00 $163,00 $375,00 $ 50.00 11f.:w!!'~,-.,-".t"';;"-!'''''''''''=''''''!jjf",,<-f'',",,!'iBlIi;-,W'';l:'''''~.!F..JiI c. ~p'g!~~~r~i~~~~r:~~~!.~~~~~.~\~~j,)?~~~~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 Constr. Contr. Number fj~A ~D 201 Amps to 400 Am~~S you \0 $ 69.00 J \ON19'EI\J11jiSl~"lloQl~~oll Utility $100.00 Expiration Date -'"i? :3 ".... , 0 ~ lI.lIEN1' t~rl. bY t\19 "",tfor.1 CT . ,~-' - ru\esaoverOQQ~ffiII~.~elloalVo~i1IS'}<e-" 'B"above. 101l0W . ~a.'f€il:"~~ .. , 'll.~'!l!i Signature of Supervising Electrician '>lotilicatloll IDa ~rtWEl ~ / /J III OAR 952-00N;~i:M.t.ra:lfo...i'il~J?xtB~~I\<!1I1ePanel }~ I-;;~ 0090. :OUt~:9~~,fuI:t;Ufrlot~~tl~~Notilication $43,00 call1llg ~~~~lliiia! e rt~,M4f'ith 'T? <- = l...Lnumberlor Servipe,orFeed~?Pemllt $ 3,00 Owners Name L>...Vc-(l..(..y ~uo 1/' - ,,,.. Address z,4'3 <;"" 'A-~.Ir 7I:.s E. ~~t~1{f~~~~~~Jlm~!!f, ~~~~f.711ll~ti~n ~~ri> Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 OWNER INSTALLA nON. Limi'H~~~esidential $ 25,00 The installation is being made o~JJ~ o"",G\\IlM,l E'~PIREt!t,,1tl Bn~ommercial $ 45,00 . . I,~ \'\:t\t"rr'''''''' 1U\~ Pep.1Ii '" IS not mtended for sale, lease or ~ R\leO UNDeR Mifl' ~1f'3ftc Permit Inspection Fee is $45.00 + Surcharges f\.U1\-1,~cNCeO OR IS f\.Bf\. . ~;""";$."'''',~i\'ilI'<'~'''~~iII'M_''''''' ." ". b"l: Owners Signature: cm.J",," cOIO\) 4. 'Slif.B' ;01T.m!)@1i1'~.~~' , "ill!'" ,) f>,N'( 180 0/1.'( P"" ' ,= ._'iii;i!g:.;:;.'~., "-" '''<t'''.,.. ''Si 7% State Surcharge If'-i( 10% Administrative Fee b '30 7J 7/ City Phone Inspection Request: 726-3769 TOTAL Shared Drive(T:}lBuilding Fonns/Electrical Permit Application 1-03.doc Status Issued . . CITY OF SPRINGFIELD Building/Combination }lermit PERMIT NO: COM2004-00431 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 10/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2435 A ST SPACE 3 ASSESSOR'S PARCEL NO.: 1703364101500 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: 200amp service TYPE OF USE: Owner: SCOTT BEVERLY J Address: PO BOX 149 THURSTON OR 97482 Contractor Type Electrical # of Units: Primary Oceupancy Group: Secondary Occupancy Group: Primary Construction Type Seeondary Construction Type: # of Bedrooms: SETBACKS Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor EUGENE ELECTRIC SERVICE INC License 90200 BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ou\O .."AS ~ ~.~"'\I '1r:~- - 1.,,,.- . I DEY.EIl.OPMENil'lINFORMi\.irl0N I ~N-nON'd~\,\ed.~~s!~ IUle;, h~ 95'2.-QV I J>.." ~ IUleS a. I\\el. '0~~f!.\'X\piS~~ne IUleS \o\l~ a.\iol\ ce ,_Op'i/!,St~e~~il)r.ees R9I!p"0~e ,>\O\I\IC 95'2.-00 b\d'.ivea'firiveoRlfa:,'\ica.\IOI\ Opo.\'\ ll\a.'1 0 r ~NO\"': '\'l~0\1 11\ 90 'Iou cel\\E'% ~!iU;\~~r-a,ge). 00 c;\li~~:~; \"e ~~e ('('\('\_'l'l?- " nU"'- I PUBLIC IMPROVEMENTS I R-3 VN New Residential 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: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: CEo F 1\1E WORK ~~~\ PERM\1 S\1~~~ V:\~~~RMI1 IS N01 ~\.l1\10R\IEO \.lN~ IS Ml~NOONEO FOR f"nMMENCEO ~_n "" 180 Uf' ... .,L ~N'I I Valuation Descriotion I Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Tvpe of Construction Total Value of Project Paeelof2 Value Date Calculated . . (;11 rOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00431 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 10/16/2004 VALUE: Status Issued 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 Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 4/16/04 4/16/04 4/16/04 1200400000000000492 1200400000000000492 1200400000000000492 Total Amount Paid $73.71 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 Reouired rnsneetions' I Electrie Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have earefully examined the eompleted 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. 1 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0043I COM2004-0043I COM2004.00431 Payments: Type of Payment CreditCard 4116/2004 . RECEIPT #: ~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000000492 Date: 04/16/2004 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Paid By RUSS ROBBINS Item Total: L'heck Number Authorization Received By Batch Number Number How Received djb 000358 016302 In Person Payment Total: Page 1 of I 9:39:57AM Amount Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73.71