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Home My WebLink AboutPermit Electrical 2004-12-29 225'F:[,FTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~<!> ~ ,,1., ELECTRICAL PERMIT APPLICATION I :0.0",;1- ~~, City Job Number GO""" LPOtt - 0 I ~8 9 Date I Z/Z 9/04 q.;>~ t-Q>/ Q>?;'?9..o", I ~ % ~ Electrical Contractor r ~E ELE..(!1lj~V/c.t. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $ 125.00 601 Amps to 1000 tfCff'fCt' $163.00 Over 1000 AmpsNQltslS PER'~IiIT.-"" I ',' '_ ~3~5.00 Reconnect Only I H II, 0nKLL E$'~tP.OO It- I HI:: WORK AUTHORIZED UI'JUtH THIS PERMIT IS Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 o HAWi~qamfoti~tial $ 25.00 AI u:NTION: rego~_. iuo..tlIR HI'VI<1rI '1'1 . I $ 45 00 The installation is being made on propertyfbft~ NtH adopted of\mn:1M~1 .......',,,I...trC1a . is not intended for sale, lease or rent Notification centMin~mleftier:iiei-Gtitq~~ection Fee is $45.00 + Surcharges in OAR 952-001-001 . , . . _ 0090. You may otful , I IS calling the center. ~ote: .' 80s- o r for the Oreg'~ ~~f.r~~~tlon . numuo Center is 1-800A0~~tive Fee i ( .>() s-r TOTAL i J l..( - 1. 3. 4- .3 5" CA- S C.A- de 0 .-t. LEGAL DESCRIPTION J 70 L 's S:3 "3 0 gooo JOB DESCRIPTION '2.e-PLiA-C~ Z S- c.. ( 12. \...v\. j' " 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. Address /2() /J1C>/l/12.iJ6 ~. City Eaa tAlE Phone :3 '-I t./ - 3b~ / "'J~3r-O Supervisor License Number .,:) T ..::> V I () / I /~()O:;- I 9():J. () D .3); rlG:;- Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~/J~~ . (/ Owners Name 'j2A y~o..... ~ VV1 v.Q.b-.8-d Address L{])' c.~ c..A-d ~- i) tL City SPFh Phone OWNER INST ALLA nON Owners Signature: Inspection Request: 726-3769 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 43.00 If] 77- Z (( $ 3.00 E. Sbarcd Drivc(T:YBuilding FormslElcctrical PcmUt Application 1-03.doe Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01589 ISSUED: 12/29/2004 APPLIED: 12/29/2004 EXPIRES: 06/29/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 435 CASCADE DR ASSESSOR'S PARCEL NO.: 1702353308000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace 25 circuits Owner: RAYMOND MORGAN Address: 435 CASCADE DR SPRINGFIELD OR 97478 Contractor Type Electrical - CONTRACTOR INEORMa.\:TION . P HI 'HALL EXPIRE IF TtlE WO~K Contractor AUTHO~ic!e~~DE~fR;S~t<mv f~l~ N ~one EUGENE ELECTRIC SERVICE INC C0fV1M~9~;qfh m~ Ie: LiRl'IQJ{1"'~~2~?mD !1-344-3S61 , _. I I BUILDING INFORMAiiI~lN1Y PERIOD. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ATTENTION- 0 % of Lot Coverage: follow rules a'd r~~~~~~~ ~eqUires you to '~OUTlcation C .tJr.., . t..~ O!FNiMD In OA e"-btJfUBnItSElmr~ , R 952-001 v I U ,"rough OA . 0090. You may obtain' R 952-00.1. caJ/jng the center. (~oi'~s of the rules by number for the 0 0 e.. ~he telephone Ct. regon UtIlity Notification en er IS 1-800-332-2344). Sidewalk Type: Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Type of Construction Date Calculated Total Value of Project Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01589 ISSUED: 12/29/2004 APPLIED: 12/29/2004 EXPIRES: 06/29/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L..-Fees Pai~ I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $11.50 $8.05 $43.00 $72.00 12/29/04 12/29/04 12/29/04 12/29/04 Receipt Number 1200400000000001800 1200400000000001800 1200400000000001800 1200400000000001800 Total Amount Paid $134.55 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 Insnections I Rough Electric: Prior to Cover 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springficld, Oregon 97477 541..,,726-3759 Phone City of Springfield Official Receipt lelopmeDt Services Department Public Works Department RECEIPT #: 1200400000000001800 Date: 12/29/2004 IO:OS:SSAM Job/Journal Number COM2004-01589 COM2004-0 1589 COM2004-0 1589 COM2004-0 1589 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard RUSS ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 029337 In Person Payment Total: Amount Due 43.00 72.00 8.05 1l.50 $134.55 Amount Paid $134.55 $134.55 12/29/2004 Page I of 1