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Home My WebLink AboutPermit Electrical 2007-11-19 2251'u ul STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C6~ z..007 -01 b , , ZON 1. 3. LEGAL DESCRIPTION: /70 Z. SC/I-:!. A. co32b Service Included JOB DESCRIPTION: I 1000 sq. ft. or less ~~O JuAA{) ~'V' / - G ,.. rEach additional 500 sq. ft. or r_\"'/ F1 "",. ./ ~ '- IS (rC._, 3" portion thereof $117.00 $ 21.00 f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 2. aw re~ E 1. ~1g.tJtY{AJ~8 ~~fJ-Rv ~e Oregon Utility Electrical Contractor " WuliF.",c/.;.:,.", Center. IRose rules aV8 s\w~~ less . 0.10- Q~ 9f)2:,oO\-QQ1 0 through OA9U~b-400 Amps Address '3 ~ ) S" 3 ~"'btl1nardtitaln copies of4b~ ~ Rv600 Amps calling the center. (Note:. t.he WJ~g,I)EJ1~to 1000 Amps .....rnh611fWr tbalmr~ Utility t'4~tifilil:t\lurr pmme-v't'1' r""'fi'1 '800-332-23!V4f.r 1000 AmpsNolts eltter , Reconnect Only City sv> ~ LO 1 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 ';;'0 Supervisor License Number Y717s J()-/~ J.()~O l177"70 JO- i - 09 c. Expiration Date Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Constr. Contr. Number Expiration Date Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above. D. Owners Signature: I ) :vn New Alteration or Extension Per Panel f(J '1 One Circuit J Each Additional Circuit or with Owners Name le, v2.--\.L if Aw f~~~~E~ Service or Feeder perm~ WOR\( ZSS'~ M IrN G-A-A/ 1~,fg ".f5ERMlE. I~ /E ~\J1HOR\ZEO r..P.ANOON City r;v...G,-.€;-rlC Phone . _ 'iJ\ENCEDflYli\p~r'1mg?illOn $ 55.00 ljU~'180 OA~ne Lighting $ 55.00 OWNER INST ALLA TION AN Limited EnergylResidential $ 28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 1:50 10 f(o f-.:! ,,0 1.':>-7 ~ ~ $ 48.00 I J- $ 4.00 60 Address 4. 8% State Surcharge 10% Administrative Fee 5% Technology Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Bui\ding FormslE\ectrical Permit Application 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6557 E ST ASSESSOR'S PARCEL NO.: 1702341300326 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01699 ISSUED: 11/19/2007 APPLIED: 11/19/2007 EXPIRES: 05/19/2008 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: 200amp service change and add 15 circuits I CONTRACTOR INFORMATION I u\O Contractor ~\l\~es 'f~e EASTSIDE ELECTR[~,~~.'i.~~;~ ~~~~~~~ ~~ (U ~\e . \~tO. 0\ X\o~e \O\~~ce.\\O(\ C~~b~W!G09\~~~e \e\e~\ca\\O(\ ~w' gro'l: '~~r ~" ~o\\ \t\ o~ ~oU ~f~~u~t'~~~A)' v:<<l()9 090\\$\0, $&" ~~OO.~ ~((i'06t ~ Vfype: ~ nergy Path: Sprinkled Building: Owner: KIRK VANDEHEY Address: 2555 MANGAN ST EUGENE OR 97402 Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I DEVELOPMENT INFORMA nON, Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541- Expiration Date 10/04/2009 Phone 541-915-9828 nla 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: Handicap~d: com~~ ~ ~ "\~~ \~ ~~ ~~<t.. r."~ ..<'\~ I PUBLIC IMPROVEMENTS I ~ ~~~ ~~\\~$ , ~~. ~~~~y~~ ~~'\~ ~~~~~~fi>@.ains: ,,\~Co ~\)~ ~~~ ~~~ '?-~'\ ~~~ \)~ ~\)~ \<o~ \~ I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa2e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01699 ISSUED: 11/19/2007 APPLIED: 11/19/2007 EXPIRES: 05/19/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax . 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $13.00 $6.50 $10.40 $60.00 $70.00 11/19/07 11/19/07 11/19/07 11/19/07 11/19/07 1200700000000001417 1200700000000001417 1200700000000001417 1200700000000001417 1200700000000001417 Total Amount Paid $159.90 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Reouired Insoections 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 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 Page 2 of2 225 Fifth Street . ' Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01699 COM2007-01699 COM2007-01699 COM2007-01699 COM2007-01699 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001417 Date: 11/19/2007 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROGER KING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 035618 In Person Payment Total: Page 1 of 1 1 :39:32PM Amount Due 70.00 60.00 6.50 lOAO 13.00 $159.90 Amount Paid $159.90 $159.90 11/19/2007