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Home My WebLink AboutPermit Electrical 2006-8-1 ZON U)? INITIALS N (VI DATE ~ --O\-~ SOURCE - {Vk.,..f7SpL-t'hJ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO~ 200 3 - 00 r ? S- ~t~ nvJ InstalIatiO{\~~IM1%~n or Relocation <;, ",.,' cVP\~t:. \r " Ie' \\\0\ '\',G\ ~ ~~\'>', -\ Sr\\~\\'.\.. \..QOO ",nt~~\\PH~SSl') $ 50.00 ;~,\C; ?t~\\~~~ U~Dt.~ \to~S~\t~~tV4tJ(>>\;\mps $ 69.00 i\ \J\\-\O~\Lt.U r\ Ot\ \S P40[1\~~mps to 600 Amps $100.00 j-\ H~Ct.\J r\ G8~~M CJ U::,'{ ?~J\\O\Over 600 Amps or 1000 Volts see "B" abovto I\N\{ "\ B . D. Branch Circuits ~en.J\tes ;o~\\X\\'l X\ New Alteration or l<',~,rl~~nl@~P~ifel'Oe\ \o~~.\ , . . O~e'W'''''';~ \\' 'O.~e 00 \~ One ClrS:\lp~' i\.eO ~\,}\e'O . n o,S~-'$ ~O E~\Ada\~\<wa1\-er~~ir(W~~<0\\ ut"'~e ~\,}\e'O S~~eel'bt'Fee~lp~nD~tQ\\\~O 'for: (\\'\: _X\~~OO ~o~~\C~\~~~-OO' -O~\i\P co~~.:\\\e \~~\~\c'O.\\o{\ E. ',. ~~~:~I~~~:~S;~~{~~:'~;~;l~~~d) -Each Installation Pump 0(:imgat\op0~ \\\e, ,_'000- $ 50.00 Sign/Ol\\litre'ti~tiIfg.e~ \'0 $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges lOb Bfl5 t lObO' S"~p / SO "3e. Shared Drive(T:)/Building FOlms/Eleclrical Penn it Application 8-06,doc 1. LOCATION OF INSTALLATION: 9 Llcj Ce~ C:~~,k ( LEGAL DESCRIPTION: 17D32bCf:5 JOB DESCRIPTION: 02~C>D /--4vo... S P 26ot"IlE Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr, Contr. Number Expiration Date Signature of Supervising Electrician Owners Name C c..,w~l~.A- I 5;0 /L-.~~ e-Uc.-cdt:!' Phone "1:~l w Address City 5 I "3 - 5 Kl i OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. ownp~ C?;,/~ Inspection Request: 726-3769 3. Date ,,,') , " ,J" , . ,'.I A. New Residential - Single or Multi-Family per dwelling unit. " ,<;~~ /;:"$i'O~\xl /0 b Service Included 1000 sq, ft. or l~ss . . . . "'" - . Each additional" 500 sq.-ft.lOr) portion thereof lit..... ._ . . ,- - , '!'." "$' 19~()(l . I J Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375,00 $ 50.00 C. . Temp!lrary Services or Feeders 4. SVBTOTAL OF ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL ~ArN~.J'Im.,Q ~t ~, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 08/01/2006 APPLIED: 03/21/2003 EXPIRES: 02/01/2007 VALUE: $ 0.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 944 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264302300 Springfield TYPE OF WORK: Fire Damage PROJECT DESCRIPTION: Repair fire damage TYPE OF USE: Repair Residential Owner: CYNTHIA C BYFORD Address: 50 KNOOP LN EUGENE OR 97404 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor Type General Electrical Mechanical Plumbing Frontyard Setback: Side 1 Setback:, Side 2 Setback: Rearyard SetbacI.<: Solar Setbacks: ' Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor OWNER OWNER CYNTHIA BYFORD OWNER License I BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ,^ ,:',,'hii':'> ~"n\Ji:Sp!ir~~d~'PJ1M~ing: nla 1H\S PERi\'IlI S~J~~\I> 'Q~~E\tnp,NiENTjNFORMATION I Al\I\10RIIED l\ \S ABA\~OUNt.U I VI \ xr,cNCcD OR COMI~\L,.., r~\\1 nERIO\). Overlay Dist: !\i\)'{ \ Bu ul, 1 r # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: R-3 VN Phone Number: 541-689-5819 Phone Number: 541-513-5819 Expiration Date Phone 541-689-5819 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: Handicapped: Compact: ~UBLI~J!YIg~QY&l\l~ ATTENTION: 'V~~' , Utility follow rules adopted by the Oregon t forth Sidewalk Type: Notification Center. Those ru~e~~~ ~:2-001- Downspouts/Drains: in OAR 952-001-0010 throug 0090 You may obtain copies of the rules by '. he center (Note: the telephone calling t . UtTty Notification number for the Oregon II Center is 1-800-332-2344). Pal!e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 08/01/2006 APPLIED: 03/21/2003 EXPIRES: 02/01/2007 VALUE: $ 0.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 35,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $35,000.00 $35,000.00 03/21/2003 ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 4/7/03 1200200000000000958 + 10% Administrative Fee $32.79 4/7/03 1200200000000000958 + 7% State Surcharge $22.95 4/7/03 1200200000000000958 Building Permit $282.90 4/7/03 1200200000000000958 Dryer Vent $6.00 4/7/03 1200200000000000958 Exhaust Hoods $9.00 4/7/03 1200200000000000958 Minimum/Adjustment Mechanical $24.00 4/7/03 1200200000000000958 Vent Fan $6.00 4/7/03 1200200000000000958 + 10% Administrative Fee $9.80 9/23/03 1200200000000002194 + 7% State Surcharge $6.86 9/23/03 1200200000000002194 Fixture $98.00 9/23/03 1200200000000002194 Renew Building Permit $141.45 11/29/05 2200500000000001625 Renew Mechanical Permit $45.00 11/29/05 2200500000000001625 Renew Plumbing Permit $45.00 11/29/05 2200500000000001625 + 10% Administrative Fee $10.60 8/1/06 1200600000000001181 + 10% Administrative Fee $23.15 8/1/06 1200600000000001181 + 10% Administrative Fee $23.15 8/1/06 1200600000000001181 + 5% Technology Fee $5.30 8/1/06 1200600000000001181 + 5% Technology Fee $11.58 8/1/06 1200600000000001181 + 8% State Surcharge $8.48 8/1/06 1200600000000001181 Renew Building Permit $141.45 8/1/06 1200600000000001181 Renew Mechanical Permit $45.00 8/1/06 1200600000000001181 Renew Plumbing Permit $45.00 8/1/06 1200600000000001181 Residence Wiring 1000 Sq Ft $106.00 8/1/06 1200600000000001181 Total Amount Paid $1,159.46 I Plan Reviews I Structural Review 03/31/2003 03/31/2003 APP TCM 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. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00195 ISSUED: 08/01/2006 APPLIED: 03/21/2003 EXPIRES: 02/01/2007 VALUE: $ 0.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired InsDections I Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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. ow."oJ:e.tu~~/ ~ ~I ,d~-6 Date Pal!e 3 of 3 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00195 COM2003-00195 COM2003-00195 COM2003-00195 COM2003-00 195 COM2003-00195 COM2003-00 195 COM2003-00 195 COM2003-00 195 COM2003-00 195 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description + 10% Administrative Fee Renew Building Permit Renew Plumbing Permit Renew Mechanical Permit + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Paid By CYNTHIA BYFORD (':~ of Springfield Official Receipt elopment Services Department Public Works Department 1200600000000001181 Date: 08/0112006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 051296 In Person Payment Total: Page 1 of 1 2:29:08PM Amount Due 23.15 141.45 45.00 45.00 23,15 1 \.58 5,30 8.48 10,60 106,00 $419.71 Amount Paid $419,71 $419.71 .' 8/1/2006