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Home My WebLink AboutPermit Electrical 2007-12-3 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL 1JfPlVlIT (l!?"LICATION City Job Number -.i.1J... l " lJ2..1(7 ~ . ". ien{tf1)ft;1jS~#7t8 - _ _ - -------- ~Pllt:-O 3:::0 ) A. S:~:: ;::::al cSlugleor ~ulti:Fa~~Jyp~_dw"!ltng unl-,=--_ J B DESCRlPiQ ~ 1000 sq. ft. or less $] 06.00 Each additional 500 sq. ft. or portion thereof $ ] 9.00 f~r: :';::'-:,:' -" ,. .,~~t~.:.. ..:: '.. ., '" ,. ,- - - '... ~.. _~' .~.:.::~:.- '~ ',: - . '~": ".,. ,',-:"'_"~-'~"~""~"':' ::"""'.-'~\-,':::~\\'n ~":-::,':r~:-;:;:" ':<'Z ':,r;r-~, :,~ .:~.'.. B. r:.Sii'vices or Feeders -Installation, AlterationS:QrRelo.ca'tion: .. :.c,.-,..,..__" "..',... ..,,,.~,..,,.. ....., ."'.__...._.._M.....::..;~"~"....~"c,.~;~".c,.d'~;;.."'""'W 5.e""(./;c.~ 200 Amps or less _ ? ~ $1Roo 140. 201 Amps to 400 Amps $ 75.00 40] Amps to 600 Amps $]25.00 60] Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 Perm are non-transferable and expire if work is not started within 180 days of issuance or if worl{ is Suspended for 180 days. . CONTRACTOR INSTALLATION.. ONLY 2. Electrical Contractor f~~ Eke. fhi Address /}J.O ,,&A/ro-e City E U.-H".A/-f. U Phone S'l'l-s~tO I Supervisor License Number 3135 ~ )0/1/09. Constr. Contr. Number ',W - mcJ 90ottb) 7/ i /n~ . , Expiration Date Expiration Date Signature of Supervising Electrician Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 I"~";"-' ':'~.:-: . ...- Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps <?v..~r~6~0. Amps. or 100~_ Volts see "B" above. D. . Bnmch.Circllits . $ 50.00 $ 69.00 $100.00 ~, /' ~ ~ . ~ New ~Ite~ation or Extension Per Panel 'r/~/~ One Circuit U- J · .tfc11 ATTENT'IO"'. 0 Each ..;dditional Circuit or with ~. 1'1. r%~HWJf~~Slu1o $ 3.00 Owners Namt. , i~ ~Oll.~w r~le~ adop~ed EY!I:!~.g!~g9n...l1lilt!Y-:-__~.~.~~...~":--,.":""":.~",,,,",,, .,........ Address I -l "~ . (\ fnUollAflCRagIl~2n OOeAntt:Orfl1J13c~ftllt~~flAr~AAt~1hier.-n~tjnclUded)~~<;ij%i~~t;ll~t~J~ ~LQ If'('''{)_ .:'J" ,-'0'( mnrougnOAR"952.00-1~-""" ..".;;:.......~.;"'~.,"",.._"'""""""'h..... . . \ 0090. You may o~ain CORie~f the rules b City '- _ Phone "'ollin.... +he cent f.l11li!,Qr.t IITl anJfi.1 h Y $ 50.00 ~ , 1\10 e,. e eep one number for the rnwt8tPt!Jflfl ~BHfication $ 50.00 OWNER INST LA TION Center is ~~O@;l~raa'~ljdential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. $ 43.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~,:::" . ::.~,.., '~':7':';':~:~:-;""t'~';"'::;:-~' ',' '~7':, ',':::'~-'~'~~:~~:'?:"t.:::~:':~::~"'-: :":;,r ":;:;::~~'':''';~'':~;::-:0':. : Owners Signature: 4. f''SuBTOTALOF .A.BOVEc :. '. .:~: .. '" ,! . NOTiCe" .:.. -. '. '''-''.'''' ".' , ,,'. .. ". - . E' "RK ,. .,. ... .............. ;,. THIS PERMIT SHALL EXPIRE IF TH ~~ Surcharge AUTHORIZED UNDER THIS PERMIT ~0210 Administrative Fee . G.o)Vl~J;NCED OR IS ABANDONED FUK Inspection Request: AWi 'fa DAY PERIOD. TOTAL -z l . ( .,DO lll.UJ Shared Drive(T:)/Building Fonlls/Electrical Permit Application J-06.doc l04cRc) ( .- Status Issued CITY OF SPRING~lELD - Building/Combination Permit PERMIT NO: cOM2007-01766 ISSUED: 12/03/2007 APPLIED: 12/03/2007 EXPIRES: 06/03/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6112 MAIN ST APT 7 ASSESSOR'S PARCEL NO.: 1702343103501 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace electrical service on units 7 and 8 Owner: LITTEN KATHLEEN Address: 6112 MAIN ST APT 007 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03/17/2009 Phone 541-344-3561 BUILDING INFORMA nON. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: -Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01766 ISSUED: 12/03/2007 APPLIED: 12/03/2007 EXPIRES: 06/0312008 VALUE: 225 Fiftb 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 + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $14.00 $7.00 $11.20 $140.00 12/3/07 12/3/07 12/3/07 12/3/07 1200700000000001458 1200700000000001458 1200700000000001458 1200700000000001458 Total Amount Paid $172.20 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. I Reouired 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 berein, 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 tbe 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 of2 \ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01766 COM2007-01766 COM2007-01766 COM2007-01766 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000001458 Date: 12/03/2007 . Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JACK PATRICK Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 104090 In Person Payment Total: Page 1 of 1 2:50:58PM Amount Due 140.00 7.00 11.20 14.00 $172.20 Amount Paid $172.20 $172.20 12/3/2007