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Home My WebLink AboutPermit Electrical 2006-11-7 (2) L-1Y~ 10 Y'^- Il (otloc,.. ':""'~~:~ J \ \ ~___ ~ :t~~-.=-~;:. ,-:.;,:.:. . . -..... ,~~._-, .... ~ '- ""'" ,Ii:. _ , Jb.. ~ r ".e 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FA-X (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number U>W1'Z-COf. __ O( Z 9 Z Date 1// -1 h-{JD~ 1 LOCATION QFlNST1f:LAT!ON C)7:1 -5 ((J rd:iJ1/7 tel ..P &.flU;:(. LEGAL DESCRIPTION /7 D3 .;;l5 <C.fLfO /q uo JOB DESCRIPTION (tiLtA / (1) ,rC<.LI~ Permits .Ire non-transferable and expire If work IS not started wltbm 180 days of Issuance or If work IS Suspended for 180 days "';'-"''''"""",,''''''-.-,, . . ."" .....',' """ .-, 2 ._CC:!fI'KACTg,~INS?~_AIJATION2NLY i Electncal Contractor [I~" 'L,\n~, F\~r-\-v,( I - - l - 1'<\ t'\ - Address -~ \ -)=, '" _-< 'v " CIty r- l \.-, () \~ " Phone -:J+") J.;,c:-j J Supervisor LIcense Number ~) -:,~C <'""j 3 COi-iPIETiiFEESCHEDuLEBELOW" - :c:--~- -~-l ~ - -,,.... -.~......I -~-----~ --- .....",.,..... -......-- ---,.... ...-.......... -"'1 A ~e~~~e~tJal ~~I~gle:~rMullI-~~;"IIr per dwellIng umt.' . ServIce Included 1000 sq ft or less Each addllIonal 500 sq ft or pornon thereof Each Manufac!' d Home or Modular DwellIng ServIce or Feeder $10600 $ 1900 $5000 B l~~ICes oi "F~eper; ~"'Ins~atlOn, ~lte;atI~~~ ~~. R~~ca~~o~J 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNoIts Reconnect Onl y $ 63 00 $ 75 00 $12500 $16300 $37500 $ 50 00 C ,', -",,,. ~ , ..---_~ Temporary ServIces or Feeders ~ ---.........--- .'--~J ' ,- ~~-, ExpIratIOn Date \ C: I,', I J _)(:'C"I Installation, AlteratIOn or RelocatIOn 'I 1-\/ TE/lHIUI\I L200gAmns or,less $ 50 00 c" f '- u,na.,It::qUfrt;;,yoU Constr Contr Number \ l ~ ,J ""- allow rules ad~M!nJ19l?ltOIJf'emp's lU _ $ 69 00 j\lotlf/catlOn Cent(\QI-t-i1ffils toriOO g~~n Utility $10000 ExpiratIOn Date (" t;;-J C ~ i ,~:J. Dc:, "'in OAR 952-00 l-Q5Hf)6Olr~:~~liA~~?lX~ fo~' "B" above , I 0090 You may bt=-~' --,IJ.; Je;;Jf___~ ~---_ , . Signature ofSupervlsmg Electncl3n calling the ceJ51nt,1SllInc\it(J;ir~wfstlllU:lJleJl<'R: ,_,_ _ ___ ~ _~_,__J v62 '" (/\lote the tAl<>nh ~ . L - ~mber for the CYmciilterJibon or";XtenS\o@Per Panel ~L ~~ CAnter Isq'l~mI5~41~~~tY.,~otlftcalton $ 43 00 ~ /' Each Addltionfl'OlUm or with d _ I I /I. A I, . - /)" A1 A. "S.-.~ ServIce or Feeder Perm1t D $ 3 00 ~ o ers Name ~ "I--//'-<:)LJ(J'C.Jr....' ~ ~ Address<?/5 <5hh?--U) mJ~ P L E ~;Cella~~?_';~ (Se,",::,Celfe~d;~~~ ~C!ud;.J~:-E--;'cb Inst~II~;;" ~ ~ G5~;) CJty ./ Phone :.q' ~~:::? 0/ Pump or Imgal10n $ 50 00 ~ 97'70( TH SIgn/Outlme Llghtmg $ 50 00 OWNER INSTALLATION IS PERMIT SHA~!teI:lXPfFff'/l,e'i1dentJal $ 25 00 AUTHOR/ZED UN t I HF IA/()RK The mstallalIon IS bemg made on property I 'C'tJ,,;r~Eli {JE'Reft1f~r~ l~Yf"rmr $ 45 00 IS not mtended for sale, lease or rent A NCE&IlIGfih@1~Ifl'J~fff'ltJJ~t{grn Fee IS $45 00 + Surcbarges NY 180 DAY PE~ r:u I:UI1_ -- . _ _ OwnersSlgnarure 4 'S O~FABOVE: ' J.n ()7J , ~ -""--- ~~ .......,_........-.... .....!!?L.:....""Y ~ /,~O 7% State Surcharge / 0 ;;t I 0% ~dmlmstratJve Fee ~-!-/ Cl Inspection Request 726-3769 TOTAL <$ ~ 9 5 ~ Shared Dme(T )/Bulldmg FormslElecmcal Permit n.pphcanon I 03 doc 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1292 COM2006-01292 COM2006-0 1292 COM2006-0 1292 Payments Type of Payment CredltCard cRecemtl GP~ ~ c.' of Sprmgfield OffiCial Receipt L .Iopment ServIces Department Pubhc Works Department RECEIPT #. 3200600000000000571 Date. 11/07/2006 Descnptlon Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 8% State Surcharge + 10% AdmmlStratlve Fee PaId By JACK ANDERSON Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received nJm 007668 Fax Payment Total Page I of I 10 51 21AM Amount Due 2400 120 192 240 $29 52 Amount Paid $29 52 $2952 11/7/2006 .~ii..~ Status Issued 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line -. """CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01292 ISSUED' 11/0712006 APPLIED. 10/10/2006 EXPIRES 05/07/2007 VALVE SITE ADDRESS 2725 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703254401900 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE Repa.r ReSIdential PROJECT DESCRIPTION Upgrade to 200 amp servIce Owner JACK ANDERSON Address 915 SHERWOOD PL EUGENE OR 97401 Contractor Type Electncal Contractor OWNER # of UOlts Pnmary Occnpancy Group R-3 Secondary Occupancy Group Pnmary ConstructIOn Type VN Secondary ConstructlOu Type # of Bedrooms Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer A v "Iable Spec13llnstructlOn Notes DeSCrIption Tvpe of ConstructIOn Phone Number 541-484-6201 A.II!- r fnJlr.. '\JIll Vle-r>f' 1\:G'O.NTRA'G:WRlmEORMA:TlOlll1tes you t In OAR -" venter Tho' . "" U'regOn /,ItIItO C090 ,,952-001-0010 th selCe'nSCare sl':!~'Jlll'atIon Date Phone r au may rough OA "'1 rort~ "~II _ obt",~ _ _ R Q"" ^_ II'BVIWING INFeRM'kif6"Nior the rU/e;"b', - v, "'g . tetepho . CP'1tr',~ on Utlllt N ne # of Stones 1-eOO-332 y otlflcatlohot SIZe HeIght of Strncture -2344) Sq Ft 1st Floor Type of Heat Sq Ft 2nd Floor Water Type Sq Ft Basement Range Type Sq Ft GaragelCarport NO rt Allergy Path Sq Ft Other TH ~fj.mkled BUIlding nla Occupant Load I.~ Drh. g~;lf!f!tVJ1F~;:;~O~' WORK ANY 1 BOlj},vllqaQIDJi) ABANDO RMIT IS NOT ff'SH.N'fiiI'ffl'!JRqill NED FOR Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total Handicapped Compact I PUBLIC IMPROVEMENTS I SIdewalk Type DownspoutslDrams I ValuatIOn Descrtotion I $ Per Sq Ft or mnltIplIer Square Footage or Bid Amount Value Date Calculated Paee I of2 ~_._~~ L~_ I ~,I Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01292 ISSUED: 11/07/2006 APPLIED 10/10/2006 EXPIRES: 05/07/2007 VALUE: 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe Total Value of ProJect Fees Palll I Fee DescnptlOn + 10% AdmlDlstratlVe Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less + 10% AdmlDlstratlve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend CIrc Ea Add Amount PaId Date PaId $630 $315 $504 $63 00 $240 $120 $192 $24 00 10/10/06 10110/06 10/10/06 10/10/06 11/7/06 lln/06 1l/7/06 lln/06 ReceIpt Numher 1200600000000001509 1200600000000001509 1200600000000001509 1200600000000001509 3200600000000000571 3200600000000000571 3200600000000000571 3200600000000000571 Total Amount PaId $10701 I Plan RevIews I To Request an mspectIon call the 24 hour recordmg at 726-3769. All inspectIOn requested before 7.00 a m. WIll be made the same workmg day, inspectIons requested after 7:00 a m will be made the followmg work day. I ReClllirerl Insnections I II \ " Electnc ServIce Approval reqUired pnor to utlhty company energIZIng servIce Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete By sIgnature, 1 state and agree, that I have carefully examlDed the completed apphcatlon and do hereby certify that all mformatlOn hereon IS true and correct, and 1 further certIfy thdt any and all work performed shall be done m dllOrdance WIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permISSIon of the Commumty ServIces DIVISIon, BUlldmg Safety 1 further certify that only contractors and employees who are ID comphance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure that all requIred IDspectlOns are requested at the proper t.me, that each address IS readdble from tbe street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remalD on the SIte at all tImes durmg construction Owner or Contractors SIgnature Ddte Paee 2 of2