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Home My WebLink AboutPermit Electrical 2008-1-18 SPRINGFIELD ~*' ZON INITIALS DATE SOURCE -' . ' . 'h'. " -..p. 1" :-..' \'1' t '"'. . ~ . j ,I 11', - ..'fJ~"'-1'" . .\. qJ~ Q,~,\$jWgRl;I?~;g~gR}3~2~:~y::~~~~~ 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECI'RICAL PERMIT APPLICATION City Job Number C. Ov<---\ c..O a g-- - CO D 77 3 r atO\\'~~~imJPi~~;$*j~(J1;~~W':Wl'k%,'-Ff1$l'~ftl'*~J% ~';H&Al~~ <JB~dit:t5t!0'ij Supervisor License Number () I 7 0 ~J~-:~ ~,~;[~"'I!!l!:3!]i',ser,yices"or4Ee~l!e~;,J!&~i.~lli!Jiij{0'-';;'11~-V-3~'fII":ZJ:~1l Expiration Da.te I/')- / - C) g ^ \'1>-~ ~e O~"'- <t>e cj.J?; e~allation, Alteration or Relocation , ,",v' ~~ '>>'c ~<(-. ~~ - ~" 0'0 fi>0~ ~O "S'0 l('l ~psorless $55.00 Constr. Contr. Number / / /Cl~ r,11' ,\'I'':.(o~~..'b 0'" \e\0~~ Amps to 400 Amps $ 76.00 ?~\e~e~'-~r::,\<J.~ co't'e-.~~ ~~,.401 Amps to 600 Amps $110.00 Expiration Date /r~,# ('SJ;,<;y" "r::,V ~'O\'Il- \~o \:)\~~ r{.:T" " " -. ,,,: '<'G;T~<j~ ~ - e" 0" _",'j: Over 600 Amps or 1000 Volts see B above. :o..,,~C!j ~'{): ~~ e~~"" Signature ofSupervisin~'Ele<"~ l!r~G\ s:J D. 'l7 \~ f?Jr::, <,~~ o(~ ~\~ . ~\~ 0( " (/0' Owners Name W If aA--ij y Address. I6~Z 5;vto TdJ1fUl City E U ~f- IVe- Phone-' I.E6GAijii6Ni;oEiiNST~ON}.;l,'t,~ ..""~'"C""'j".""W"""l.';;'G~'0';;'A"'0""'..:_.~.,,'.,,~'_,,.."",._-m'''j'''~'''',,"'~'''':"'"'Ji%1:r:n-11\&!filwlh l,!y II :J 5; spf-- J , LEGAL DESCRIPTION: 17033/--;z,( JOB DESCRIPTION: ! //fc,!-C?/ / /J-e LJ b/?2n d; C' frnu 1-- 03200 Permits are non-transferable and expire if work is not started within ISO days of issuance or if work is Suspended foiIso days. hlcoNT.MeroR;INsTXf.!'M"RoNONLwl B. 2. ~0%f0"0h"!iiWli+fHhi>;!'<;0~!M:m"'li7i'%0"~*lfq;'iW3_1arufil'~'clm~~~ Electrical Contractor "77~RJJ73;-J EZce. Address j7(!) '56>)<.. 5D'/</ City Ft{ //C> Phone 95-3 ~;)-7 Date /-/8-og 3. m;mE~i&:hi1P.XJT'l;t'i1n'l.. ::;;T.B;i'r~'1i;:::::--R0t'_~E"!lIFW""~'j:Yf1'''''''<~312\iK0~':0%'i~'r4'",__1Bj:l'i~~"t"",;,-~",,,,%;;')~"Wt!i~. ~ A. ,;New.Residentiiil:lili:Sili 'le:orjMiitti2Fillliil"Wer'dwellin,i'--iiit0~.. Hh,,--., __._.,__1_0;_____~_~"""'_-~-";~""__"__{J't"""""'''''g~__,,,,,,,,,0,,,'_'~f;D;~'n""~'Y' ~.__'''~.;4iWh___r .wg)"'''''''''....,;Kdb r' Service Iocluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $21.00 $55.00 200 Amps or less 201 Amps to 400 Amps 40 I Amps 10 600 Amps 601 Amps 101000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 New Alteration or Extensioo Per Panel .,)' One Circuit . / Each Additional Circuit or ~ h Service or Feeder perm&:. ~<S r::,'\ f ~ .~. . . E. IM~~itf~~W-t#:">>rsiffF ~;f!~~Wilawara~El~~Im~ll~'lurdW. _'F 'v~,"'W;"'" "'__,.. - ,...,,,,-JJ'""""'.:""0"""'''''4f-'~~ '=''''i-''M~<<23'V~~""---'-'.''-i'',:--",--"",:,, $ 48,00 ijJ-~ .;L1! $ 4.00 . ~~~ f\F:J~~ $ 55.00 (\\~~~~~~ ~ing $ 55.00 OWNER INSTALLATION ~f;:j fo 'V.~ ~~~eSidential $ 28.00 :.:::::~=~OO:",'O~W'k~~~a~:.."" 7b 12% State Surcharge ,/1 Z. ' 10% Administrative Fee 7b~ 5% Technology Fee' :3 BO ?t~ Inspection Request: 726-3769 TOTAL Shared Drive(f:)fBuilding FonnsIElectrical Pennit Application I-08.doc -~.'.!li.I'I'..!'.N..@!l.,-'iii.. --'.~. '. :i : N ~1~6'n ; ~...'.." I ~ ' ii, . i . . ~ . ~.' "._. .dd 'Uh" .......-.".. ...J . ""C..., Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00077 ISSUED: 01118/2008 APPLIED: 01/18/2008 EXPIRES: 07118/2008 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. SITE ADDRESS: 1611 J ST ASSESSOR'S PARCEL NO.: 1703362103200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 8 circuits Owner: REX BRADY Address: 1622 SAND TRAP LN EUGENE OR 97408 Contractor Type Electrical I CONTRACTOR INFORMA TlON , . . .. , c'v liON' 0 . Contractor JO~/~w rUles ~dor~gon lawbjljt~ Expiration Date THORNTON ELE'rr~~C;;\~ Cente': er~?~ tf{ol63~o:7,~}? 08/21/2008 O~'l>Um:BIIiit.'tN'F<'1RM'~jf,~,&:re set fO;{h . ...Jlff~g ihe ' - !l.1I L'oples of thR 952-001_ nUmbllfrdflfi~i1r. (Note: the iel: rUles bYLot Size: . ~,ofsSr~'fIiHJtility NotiCchone Sq Ft 1st Floor: Type of Heat. 00-332-2344). at/on Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path:. " Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-686-4151 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedronms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay' Dist: Total: # Street Trees Rqd: Handicapped: f{njte~:v~;::e: Compact: THIS PERMIT S~ALL EXPIRE IF THE WORK . ^lIrUMI~:~ ~m~r: Tltf.: rr;x.y.-:-IE: fdJ':" IPUB~Q~~BANDONEDFOR ANY 180 DAY PERIOD. Side;valk Type: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I, Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add,-~ller, Extend Circ Ea Add Amount Paid $7.60 $9.12 $3.80 $48.00 $28.00 Total Amount Paid $96.52 ) Total Value of Project Fm Pair! I I Plan Reviews I Date Paid 1/18108 1/18108 1/18108 1/18108 1/18108 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00077 ISSUED: 01/18/2008 APPLIED: 01118/2008 EXPIRES: 07/18/2008 VALUE: Receipt Number 1200800000000000056 1200800000000000056 1200800000000000056 1200800000000000056 1200800000000000056 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 Reouirer!lnsnections 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 nf 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 tilue, that each address is readable from the street, that the permit card is located at the front of tlie property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature . Paee 2 on Date 225 Fifth Street Springfielll, Oregon 97477 541-726-3759 Phone Job/Journal. Number COM2008-00077 COM2008-00077 COM2008-00077 COM2008-00077 COM2008'00077 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge .+ 10% Administrative Fee Paid By THORNTON ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000056 Date: 01/18/2008 1:19:59PM Item Total; Check Number Authorization Received By Batch Number Number How Received djb 518191 In Person Payment Total: Amount Due 48.00 28.00 3.80 9.12 7.60 $96.52 Amount Paid $96.52 $96.52 Page 1 of 1 111812008