HomeMy WebLinkAboutPermit Electrical 2008-1-15
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225 FIFIH STREET, . SPRINGFIELD, OR 97477 ~ PJ.i:(541)726-3753'.. ,FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION' : .,' .,.i ....-
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LEGAL DESCRIPTION: . ,,', ' A. ,~~~~'!41B~~!~~nJJJ!J~c!~J..~g!~kQrlM",~lth~~J~!JY;lp.~.r;L(t~:vSII!!!g'i!t~!~~I,~
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Servic~ I~c1uded
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$117.00 . /17, a 17
JOB DESCRIPTION:
~t'"(.,vl (l$'
1+U'^-~ .t:
.- .,' ,
1000 sq. fj:. or less'.'
Each additioual 500 sq.. ft. or
portion thereof
$ 21.00
Permits are non-transferable and expire if work is "
not started withiu 180 days ofissuauce or if work is. .:
., .
Suspended for 180 days.. .' "
Each Manufact'd Home or
. " Modular Dwelling Service or
. Feeder . .. ,
$55.00
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ElectricalContractor . !ford;flc t/ccJfiG.JflC-,
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City .K~CJ7t-
Phone5'1/'GJr -500y
200 Amps~r less
201 ;UUps to 400 Amps
401 Amps to 600 Amps
60 I Amps ~o, 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70.00
$ 83,00
$138.00
$180.00
$413.00
$ 55.00
1.D ,1J()x
Address
Supervisor License Number . _< o'i? /.' S' c.
Expiration Date / () / ':20 /0
Constr. Contr. Nwnber /32 b 29' '
;;(-/-10
ATTENjjJQTllIJill'JlQMtlfllt~IlfP.R~
.I. .. ~~~i~i~a~~~~~~?i1N~~~~~I~:~~~~e~:~~h $ 55.00 .
, .' iJ19A~~M>\'J~1clqA_ OAR952-fln1-' $ 76.00
,.,,' ;'0090; Y~Im\1J1J1:ll:llafie~ ofthe rules bv $110.00
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.' :New' Alteratio~ or Extension Per Panel
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"Each 'Additional Circuit or_with
,1" SerVicc"or Fee4e~ fermit -, .-. .
$ 48.00
Expiration Date
Signature of Supervising Electrician
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Owners Name wirY"'t- ftz-ev,T' " (
Address 2 ')( 0' "lSA,I<=-: \\-.7 ( (2Q
City {-fA. (-(::4&- Phone S. 7'i 0)
$4.00
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. E. nfi\f~:rrl~~Xr~~k~1fti:cWl3~q~Eirhirnt~1r~~
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Owners Signature:
Pump or irrigation $ 55.00
SigniO';'tline Lighting $ 55.00
OWNER INSTALLATION Limited'Energy/Residential $ 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. M' . EI t' P . I . F $5000
NOTICE. . IUlmum ec rlc ermlt nspectlOu ee is . + Surcharges
THIS PERMIT'S'~~l:!:w~~ . /17, {) 0
AlJJHORlzEDi~iWISuPdhlfiWT IS Il.{v'f
COMMENCED ORIW~OOIi{HQR II 70
ANY 180 DAY PER~~~chnology Fee '5' 8)-
J Lf 8 s~
TOTAL
Iuspection Request: 726-3769
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Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07,doc
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CITY OF SPRINLTl'lJ:<.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01700
ISSUED: 1l/19/2007
APPLIED: 11/19/2007
EXPIRES: 07/17/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 639 19TH ST
ASSESSOR'S PARCEL NO,: 1703361212600
Springfield TYPE O'F WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECTDESCRIPTlON: Replurnb kitchen, bath and laundry
Owner: WAYNE PREVITI
Address: 2510 BAILEY HILL RD
EUGENE OR 97405
Phone Number: 541-686-6069
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor License
HARDING ELECTRIC INC 132089
SUMMIT PLUMBINGfDBA MICKEY CONST 169922
BUILDING INFORM A T10N ,
Expiration Date
02101/2008
04/2812008
Phone
541-688-5006
54 I -968-5270
# of Units:
Primary Occupancy Group:
Secondary Occupancy GJ'Oup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: '
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
R-3
nla
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
:.7':":,r:;~:~~: ~~::;:- I:,"'" .....,..:........ :'...." +^
'follow rules adopteql DfWrwl!lmIlNll11U\WORMA T10N I
Notification Center. TI,v,~ ,t,,,,, '"'' J.d. ,( 11\,
In OAR 952-001-0010 through OAR 952:001-
0090. You may obtain cOPie,o.Jfttf!~lTi9.lM:b~
calling the center. (Note:t~~t6l'@I:i";./j~ qd:
number for the Oregon Utili!'Y'~ill~rn~qd:
Center is 1-800-332-'ljaqfjJ<ot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 3
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01700
ISSUED: 11/19/2007
APPLIED: 11119/2007
EXPIRES: 0711712008
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ PerSq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
+ 10% Administrath'e Fee
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Amount Paid Date Paid Receipt Number
$8,00 11119/07 3200700000000000762
$4,00 1lI19/07 3200700000000000762
$6.40 11/19/07 3200700000000000762
$80.00 1lI19/07 3200700000000000762
$11. 70 1/17/08 2200800000000000061'
$14.04 1/17/08 2200800000000000061
$5.85 1/17/08 2200800000000000061
$117.00 1/17/08 2200800000000000061
Total Amount Paid
$246,99
, Plan Reviews ,
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 b'e made the following
work day.
I Rpollirprl 'n~npl'tion", I
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.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01700
ISSUED: 11/19/2007
APPLIED: 11/19/2007
EXPIRES: 07/17/2008
VALUE:
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformatiou hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Bnilding 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 readahle 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
Pa2e 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01700
COM2007-01700
COM2007-01700
COM2007-01700
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Residence Wiring 1000 Sq Ft
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES HARDTNG
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000061
Date: 01117/2008
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
DJB
05581 C In Person
Payment Total:
Page 1 of 1
9:58:30AM
Amount Due
117.00
5,85
14.Q4
11.70
$148.59
Amount Paid
$148,59
$148.59
1117/2008