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HomeMy WebLinkAboutPermit Electrical 2008-1-30 ZON \~ -(?...) INITIALS ~ ~ DATE \_ ~ \ -n'f:: SOURCE"i',-'--",? ~Q rV 225 FIFTH STREET _ SPRINGFIELD, OR 97477 - PH:(541)726-3753 - FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Nnmber ~ Wl 2. 60 ~ - C')O 13 '-7 I. ~2~ft!i,yhQ!t:!!Y~[:{(tillEi'RQ~fff,~lil\l~~~ 3. 2. 5 9 'Z-. ~) \11b...-. LEGAL DESCRIPTION: 17 6~ 21ft. :r) 0 ~ 1t!JlY'., ~f #.~ ( ~ ~ '" e...,~ Es/....-/.-..s Service Included JOB DESCRIPTION: 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof /~/, c-/"::C: Permits are non-transferable and expire if work is not started within 1 80 days of issuance or if work is Suspended for 180 days. 2. ~'--- - / Electrical Contractor ~ \ :.~ ~-c;...e- ~ ------ Address ft' ~4 r ~ i~l ~ ~ City / Expiration Date 'Sign ure of Supervising Electrician Owners Name rlM-Sc........-\.... H.,\AAL-S &:, """S 4.",,=- ~ Phone ' 9 S-'!,~.L.3-7 2. Address ?'2.../n City ..- ~...~ ..... OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease 0 Owners Signature: ~ y , Inspection Reqnest: 726-3769 Date /-30-?, , $117,00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55,00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70,00 $ 83,00 $138,00 $180,00 $413,00 $ 55,00 ou c. ~.lT~ .,.,._~ Notification Center. In Instaill1Uo'lP,- ~lt;;hit\biPQt 'RtWi~J.'6CnOAR 952-001. flOl)O IOU may obtain copies of the rules bV 200 AlilIi~I~lil5't'he center. (Notp. thdtPI'lp$t~M)(} 201 A'l'RMIbgpqcJf.m OregonUtilit\[ Notifiil~ 401 Ampst06~sis 1-800-332-2344). $110,00 SS- Over 600 Amps or 1000 Volts see "B" above, D. New AIteratiolllltl:"IlM'>liIsion Per Panel TIV f'"ilji:'. One Circuit J~IS PERMIT SHAll EXPII$EI$fOQ'HF WnR~ ~:~~d:;~~~:fetifj,1tJ.~mi8'uNDER THIS$P~\l~AiT ~S_N9i' COMM~NCED OK I;:' flDf\NDONED f'~" ~'Jl!~1t<<~~~- . 'l'\~ml::l:l:l' ,... ,-,~.,.,..."..".. ". E. ~iJIiWt~~~j~~if~~r:/:i!r,t\IR~i~~d;[j~~~i'h~[I~~~il~t'i~,~'1 :\"",.. ..;1.\ \ Pump or irrigation ., $ 55,00 Sign/Outline Lighting' $ 55,00 Limited Energy/Residential $ 28,00 Limited Energy/Commercial $ 50,00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. <s frO 12% State Surcharge -- /.-? ",0 10% Administrative Fee S-, ro 5% Technology Fee 2...7 r TOTAL ~ /..,/, 2;S Shared Drive(T:)/Building ForrnslElectrical Permit Application ].08.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00 134 COM2008-00 134 COM2008-00 134 COM2008-00 134 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Temp Power 200 amps or less + 12% State Surcharge + 10% Administrative Fee + 5% Technology Fee Paid By MARC W GRAS SAUER City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000086 Date: 01/30/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received dim 00574C In Person Payment Total: Page 1 of 1 12:08:34PM Amount Due 55,00 6,60 5,50 , 2,75 $69.85 Amount Paid $69,85 $69,85 1/3012008 -~;:4iiI WIr Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2592 17TH ST ASSESSOR'S PARCEL NO.: 1703243103100 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00134 ISSUED: APPLIED: EXPIRES: VALUE: 01/30/2008 07/30/2008 $ 283,878.00 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: SFR Residence Legacy Estates Lot 6 Owner: Address: CRESCENT HOMES 2210 COMSTOCK AVENUE EUGENE OR 97408 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Iustructiou: Notes: Description Type of Construction R-3 U VB TYPE OF USE: New Resideutial Phone Number: 541-344-2010 I CONTRACTOR INFORMATION I Overlay Dist: # Street Trees Rqd:. Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I I , Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or,Bid Amount BUILDING INFORMATION' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: License Expiration Date Phone uta Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' I~.OO 5.00 9.00 33.00, 9.00 Page I of2 2 No 31.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 54]-726-3753 Pbone 54]-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-00134 I ISSUED: APPLIED: EXPIRES: VALUE: 01130/2008 07/30/2008 $ 283,878.00 A,C. - Residen Dwellin2S Garage AC - Residential V Wood Frame Garage $5.00 $105.00 $28.00 2,401.00 2,401.00 706.00 $12,005.00 $252, I 05.00 $19,768.00 $283,878.00 01/30/2008 01130/2008 01130/2008 Total Valne of Project Fees Paid I Fee Description + ]0% Administrative Fee + 12% State Surcharge + 5% Technology Fee Plan Review Residential Temp Power 200 amps or less Amonnt Paid Date Paid Receipt Number $5.50 $6.60 $2.75 $833.0] $55.00 1130/08 1130/08 1/30/08 1/30/08 1130/08 1200800000000000086 1200800000000000086 1200800000000000086 2200800000000000125 ]200800000000000086 Total Amount Paid $902.86 I Plan Reviews I Plannine: Review 01130/2008 01/30/2008 APP EMM 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 Insoectioos I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 tbe 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 structure witbout permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure tllat all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located- the front of the property, and the approved set of plans will remain on the site at all times during construction. / / I // 1-3o~e '-" . Owner or Contractors Si Date Page 2 of2