HomeMy WebLinkAboutPermit Electrical 2008-2-21
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ELEu.:,AlCAL PERMIT APPUCtlnON
Clry Job N'umbor Co 1M Zt:>O go - 00 Z ~~
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JOB DESCPJPT!ON
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'ermitll are lU,lB.tnlls{~rab1e ed upt" U v 'ol'f4 II
Dot.tarted alaiu 1" dIIys of .....e.: or if' work ill
SlIspmded 10' i lIP days,
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Electncal ConnlltOr
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COfl$t\'_ Cocur. Nwnbcr -10 t. '3 &.____
Expiration Date 10 I' '/ III
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C1~() Phont:~_r7LiI1
OV.'N"lJ4 Q':Jf~~TION
Tbe hlstalladouls bl:lD8 u:ladc on property I )W'II \o\hicb
III OQt mtended for alt:. lca~c or rent.
OwAUS SIgn&tw'I,
lus~tion Request: 7;26-.3769
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Service x.eJillded
1000 sq_ ft or less
Efl(;h 8d4iticDal '00 sq. 1\ or
porUQl\ thereof
Each Mauu6lct'd Home 01
Modular Owclling Sl.'JVi<< 01'
ji'.,~er
$117.00
$ 21 00
$55.00
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200 AmDI or leu ( S 70.00 70
201 AJnp& to 400 Amps S 8'-00 _-.--
401 Am&$ to 600 AmPJ $13100
601 Am.. to 1000 Amps S18000
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~~y wle~ aoor.' E;ci t'y t~O 0~S:S~oo UUlIly
I . I1I":AtIOr. ~enter. \ rldse rufes are set I o III I
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wlltaUad0e8~t.lrJ"'MJ1C!mrftQ~~te: the tel~phone
200 Ampfh.li j,tl.A3r for the Oregon Utlhty$ti~tdticatlon
201 Am,s to 400 ~"Ster IS 1.8~U-~~'-'i'W)oo __--
401 Am,s to 600 Amps $11000
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N"'A.....tiolll or ExtellwOD Per Pmme1
c Oc.-chi!:lt OS 48.00
-~~~_~mt~IRE IF THESNib'aK .--
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'flU!Dpi~Q,~J'ERIOD. S 55,00
SignlOuttiAt UghtlJlC $ 55.00
Ll1ni\td Eru:rw;,y'!Usidantlal S 21,00
LUl'lItred Ettcr;yfCommerclal $ 50.00
Mmim.. Electric Permh JMpomOD Ji'ee i. $!OM + Surchargu
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11'. SlIIU SW'CMrgt: ~.,o
10% Adrmnt.tra\iVt fee 7
~% T_hDo!oS)' Fee :sro
gC 90
TOTAL
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Status
Iss u ed
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00254
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1573 6TH ST
ASSESSOR'S PARCEL NO.: 1703264201900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Service change
Owner: MOTOUJI SATOKO
Address: 885 E 36TH AVE
EUGENE OR 97405
Phone Number: 541-343-7417
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
BUILDING INFORMATION I
Expiration Date
10/14/2011
Phone
541- 726-7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
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 Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
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:
~,ht'lIt~ ,joIIol
I PUBLIC IMPROVEMENTS I
Street Improvements: ATTENTI(jw:el5?t~~x~~W requires you to
Storm Sewer Available: follow ruIUfoMapOMsl1)'rltiosE)regon Utility
Speci1iOfrtti.Pn: Notification Center. Those rules are set forth
. l EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
Notes:THIS PERMIT SHAl NOT 0090. You may obtain copies of the rules by
AIITHORIZED UNDER THIS PERMIT IS calling the center. (Note: the telephone
COMMc.I\lGtU UK Iv MbAIJ~or![D flJH IIU "Lv' iv. ~I,v. C. C\::JV, I L,;,;IlY ;~uul'I"CluvlI
:\NY 180 DAY PERIOD. I Valuation Description ~ Center IS 1-800-332-2344).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00254
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid..
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServIFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
2/21/08
2/21/08
2/21/08
2/21/08
2200800000000000231
2200800000000000231
2200800000000000231
2200800000000000231
Total Amount Paid
$88.90
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 Reauired Insoections ,
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 herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, BUlldmg 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 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
Date
Pal!e 2 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00254
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1573 6TH ST
ASSESSOR'S PARCEL NO.: 1703264201900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Service change
Owner: MOTOUJI SA TOKO
Address: 885 E 36TH AVE
EUGENE OR 97405
Phone Number: 541-343-7417
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
BUILDING INFORMATION I
Expiration Date
10/14/2011
Phone
541-726-7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00254
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
2/21/08
2/21/08
2/21/08
2/21/08
2200800000000000231
2200800000000000231
2200800000000000231
2200800000000000231
Total Amount Paid
$88.90
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 ReQuired 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 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 time, that each address is readable 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
Date
Page 2 of 2
225 Fifth Street
Springr~eld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00254
COM2008-00254
COM2008-00254
COM2008-00254
Payments:
Type of Payment
CredltCard
cRecelOI I
RECEIPT #:
2200800000000000231
Date: 02/21/2008
DeScriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
KYNN MOORE
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
nJm 601676 Phone
Payment Total:
Page 1 of 1
10:59:13AM
Amount Due
7000
350
840
700
$88.90
Amount PaId
$88 90
$88.90
2/21/2008