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HomeMy WebLinkAboutPermit Electrical 2006-9-12 ('f)(:L(' 9-/'3-()0 , N~ . I" S'j:GF:yvr~e~ ~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ _ ELECI'RICAL PERMIT APPLICATION " /~ City Job Number ...(DVVI "ZOo 6 ~ 0 1171.( Date fh.y0b I. i WCATION OF INSTALLATION 1 3. I COMPLETE FEE SCHEDULE BEWW '-1'7 q<;" W()./I)j(Jl'f\ -r#-j 1 2, I CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders -Installation, Alterations or Relocation: Electrical Contractor ,tJ-oc:; tilt! ~-h-, 'v'I:bc. 200 Amps or less1es '10\.\ \0 $ 63.00 . 201 AmPsltCf400'Al!\PSU\I\I\'1 $ 75 00 .f) 0 I.? ) 1/] -:00 0 n,,(jl' ' ( \1<;,,- \ \0\1\1 . ;, ,0 (J)( &>"-~ .--\Ol't '4q!.A'!lI1s:fuo600sAJNlS,e ()()\_ $125.00 "'1'", tJ'to I AC"'\.vu f:\ P 1\B f"\~:/)# . f1y'1-1 p..", 'oS au 601 Amps to 1000.Amps" '0'1 $163.00 City ,-j f f-fj ,IJR Phone 1 W le.y'fZ~ cef\qr~~ooor"';~.\Y.Olts') l\.\\e~a $375.00 , t-\0\I\lV~'S5'2--()()\Reg~1!1lect;oIlIY~\,e le\e?\'\O liol\ $ 50.00 Il\ 0"'''' IDa'l o. INO\e. .. ...\()III\IJ"l: Supervisor License Number L/.~ L, SI S ()()90:.""Og\.\ \\1 C"~(T~WP~oiit;$'~,4i~""ll1r Feeders co"ll\ 101 \\ ,,, - o()().",,~' 'Oel '0"\.0 (\\.IID celliistaUatIon, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Ainps or 1000 Volts see "B" above. D. I Branch Circuits LEGAL DESCRIPTION , g-030ZZ0 OZ-'7DO JOB DESCRIPTION ~p 0 II)'" <l.- 5e.IrO i CL-- Permits are non-transferable and expire If work is not started within 180 days of issuance or If work Is Suspended for 180 days. Address Expimtion Date ddress leCtriCian~, ,., , ------ C~ w+-- A ;iJPj:~ij,,-I!YlJJ},<~ ~"7 '} S- H44.., \,c.-(.::- ~ f:! Phone -2!!.~ -10 0/ tj ity OWNER INST ALLA TlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~speeC:t&es:~ 7iis6j I j 0tf ~ DlllAl l>> 1 A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 ~o ( $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 3.00 . 'f\II?-'lo- ". E. I Misccllaneous (Service/feeder not incl~~;)dj'-~ach:lnstallation I . . , , \.. 'c.1--\ ,. 't.'i\\W llI'i\ Pump or,\rri~~tio~', \\\ ",\\,,~ 'i\ ,\\\\'0 I' n'1t5.O:OO SignlOutline:Lighti~." '0'i!\D\ ,1l.i\.1"vv $ 50.00 ~\'\\" -o.'l\:.'-' 0 ,,,. Limited EnergylResiilential'i)D ,," $ 25.00 i\V ,\-H\.i\.-~ "'I:.'i\\\'" Limited Energy!<30mrnerciill' $ 45.00 \.,''-' ., ,\~,J \J ,. Minimum Electrl~~Permlt Inspection Fee Is 545,00 + Surcharges $ 43.00 4.1 SUBTOTAL OF ABOVE S-D I.{ ~ 2S0 8% State Surcharge 10% Administrative Fee '5 % "-att f'~ TOtAL Shared Drivc:(T:)lBuilding F . CITY OF SPRIl'il:d'II'.LD Building/Combination Permit PERMIT NO: COM2006-01174 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/1212007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 17 Eugene ASSESSOR'S PARCEL NO.: 1803022002900 TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Replace service TYPE OF USE: Repair Residential t"~ Sidewalk Type: \-y..~ ~ ~~\ DownspontslD{'I-.\"~~ ~~\'\ \~~ x: S\\\>.\..\.. \~\S ~ r:J~~'i:.J '>: \~~'\\'\; ~~\..I\'i\ -.:::;~'0't.~ ,,'O~~\) ~S ~ 1't.'0 :i'- \S l' \I(\....v.\)~\ ~c\\ \) _~\(\'i), \'-V. ~':.\'~ ~ '(V I Valuation Descriotion II:,(J~ \ 'Oil '0P; \>-~ $ Per Sq Ft Square Footage or mnUiplier or Bid Amount Owner: RIVERSIDE MOBILE HOME COURT LLC Address: 2100 STONE CREST DR EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical License 115113 BUILDING INFORMA:IION I \~es 'lv--.)\\\\\'l # ~~~t~rii!S;p.C\OI' _~\ \O~~ R-3 ,,~eJght;~'Str~c,t~re' ",O':JV . Ole"'T '-;; lif Heat:" ?,<:).. '0'1 ..\o'(li. ~,.yp c,~' - o[>.'?- ',>'" ~\NI '3-009 W~ter Typ'e: \,\\e 10' 1'''> [>.'\'\ ... 10\eSrel'\eIRange~Type:, 0\ "e\e9'\'O "\01' ~\O" I' v c'''~ r.,,'~ , '2-' \0 . ,d..\O ,Oa\' ~IU,!gy'r~~!.h.:0'\e ,\-\Oi)"C ~O\\\ 9-- ?,"'~ '3-'1 'Spri,~k!ed B0'!ldin.g~o.,. n/a ('\~ ._,\\'\\ _",,\e .....(\ _0,) "oa?,a'~'i:I~-DEVELOPMENiI"INFORMATION I C2- ':oe'" \el ,- 1'0~ eel' Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Contractor ARC ELECTRIC # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: Frontyard Setb~ck: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEl\ou"" I '" I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Paee I of2 Expiration Date 07/29/2008 Phone 541-741-0494 Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated -71UN(l1!l~, ~".' Ilk.. - . , --". ''i'' , ... ~ , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01174 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03112/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Manufactured Home Service Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 9/12/06 9/12/06 9/12/06 9/12/06 2200600000000001263 2200600000000001263 2200600000000001263 2200600000000001263 Total Amount Paid $61.50 I Plan Reyiews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. L.Reouired In'ir~ctionsl MH 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 trne 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, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 Pa~e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1174 COM2006-0 1174 COM2006-0 1174 COM2006-0 1174 Payments: Type of Payment Cred itCard cReceinl1 . RECEIPT #: Description Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ARC ELECTRIC ",~,._.,' ~' ~, <& of Springfield Official Receipt _Iopment Services Department Public Works Department 2200600000000001263 Date: 09/12/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 022987 In Person Payment Total: Pa~e I of I 10:18:16AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/12/2006