HomeMy WebLinkAboutPermit Electrical 2008-3-27
L.. or t,
~\u<(
SP~~~~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~
ELECTRICAL PERMIT APPLICATION I ~7 h- OO!'
CIty Job Number CCtlV\ 'Z..o ~ ~- b 0 41 Lf W ~ f' Dat~ 3:, ~ /" c: f
1. LOCA110NO.FINS1'ALLATION 3. ,COMPLETEI<'EESCHEDULEBbLOW
7L/Ob A1/l-IN '5 'I ~J ~p ~, "W'd '
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
, , > J :" OCicn law requires you to
Supervisor LIcense Number ~ ':,.J/i.f,\rytJ):J ~ t.J,ed by the ~?Q~J~P.>>f'r';, S~rvices o;'~F~eders
;~H~lcl :rI'..J"e rules aresetforth~'"~ " " ~ "
IOf In!-~~fj-LJ~:-OO.~O t~rough ON3s~~HQj-Alteration or Relocation
~~ 7.1e.}~~_m ooples oftWe ru'JeSDY
~~I~Ei center. (Note: the te~ft9or less
Constr. Contr Number \ ~~r In. the Oregon UtIlity f\AAlf.c~iIP 400 Amps
~ Center is 1-800-332-2344!l)1 Amps to 600 Amps
ExpIratIOn Date /()Cf
I Over 60,0 Amps ()r 1000 Volts ,see "B': above
Signature of Supervlsmg Electnclan D. Branch Circuits ,/,
~~/d?17T
I
J fA. 1> .f-, ---.
.3IfD tAl
CIty E:::'t-L'-6Ve-
'b;-rfo/'t
17+~ ~ E. MiS~ell~?eOUS (Service/feeder not incI~'ded) -Ea~h Installation
~~S DE~M1T SH~Pllfuia\forlHE WORK $ 50 00
A'UTH'ORIZED UNOOJallOdtS1PEijM\rg IS NOT $ 50 00
OWNER INSTALLATION COMMENCED oR~~~15~~al $ 25 00
The mstallatlOn IS bemg made on property rANi(vtI6~DAY PERJ~d Energy/CommercIal $ 45 00
IS not mtended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
LEGAL DESCRIPTION tf Z.
170Z.3S- 00200
JOB DESC~TION
AJ [1t\-lr~1L 3 c..;rCM..: J "
!
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. ,f?ofviRAqOR INSTALLATION O~LY
Eledn"l Contrado' (4d'J (kcMi {
Address \7t-\~ ,~~ ~5 {J - t ,)\\.iY:ii0Jl A\J(l..u
Phone _GO'l-(QqoY
CIty ~{5~L
ExpIratIOn Date
Owners Name
Address
Phone
Owners SIgnature
Inspection Request: 726-3769
~ >Y.Ik _ r '" ,-- ~ ' ~ ..
A. ' New ResidCn~tial:: Single ot Multi-Family p'er dwelling unit.
~ ci, <-"'-"" '~-J> "" ^,".,s, < ""-- ~ ;- v '" j ~ '" ~-" ~
Service Included
1000 sq ft or less
Each addItIOnal 500 sq ft. or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$106 00
$ 19 00
$50 00
1 x ~"" f,;=v;~~~'" >" 3'~ ;, ~ ~ ,'" v rr~ ^'- '"
B. Services 'or' Feeders ~ Installation, Alterations or' Relocation:
W~~C~:; ~;-c-'V-t:%t ~ ~< /
$ 63 00
$ 75 00
$125 00
$16300
$37500
$ 50 00
$ 50 00
$ 69 00
$100 00
New Alteration or Extension Per Panel /
One CIrCUIt $;B1JO
Each AddItIOnal ClrcUlt or wlth
ServIce or Feeder PermIt
Lf~
g
7_ $dtlO
4. 'SUBTOTAL~ OF ABOVE
~b
b7Z
$bO ~ 80
7/ '3:
~~~~:;;.d
, 1% State Surcharge
10% AdmInIstratIve Fee
S-~
TOttL
Shared Dnve(T )/BUlldmg Fonns/Electncal Pennlt Application 1-03 doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00414
ISSUED: 03/27/2008
APPLIED: 03/27/2008
EXPIRES: 09/27/2008
VALUE:
SITE ADDRESS: 7406 MAIN ST
ASSESSOR'S PARCEL NO.: 1702354200200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add alter 3 circuits
Owner: DILLON JUSTIN
Address: 340 W 17TH AVE
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMATION.
Contractor
EVERYDA Y ELECTRICAL SERVICE
Phone
541-607-6908
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
License
136371
Expiration Date
08/12/2008
I BUILDING INFORMATION I
# f St '. . 5 \IOU to
o ones(equtre 1 '\'\'1
R-3 1" N' 0\ij9gfit'~Y/~teU;9iJ!~n \J\~~tth
J\ lIEN., ,0 ~dCJ?\P@di#efb,es ate set 00'\-
toV,IBN n,\\eS cenW\llt1'f\~'~gn OP-.R 952;es b'l
NotIMatl~~_oo~~~tl' ffi$=as ot tne {~one
In OJ\R ~ou ma'1~:Ff!~t' M~~ t~e ~'~~\ca\\on
0090. tne c~\tifrkte ~~o n/a
"'Q\\i~<;t '\.'1 t\"" ()re~O".~E.'J t)~A4\.
nu\\,ti)~Mt\\bO'M:E~h INFORMATION.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
rm, ~"'!. ~ltjkT.MtWORK
THIS PERM\T SH~Ll t PERM.\t~S NOT
AUTHORIZED UNDER Tij}~lD~~ttls~ins:
COMMENCED OR \5 ABAN
ANY 180 DAY PER\OD.
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00414
ISSUED: 03127iz'008
APPLIED: 03/27/2008
EXPIRES: 09127/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$5.60
$6.72
$2.80
$48.00
$8.00
3/27/08
3/27/08
3/27/08
3/27/08
3/27/08
Receipt Number
2200800000000000362
2200800000000000362
2200800000000000362
2200800000000000362
2200800000000000362
Total Amount Paid
$71.12
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.
Reouired Insoections 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 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00414
COM2008-00414
COM2008-00414
COM2008-00414
COM2008-00414
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000362
Date: 03/27/2008
DescriptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Ctrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
EVERYDAY ELECTRIC
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 020405 In Person
Payment Total:
Page I of I
10:25:46AM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
3/27/2008