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Home My WebLink AboutPermit 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