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Home My WebLink AboutPermit Building 2003-7-1 Status Issued . . CITY OF ~rKll~uN1!,LU Building/Combination Permit PERMIT NO: COM2003-00570 ISSUED: 07/01/2003 APPLIED: 07/01/2003 EXPIRES: 01/01/2004 VALUE: $ 1,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * SITE ADDRESS: 733 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703352212300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Electrical and interior repair Owner: KRUSE LOYD H & RITA R Address: 3820 SPRING BLVD EUGENE OR 97405 Contractor Type General Electrical Owner I. CONTRACTOR INFORMATION I Contractor THOMAS C FOSTER MY ELECTRICIAN INC. KRUSE LOYD H & RITA R License 78971 87506 Expiration Date 02120/2004 11/20/2003 Phone 541-741-0658 5417291454 I BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ; Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: '\,0 O:-} ."\ _,\ .h'~\'\." .,' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN I DEVELOPMENHNFORMATlON I , ~' 0'- 7>''41 ..':~!" ~"'- :\ ,Ii- ~,0, -:--:, C\.J ,>>e 0 ,,"v' ~,\ \I OverlaY'Dist: \ o~ ^ v':)o,.n""".",,~ "':\' ~ 'O'~ ..J' ,,0 .{\,c:J#,,~tre~tc:r~eJ'~'~.'I~:}:' ,.)' .\o'V ,'.' ,,,Paved'Drive"Rqd: \ '.":-/' -.. '" ~ (",. "0:\'-' ~,... :-\ ("''".)'' ",,,:-- ~~- r..,j~ .....~.'\; ..~~".,,\. ,.' .Jj.~ 0- ,>:i .;,~%.of"Lot~Coverage: ~, ,\... ~\ 1,'\ ~' \S~ \ ,... ~ii'" . 'v' ,v .\l 0 ~. ,,<co ",1, " r.c~ -.>'" .;.J. .,.....'-~ ^\.(i ...(\J.... ~i:1 ~t"\0\!' ~\)'~\:<'~;v ~~liiJBLie IMPROVEMENTS I \y \~~ ~S\~~\ ",,,, U' ~v \l).~ \ .1,\\ \ '.\)\)Y .~, ~\\t'~~,r:\ SidewaJl(lJ)p'C~\~'" <.~~ \:, . :0-' 0" !>.\.\. v ~':> '\ ~v ' ~v<!" r.,"\\tfc;. ~\\ CO~\)t.'!~~WW*l~:. \\\1 '?~~ ~~ ~ 'CO ~ . \>(.,"0 ~()",'V x.~ ()~ ~~~. \>-'0"1.,~~~~\~ '?~ "~~" \ CO<::J REQUIRED PARKING Total: Handicapped: Compact: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm ServlFdr 200 amps or less Total Amount Paid . . CITY OF ~rKlr\jl.1<lJ!,LD Building/Combination Permit PERMIT NO: COM2003-00570 ISSUED: 07/0112003 APPLIED: 07/0112003 EXPIRES: 0110112004 VALUE: $ 1,500.00 I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp. P'\iIiLI Amount Paid Date Paid Receipt Number $24.60 $17.22 $12.00 $45.00 $189.00 7/1/03 7/1/03 7/1/03 7/1/03 7/1/03 1200200000000001681 1200200000000001681 1200200000000001681 1200200000000001681 1200200000000001681 $287.82 I Plan Reviews 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. I Rp'\IIiI;rrl In.nprti,n,n.. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Rough Electric: Prior to Cover 4 Electric Service: Approval required prior to utility company energizing service. 5 Final Electric: When all electrical work is complete. Paee 2 of3 . . \..11 f OF SPRIr~ul'lJ!,L1J Status Issued Building/Combination Permit PERMIT NO: COM2003-00570 ISSUED: 07/0112003 APPLIED: 07/0112003 EXPIRES: 0110112004 VALUE: $ 1,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I further certify thai any and all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wilhout 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 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. ~~ c ~ /- (- oJ Owner or Contractors Signature Date Paee 3 of3 \ , :' :.,., ,~. I , CEty OF. Sf lINGFIEr:D OREG'ON" ", 0 1 . "~ ," ~ . _ _ A."~'''Y7' HAl1'?r. t as submitted has the following 're specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA)to~t\llU)VRl!l1\l8<fot reqUl ELECTRICAL PERMIT APPLICATION approval. t...\:i2.-- ZOning. 2..j City Job Number CDIA/12DOS--<x>S70 Date 0701 Q<:., rh9,~O.1 _ Uole ~ I. LOCATION OF INSTALLATION 3. COMPLETEFEE,jll@HI!.~'tJEr::r.Jw . ~ LEGA?~:S~IP~ ~ A. New Residential- Single or Multi-Family per dwellin~ unit. i 70>> 52 z.. I 230 c, Service Included JOB DESCRIPTION 1000 sq. ft. or less Ie Each additional 500 sq. ft. or ZoD -4""", Sflvc C:z) /coAw.f ~~~ 'I . portion thereof Permits are non-transferable and expire if work is C,.eo...~ach Manufact'd Home or not started within 180 days of issuance or,ifwork is Modular Dwelling Service or Snspended for 180 days. Feeder .2. : CONTRACTOR INSTALLATION ONLY I Elect~ical Contractor . fA,1 r'\ ~,+~ I ( \ (~\UJC Address '3 2?l1 (~ Q; \ (Jv L{~<(.? I City 7 ;),'1 -( '-15(( Supervisor License Number ~l.J;;(35 Expiration Date In/, / '2001{ ConstL ContL Number X-7 S D b l Expiration Date II /::J D / :;2C;(::;, '3 I . Signature of Supervising lectrician . G0 ~~~~~O{j. "- ~ ..... Owners Name I d v,o f//,/ Sl ~ / . Address :f g- .:! <r:? ~~ &,,c A/f- P' - City f v-tl ~i/~ Phone "/:L - cl t? "/'7' I Ce/ //_ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $106.00 $ 19.00 $50.00 B. Sl'rvices or Fl'eders - Installation, Alterations or RelocMion: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only ';> j?;<J' $ 63.00 $ 75.00 . $125.00 $163.00 $375.00 \ $ 50.00 ". c. , Temporary Services or Feeders ._, . - - '. 'lOU,v - - ,M (<>oUI(es ~ \J\ili\'l Installation, Alteratiowor Relocation '0"; "rU''''''- \\\eu.-J Se\' ,. 2,OQAinp~'or leSS\ed '0'1 ,uleS ale . ~"'_<)'$ 50.00 1'-1 . . ~5 a,OVl" ~",()se' 1\ \"\ VJ- \20 lJAmps to 400.Amps "on 0" . .\<>'$\69.00 \O\\U" _....ce\\\.....- ..""n~ov.... \\n~'~ ," 40~t<mps toQiO.o,;.~mps nieS 0 ...,,(1$100.00 N,O\.\\\ n r"'\t=..2"O \ \-..",,\0 COy .n~ ~A\'='\'I' . {\ .~ \Qver 600 Amps 6r.1000~9Its'see "B:;.~bove1t\0 t.. - 'lo'\ \" ,.. tel ,,---- '\'\:1 '''~... - .- -- ~Q9Br~ncMi1reuii's' - "0\'\ \\tI I ?"'t,A\, ca\I\I'\\;' '..' \\\9 Ote~,,!'\_3~Z- -" . New(AlteratJOn. orlExtenslO11 Per Panel nD 1''''- ,-..~f\tpl . One Circuit. . Each Additional Circuit or with Service or Feeder Permit $ 43.00 / Z. 'f $ 3.00 E. Miscellaneous (Service/feeder not inclnded) -Each Installatiun PlltE~gation . - I: \..;bWl~0 S mt~Wr'$\'lJ\LL EXPIRE If '," IS~tlO LI I ~5~tlW*t1l.11HIS 1'~~~ll1n)l\ 25.00 L~L~M~~lPIbJ~i&iBl\NOVli..J $ 45.00 Minimu~tfole~OO ~~~\9Pction Fee is $45.00 + Surcharges -". ._- 4. ' SUBTOTAL OF ABOVE ,20]' / Lf '07 0 Z,O..'.C>. ; J$Z3S '.2 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc{T:)/Building Fon11S/EIL'Ctrical Pcnnit Application t.03.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00570 COM2003-00570 COM2003-00570 COM2003-00570 COM2003-00570 Payments: Type of Payment CreditCard Wi~~.c...... ("C~ ... '. ..---.........---.., ....-,.;-'- ., Receipt #: 1200200000000001681 Description Building Permit Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By THOMAS FOSTER 000111 794415 City of Springfield Official Receipt Development Services Department' Public Works Department Date: 07/01/2003 8:53:10AM Amount Paid Item Total: 45.00 189.00 12.00 17.22 24.60 $287.82 How Received In Person Payment Total: Amount Paid $287.82 $287.82 . .