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Home My WebLink AboutPermit Electrical 2008-4-9 3 ZON ~ INITIALs----lM ~ DATE ~\4....(J~ -.1/ SOURCE ~ ~ ( Oat, ~: ~,f COMPLETE FEE SCHEDULE ;kLOW .~25 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 r , it f , Jnst~'13f1on~,.AlteratIon or Relocation , ., ,- 00 lJl7 la UC~O 'v..7~',2q~~S'15~~ * rEI Cq 'OU (..1J~ f&4 tQ~ -3U1rEls .~;~/]g the~ c;:l (tlu!~ 11!!:! ego//ou 10 er fOr hr7;;04fIf} Co~'P"eire s Uftl1fy Cef/t:~@~Ocf!~i/f9or~&Y;sl' ~}jB" above D. ~~qfifti:.ele~~lJle:Z'. New Altera~~f/J!~llEflIR ~r Panel One CIrCUlt . 011 Each AddItIonal CIrCUlt or wIth Service or Feeder Penmt ELECTRICAL PERMIT APPLICATION COw\ e.oeg-DoL{ / .3 CIty Job Number WCATION OF INSTALLATION: .~lf 5' l<S. 3 %'"'" LEGAL DESCRIPTION I 7 l> l -:> {t{ I 1 03200 JOB DESCRIPTION R~(lt~ ~J- ~\(\{) 1X\ ~h& PermIts are non-transferable and expire If work IS not started wIthm 180 days of Issuance or If work IS Suspended for 180 days 2. CONTRACTOR INSTALLATION ONLY Electncal Contractor m \/ tJ e.d-r-, (' .'0.1-.1 }~C Address .3?- ~ \ h K" \~~/ l &vJ~ Cdy [b~ Phon, 'r;l.q f ~S\j SupervIsor LIcense Number 3 Y 2"3 S ExpIratIon Date /f".. l,t() . - I Constr Contr Number 51 751) b EXpIratIOn Date J ( / ~ I 0 q , I SIgnature of Supervlsmg ElectricIan ~~^--to~ Owners Name r In \\f C) (() \ ') f'.~'e Address 27 /'0 C~~c..(c.A-,^:,-+ ~ +- CIty e~-6(' E~ Phone A New Residentml- Single or Multi-Family per dwelling UUlt. ServIce Included 1000 sq ft orless Each addItIonal 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $ 21 00 $55 00 B ServIces or Feeders - Installation, AlteratIOns or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 . ~ 5 '-N " ~ C ,Temporary Services or Feeders I, $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 E Miscellaneous (ServIce/feeder not included) -Each InstallatIOn Norl Pump or rrngatIOn $ 55 00 rH/S p CE: SIgn/Outlme LIghtmg $ 55 00 OWNER INSTALLATION AUrHO 'fRlVJlr Sf!. Lumted EnergylResIdentIal $ 28 00 The mstallatlOn IS bemg made on prope~~g6D UN. r.4llI/irrpfl1!nergy/commercIal $ 50 00 " not mt""d,d fo' sa1,. 1,.,. n, rent ANy /80 D~~ o;jlJ~~VP9;;pe'toon Fee os 550.00 + Snn:hacg'" Owners SIgnature PfRldD u~n::,l/lflfltYr(t)VE S.)' . 12% State s'uf~ge 1:;,60 ~ . ~O% AdrmlllstratIve Fee ~~ . ~.~ \Q~ 5% Technology Fee 27.T InspectIon Request 726-376~ #' ~..... TOTAL b 1 ~ I ~ ~ ,\) ~ Shared Dnve(T )/BUlldmg Forms/Electncal PermIt ApphcatlOn 1-08 doc ~ \~ (,e"~J CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00493 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/09/2008 VALUE: Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 245 S 38TH ST ASSESSOR'S PARCEL NO, 1702314103200 Spnngfield TYPE OF WORK Electncal Work Only PROJECT DESCRIPTION, ServIce reconnect TYPE OF USE' RepaIr ResIdentIal Owner LA VOlE CHRISTOPHER Address' 2790 CHUCKANUT ST EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor MY ELECTRICIAN INC License 87506 BUILDING INFORMATION I # ofUmts' # of Stones Pnmary Occupancy Group: R-3 HeIght of Structure Secondary Occupancy Group, ATTE" TION' Type of Heat Pnmary ConstructIOn Type fol/owV,}'es ad~reg~'fmQ&ires you to Secondary ConstructIOn TypeNotlfrcatlon Cent~.teR~(fffiYOfegon Utit # of Bedrooms In OAR 952-001-001 ~YtB8tbare set fo'$. OO,,~O'LYO~ may obta~~~~, if ~'001.. n/a nu~~~ f~; ~~ 'M~i~~ION I Cente, .. .-1~:lf NO~~ Overlay~1J' # Street Trees Rqd, Paved Dnve Rqd % of Lot Coverage Frontyard Setback SIde 1 Setback SIde 2 Setback, Rearyard Setback Solar Setbacks' I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AvaIlable SpecIal InstructIOn Expiration Date 11120/2009 Phone 541-729-1454 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 SIdewalk Type' Downspouts/Drams NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK A~T~ORIZED UNDER THIS PERMIT IS NOT eVfVIIVICflJlJtU L H--fti--AD';Mfre;f~EfJ FiJi; ANY 180 DAY P ~ation Description I Notes DescnptlOn $ Per Sq Ft or multIpher Square Footage or Bid Amount Tvpe of ConstructIon Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00493 ISSUED: 04/09/2008 APPLIED: 04/09/2008 EXPIRES: 10/09/2008 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project L Fees Paid I Fee DescrIptIOn + 10% AdmmIstratIve Fee + 12% State Surcharge + 5% Technology Fee ServIce Reconnect Amount PaId Date PaId ReceIpt Number $550 4/9/08 2200800000000000424 $660 4/9/08 2200800000000000424 $2.75 4/9/08 2200800000000000424 $55,00 4/9/08 2200800000000000424 Total Amount PaId $69 85 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. ~ReoUlred InsoectlOns I ElectrIC ServIce. Approval requIred prIor to utIlIty company energIzmg servIce By SIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permissIon of the CommullIty ServIces DIvIsIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all tImes durmg constructIOn, Owner or Contractors SIgnature Date Pae:e 2 of 2 225 Flft., Street Springfie"Id, Oregon 97477 541"726-3759 Phone Job/Journal Number COM2008-00493 COM2008-00493 COM2008-00493 COM2008-00493 Payments Type of Payment CredltCard cRecemtl RECEIPT #: DescrIptIOn ServIce Reconnect + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By MY ELECTRICIAN City of Sprmgfield OffiCial Receipt Development Services Department PublIc Works Department 2200800000000000424 Date: 04/09/2008 Item Total Check Number AuthOrIzatIOn ReceIVed By Batch Number Number How ReceIved dJb 001649 In Person Payment Total Page 1 of 1 12 01 OOPM Amount Due 5500 275 660 550 $69,85 Amount PaId $69 85 $69 85 4/9/2008 BCD - Contfactor/Indlvldual License Holder Search Page 1 of 1 i;-:~i_t"?:HI~~il~ of C0I1SUI11'er':& Busi~les;~ Services < ' ~ < ' .' ""'d .J ., ,\ '" ~'ll>"HNgi49H;2~' "-,!0- tl 181011' ' " ' " < ~ W~~}1~tf1Whtf*,lf<'~~~td:~~$; > i(;::.t ~~ ,_~~~_ 1 ~ W-Mi1fi';';. ~'''''1J ,.~ ".~>>lff_ . < Departments DIVISions Other Search BCD BCD Search Results of your search DisplaYing 1 - 1 (1 total) Your query for LIcense no' 34235 ED GUIDRY COTTAGE GROVE, OR 97424-9237 County LANE Employer MY ELECTRICIAN INC CE reqUired (CR + CC) 24 Of the total CE required, you must have at least 12 CC Currently you have CC 8 CR 0 Total CE 8 DisplaYing 1 - 1 (1 total) Prev I Next License/Registration No 3423S Type S-General Supervising Electnclan Status Active Expiration Date 10/01/2010 CC = Code Change CR = Code Related CE = Continuing Education Prey I Next Go Back to Ouerv Total Records Returned 1 myllcsearch search get_name_results Text Onlv I State Dlrectorv I Aaencles A-Z I About Oreaon aov I Oreoon oov I Site MaD I File Formats I OAR I ORS I Privacy Pollcv_1 Web Site Feedback http IIwww4 cbs state or us/ex/all/myhcsearch/mdex cfm?fuseactlOn=search get_nameJesults 4/14/2008