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Home My WebLink AboutPermit Electrical 2008-4-1 01/25/2008 10:34 7253575 CITY OF SPRINGFIELD rni 02 ~ ~ ~sOo~;~~.'~~ llll :USRJIJ'IDSnE~l' e sMtINCFlELD,OR97477 · 1'H:(s41)726-3'753 eFAX:(S41)7ZG-368!l ~ ..........c . \ .,~ ELEu.;1..tdCAL PERMIT APPLlCA'170N >> , (/ City Iob Number C 3' - () f.J Lf I ~ Date 5' -- 2'--7 - ZJ 6 I\^. ~ ~ , .<' 'CITY or $PRINGFlELD'.'6R:t:GON"<~':':.' '." ',- .' . J, ~ . . .' :.' . -", _ " '. ( '. .: Permits are DOD-tnull,fenble aDd expire if work is not darted witbin 180 days ofissuanc:e Oll' if work is Suspended for 180 days. 2. Electrical cont:ractoG-'I()I"~")j~~o;tfs" [LECr Address _2.. en LJ ~L(..:/ 5> .:#;.r _ city Eu{-,~d E. Phone '-f3q-~4q I SUpcMsor License Number ...'30 y.- I -.J1- C Expiration Date / () -- 0 I - :l. 0/ D I b O,~-6 S- ,- 01 -1..008 Cansti'. Contr. Number Expiration Date Signatlm: of Supervising Electrician / tl. ;./1 J --, . _ L/{/p~ /C ~- i.- - z: if Ow1:IetS Name L 4 U I<../t- ~o elm ;+ L AddreSS':\::O~~. City ~1~ _. 345-'/751 OWNER lNST ALLA TION The installation is bemg made on property I own which IS not intended for sale, lease or nmt. Owners Signature: illSpeetiOD Reql!lest: 726-3769 ~ ; I ~ I ., ,k ~[~\:\':I i Si ,t,'_L E\~P:RE IF THE WGHK " .ur-,,/~~I UNDER THIS PERiViIT IS NOT ,I - '= OR IS ABANDONED FOR jO Dp,{ PeRIOD. 3. ~..~- $117.00 S 21.00 E\U:b Manufiu:t'd Home or Modular Dwelling Service or Feeder $55.00 Do 200 Amps or Jess 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 70.00 $ 83 00 $138.00 $180.00 $413.00 $ 55.00 7l' I lostallation, Alteration or Reloution 200 Amps or less (} $ 55.00 -BlIfr 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $11 0.00 Over 600 Am or 1000 Vol~ see "D" above. D. ~'\"'__ New Alteration 01/' Ene.sioe Per hlleD One Ci.rcuit $ 48.00 Each Additional Circuit or with Service or Feeder Pmnit $ 4.00 E. Pump or irrigation $ 55.00 Sign/Outline Lighting S 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Pel'Jl\it Inspectioll Fee is S50.00 + Surc:barge$ "'jl I 4. ~t9- 12% State Surcharge r ~ JtE- 10%A~" _. :'~ 5% Techn. N: Oregon raw requJres ~ o. ow rules adopted by the Ore TOl'ALNotificatfon Center. Those rules a ' .1'1- "~~~~~~A~52_ov6i:'doc. 0080. You may obtain copIes of the rules by IIRIng the center. (Note: the telephone IInber for the Oregon UtIlity Notification Center is 1 800-3322344) Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: C0M2008-00413 ISSUED: 04/17/2008 APPLIED: 03/26/2008 EXPIRES: 10/17/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3835 E ST ASSESSOR'S PARCEL NO.: FOUMAL SUB E STRE SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Chan~e from overhead to underground electrical service Residential Owner: Address: LAURA FOUMAL 1750 WASHINGTON ST EUGENE OR 97405 Phone Number: 541-729-1860 I CONTRACTOR INFORMATION' Contractor Tvpe Electrical Contractor GOOD CONNECTIONS License 160508 Expiration Date 07/01/2008 Phone 541-434-6491 BUILDING INFORM A TlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buildin~ Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Covera~e: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description' Description Tvpe of Construction $ Per Sq Ft or multiplier Square Foota~e or Bid Amount Value Date Calculated Pa!!e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: C0M2008-00413 ISSUED: 04/17/2008 APPLIED: 03/26/2008 EXPIRES: 10/17/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $7.00 4/17/08 1200800000000000369 $8.40 4/17/08 1200800000000000369 $3.50 4/17/08 1200800000000000369 $70.00 4/17/08 1200800000000000369 Total Amount Paid $88.90 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. Electric 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 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 COM2008-00413 COM2008-00413 COM2008-00413 COM2008-00413 Payments: Type of Payment Check cRecelOt I RECEIPT #: 1200800000000000369 Date: 04/17/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By THE JAG GROUP Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received IIh 2331 In Person Payment Total: Page I of 1 9:16:09AM Amount Due 7000 350 840 700 $88.90 Amount Paid $88 90 $88.90 4/17/2008