HomeMy WebLinkAboutPermit Electrical 2008-4-1
CITY OF SPRINGFIELD \ r\~02
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225 J1'&l'JOSlllEET 0 sn.lNCi'lELD,O"R97477 II PB:(S41)726.J'7S3 ..FAX: (S41)7ZG-3689 ~ ~~{:CE ~.. -af)
ELEa.:1J.J.dCAL PERMIT APPLlCATION -? "'~ _ Q
City 10b Number C g- - ()(;> if J j:- Date 0 "-") 7.- 0 ()
01/25/2008 10:34
7263676
.... ,'",).::. 'CIT"Y.: OE $'PI{n~rGt~'nH",TJ.,' 6.RE"cioN:.';::/"".:,::"" .'~:
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LEGAL DESCRIPTION:
TE.7;j ;J
JOB DESCRIPTION:
7?dl// ;//')(7./hz:.-
Pelrmit!lal'e DOD-trallsferable SlDd expire if work is
not started witbin 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor 6;f'D C;;/L.I///,z:c..", //)/(/'5 [;,-:-{
Address 1_ 'I:' t/ )/,1 /. t... / '5 ..cf C~
City r tit: 6t/ E.:. Phone '13/1 i..-L;q I
Supervisor License Number , -:;Z) 4/ ,:;.."P
Expiration Date
If) -/ -()9
CQnstr. Contr. Number
I/.' /) c"(') 5<'"
f..; {....' ....-~ ~
7'-/-C.?'!'
Expiration Date
Signat'Jre of Supervising Electrician
: /1 --7 /l /'"'
/ r;, ?/ j/ (.' --
L -t/!-? t;,. --;<.. f ,//.:;7-;'" 7- ;~~?t7
OwnenName ~t ~\\\1s
Address \ \$() \ \ , ., .
City <(1 lJe(t\V Phone ~ ,
OWNER INS.>>kLA nON
The installation is being made em property I own which
is not intended for sale, lease or rent.
Owners Signature:
,.
Il:lspedioD Reql.'le5t: 72&3769
~ ,'"
NOT~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COfvli'viENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.~;w.J.I' toiol-.....! ~ljlt:l, r:..~, r...-
Su ~ I~ locluded
1000 sq. ft. or Jess
Each additional 500 sq. ft. or
portion thereof'
~h Manut3ct'd lJame or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55,00
B.
200 Amps or Jess
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70 00
$ 83 00
$138.00
S180.OO
$413.00
$ 55.00
I
/-'-",::.:-
...) ",I
$ 55.00
$ 76.00
New AUrtn~ioD 01/' EJrtel!lsioe Pel!' hllleU
One Circuit
Each Additional Circuit or with
Service or Feeder Jlmnit
$ 48.00
$ 4.00
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting S 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
MiElimum Electric J"ennit In'pectiOQ Fee is S50.00 + Surebarm~
4. ..5-:::; -
A .,..,.,Jm.~ li,W'Charge to b..Y
fO;' 1 ~AI~ Nw requIres you. fi -~]::_
. ?~~l&dli>~cby the Oregon ....... ;,l --;ti.
Notrflcat C ....UI",.~~~. .-'
. OlAf:!. Ion enter. Those rules are set forth ,If ( G] 'ff?
In ""~iAOO1-0n10~ h nl1Q If \0
0080. You maySIlm!tCltivaln fiWJlIll~dl'm~bit AppIiCltiOlll-oSl!oe
oples of the rul. b,
tilling the center. (Note: the telephone
-.nabe, for the Oregon Utility NotitK:atlola
Center is 1 '800-332 2344). ~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00412
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: 3857 E ST
ASSESSOR'S PARCEL NO.: 1702311301102
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Temporary Electric for three new lots behind 3857 E
Residential
Owner:
Address:
ROSEMONT VILLAS LLC
1750 WASHINGTON ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GOOD CONNECTIONS
License
160508
Expiration Date
07/01/2008
Phone
541-434-6491
BUILDING INFORMATION 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 Building
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 I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2:e 1 of 2
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00412
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
Temp Power 200 amps or less
Amount Paid Date Paid Receipt Number
$5.50 4/17/08 1200800000000000368
$6.60 4/17/08 1200800000000000368
$2.75 4/17/08 1200800000000000368
$55.00 4/17/08 1200800000000000368
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 ofthe 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
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00412
COM2008-00412
COM2008-00412
COM2008-00412
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
THE JAG GROUP, LLC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000368
Date: 04/17/2008
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
lIh
2331
In Person
Payment Total:
Page 1 of 1
9:15:40AM
Amount Due
5500
2,75
660
550
$69.85
Amount Paid
$69 85
$69.85
4117/2008