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HomeMy WebLinkAboutPermit Electrical 2004-6-22 .r",,{, 0". Olio... IfJg ""f} 'lJpro. ""a '/lprOj lJt. (10& eel it S,., Ss > Of ^ libf/]' "of}j 99l1it; 'ite . _...~ :~'''JP1~~s fl- ~ ,'. I~ .~~ .. A,,~ . "~" ^ I"" 110... RINGFrELD. OR 97477 . PR:(541)7l6-3153 . lAX: (541)726-3l!89Sig" r_,." ,.'. -,i alls" '''g ELECTRICAL P. APPUCAUON .. . '-~ .. City]obNumber LDrtI~o~-00731 Date L lff:g~::~fJlffl~'t~ 3,. t'&iJi~i;fti~Ji::1)i~,!~r~I!t@lm~~$ii..'&~~~ . , :'i:-:T.R~~~~~~~t,,~~~~~,~.~<..~~~~~.;..;....~.~r-:;-7~~~..~~~4'm'~"'-; LEGAL DESCRIPTION :. A. r~~vt~~~..:.;.':.~~.;t~~~~~~~~j!t'~LJi~4#~~@l / ga'Z-OJ II Obl{OO ServkeInduded JOB DESCRIPTION : 1000 sq. It. or less AtlQ f:l/Jb u-a..c-V\..T--: ~~soosq.ft.or PenDiIs are . ~. dlSfa!able and expire If work la Each Manufac!'d Home or nor started wItbIn 180 d~YJ of Issuance or If work Is Modular t>weltidg Service or Suspended for 180 cIa)'J.: Feeder 'J'IS'=~'M w.----"":':, ...,,,..~.~~..<-,......""'" . ",~~"".~...,;;;"",-=~.. -" y.~.;"~~~_.~..",.,~~.,,,.g,~~...a<:<'~li !;ilYi" w.Ki ",,_..A'''T~TlONP.N.L~ B. ~~~r,j;".'''ri.~' i~jl!~'Ot"~' 'P. 2. ~~~;~_ ~:;~~,"~~~llii~~--~....,..:..Qt.:::~ :;-~~~~.J~""~. ...~~~~::";~-::r~~~Df~~~':;*..:~#~~ Electrical Coulr9Ctor U; I n.d '" 0 ~twllf\ Ju'(/..&i<('&90 Am~. \>( . .~'l.P\"~ If i~i ~?If\t $ 63.00 -"f.'j"" _ \-tU' p~~~1f.r. _ p~,,~,J $ 75.00 AddresS I '0D UDYl (lJ-€- ':)'1' 1~\S Q'IWz.~ \ ~\,)Oti~\,) fOI'. $125.00 ~ ,!. f>,,\f\~~A~ $163.00 City Q : P_ 344'?f)LPL CO~ .~pCtl 01.. $375.00 ': M~l ~ciiioec:tOnlY $'0.00 , .:. . , \ tDSta1Iallon. Alr.....tion or Relocation 200 Amps or less $ 50.00 201 AmpeI0400Amps S 69.00 401 Amps to 600 Amps .' SI~\ft ~~",~<!,l).;,~e.~~.,1,~.,;'~1~~"~~.~~ ~~. ",.,.--,' D ,.. "~" 1(:l'f~;:=''''~1!'iiI'-"''';'''~' .,.. ~~j " '. ' i"~"" .~~~~~~~?'- ,~. .'~l"',' .~~~ ~ew ~~tIon~ ,- - n ~~ca~~'01 .- One Circnit ~ e.~ "'. :...W 'J =~-:r.o\ ~l~~~~~~~~ ;x.,.""~" .~.. ~~'};- ~~"... y 'l~~"'""'l"i E. "Mt,$iij", ~.. . . . . . .. tl.~. ~.a:r...... ".,... '~~ .' '.' ll;.l;i:~ _:,,:~i'.ioU'f-~':'~..:.$~t,..;~ "'~~ ",e ,JO~u- Pump Of irri~\~ ~e1 \01 ",' ~ $ 50.00 SJga/Oul1inc LigbllD'f epfl S SO.OO . Limited E1ltlrgy/ResidtlmiaI $ 25.00 LimitecI Energy/CoDImccla1 $ 45.00 MInlmom Electric Penult 1m. . ..:,.. Fee II $45.00 + Surcharge 4.~'''':Y~~~~~~ IJb ~ ~~~~~"f"' ;ZL . 0- 10% AdmiDL, ,: .Fee . Lf 60 ~ ~ TOTAL' 5'3 ~ OJ'' - DrMCT:~,onlII/EICl:lIlc - A , . :.... 1-43Aoo ,., ~ ~ 1>.,. Supervisor l.lceDse Num1jer i CoDstr. CoDII'. N\IIIlber I I 3'T3Ss 10104 Ot rruJb . 03/05 E...:."":.- Dare. Expiration Date Si"........ of Supervising Elec:lrician 'a/l~J ~! . Ownm Nome 13 d- H 'i.?tA 71'-1 b~Jb 11011.. . s.t-- elly S fPfJ I Phone ' Address v ,..,...."INSTALLAT :ON ThbinstlllhdionisbelDg nwen......~ lawnWbi~h is DOt ;,,-.4NI for sale, I :sse or lllIIt. Ownen SiJlD4llltC: --r Toollll $106.00 $ 19.00 $50.00 . . c.~<;;;",,,;:,,""~~;e~~-"'1!i'~~ ~~~",,~,,~~";':;;"",;.J~~~~~ /nSlU!WllUQ All l.u~ 8iA~AZLltA YVA 11:80 ~ to/TZ/tO 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: COM2004-00731 ISSUED: 06/21/2004 APPLIED: 06/21/2004 EXPIRES: 12/21/2004 VALUE: SITE ADDRESS: 6830 BOLLY ST ASSESSOR'S PARCEL NO.: 1802031106400 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Add two circnits TYPE OF USE: Owner: BEATTY PAUL EMIT & ELIZABETH ANNE Address: 6830 HOLLY ST SPRINGFIELD OR 97478 Contractor Type Electrical I CONTRACTOR INFORMATION I Contractor EUGENE ELECTRIC SERVICE INC License 90200 # ofVnits: Primary Occupancy Group: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: SpeciaI.lnstrnction: Notes: Description I BVILumG INFORMATION I # of Stories: R-3 \Ct' Height of Struc~~<<t It irlE. '/'JOR\<. MOl 'ISVf~~"1.\' l-Ali IS ~Oi VNirllS pE.R~ tl' irl\S ?E.~E.O tOR .. (>'UirlORI~~~ \'S:M\(>.~OO COl-Al-AE.I-tittM ll~\). r..~'{ 18~~ nilding: n/a I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Addition Residential Expiration Date 03/17/2007 Phone 541-344-3561 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: res 'loU \0 _ \a'14 ~u'_ ",n U\ili\'l. _-:u::,.wr U\~~.-~ ~",\v.t. I PUBLIC IMP~I'lNTS.."pted 0'1 tules ate ""i.oo"- ~ ~t.,~- ~ose ~ 95 "" \0110 tion ce{l\et. '\~~!;.;:~{t\e tu\e5 VI NO\i"~~ 952.()O'\~'()t!llI~~~~ \~~:O. '(ou ~~~tet ~o~ill\'l No\ii~ calling \~et the OtegOOQ-3'3Z$44)' ftut'lloet 0 .... is "..eo ,. r.en..... I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pal!e I of2 Valne Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00731 ISSUED: 06/21/2004 APPLIED: 06/21/2004 EXPIRES: 12/2112004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~ PaisLJ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3.22 $43.00 . $3.00 6/21104 6/21104 6/21/04 6/21/04 1200400000000000941 1200400000000000941 1200400000000000941 1200400000000000941 Total Amount Paid $53.82 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. ~ired In~I'Ip.r.tion~ I Rough Electric: Prior to Cover Final Electric: When aU 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 aU 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 descrihed 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 tbe 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 Paee 2 of2 ., 223 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0073I COM2004-00731 COM2004-0073I COM2004-00731 Payments: Type of Paymeut CreditCard 6/2112004 . RECEIPT #: .~ ~ -"---' - lIIIIilty of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000941 Date: 06/21/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUSSELL ROBBINS Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 000416 021292 In Person Payment Total: Page 1 of 1 9:16:35AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82