HomeMy WebLinkAboutPermit Electrical 2004-6-22
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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..'&~~~
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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
,
.:.
.
,
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tDSta1Iallon. Alr.....tion or Relocation
200 Amps or less $ 50.00
201 AmpeI0400Amps S 69.00
401 Amps to 600 Amps .' SI~\ft
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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
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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