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Home My WebLink AboutPermit Electrical 2005-4-5 -' LEGAL DESCRIPTION /703 Z-""l-u0 07.'70-0 Date . . l ' . 3. ~ro.MP'fKi1":<'"FE~iEi50I.E'8EioWp."~ ~~'."""MqWm ~'~""'-"'''d-~~~0'/''''~~:::~.i'''~Ww..~ ,~ '/)ro" . 11'1,/I/Jro;. A. ~r$;if~m~~~}~1~~~'i~p.-~~ru'ii.~~~ ;:=I;'~"-'~1~~~~:C~118:::~ ~!>> O,.i~,..... 7C I. 0110 1000 sq. ft. or less .(j s~ _ $ J()1~~."";,O Each additional 500 sq. it 1i!t'Jr. c>..<S:--"""""" 'lJ~ portion thereof -.........:,.,.,. ",,--$]):9(( "'- ~' L(/~/a~ SPRINQPun.D 1iIa1' .... ~- 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CovVI zOo ') - 00 3 '7.3 , 1. . ;1'6CATIoN'OF!msfAtf}4TION::W;';~~ ~~';',:.l.I1!-1'.4,ai,~'io.;,~~iJ:i;~~~:r.~ Jill <U.o "J ~d 703 JOB DESCRIPTION 20.0 f<vv'./s (l vc... i 7_ ("A fZ.-6-<.', II Permits are non-transferal,e andexpire if work is ,.' not started within 180 days of issuance or if work is Suspended for 180 days. . Each Manufact'd Home or Modular Dwelling Service or Feeder 2 ~:~CbNTRAcro1i1Nst:41}~*TION:1JN.i~ B. ~~~~~~~~~I1iit~I]i{tilin'f,~t11atro~s'~r1R:w~:ti"o7ft~: . ~\:Ji:'~~"'~-~':;~' ~~-fo~iGt:t:l::.~~~-=--#~,,;;~.1Cl'''''~~ ~';;~,t"l'f"":"'''''''~'' - ". '" .....-,' '-. '" ..,.... - - -,' . --';"':', .,' Electrical Contractor C!. ~d.1J <: F/,.,~ .J;K, r 200-8:~~HW la~ O~ on law reql:llieS ~u M3.00 b J 2!t1}\;~hIf'~\lbciODmd by the C"-:-S;M Ilti~lts.OO Address -Pn . R" x 1/ 9.? 4~t.~'f-. ~~srhose rul"~ ,or" ~pt 1U~~00 Vr~~J6ij9-6lPm through OAR 952-SI161l:00 City C!..Rto.s, (,10' I L Phone 99.5' $I y ,{. t, I.Yil!d.<>9B~\tlin copies 01 the rule~QS.OO il'e"'_<irWcenter. (Note: the telepho$ESO.OO " "1 970- r c ~"~~~I&~.,~2~~~~~.~;lr';o~}.j.,\i'~llltlt"'.. Supervisor License Number .-.L ~ . ~~9, ,- .."': _ ,~J?~i,.,\~:.;\,~.~\'.I....;;...,.~;\iWQ~;~~~f~ Expiration Date '>' - /S-- <:) Jf Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above. . E$lt1,:,;:~...~, ..~-.7;'....t~,"-,~.{!c...t~fl~;.'-_~"'~' ~fN:""'~{'t:: 'i..,h:'.'~~~'''';r'f~cp;.';;j~(~%'j D. 1........~..,:r!!!.~lijo,~l!~~.-~. hJ'I,,~yg:it,_~~\~ ~1-:~y,,:_,~1a:.'o~-,:r:".\l!; ~hll.'f'I~.J.$:J $ 50.00 $ 69.00 $iOO.OO Expiration Date /tJ-/-o/., Constr. Contr. Number /, -;'9 iC57 Signature of Supervising Electrician " } New Alteration or Extension Per Panel (iJJ~.~", .-e::]~.JIr. _'" One Circuit $43.00 . 0- Each Additional Circuit or with . b Owners Name ~ 6R- I As s ;/" ~ v-~(Ja.. \ s~::.:::~..::~~.e~:,::.~.... ''';~''hM'~~~~'''''~''.'.':.':'''''~. ...""'..'.,..'~."',,4 Address i S?3 0 SIItVYI_ell.'h(,-lc!.. 11" V E. ~~lliS!'.~.!'~!H~1~~~J$~~,e.r,E?.t}!)5Ili~~):~!';'S~:I,'!~tall~~ City f:!VJ::rb1'le Phone Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited EnergylResidential $ 25.00 The installation is being made on prope~ 1 own. which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. NUT I G t: Minimum"Electl'i~Permit'lnspection Fee is $45.00 + Surcharges THIS PERMIT SHALL ~~;J~~~;~:~~.,~;!.l\"~~~"c"<!';l'<'iI1.s;.~" b Owners Signature: AUTHORiZED UND'4R'.~Sl!JBTOcT~..:f)., F<.;qBOVE~.;"'lt,, 0"....,.., "f\'.:..\;=!r..;,:'.,,~:...!'I.' q COMMENCED OR IS A~:~rr:}~''''''''';':'''''''''''''\J_~' . f '^,V 10'] DAY PERIOD7% State Surcharge Y 83 . .... . - 10% Administrative Fee b YO 80~ Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FonnslElectric:!1 Pennit Application 1-03,doc . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00393 ISSUED: 04/05/2005 APPLIED: 04/05/2005 EXPIRES: 10/05/2005 VALUE: . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 703 HARLOW RD ASSESSOR'S PARCEL NO.: 1703220002900 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: 200 amp service and 2 circuits TYPE OF USE: Alteration Residential Owner: HONER & ASSOCIATE BUILDERS Address: 1830 SUMMERFIELD AVE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C PERKINS ELECTRIC INC License 159537 , BUILDIN~ INfORMATION I TION: Oregon law '''''I"'' -' . Utility # ofUnits: AHEN "dopted by fll'llfStln-it9!' forth Primary Occupancy Grouij:\I~W rU\~'btter. ThO~etg~'Sl~~!tflS1. Secondary Occupancy Gtoup::catlOn 1-001 0 thr~~I!,t1.tiliIM? b Primary Construction TYtleOAR 952~ btain c~iUenltY'P@:rules y . Secondary Construction 'Il)ipjlO. '\'ou may 0 lNal!}!g\l1fYj/e:Phone # of Bedrooms: calling the center. ~1!Ji.\ll)Jl'JItlilication number lor the.ore-80go_~I!!~i1ding: nla ,......ntg,r a8 1 \j. , DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE; I PUBLIC IMPR,OY-EM,ENifSIK 1HIS PERMII ~~;ER 1HISPERM\1 IS N01 AU1HORIZCEEDD OR IS ABANDONED FOR COMMEN ANY 180 DAY PERIOD. Sidewalk Type: DownspoutslDralns: Notes: I Valuation Descriotion I Description S Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Expiration Date 04/15/2008 Phone 54 I -895-4466 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: Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00393 ISSUED: 04/05/2005 APPLIED: 04/0512005 EXPIRES: 10/05/2005 VALUE: Issued , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~s Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Clrc Ea Add Perm ServlFdr 200 amps or less Amount Paid $6.90 $4.83 $6.00 $63.00 Date Paid 4/5/05 4/5/05 4/5/05 4/5/05 Receipt Number 2200500000000000387 2200500000000000387 2200500000000000387 2200500000000000387 Total Amount Paid $80.73 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. ~n~?l'l'tWmJ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By sIgnature, I state and agree, tbat 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 sball 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 bereln, and tbat 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 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 225 Fifth Street Springfie.ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00393 COM2005-00393 I COM2005-00393 COM2005-00393 Payments: Type of Payment CreditCard " - " :' '. 4/512005 . RECEIPT #: J:~;~ wr ,jIlty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000387 Date: 04/05/2005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batcb Number Number How ReceIved djb 029756 In Person Payment Total: Page I of 1 2:S1:42PM Amount Due 63.00 6.00 4.83 6.90 S80.73 Amount Paid $80.73 S80.73