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Home My WebLink AboutPermit Electrical 2008-5-14 61/31/2008 09:55 7263676 ,I CITY OF SPRINGFIELD PAGE 01 __ '1IllI_~1&lLD ZQN \\AM ~~ INITIALS N~ " .4rY... DATE 0- \ j:cJ x:' \lJIV' SQUR~~/" Date ~'- (t.{ -0 r / ~;"~~~~{f~ 1;;~'i.;;Q~E~~ f:iR:FM(b"c~,(,-, i., "tJ(~;Rgr;G;r)l~J~!tf;;'~af ,;.rJ; ~~:~~~~r~":"}~~:' ..;~1~:I':_~f~"'l'--'~< .~.;~~:".~~"? ;,,~~,"~;:;'_'.,.;: r 'T),_/~Iv.~',;.-. ~~. .:~:".:~:~:i ~.:'~ ns F'lFnf STREET .. SPRIlNCf1F.l..D, OR 97477 II PII:(54I)72&-3753 .. FAX: (S41)7Z6-36S9 ELlEa.;JlJdCAL PERMIT APPLICATION / City Job Number CO""" 2008"- Cab B I 351t S J 0 - I - 0 q Installation, Alteration Or Relocation 14/:: TENTlON: Oregon' 200 Amps oTless $ 55.00 Constr. Contr. Number I ,;:;: .~~8r,Ules 8r/.apted b aw !iIM1W,... }COfPQCJ'.mps _, $ 76.00 LJ ~Ul,J/~,atlon Center T y th~~I;6QQnA llA1IB.a....ps 5110.00 Expiratton Date .: :''J - 3o~-.O!(J)f1ls2-0n1_()fl;O hose rures:.-::~;::r" .. .. , .'" , UUi:!U You " - , . throu p'9"OtlQ 000 Volts see B above. Signature ofSupervisjng Electrici>>ilmg th;ay obtam co~ ___ ~ f&' nu b Center. (Note' t' 4/J ~Hor the. Oregon uiili ~N~eor lElltelllsiOn Per Panel " Center lS....1:aOO_3Jn~tiOI) __ l I 32-e~dltional Circuit Or with Owners Name te-II ~ ~ It. tr~ Service or Feeder Pennit Address .3 b 7l/ DX EOw wA-1 Eo City t:""1,,(,.CrW~r Phone 1 ~~~~a~~J..1!f:~ , ~~~'a;~~Jt~~~~:~~!~\tf~lm\iiJIi ! (of U \ S 5---1 LEGAL DESCRIPTION: J 703 2 r'Z. 'f c z. l( 0 a JOB DESCRIPTION: S~VL kCC,vNE-C7 remits are llIolil-tlrallll5fell'8ble snd ~i~ lhvork as not started within 180 days ofillllUllnec or ihvork is Suspended for 180 days. 2. Electrical Contractor STEvE +13<01 Hf4 Uc/<- Addres.c; P. D, Eox City f;lJgJ '-' Phone J,J\I- ~ lofO 5 Supervisor LIcense Number Expiration Date 3. ,~iniil'~~-il~ -, ~~~~"'I\'Il'D'~~skJ~ltPClIlCII'l~c:lIl~&..u..\t;I'.a\d A. ~~~!-J1i Y'~ .m~~n~IUt~~~:lW;~u- n-.: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Maoufact'd Home or Modular Pwelling Service or Feeder $117.00 $ 21.00 $55.00 B. ~..t :u "1h~,~llL."'=l'1..' i't> 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolls Reconnect Only $ 70.00 $ 83.00 $138.00 $180,00 $413.00 $ 55.00 I SS-' ~""",,,,.,.,~~.,,,".... C ._"" " , . "~(...,"",,'1v^,, ;>(~,Jk~ $ 48.00 $ 4,00 Pump or lITigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidentiaJ $ 28.00 Limited Energy/Commercial $ 50,00 MIDilllllum ~Imrie Permit lInlJpeetion Felli is $50.00 + Sllreb~rglilll 4 .< ~~ . ~F~"'\Q'.r.r -2) .J _ 12% State Sureharge ~ " 7 ~ N O"'lC 1 0"/0 Administrative Fee - , t;, 0 or ' , E: 5% Technology Fee S - )t:> I HIS PERMIT - /, Sr Inllpectton Requellt: 726-376JA.UTHO SHAll EXprFff,W- b COMMERIZED UNDER THIS P ,,. T~1ft()I!lUildll\!lFonnNElcctncaIPcnnll^PPheation I-oU,doc ANY 180~: ~~:gt8ANDo~~~~J~ NOr OWNER INSTALLATION . , The installation is being made on property I own which is not intended for sale, lea.~e or rent. Owners Signature: CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00689 ISSUED: 05/14/2008 APPLIED: 05/14/2008 EXPIRES: 11/14/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1641 S ST ASSESSOR'S PARCEL NO.: 1703252402400 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service reconnect TYPE OF USE: Repair Residential Owner: SULLIVAN KELLY V Address: 3674 OXBOW WAY EUGENE OR 97401 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor STEVE HAUCK License 147618 BUILDING INFORMA nON I # of Units: # of Stories: to Primary Occupancy Group: ATTENT~: Oregon Im'igtli\Wl"~fr8~~f<<Y Secondary Occupancy Gro'W>1loW rules adopted bty~@ JfFJ)AA: et forth Primary Construction TYP<<NotificatioVilCenter. Th~fW.~:52-OO1. Secondary Construction TYffOAR 952-001-0019thfA't\~~MI.na rules by # of Bedrooms: 0090.. You may obtaln_~ Iii . p'hone _ calling the center. ( \\tlt!iiuon n/a _,'-__ $M .h~ Qrpflo II ....j. -'.'.Centef B~~NFoRMAnoN , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 04/0912009 Phone 541-221-2665 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: Sidewalk Type: Downspouts/Drains: Notes: Description Square Footage or Bid Amount Pae:e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00689 ISSUED: 05/14/2008 APPLIED: 05/14/2008 EXPIRES: 11/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $5.50 $6.60 $2.75 $55.00 5/14/08 5/14/08 5/14/08 5/14/08 2200800000000000671 2200800000000000671 2200800000000000671 2200800000000000671 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. I ReQuired Insoections I 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225Yifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00689 COM2008-00689 COM2008-00689 COM2008-00689 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: DescriptIOn ServIce Reconnect + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By STEVE HAUCK City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000671 Date: 05/14/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 075870 In Person Payment Total: Page 1 of 1 2:38:16PM Amount Due 5500 275 660 550 $69.85 Amount Paid $69 85 $69.85 5/14/2008