HomeMy WebLinkAboutPermit Electrical 2004-1-9
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':')'.~~OFFICE: 726-3759.,-."',,~~ ';:>:i0.}t{1 fi,;~~~~;:~
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:1 1. LOCATION OF INSTALLATION
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31 COMPLETE FEESCHEPULE BELOW":\Y;~":'!i"t):,...'i,';('J""'"
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iC Nei,:Residential"Sirigle or"e,..,,-,,,. .v-',.,;o,.....,...... ,. "-:'!i,',:;'"
Multi-Family per dwelling unit.
1'3;'0 z.. \~~~ Included:
,,~s \". <I \ls. Items Cost
:o~\\\e6 eC\\\C w.{\
JOB DESCRIPTION '.c\~ss~J". s? 1000 s . or less
bo-r "V,o,,,C,", (1lZ:~~9~j~"O\'.. '\)12...-- laddi'. 1500
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Permits are non-transferable al'l-a:s~'e (\,,,9 \_ 0\ -0' . lere $ 19.00
if work is not started within Isfr?aays 1.,0 ,ch Manufd Home or';, .' "'"
of issuance 9r if work is suspended for \U~e Modular Dwelling ,:':{~t~'.~</ . ),:;:'
:SOC::TRACTOR ~ST ALLA :;~~~:'9"~ B. smi:e:~:::::::sderii\i;;~t~f;}'~~'~1;~$ 50.00 ~'(~~J
Electrical Co~tracto~Ml.. SlW~wl (o,.s\~l.s ~:I~:~::::n, AlteratiOriS~~:',""::"'y{,t;;: ):il:1':
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,~.~: :,,;."\. '~Constr con.~:~_~~~~~,~::::,~e" ~<<:'~':?,~::_~__~,___ nstaliation 1\lteraiion~~~;~~~ ;~" .. ~~l.'& 'iJ?:~,~t,-:.'
iil~'~,(~)~f~~Piration Date'<TEjY2;q'ff5?4~~j~; .. ~~\'8~ "I~\.~~~1~4~~~,?~'5:y
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''''':/'.;.c",> ~..A(Z;:;-r/~" 0090.;tc;>urn entedNote.., Noiitica ,
" \',iL~wners Nam~~~~~I:' . \S~.~~.1 D. Bra~:;;r~~~~~~~~;;'~~~~.';:-:~::j!':L'
Addj.essibi.5;~ikld~~' ~ E to One cir~if;+~ ',""':1'$4300:;':':
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LEGAL DESCRIPTION
/703'3LjL/3
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$106.00
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Each Additional Circuit or with SerVice
or Feeder Permit
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$ 3.00
OWNER INSTALLATION
The installation is being made on
property I O\Vll which is not intended
for sale, lease or rent. .
llCE,E. Miscellaneous (Service/feeder not included)
NO . - ~ct:XM~I!at\OifHE WORK
THIS PERMIT SH~ f R' ifl~ITIS NOT _ $50.00
AUTHORIZED UN~,~ 1 l~nb\3~~iOR$50.00
COMMENCED OIiJft\l~ Il!1gytlteS $25.00
AN'{ 180 DA'{ PfIRlfJQll Energy/Comm $45.00
Minimum Electric Permit Inspcction Fee i~urcharges
Owners Signature:
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
8% Administratiyc Fee'
1
4 j-:-
:'3,,-
'1 s~
S2~
TOTAL
1>,
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2003-01216
ISSUED: 12/05/2003
APPLIED: 12/05/2003
EXPIRES: 07/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE] Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: BOBBYE DONATHAN
Address: 1625 HENDERSON EI0 EUGENE OR 97403
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
MCDIARMID CONTROLS INC 77023
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
10/24/2004
08/31/2004
Phone
541-726-1677
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
SETBACKS
! DEVELOPMENT1~#MI\~~~..ti~"";;U;lIi;R
(Jr..If.!.!!.. .--, . eg .RF UIREDPARKING
\!otiflcation Center. Those rules are seriO!
Orf&A:(I?~!)2;'()o,~ ~01 0 through OAR 9521lDtal:
# ~15~~i"'f&<<Qft1W 6btliih1copies of the ruttbridicapped:
Pave~~'mX~lfflg:center. (Note: the telephofiempact:
% oli!lm~;vWJgf1e Oregon Utility Notification
. ".~'M;~ 1_RM-332-2344).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Downspouts/Drains:
Page 1 of3
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Fe.e Description
-Mechanicallssuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-01216
ISSUED: 12/05/2003
APPLIED: 12/05/2003
EXPIRES: 07/07/2004
VALUE:
Value
Date Calculated
Total Value of Project
Fpp. P~irl I
Amount Paid
Date Paid
Receipt Number
1200200000000002556
1200200000000002556
1200200000000002556
1200200000000002556
1200200000000002556
1200400000000000017
1200400000000000017
1200400000000000017
1200400000000000017
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.
$10,00
$4.50
$3.15
$12.00
$33.00
$4.50
$3.15
$43.00
$2.00
1215/03
1215/03
1215/03
1215/03
12/5/03
1/7/04
1/7/04
1/7/04
1/7/04
$115.30
I Plan Reviews I
L...irnllirptt I n{',npl"t\IuIIJ
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Pa!!e 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01216
ISSUED: 12/05/2003
APPLIED: 12/05/2003
EXPIRES: 07/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01216
COM2003-0l216
COM2003-01216
COM2003-01216
Payments:
Type of Payment
CreditCard
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Receipt #: 1200400000000000017
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
JEFF BROOKS
000269 615223
City of Springfield OfficiJl Receipt
Development Services Department-
Public Works Department
Date: 01/07/2004 1:19:34PM
Amount Paid
Item Total:
3.15
4.50
43.00
2.00
$52.65
. How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.