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Home My WebLink AboutPermit Electrical 2008-5-20 225 J<J.J' .n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERlh.ll APPUCATION City Job Number (OW'\ 7 _ ~ c J? -- 6 0 7/ t( Date ~1r'i<<1 'm~'W , '"'' -~ v ""fYV'>~'~ ~,'Ov~~~, ~ ~ ~i<>~ """tjVi' -- N'O" h-".--"f"i </;fv,> ^ ,,'<\'W'WfiiiiIWIIW'!!'i!i't~"'"O~o/$'<' N Y 1. .0tOCATIONOFINSTALLA.nON: ",'",,, 3. COMPU'1..hl'~SCHEDULEBEWW v '. ~ ............~~WA~h>>~~, ... f'"..d~~, ..:v,k -J ~'^ ~-.<~~......-.dk<.11d% ",~,,\~.<W$~,,'/r '....... --'v/ ~ "ili<</)<,::&~,%"", '" ~i:.... _ ~ 327-' \ i\(t,"\-a..~ ~ \ ~ , - LEGAL DESCRIPTION: /7D3ZZ(3. o b ZO D JOB DESCRIPTION. I--;\N'er( (L~--rf:. / / c (,LLA.~ + " I Permits are non-transferable a~d expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '" , >"'WT'W"'v'i!r.<w~ ~ .VI ' 1.Ji ~{ "nq --:;:; ~ ,. : CONTRACTOR INSTALLATION ONLY'" 2. A ' '>~J;;;0illN:i<.f %~'48:f,> A4~N ,~l<j;;fif~~ / ;: _,,;' ,.~,." ...., ~ "J.i~%)~V~.J~~>''!;fr-''-'> vv.0--t$/)':'l'<''lr,'\Jfi''''''''4 X*" '~~r>~>>~~w~\"'>> > >~>">>>>~l~ A. New Residential-$ingle 'or" Multi-Family per dwelling unit ",~*-fuMfl~,,.~,,,,,",~,,,,",,, ~_.<<o>>: N/,-, /' ^~, -</ , N ......-_.;.;.:@,~,:;}( ;., +."." ',;~ ( ~~w ~ v """.< ~ """""'"".., ""v.%<< '''V.h'''\ Service Included 1000 sq. ft. or less Each additional 500 sq ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $11700 $ 21.00 $55.00 (:::<>,~ ~ ~: "", "';'" ~ ""r^...r""~~'<'i~~~~~W::";0 "7,,~; ~/v'Vf,7~\<,:l>{~.:g;"\ "'<~"F~i"'::::":;:6i~;~ill:::::":,;::Z~h!~?h,~~~, ,-~, . v\ B. ServlceS"or'Feeders ,}Ds~llaJ!~ll, N~er~tions 'or Relocatjo~: ~ =mi>~m~, ~ "S i > 1....'. .,'<ii~,~ h h: 0!:\ --:--------,~~~k;%~b,.0v_::: Electrical Contractor E"ST51f) E cttC,f(IC 200 Amps or less I $ 70 00 70 20 I Amps to 400 Amps $ 83.00 Address 3~))3 B05GA Gt? l #..J . 40 I Amps to 600 Amps $138.00 60 I Amps to 1000 Amps $180.00 City 5~ ~LO Phone 7lf/-tY1CJ; Over 1000 AmpsNolts $413.00 Reconnect Only $ 55 00 11 7 1. 7 "''ffi='M' , " 'II""' -, 5 '_Te~JIDr3ryjSeriices ot'Feeders :'" " ires vSU tW$~lili" ,',"'" , ,,,, "'"I,d,, I - Cu'l "~I\ \aW re~regon Ut\\ltV. . . Expiration Date J () - ) ~, ,Md bY tile _ ~ ra set(u&tllIatlOn, AlteratIOn or RelocatIOn 1':-i:;CA ':\ty~ 1\1058 I~~"O~R 95~ij~ps or less $ 55.00 Constr. Contr. Number. ")' i.t.'Clf)_tl~ lC()'i ~ th!~~\c>c; 01 the rU~1mps to 400 Amps $ 76.00 10 ~;:i~~ ~ygb""~No[.: thO t.\..~~~s to 600 Amps $110 00 Expiration Date J @. the..telltar. \ Uti\lW Not\ I v rooer tor tne.~_332-2344). ~~~,~~,2~p~?~ IpOO Volts see "B" above. Signature of SupervIsing E'MCfi'ici:wentef \S ~ - D. ::~ran~ff~2!rc'!.~~ ' ~ _ _ _ ' New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 OWNER INST ALLA nON Limite(-~~esIdential $ 28.00 !he in.stallation is being made on_t'~oJ{1~.own whic\\. t1?'~tli '~:~lommercial $ 50.00 IS not mtended for sale, lease or ~~\S PE~WI\' ~~ER :ffi~ ~!,~~~,~~, ~;?'~~~0~,~:~~~~,iS,~~~~?,~~urcharges O S. \ OQ\IEO u ~ I\i~~ TO..TAL. :.0. F"ABOVE":'~*"tJ4~%~nw'W'~~~':4-h'i/t 7U wners Ignature p..U1\1 n CEO OR \v t'\ ',"~iL,',,,,i"' ''hI', ....m.' ,,,,,,,=,t"'v't',!:"~ "~" >~~' " 1 CQM\'J\E~ N PER\OO. II,!Yo State Surcharge e 8~ {\~\{ ~ ~Q Uf\ 10% Administrative Fee 7'(0 5% Technology Fee ~70 9i?B Supervisor License Number ~~ Owners Name nI A IT aD'" L ( v I n. c:, gz)" S ,^c..~~h- City r=-~ r::.r- Phone Address Inspection Request: 726-3769 ~ ' ",":" $ 48 00 $ 4.00 l{ E. InstalI~iion ',.... v.'../."'" "-, - ~ , :T~?'(,'7h__~,\~ ,~; ;::..:, " <-"<r7?'lllif~~1!~=~' ~~:-', , llaneous (Service/feeder not includ " ~ J.'.~l~(' ~,,<::'1d'i:;J;(>L $,*W~~dddiXl'l){ h ~~",~""^,,,,>>d~&""~~t<n<U(~ TOTAL Shared Dnve(T )/Bulldmg FormslElectncal PermIt ApplIcatIOn 7-07 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00714 ISSUED: OS/20/2008 APPLIED: OS/20/2008 EXPIRES: 11/2012008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3277 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: 1703221306200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Panel change and 1 circuit Owner: MATTOON LIVING TRUST Address: 825 SHERATON ST EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EASTSIDE ELECTRIC INC License 117770 Expiration Date 10/04/2009 Phone 541-915-9828 VB I BUILDING INFORMATION I # of Stories: requireS yoU ~t Size: ~fi~~\>!>~.r~n \a~he OregOO Ut~t 1st Floor: ~t~~e r(U",iSltt~opted b'/se rules are set W' \\ 2nd Floor: kWa~eIt\~~enter. 'ThO ugh OAR 952-5W~n Basement: ~1t~kC~eg'!;~el1-00~ ~ th~~pies oHhe rU\i~ Garage/Carport \\lE->9\5r~clI~V obta\O Note: the te\~~h t Other: O~5rt'AkJe~UllmW~ ( Ut\\ittfaNo\\hC~ cupant Load: ca I1ng tnp -(j'regOO _ ~ IlU':' 'VDt fgr :- ~ ~Vl.'-.:,.J'; :!'! I DEVELUPMErelellM<'(Ifl{MATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS' 'C~ Sidewalk Type: u~ UIOR\{ NO,. I;.~ ~lB~'I"m:. vv 1H\S PERM\" S\"'Jtb\"LfH&S~M\ff \5 NOT AU1HOR\ZEO UNO~: ABANOONED FOR COMMENCEO OR ANY 180 DAY PER\OD. Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2:e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00714 ISSUED: 0512012008 APPLIED: OS/2012008 EXPIRES: 11/2012008 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 J Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.40 $8.88 $3.70 $4.00 $70.00 5/20/08 5120/08 5/20/08 5/20/08 5/20/08 Receipt Number 2200800000000000712 2200800000000000712 2200800000000000712 2200800000000000712 2200800000000000712 Total Amount Paid $93.98 I Plan Reviews, 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. Reouired Insnections , 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, 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 Pae:e 2 of2 225 Fifth Skeet SpriIigfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00714 COM2008-00714 COM2008-00714 COM2008-00714 COM2008-00714 Payments: Type of Payment CredltCard cRecemt 1 RECEIPT #: 2200800000000000712 Date: OS/20/2008 DescriptIOn Perm ServIFdr 200 amps or less Add, Alter, Extend Orc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstrahve Fee Paid By ROGER KING Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 03506B In Person Payment Total: Page 1 of 1 2:29:40PM Amount Due 7000 400 370 888 740 $93.98 Amount Paid $93 98 $93.98 5/20/2008