HomeMy WebLinkAboutPermit Electrical 2008-5-21
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SUqtUlded f.' J 10 day$.
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OWNi:a IN~ALLAT10~
in. installatiou Ii b&'IOg Jnade on p.opetty 1 )WIl "hlch
,$ Qot mwndC'd for sale. lca<;e Of nmt
NOT'C~~ Signature
THIS PERM1I.sHAL-l-~r' , -
AUTHOR/ZED UNDER T~f1S ~~t WITRK
COMMENCED OR /S ABANnm\/ M/T /S NOr
ANY 180~~BrI~t. '?1b:31fi' FOR
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1000 sq ft 0' less
EaGh addJ\lonal '00 sq. tt Qf
poniofl ther<<tf
$111 00
$ 2) 00
Eacb Muuta(:t'd Howe 41f
MQc.\u1l11r Dwelhtll &'IVlce or
Fewer
$SS 00
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zo t Amps to 400 Amps
401 Amps to 600 AmI"
601 AIIIps to 1000 Amps
Over 1000 AmpsNo!ts
lU..oowleti Only
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$ 83 00
$13800
Sl10 00
$413 00
$ SS 00
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200 Alnps or InS
201 Am,s lO 400 Amps
401 Amps to 600 Amps
S 53 00
$ 16 00
$11000
OvcroO(l Amos a/lOCO VolUl see "B" l\.bove
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N"'A~tio. or Exteot.iom fer PaMl
Oue ChtUlt
&Ui Addiliooal Clllll.Ut or with
Service or Feed- Pm:>>ll
$4800
$ 400
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Pump or lTl1g;!ilioo S 35 00
SlgnlOutUt LighUDg $ 55.00
LUl1l\ed Ener&Y(Resi~tlal S 21 00
Llltll1zd EDCltlD'/ColiiJ!)uc:ial $ 50 00
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follow ru id'~L1I4IlW~M~.Pe"l'111 t"pplLOIJIor ,-us dOl:
N as adopted by th " you to
otlficatlon Center. Th e Oregon Utility
In OAR 952-001-001 0 t~se rules are set forth
0090. You may obtafn rough OAR 952-001_
calling the center. (~oP/es of the rules by
number for the Or~ ote' the telephone
Center is 1_i~0~U3t2Ih2ty Notification
- 344).
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00718
ISSUED: OS/21/2008
APPLIED: OS/21/2008
EXPIRES: 11/21/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 910 4TH ST
ASSESSOR'S PARCEL NO. 1703352106300
Sprmgfield TYPE OF WORK. Electncal Work Only
TYPE OF USE
AlteratIon
ReSidentIal
PROJECT DESCRIPTION Electncal Service Change
Owner
Address
CHUCK EVERGARD
890 IVY STREET
EUGENE OR 97402
Phone Number. 541-688-1831
I CONTRACTOR INFORMA nON I
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
BUILDING INFORMA nON I
ExpiratIOn Date
10/14/2011
Phone
541-726-7895
# of U llltS
Pnmary Occupancy Group
Secondary Occupancy Group.
Primary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms
# of Stories
Height of Structure
Type of Heat.
Water Type.
Range Type.
Energy Path
Sprmkled BUlldmg
Lot Size.
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other'
Occupant Load.
nla
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard Setback.
Side 1 Setback
Side 2 Setback
Rearyard Setback.
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd.
Paved Drive Rqd
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements.
Storm Sewer AvaIlable
SpeCial InstructIOn
Sidewalk Type.
Downspouts/Drams
Notes.
I Valuation DeSCrIption I
DescnptlOn
Tvpe of Construction
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00718
ISSUED: OS/21/2008
APPLIED: OS/21/2008
EXPIRES: 11/21/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Value of ProJect
Fees Paid'
Fee DescriptIon
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.00
$840
$350
$70.00
5/21/08
5/21/08
5/21/08
5/21/08
Receipt Number
2200800000000000715
2200800000000000715
2200800000000000715
2200800000000000715
Total Amount Paid
$88.90
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 followmg
work day.
I Reouired Insoections I
Electnc Service Approval reqUired prior to utIlIty company energlzmg service
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certify that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With
the Ordmances of the City of Springfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permission of the Commumty Services DIVISion, BuIldmg Safety
I further certIfy that only contractors and employees who are m complIance With ORS 701 005 wIll be used on thiS proJect
I further agree to ensure that all reqUired mspectlOns 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 remam on the site at all
tImes dUring constructIOn
Owner or Contractors Signature
Date
Paee 2 of 2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal Receipt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-007 I 8
COM2008-00718
COM2008-00718
COM2008-00718
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Date: OS/21/2008
2200800000000000715
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
L YNNS ELECTRlC
Item Total
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
Illi 590955 590955 Phone
Payment Total
Page 1 of 1
83844AM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
5/2l/2008