HomeMy WebLinkAboutPermit Electrical 2008-5-30
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LEGAL D'ESClW'TJON-
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JOB IJE'KlUPTION
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, :~ita lAte DODwtrrllls{crable AllId expl... if,. 'oJ'k i:i
a~ wttld. 186 days of ~ItIlDte or it work is
Slll'peYIcled ..., J SO days,
SIet.1neaJ Ci)l11:ra11tOt J1.t!.,.} ~S E. t f,L + it- CJ;,w
Addreu ~ A
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Chy ~Cktk _ Phooe S'S" (..$''t.ct'/
S!JtItJmeOl Ucense Number ~ ~5'1" :.
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CO!\$tr COI1W, NumbClr f 0 t" '3 t k..---
Expiration Dato Jot 1'1 / II
Sipa1'U~ of SlIpetVlSlJIg El~;lU'
'Ir;/ ~--
Ownm ~e .~~l.f. fN'f'i11 (1. . rrO _ /_~
AddreSSOqf) ~:lJ1. ~W~
Diy ~me.;.~~. ~~
owm:a IN~ALLAl'ION
lb. iYlstttll&tiou b br:lllg made on property I ;lWII \<\hich
lS nvt tntmded for sale, 1ca1e or rent
Owaen Signature.
NOTICE:
THlgff~SPfm.t l~T~ IF THE WORK
AUTHORIZED UNDER THIS PERMIT t:) NOT
COMMENCED OR IS ABANOO~O FOR
~ 1~Y PERIOD. ~ \/
10 ~~;\
Date
b\ 6Q\. 0"-_____
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Semce 1l!lellUded
1000 sq. ft or less
Eac:h ll1ditiooal SOO sq. it Qr
pottkIn thereof
$11700
$ 2) 00
Each MuuCact'd HocDc 0'
Modular Dwelling &'TVi" or
,.toer
$5S,oo
~' i" ~{,~~ l.\j~t" Jar' -:-l(}\"'':''i'''''nt;'Sl'l( ,*,t~I'~1r~,'t;i\'l\\I\,i~dl'''~'o;~1'- if'
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~ ~lb;r'..l,.~~"I::r.....,,;l.,~ 1.t'~';N~~u....:":"-::;~~\\ ~.,t\M; ~
__J_ S 70.00 10.W
$8300 ___
snlloo
$180 00
$41300
$ 5S 00
200 Amps or leu
201 AJnpl> to 400 i\mps
401 Amps to 6()() Amp!
601 Amps to 1000 Amps
0..(1 1000 AmpsIVollS
Reconnect Daly
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~....tf 't ,411' . ,~......oI"IIt...\,.....a: ","i_oi,,:.?"J fo.._~~\ ~ ~t_......\J.~ .,I~tl~J.J...i.....4.
b,tAIladoa, Alter.non or aelocatiou
:t.'OO Amps or It$$
2()1 Al11fS to..oo Amps
401 Amps to 600 Amps
s S~ 00
$ 76.00
$11000
Over 600 Amos or 1000 Volts see "B" above.
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N- A~tiolll or EJde811;om r" PIIM1
oue Clt'l:Ult ____ $ 48_00
~ AddiOOlla' Clroult or with n
SeM" or Foodill' Pamil -I.~ $ 4.00
..--~---
-&.~
;\"1'\~\,.'Il. ,l:~""''''') .~\ ~~:'l' ")("1- ."tJ;"l' .~ ..it. ~.. 2~T "Mr'"' i~i1, r;r~ 1\40.
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I, ..... ^ \ .i.., "l ......It'\.'I"."~~ .L.J~...'(,,...~~~#.. ........~..)
Pump or l1llplion
Signlo..tlioe Lightme
Lun.i\ed EnugylResld.entlel
Lll7llted EDetSY!Commerclal
S S5.00
$ 55,00
S 21.00
$ 50.00
MlnimlillD lAednc: r.nralt Joap<<tiOD fI_ i, $!O.M + sureu~
;v"'" "", '\''''"'1t:'' ,'ff' ',...;;J".....j..., l,!..',,?~,"~lj~I'" -'1 CD
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J?%StueSutt!wsc ~ ~
100/. Adnnniatralivt fee -- -~. · ~
}% r.lmoloRY Fee . '::tb ~
TOTAL ~q()Lo
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"TTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
<0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00718
ISSUED: 05/30/2008
APPLIED: OS/21/2008
EXPIRES: 11/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 910 4TH ST
ASSESSOR'S PARCEL NO.: 1703352106300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Electrical Service Change
Owner:
Address:
CHUCK EVERGARD
890 IVY STREET
EUGENE OR 97402
Phone Number: 541-688-1831
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
L YNNS ELECTRIC
License
102316
BUILDING INFORMATION'
Expiration Date
10/14/2011
Phone
541-726- 7895
# of Units:
Primary 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:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriptioJ
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00718
ISSUED: 05/30/2008
APPLIED: OS/21/2008
EXPIRES: 11/30/2008
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 J
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
+ 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
$7.00
$8.40
$3.50
$70.00
$7.80
$9.36
$3.90
$8.00
$70.00
5/21/08
5/21/08
5/21/08
5/21/08
5/30/08
5/30/08
5/30/08
5/30/08
5/30/08
Receipt Number
2200800000000000715
2200800000000000715
2200800000000000715
2200800000000000715
2200800000000000789
2200800000000000789
2200800000000000789
2200800000000000789
2200800000000000789
Total Amount Paid
$187.96
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.
L Reouired Insnectiol!!.l
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
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 Street
. ."
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00718
COM2008-00718
COM2008-00718
COM2008-00718
COM2008-00718
Payments:
Type of Payment
CredltCard
cRecemt]
RECEIPT #:
2200800000000000789
Date: 05/3012008
DeSCription
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIVe Fee
Paid By
L YNNS ELECTRIC
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How ReceIVed
llh 604722 Phone
Payment Total:
Page 1 of I
10:17:13AM
Amount Due
7000
800
390
936
780
$99.06
Amount Paid
$99 06
$99.06
5/30/2008