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Home My WebLink AboutPermit Electrical 2008-6-27 SPRINGFIELD ZON Qf /" ~ ,,~ ~SO~U~IREALc4/ 'R f t{~~v 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-37<;3 . FAX (541)726-3689 ~ c~ r =y ," ELECTRICAL PERMIT APPLICATION /.. / CIty Job Number L C>....-\ t-O 05? - c> 0 't l( / Date b/ z. 7 I LOCATIONOFINSTALLA110N: 3 COMPLE1'}<,FEESCHED~LEB~OW .:5 't?O -h-AoA klc... it- S- O 2(.(00 - . . I,; '.~...GIJ'Y ()iS~9iJEl?P:9J~'FGQN1. ':, LEGAL DESCRIPTION /7D53 LfLfL JOB DESCRIPTION l--ff:" -/ t..Irc.c f/J1 tf 5 t:<LVl~ PermIts are non-transferable and expIre If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days A New Resldenhal- Smgle or Mulh-Famdy per dwelling umt - - ServIce Included 1000 sq ft or less Each addltlOnal 500 sq ft or portlOn thereof Each Manufact'd Home or Modular Dwellmg Servlce or Feeder $11700 $ 2100 $5500 ss- / 2 ,CONTRAcrOR INSTAI:LA!lON ONLY B ServIces or Feeders - InstallatIOn, AlteratIOns or Relocahon' Electncal Contractor (J.r;(./$ /W F / 'c ,.e 5LC~~00 t\Jn..pJit'!lSl<;SSU to $ 70 00 , . I" " 'I~' feO~ ~?1tJ\llfpsotg"'o6Ja $ 83 00 Address 3J'.?5>r /~ f/u W~, i8dd"U~ 4Q.I,tmfis ?O'6IiR~ $13800 \.~cnter Thl:. ", POAR g52~UVT" " ',' 2_001-0010 t6()~lAl\1p.Sl%M\Qll~ $18000 ClrO?M?<J ,p../L O,ePhone cP9.s-:: '.:?,~~~ obta,n&B'YMQ ~(jRs $413 00 vC~a\ Ing the center ~~~rml'lY Roblicat\On $ 55 00 number lor the o~e€OO_332-2344), SupervIsor Llcense Number ? 22. ~ SCenter IS C Temporary Servlccs or Feeders EXplratlOn Date It> /0 I / 2. c; /,!) Constr Contr Number 6 ~7 7 Explrahon Date /2. 2 ~6 g- '// Slgnature of Supervlsmg ElectrICIan ~~ IA~g__ Owners Name y"l..... 6-n4.-JA"-r ( Address '3 ( zz e:~ea-.A-c... ~ CltyE(..A(;.t/1.(~ Phone OWNER INSTALLATION The mstallatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent Owners SIgnature Inspection Request 726-3769 InstallatIOn, AlteratIOn or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $11000 Over 600 Amps or 1000 Volts see "B" above D Branch CIrcUIts NOTiAlteratlOn or ExtenSIOn Per Panel l< ~ ~~HAll EXPIRE IF THE WO~ $ 48 00 THIS ~~lIfH\13>~lfJiIIIT I:> l~uT AUT r ~ae.r :1mt\OONEO p:'t:l $ 400 COMMENCED Iii I~ __ _ ANl1 OO~'riPn~Plkrvlce/feeder not mcluded) -Each InstallatIOn Pump or uTlgatlOn $ 55 00 SIgn/Outhne Llghtmg $ 55 00 Lmllted Energy/ReSIdentIal $ 28 00 LUTIlted Energy/CommercIal $ 50 00 Mmlmum ElectrIC PermIt InspectIOn Fee IS $50 00 + Surcharges 53 6(.'::> SJO Z7r b7gE 4 SUBTOTAL OF ABOVE 12% State Surcharge 10% AdnllTIlstratlve Fee 5% Technology Fee TOTAL Shared Dnve(T )/Bulldmg FormslElectncal Permit ApplicatIOn 1 ~08 doc Status Issued CITY OF isl'Kll'HJJ'lJ<..LD Building/Combination Permit PERMIT NO, COM2008-0094] ISSUED. 06127/2008 APPLIED. ,06/27/2008 EXPIRES: ]2127/2008 VALUE. 225 FIlth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn Lme SITE ADDRESS 3998 FRANKLIN BLVD SPACE 5 ASSESSOR'~ PARCEL NO ]703344202400 Engene TYPE OF WORK Electmal Work Only TYPE OF USE Repair ResIdential PROJECT DESCRIPTION Replace MH servIce Owner GRANDAHL JOHN MARTIN Address 3122 EMERALD PL EUGENE OR 97405 Contractor Type Electncdl I CONTRACTOR ]NFORM.;\;r~~b'tt ATTENTION ure\,!u" ,.. the 6reQon U\llI\y Contractor l("'(l\~ rules adoPte~hbY e rulesla)~&orth ExpiratIOn Date CHRIS MILLERS: EI"ECYIiRm1rJ{<;:n t~;nllah (121);62..()()~: ] 212112008 In O'l':BuIiDi~~roRMJ\~h~~;~ 009', mel (,~/.l! \"~-"o" calling the ce Qlgl on Utility Not ,....... number~&.I~1 ,,~nn_~2.2344)' R-3 ~br Uf "rl'lYCllTre Type of Heat Water Type Range Type Energy Path Spnnkled BuJldmg Phone 541-895-3660 # of UUltS Pnmary Occupancy Group Secondary Occupancy Group Pnm.lry ConstructIOn Type Seconddr)' ConstructlOlI Type # of Bedrooms VB Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Garage/Carport Sq Ft Other Occupant LOdd n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontvard Setback S,de] Setback SIde 2 Setbdck Rearyard Setbdck Solar Setbacks Overlay Dlst Total # Street Irees Rqd WOt\~andlcapped _6i~e _139~ll EXt'IRE If 'THE Mofompact ~Eaf>M,\- T\'IIS PERMIT IS AUTHOR\Z~O_ M~~! tlRAMOOMEO fOR IPUBLIt?~. W SIdewalk Type Street Improvements Storm Se"er AvaIlable SpecldllnstructlOn DownspoutslDrams Notes I ValuatIOn DeSCrIDtlOn I DescnptlOn Tvpe of ConstructIOn $ Per Sq Ft or multIplier Squdre Footdge or B,d Amount Value Date Calculated Paee 1 012 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00941 ISSUED, 06/27/2008 APPLIED, 06/27/2008 EXPIRES: 12'27/2008 VALUE: 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fd' 541-726.3769 InspectIOn Lme Total Value of Project Fees Paid I Fee DescllptIon + 10% AdmlDlstratlve Fee + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Amount PaId Date PaId Receipt Number $550 $660 $275 $55 00 6/27/08 6/27/08 6/27/08 6/27108 1200800000000000710 1200800000000000710 1200800000000000710 1200800000000000710 Total Amount Paid $69 85 I Plan Reviews I To Request an mspectlOn call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7 00 a.m, wIll be made the same workmg day, mspectIons requested after 7'00 a,m, WIll be made the followmg work day I ReolJlred 'nsoechon~ MH Service Approval reqUired prIor to utilIty company energIZIng servIce By sIgnature, I stdte and agree, that I have carefully e,"mmed the completed dpphcatlOn and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I further certify thdt any dud all work performed shall be done m accordance with the Ordmdnces of the CIty of Sprmgfield and the Ldws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY will be made of any structure without permISSIOn of the CommuDlty ServIces DIVIsIon, BUlldmg Safely I further cerllfy that only contractors and employees who are m comphance wIth ORS 701005 will be used on this project I further .Igree to ensure that all reqUIred mspectlOns dre requested at the proper tIme, thdt each address IS readable from the street, that the permIt cdrd IS locdted at the front 01 the property, and the approved set of plans Will remam on the sIte at dll times dunng construction Owner or ContrJctors Signature Date Pa2e 2 of 2 225 fIfth Strcct Sprmgficld, Orcgon 97477 541- 726-3759 Phonc Job/Journal Number COM2008-00941 COM2008-0094! COM2008-0094I COM2008-00941 Payments I ype of P -tyment CredllCard cRecelOt] RECEIPT # DeSCriptIOn Manufactured Home ServIce + 5% Technology Fee + 12% State Surcharge + 10% AdminIStrative Fee Paid By CHRISTOPHER MILLER ~~ CIty of Sprmgficld OffiCIal Rccclpt Dcvclopmcnt SCrvlCCS Dcpartmcnt Pubhc Works Dcpartmcnt 1200800000000000710 Date, 06/27/2008 Item Total Check Number AuthOrization Received By Batch Number Number How ReceIved dJb 376826 In Person Payment Total Page I of I I 20 58PM Amount Due 5500 275 660 550 $69 85 Amount Paid $69 85 $69 85 6/27/2008