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Home My WebLink AboutPermit Electrical 2006-07-14Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00877ISSUED: 0711412006APPLIED: 0711412006EXPIRES: 0111412007 VALUE: SITE ADDRESS: 5422MT VERNON RD ASSESSOR'SPARCELNO.: 1802040001800 PROJECT DESCRIPTION: One Circuit for Septic Pump Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: Address: Contractor Type Electrical GARDNER GUADALUPE 5422MT VERNON RD SPRINGFIELD OR 97478 equires you to 'Oregcn Utitity iles are set forth Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03n7t2007 Phone 54t-344-3561 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla PIfiE IF THE V HIS PERMIT IS REQUIRED PARKING Overlay Dist:Total:UHI Handicapped: Compact: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction Paee I of2 Value Date Calculated s of the rules by liie teleplrone Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00877ISSUED: 0711412006APPLIED: 0711412006 EXPIRESz 0111412007 VALUE: Fee Description + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid Total Value of Project Date Paid 7n4t06 7n4t06 7n4t06 7n4t06 Receipt Number 2200600000000000971 2200600000000000971 2200600000000000971 2200600000000000971 $4.s0 $3.60 $43.00 $2.00 $53.10 Plan Reviews f*r![r}ftI To Request an inspection call the24 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. 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 hereinn 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 Pase 2 of 2 Date l(eourreo lnsDecuons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ca of Springfield Official Receipt L elopment Services Department Public Works Department RECEIPT #: 2200600000000000971 Date: 0711412006 e:15:44AM Job/Journal Number coM2006-00877 coM2006-00877 coM2006-00877 coM2006-00877 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 8% State Surcharge + lloh Administrative Fee Amount Due 43.00 2.00 3.60 4.s0 Item Total:$53:10 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JOHN DEAN NJM 014368 In Person Payment Total: $s3. I 0 -ffiio' cReceint I Page I of I 711412006 9it.*ta'l -d.? 225 FIFTII STREET . SPRINGFIELD, OR 97477 ' PHt(541)726-3753 r FAX: (54I)726-3689 PERMIT APPLICAT:ION Date -1 -lY- l6oa o'+ eoo t 85tl COXIPLETE FEE SCHEDULE BELOW A.,,.Neu1 Resi<lential - Single or I\{u Service Included I000 sq. ft. or less Each additiorral 500 sq. fl. or portion thereof Each Manufact'd Honre or Modular Dwelling Service or Feeder $50.00 City Job Number LOCA.TION OTT LECAL DESCRIPTION JOB DESCRIPT]ON. J : B. : Scrvices or Fecders - fiq 200 Amps or less 20) Anrps to 400 Atltlls 401 Anrps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 106.00 $ I9.00 $ 63.00 $ 75.00 Perm its a re non-transferable expire if worh is not started within 180 daYs Suspended for I80 days. 2. coNTRACrOnwsrer'rerioioww r/ Illectrical Corrtraclor f UHtyL UftTet( :rrPL,U1 Address 126 filot\JR-CI9 .Ar. City Ecie E-,\t L phone 344-3se t uance or if work is 1t Itilitv $ 125.00 $163.00 ,- $ s0.00 Supervisor License Nuntber 37 js J C. ' 'I'empor,ar5' Expiration Date to I t la?Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 ArnPs $ 69'00 4ol Amos to 6oo AmPs $1oo'oo see "B" above. Constr. Contr. Nunrber 709,oo Expiration Date e ln lol Signature of Supen,ising Electrician Owners Address C Phone OWNER ALLATION The installation is being nrade on property I orvn rvhich is rrot intended for sale, lease or rent. Orvners Signature: Neu' Alteration or Extcnsion Per Panc) onecilcuit / $43'oo Each Additional Circuit or rvith ServiceorFeederPenlit ; $ 3'901 D. i Pump or inigation Sign/Outline Lighting TOTAL </3 fl) 5. 1"dD4r 3-tao Linrited Energy/Res idential Limited Energy/Commercial Minimurn Dlectric Permit Inspcction Fee is $45'00 * Surcharges $ 50.00 $ 50.00 $ 2s.00 $ 4s.00 i ..-__, '_-'""1 4. . ST-IL}TOTAL OF ABO\'B 8% State Sulchar-qe I 0% Adnrinistrative Fee #Inspectiou Request: 726-37 69 bhared Drive(T:)/Building Fonns/Eectrical Pennit Application l-06 doc unit" D. U 5_3 - /o