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Home My WebLink AboutPermit Electrical 2004-12-01Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01466ISSUED: 1210112004APPLIED: 11/3012004EXPIRES: 06/0112005 VALUE: SITE ADDRESS: 1930 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703252405500 PROJECT DESCRIPTION: Electrical maintenance Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial Owner: Address: IZZYISPIZZA 1727 RIVER POINTE LOOP EUGENE OR 97401 Contractor Type Electrical Contractor C & S ELECTRIC Expiration Date 09/01/2008 Phone 541-741-2236 License 3849 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: IS AtsANDONtJ U lvllV ATTENTION: Oregon law regi5q6gffift: -h?#:f L:liiJTfl:Il"8[ffi3tfii][ilo'"" in OAR 952-001 -0010 through OAR 952-001' 0090. You may obtain copies of the ruies by nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: calli the center. (Note: the telePhone REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project 344). Value Date Calculated DU tLt_rll\ rJ 11\ r (rKlYl,q, !_!Illu Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01466ISSUED: 1210112004APPLIED: 11/3012004EXPIRES: 06/0112005 VALUE: Fee Description + l0%o Administrative Fee + 7%o State Surcharge Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $4.s0 $3.rs $45.00 $s2.6s Date Paid t2nt04 t2nt04 tztu04 Receipt Number 1200400000000001673 120040000000000r673 1200400000000001673 PIan Reviews To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Special: See Plan Review and/or Inspector notes. Reou By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 m F ees rard I 225 Fifth Street Springfield, Oregon 97 477 5+l-726-3759 Phone city of Springfield Official Receipt ivelopment Services Department Public Works Department RECEIPT #: 1200400000000001673 Date: 1210112004 8:16:40AM Job/Journal Number coM2004-01466 coM2004-01466 coM2004-0r466 Description + 1Yo St^te Surcharge + l0% Administrative Fee Minimum/Adj ustment Electrical Amount Due 3.15 4.50 45.00 Item Total:$s2.6s Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard MELLISSA GEHRKE djb 001078 In Person $52.65 Paymen t Total : -$ 52 "6-f t2/U2004 Page I of I sr.enB 225 FItr'TH STREET . SPRTNGFLUUD'OR97477 . PH:(541)726-3753 r FAX: E LE CTRI CAL P E RMIT AP P LI CATI ON ciry.IobNumber CCstua)cll{ - 0tr/bb our" II -:O- (J t( J. I ?30 lptod Awtc 13 //\ LEGAL DESCRIPTION A.no3 z5 z L{ O lioo JOB DESCRIPTION Ekc-rrtrcr{'<-vh ArruravArvce' Permits are non-transferable and expire if work is not started within 180 days of issuance or if rvork is Suspended for 180 days. I }S ,b2 t26-3 Service Included i000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsfVolts Reconnect Only *% 0o)o, ss0.00 B. Eiectrical Contractor Address Pnfux)yg> Supervisor License Number L/{7t/3 Expiration Date )o -o t-o7 3sL/q Expiration Date 1-t-oe gnature of Supervising Electrician Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 h..$ 63.00 $ 7s.00 $ 125.00 $ I 63.00 $37s.00 $ s0.00 $ 43.00 $ 3.00 City L C Constr. Contr. Number 401 Amps to 600 Anps $100.00 Over 600 Amps or 1000 Volts see "B" above.,:p$ttiic'ff.ffi;J; iWffi Owrers Name New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or in'igation $ 50.00 Sigrr/Outline youlo n UtrtitY-ArrENrlffii"Q a1 follow r Address I >z 7-\>'.rr.;>,L E. ciry ?-vtkil{ vnone O\AT{ER INSTALLATION The i-nstallation is being made is not intended for sale, lease or rent. Ou.ners Siqnature: on properry I own whicfuo,i fication i rr o,.tWuS2tooPte$qig 0090 cal lin the $ s0.00 $ 25.00 $ 4s.00 $45.00 +rcharges ?r- tlffiffi###,ilffir 3/f?ro <2 6f)/z - Inspection Request: 726-37 69 numbe Shared Drive(T:)/Building Forms/Electrical Permit Application l{J.doc 1. ?ri "Jf- ' Phone 7q/->)s6