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HomeMy WebLinkAboutPermit Electrical 2003-09-09Status 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: COM2003-00873ISSUED: 0910912003APPLIED: 09/0912003EXPIRES: 03/0912004 VALUE: SITE ADDRESS: 3157 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: 1703221307400 PROJECT DESCRIPTION: 200 Amp service change Owner: CRAMERCyNTHIAJ Address: 3157 PARTRIDGE WAY SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Contractor Type Electrical Contractor EUGENE ELECTRIC SERYICE INC License 90200 Expiration Date 03fi7t2007 Phone 54t-344-3561 BUILDIN( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARTilNG Total: Handicapped: Compact: Total Value of Project Paee I of 2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction Value Date Calculated Lrrt't .I. r1AL .l. (Jt( Il.\_r \rt(lvlA r r(,N I Valuation Description I rF 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: COM2003-00873ISSUED: 0910912003APPLIED: 09/0912003EXPIRES: 03/0912004 VALUE: Fee Description + l0oh Administrative Fee + 7Vo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 9t9t03 9t9t03 9t9t03 Receipt Number r200200000000002090 1200200000000002090 1200200000000002090 Plan 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. I Electric Service: Approval required prior to utility company energizing service. 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 Springlield 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 Ptse2 oI2 rees raro I t(eoutreo lnsDectlons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Dep artment Public Works Department Receipt #: 1200200000000002090 Date:09t0912003 3:03 :42PM coM2003-00873 coM2003-00873 coM2003-00873 Perm Serv/Fdr 200 amps or less + 7%o State Surcharge + l0%o Administrative Fee Item Total:$73.71 63.00 4.41 6.30 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard EUGENE ELECTRIC Jmp 000163 009548 Phone Payment Total: $73.7t $73.7r 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(5-11)726-3753 o FAX: (541)726-3689 E LE,CTRT CAI, P ER]NIIT AP P LT CATI A N city Job Number COM( ?-m3- oo8-13 nu,. Oq ^ Ocl, - 03 1. LOCA'I'ION CI*: INST'EIIE?'IOIf 3.C O }I{ P L E' I]E,F &'}; SCI{&'I) Li L E B B L A Vl a !s1 ?r P-\ fat D a a We't LEGAL DESCRIPTION A. Ncw t'?o-bt-z- \3 o-1 +e JOB DESCRIPTION Seetrcs 6+t3qx\AE Per"mits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or poftion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ r06.00 $ 19.00 s50.00 Alterations or Reloc:rtiou: t/ s 63.00 63, oo 2 CO}ITRACTOR TAI,S?H'I-A ?ION ONLY B. Sen,ices or Feeders - EUGENE ELECTRIC Electrical Contractor 200 Amps or less 120 MONROEAddress EUGENE , $ 75.00 City 344-3551 .t'\. $ 12,5.00 $ I 63.00 $37s.00 .00 $ 50.00 $ 69.00 $ 100.00 Phone 109 Supervisor License Number 10/01 Expiration Date Constr Expirati on Signature of ownersNu,n" C-t& Owners Signature: Inspection Request: 726-3769 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit g $ 43.00 $ 3.00 Address '9(S1 CitY+<BING TGLD pt one -14-1 - gZZb Pump or in'igation Sign/Outline Lighting OWNER TNSTALLATION The installation is being made on propefty I own which is not intended for sale, lease or rent. h9A:( E.F'Iiscellaneous (servicelfeeder rtot inclueled) -Each lnstallatiolt $ s0.00 $ s0.00 Limited Energy/Residential $ 2s.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges S{IIJ'fi{}TAL OF *BOIE 7%o State Surcharge 10% Administrative Fee TOTAL 4.4 \ {o.jo 6 z..,o '13, -t t Jt<( 4 Shaled Drive(T:)/Building Fonns/Eleclrical Pcnnit Application I -03.doc s to 400 Amps to 600 Amps to 1000 Only see "B" above. C. D.