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.