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Home My WebLink AboutPermit Electrical 2005-08-08Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01072ISSUED: 08/08/2005APPLIED: 08/0812005 EXPIRESz 0210812006 VALUE: SITE ADDRESS: 2520 5TH ST ASSESSOR'S PARCELNO.: 1703233402800 PROJECT DESCRIPTION: Qwest 100 amp Power pedestal. Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial I{OTICE:PhoneNumber: 541-870-1403 THIS PERMIT SHALL EXPIHE IF THE WORK OR IS ABANOONED FOH ENIOD Expiration Date Phone 541-688-8996 Owner: Address: Contractor Type Electrical QWEST 3O5O N DELTA EUGENE OR 97402 Contractor LITE ELECTRIC SERVICE License CONTRACTOR # 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: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: -gg2-2344\ REQURED PARKING Total: Handicapped: Compact: is 1-800 $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated -1, u rlJ-Lrl.t\ (, t1\ I (rKrYrry..l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01072ISSUED: 08/08/2005APPLIED: 08/08i2005EXPIRES: 0210812006 VALUE: Fee Description + ll%o Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Total Value of Project Date Paid 8/8/0s 8/810s 8/8/05 Receipt Number 2200s00000000001067 2200s00000000001067 2200500000000001067 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. 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 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 Pase2 of2 Date r(eourreo rnsDecuons I rees raro I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 2520 5TH ST ASSESSOR'SPARCELNO.: 1703233402800 PROJECT DESCRIPTION: Power pedestal. Building/Combination Permit PERMIT NO: COM2005-01072ISSUED: 08/08/2005APPLIED: 08/0812005EXPIRES: 0210812006 VALUE: Springfield TYPE WORIft Electrical Work Only OF USE: Alteration Commercial License Expiration Date Phone 541-688-8996 - Owner: Address: Owner: Address: Contractor Type Electrical HODGKINSON MURNA K TE 2587 17TH ST SPRINGFIELD OR 97477 REVOCABLE LIYINGTRUST 2587 17TH ST SPRINGFIELD OR 97477 Contractor LITE ELECTRIC SERVICE # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Paved %" of Coverage: 19 Load: REQUIRED PARIilNG Total: Handicapped: Compact: # Sidewalk Type: Downspouts/Drains: Notes: Page 1 of2 t utlJt-rll\u rNI ut'uYr.q I {lNJ Type of Heat: Water Type: Range Size: 1st Floor: 2nd Floor: Basement: Status 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: COM2005-01072ISSUED: 08/08/2005APPLIED: 08/0812005 EXPIRESz 0210812006 VALUE: Description Type of Construction Fee Description + l0Yo Administrative Fee + 7Yo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Date Paid 8/8/05 8/8/05 8/8/0s Yalue Date Calculated Receipt Number 2200500000000001067 2200500000000001067 2200500000000001067 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $6.30 $4.41 $63.00 $73.71 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. 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 r 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. &- t- 05la Owner or Signature *c, Paee2 of2 Date \UL. Valuation Description I rl ees ralo l Keourreo lnsDecuons I 225 Fifthstreer :f#ffl:'i;,rff gon e7477 )ity of Sprin gfield- Offi cial ReceiptDevelopm ent-Services Department Public Works Oepa"t_"ot RECEIPT #:220050000000000r067 Job/Journal Number coM2005-01072 coM200s-01072 COMI2005-01072 Date: 08/08/2005 2:s6:23pMDescription Perm Serv/Fdr 200 amps or less + 7Yo State Surcharge * l0o/o Administrative Fee Amount Due 63.OO 4-41 6.30 Item Total:$73.71Payments: -Type ofPayment Paid By LITE ELECTRIC SERVICE Number Check Received By Batch Number Number How Received Jmp 6833 In Person Payment Total: Amount Paid $73.71 -$Eir 'I : 8/812005 Page I of I ln"u5e 225 FIFTH STREET . SPRINGFIELD, OR97477 ' PH:(54I)726-3753 O FAX: (541 E LE CTRI CAL P ERMIT AP P LICATT ON Ciry Job Number '6Mzbos-o \o-r-r-Date A -d(7oo'$q 1.LOCATION I'ION 3. COMPLE'nE T'EE SCHEDL:LE LsLO LEGAL DESCRIPTION [-t ob Ln b a ozboo JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder / 00 A A. New Residential - Single or lVlulti-Faurity,per drrelling unit' ''^'til$9 Service Included - ,,v." \o'tlreo Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. Address F o, pox //13? Ciry ,-/ b Supervisor License Number 9S s35 Expiration Date Constr. Contr. Number S"t 7 v( Expiration Date /o o9 Signature of Supervising Electrician Services or Feeders - Installation, Alterations or Relocation: 2oo Amps or tess I $ 63.00 bV'Y $106.00 $ 19.00 $50.00 $ 75.00 $12s.00 $163.00 s375.00 $ s0.00 B. 601 Amps to 1000 AmPs phone 5f1 b ?( €1aL over 1000 AmpsA/olts 201 Amps to 400 AmPs 401 Amps to 600 AmPs Reconnect Only C. $ s0.00 $ 50.00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs Sl00'00 Over 600 Amps or 1000 Volts see "B" above. .'D. Branch CircuiLd ;l ;' ..', ,':': ":,1;, .,' ,. :: New Alteration or Ertension Per Panel One Circuit $ 43'00 Each Additional Circuit or with i*i.t or Feeder Permit $ 3'oo E. Nliscellaneous (Servicelfeeder not ilctuded) -Each Installatiort Owners Name Address SOP - ,/tez-Zo city O,-zA, e.zv(j tnone EtotLloT OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: t,ofoS t, Pump or irrigation SigrriOutline Lighting Limited Energy,{Residential Limited Energy/Commercial 7o/o State Surcharge 10% Administrative Fee TOTAL *;__ c3,"o A, L\ b.3q -1 j.-r \ $ 25.00 $ 4s.00 4. SUBTOTALOF ABOVE a Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application l -03'doc ^ COMTRACTORINSTALLATIONANLYz- Electrical contractor Lt f€: OZ-Aryrut C-' 6T 6*, ^(