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Home My WebLink AboutPermit Electrical 2006-03-09CITY OF SPRIN Building/Co mbinatio n Permit PERMIT NO: COM2006-00283ISSUED: 0310912006APPLIED: 03/0912006E)?IRES: 09/0912006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pe ction Lin e SITE ADDRESS: 1851 14TH ST ASSESSORS PARCEL NO.: 1703252302302 PROJECT DESCRIPTION: Reconnectonly Springfield TYPE OF TYPEOF USE: Electrical Work Only Repair Residential Owner:'r Address: EARP.THOMAS TRUST 2431 CITY VIEW ST .EUGEIIE OR 97405 +^ AT toliow rute Electrical ne License 17252 nla Expiration Date 02t08t2007 Phone 541-343-7297 numtle le r ior the Or eoon Utility -doo-ogz-er o # of Units:Center is 1 Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Secondary Construction # of Bedrooms: R-3 VN # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: .*Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Sfreet Storm SewerAvailable: Special Instruction: Notes: ,; ;,0'u ;,1 i iiJffi*H,ffbl Jtr Yfr8i C L, tul r'{ r r',J C Eil 0 Rd&dfifl}itUfl6& F0 R ANY 180 DAY PEP[O0r,ot coverage: REQUIRED PARKING Total: Handicapped: Compact: r{tlTtf;E: Sidewalk Type: DownspoutVDrains $ Per Sq Ft or multipfier Square Footage or Bftl Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction lof2 Value Date Calculated * 'es \ r. Those rt iles rO{lgl the rules bY You Valuation Description I OF SPRINGFIELD Building/Co mbination Permit Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-72G36768ax 541:7 2647 69 I nspe ction Line PERMITNO: COM2006-00283ISSUED: 0310912006 APPLIED: 03/0912006E)?IRES: 09/0912006 VALUE: Fee Description + l0Vo Administrative Fee + 87o State Surcharge Service Reconnect Total Amount Amount Paid $s.00 $4.00 $s0.00 $s9.00 Total Value of Project Date Paid 3t9to6 3t9106 3t9t06 Receipt Number r20060000000000027s 1200600000000000275 r200600000000000275 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 certiS that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stucture without permission of the Community Services Division, Building Safety. I further certiS 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 b located at the front of the property, and the approrrcd set of plans wil remain on the site at all times during construction Owner or Contractors Signature 2of2 Date Hees ratfl I Reouired lnspections I l^n SPRIrol(as sr 225 FIFTH STR-EET r SPRINGFIELD, OR 9'7477 c PH:(517)126-3753 o FA,\: (3t1)72G8689 E LE CTRI CAL P ERI],IIT AP P LI CATT ON Ciry JobNumberCc,rr,t ?rc6- eO83 Date Zoning S -7-c6 Date 1 LEGAL DESCRFTIONt?o3ztZ3 oZ3cZ JOB DESCRIPTION gVtlc Q^ao.a n€-CT Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '1!:.'.-'., r"a:aa!:rTlsG'{::{fii elir'l.:(a*I,:tl*:It*f_-PYfi?-i!r,",lFr}r.n!*i , C0NTRr{trORI]\ISTA]I,Jf.;ITIO/|IrONLY,eL. . ,;t ::. "..irilH;dr-,..:,.rr:,, ,r'r. ,S,t . ... . r.:d.-.i:r:t. i'#.!;.I,.d..d:*::;il Electncal Contractor Address f[9 LC :1"\ AU( City E.,c,.t-ne Phone isk}-laql . _ .. . ti,n Eil/er"Lslgjlall#€*..-.*_. COIUIPLETE tEE SCHEDULE Bfr,OW: . ;.: ''. -.- , ': ..i A. N:_y n.'ia.1g; -5,ys[rii;"!f;!ii,Il*1y n_-! uyi1g*fi*. i; Service Included 1000 sq. ft. or less 5106.00 Each additronal 500 sq. ft. or portion thereof S 19.00 Each Manufact'd Home or Ivlodular Dwelling Service or Feeder .6:l?'rj^ l' |".:- .j:B. 'Services or r\(200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Arnps Over 1000 AmpsA/olts Reconnect Only $ 63.00 s 75.00 s 125.00 s 163.00 $375.00 $ s0.00 sta>J SupewisorLicsnseNumber atac tJ Expiration Date l0-\'C'_l Constr. Cont. Number !C - i:= C C. 40i Amps to 600 Amps FOR s 50.00 s 69.00 s 100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch,Circuits. r:--,:: ^,. . ' : New Alteration or Extension Per Panel Expiration Date '-l- l-Ct Si gnafure of S upervisin g Electrician Address Phone OWNER INSTALLATION The instailauon is being made on properr.v I own which is not intencieci for saie, lease or ient. Owners Signature One Circuit Each Additional Circuit or with Service or Feeder Permit 79lo State Surcharge i0% Acirnrnrstranve Fee TOT.{L $ 43.00 s 3.00 Name bh R? -njc>wilS TU4S1- Z L( 7 I ctTT r/te1,J S1- B Miscellaneous (Serwice/feeder no6 included) -Eac| -{nstallation,' c,ry O*GE'(e-Pump or irngatron S 50.00 Sigr/Outline Lighting S 50.00 Limrted EnergylResidentiai S 25.00 Limrted EnergytCommercial S 45.00 Minimum Electric Permit Insllction Fee is 545.00 - Surcharges {. SUBTOT:AL OEABOVE { $$ r g?""Inspecdon Request: :2G3i 69 Shareo Dnver T:) Buridin g FormvEiecmcai Permir .]'Dpiicauon I -ri3.c1oc Dy $s0.00 ne the rules NDER THI 200 201 PERIOD. Amps ,O 225 Fifth. Street Spiingfield, Ore gon 97 477 541:726-3759 Phone -W of Springfield Official Receipt --revelopment Services Department Public Works Department RECEIPT#: 1200600000000000275 Date: 0310912006 11:00:36AM Job/Journal Number coM2006-00283 coM2006-00283 coM2006-00283 Description Service Reconnect + 8% State Surcharge + l0% Administrative Fee Amount Due 50.00 4.00 5.00 Item Total:$s9.00 Payments: Tlpe of Paynent unecKNumDer Aumorlzatlon Paid By Receirrcd By Batch Nurber Number How Received Amount Paid CreditCard ELLEN REYNOLDS njm 090497 Phone $59.00 PaymentTotal: -..................Bdd ; :r} '{ iri 319/2006 lofl &rtto;3-tl