HomeMy WebLinkAboutPermit Electrical 2005-10-04Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2005-01362ISSUED: 1010412005
APPLIEDT 1010412005
EXPIRESz 0410412006
VALUE:
SITE ADDRESS: 323 19TH ST
ASSESSOR'S PARCEL NO.: 1703361313800
PROJECT DESCRIPTION: Install200amp service and 10 circuits
Springfield TYPE OF WORK: Electrical Work OnIy
TYPE OF USE: Addition Residential
nrrires You to
Owner:
Address:
STEPHEN KRAMER
42113 DEERIIORN RD
SPRINGFIELD OR 97478
Phone 54r-896-3205
n gsz-oot'
Contractor Type
Electrical
Contractor
EUGENE ELECTRJC SERVICE INC
nurnr License
90200
les bY
Iion
Phone
03n7t2007 541-344-3561
BUILDING INFORM
# 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:
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
100
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase 1 of2
Value Date Calculated
T
-er 11
te: the
OR
Valuation Description I
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: COM2005-01362ISSUED: 1010412005
APPLIED: 10/0412005
EXPIRESz 0410412006
VALUE:
'' Fee Description
+ llYo Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$9.30
$6.s1
$30.00
$63.00
$108.81
Total Value of Project
Date Paid
r0t4t05
t0t4t05
t0t4to5
t0t4t05
Receipt Number
2200500000000001369
2200s00000000001369
220050000000000r369
2200500000000001369
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
Electric Service: Approval required prior to utility company energizing service.
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
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
streetn 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.
\s/cct/ o;--
Signature
Pase2 of?
Date
lees tsaid
I
Keourreo lnsDecttons I
Owner or
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200s00000000001369 Date: 1010412005 1:41:37PM
Job/Journal Number
coM2005-01362
coM2005-01362
coM2005-01362
coM2005-01362
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0% Adminishative Fee
Amount Due
63.00
30.00
6.51
9.30
Item Total:$108.81
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard RUSS ROBBINS njm 004549 In Person $108.81
Payment Total:
-SiTTl3T
iJ
I
t0t4/2005 Page I of I
xnD
225 FIFTH STREET . SPRINGtr'IELD, OR97477 t PH:(541)726'37s3 ' FAX:
E LECTRI CAL P E RM IT AP P LICATT ON
City Job Number Cb*r zoo r - or36Z Date /o-v4 f
3. COXIPLETE FEE SCHEDULE BELOW . .,' ..-.',, ,1.
LEGAL DESCRIPTION
t7 o33 Lr3 138cc
JOB DESCRIPTION
Zoofia?srzuc O crrc.^i+S
Permits are non-transferable and expire if work is
3 not started within 180 days of issuance or if work is
Suspended for 180 daYs.
':
A. New Residentiat = Single or Multi-Famity per dlvelling o']il.
Service Included
Each additional 500 sq. ft. or
portion',thpffi
r o N : o re g o n r aw rn-Fim-yo .l,'3
*
EachMBrrufealfd+hdupcd by the Oregon Utility
tvto{gSgpplgmgtrmgg" those ru tes are seWgo
F*f,qq:nR 9s2-oo1-oo1o 52-001-
zonrng, andtfoes noI Iic laniluse
utnorized
to 600 Amps $125.00
to 1000 Amps $163'00
City
,
Electrical Conkactor
Address i2 Q YYlcin :\A
Phone A ql!=h5lbL
Supervisor License Number 417 5 S
Expiration Date
Constr. Contr. Number
Expiration Date
Signanrre of Supervising Electrician
Srg?rt€i, gfueu6rt
Er-rc,.-s-v\-a- Et< +rit SYY u(
.J
e,lnc200AIYS bpf"tgr the Or
. fiE't{Hdp t
egon Utility N
-Boo-3322348. $ 7s.oo
G)${FUb
201Amps
401Amps
601Amps
Over 1000
Reconnect
Amps/Volts
Only
s375.00
*oRt(
lHls ilm0
69.00
$100.00
C.
Owners Name
Address qa l3 [^r/*
City Phone
OWNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
:
4. SWTOTAL OF ABOW
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
lYo State Surcharge
10% Administrative Fee
TOTAL
Over 600 Amps or 1000 Volts see "B" above'
Branch CircuitsD
New Alteration or Extension Per Panel
/c 30
E. }\,Iiscellaneous (Service/feeder not irrcluded) -Each Installation
Sigrr/Outline Lighting $ 50'00
Limited Energy/Residential $ 25'00
Limited Energy/Commercial $ 45'00
Minimum Electric Permit Inspection Fee is $45'00 * Surcharges
$ 43.00
$ 3.00
8? L 3ZO{ Pump or irrigation $ s0.00
?3
6rr
770
otr 8JI'Inspection Request 7 26'37 69
t\,5
Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03'doc
B.