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Home My WebLink AboutPermit Electrical 2003-12-05Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01194ISSUED: 1210512003APPLIED: 1210212003EXPIRES: 06/0512004 VALUE: SITE ADDRESS: 3825 E l9TH AVE ASSESSOR'SPARCELNO.: 1703344313300 PROJECT DESCRIPTION: Change meter base Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Owner: Address: JENSEN JOHN J & CONSTANCE K 1775 HENDERSON AVE EUGENE OR 97403 Contractor Type Electrical Contractor ALERT ELECTRIC INC Expiration Date 0st22t200s Phone 541-747-2213 License 12772 CONTRACTOR INFORMATION BUILDIN( # of Units: 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: oh ofLot Coverage: THI AUTHORIZED UNDER THIS COMMENCED OR IS ABAN ANY 1BO DAY PERIOD. $ Per Sq Ft or multiplier Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: PER DON Square Footage or Bid Amount THE WORK MtT Hfrtrlk rvpe: ED FD*vnspouts/Drains: REQUIRED PARKTNG Total: Handicapped: Compact: Total Value of Project Pase 1 of 2 DEVELOPMENT INFORMAT] Description Type of Construction Value Date Calculated fo Itification nurnber :nter is 1-800 sg?'2:344\'c Valuation Description I 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: COM2003-01194ISSUED: 1210512003APPLIEDz 1210212003EXPIRES: 06/0512004 VALUE: tr'ees Paid Fee Description + l0oh Administrative Fee + 1Yo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid t2t5t03 t2tst03 t2tst03 Receipt Number 12002000000000025s8 1200200000000002ss8 1200200000000002558 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. Reouired Insnections 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 Date Pzse2 ol2 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Departmeri{ Public Works Department # : 12002000000000 02558 Date: 1210512003 11:37:13AI[-' coM2003-01194 coM2003-01194 coM2003-01194 Perm ServlFdr 200 amps or less + 7o/o State Surcharge + l0o/o Administrative Fee 63.00 4.41 6.30 Item Total:$73.71 TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid Check ALERT ELECTRIC djb In Person Payment Total:$73.71 s13.71 ) Oct- 1a-O1 O1:43P 225 FTTTH STREET SPRJNCFTELD. OREGON 97177 INSPECTION REQUEST: l 76-3,169 oFFICE 726-3759 OT INS E LEC RI CAL PERT\,I I T APPL]CATION Cir.y Joll Numhcr 3. COIv{PLETE FEE SCI{EDL'LE BELCW A. Nerl Rc.s!dcnti;t)-single or tr drlclli ci$S l-n f ieIdp56q e 7 47 -221,3 Srrpenisor License Nunrber 243- Expiration Ont. , 1()-1:04 Constr Contr. Nurnber 727 7 2 Exprrarioo Da 5-22- Signutu[: of Su1rcrr.is ing Electrician rs Name Ad Citp'Phone OWNER ALLATION The installatton is being rrmde on properfy- I or+.n which js uot intcnded for snle, lease or reot. Orrncrs Signature rrufri llorns or Drvelling Senice or Feeder Serv'irc.r or Fcedcrs Instirl lrrtion, Allcrations or Zffi anrps or less 201 anrps to 400 amps {01 ;111p. io 6Ut} ampg 6i)l arnps tc 10(10 a:rips Ovcr 1000 ampVvoits Recorureit Onlv C. Teorporary Scrvices or f cerlel.s Installation. Altcration or Rclocution 200 aups or less 201 amps ro 400 amps Over 401 to 500 amps Over 600 emps or t000 lolis scc "8" nbave ch Circrdts Alteration or Extetrsiorr i):r panei Orrc Circuil Each Additional Crrcuit or rr i:h Service or Fcedcr Perrnit P-01 ng unit. Itenrs Cost Sum $ I 0(r.(,0 - $ l9.oo _ $ ii) ()u IJ_ $63.00_ $ 75.00 -_ $ l2i.0o =-_ s163.00 -._ s37.r.00 __ $ 50.00 _._ s43.00 $ 3.00 $50,00 $50,00 s25.00 s^li.00 ccrion fr:c is $J5.0() = Surchlrgc.r "/ rl 9,5 $O\add o o [:l cctrical Contrilct o 1 AJ-ert L1e ct InC. Rcloc:rtionric, AddLess 1970 N. 28th Street E. ['Ii.scellmeans (Sclvicc/fecder not inc lu rlert) .Each instailation Punrp or irrigation Si$/O,rtli rre Ligiriin6r IGE:EXPIR orn tH RiZED UN \S ABAED OR IH\S P AUlHO CONIM ENU ANY 1 {. SUBTOT.{L OF AEOVE lolo Stttc Surchnrge I %o Atlrnini.rtrativc Fce a) 800 p,v prnt OD N TOTAL r'3.1 I {nl Pernri(s irrc rf rrork is rr<rt sl,rncd lvithi:r ofissuancc or ifrvork rs suspendcd lhr I tl0 dlys. 2 CON1RACTOR Jsli S\g"'ar'rro IF .THE rnil.t d Ettergv,?.es Energv/Conm