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Home My WebLink AboutPermit Electrical 2005-01-14Buildin g/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00052ISSUED: 0111412005 APPLIEDz 0111412005 EXPIRESz 0711412005 VALUE: SITE ADDRESS: 4283 E 20TH AVE ASSESSOR'S PARCEL NO.: 1803031102200 PROJECT DESCRIPTION: Replacing a service Eugene TYPE OF WORK: Electrical Work Only 0wner: Address: Contractor Type Electrical EUGENE ALLEN CORPORATION PO BOX 70334 ATTN RAYWARNER EUGENE OR 97401 Contractor BUILDERS ELECTRIC INC REALESTATE[r?f 1,::,,'.o,,;11]i.,::"ry3J"?tl?:il3oo1,- TYPE OF USE: Addition Commercial ATTENTION: Oregon law requires you to follow rules adopted by the n Uti the Oregon Utility Notification r is 1-800-332-2344). Expiration Date 12n0t2007 License 4296 Phone 54t-48s-0922 )RMATION # 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: Lot Size: Height of Structure Sq Ft lst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nfa Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARJflNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATI( PUBLIC IMPROVEMENTS Description Type of Construction Pase I of 2 Value Date Calculated q Valuation Description I APB$.lGFtEl.D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PRIN Building/C ombination Permit PERMIT NO: COM2005-00052ISSUED: 0111412005APPLIEDz 0111412005 EXPIREST 0711412005 VALUE: Fee Description + l0oh Administrative Fee + 7%o State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid $6.30 $4.41 $63.00 Total Value of Project Date Paid ut4t05 ut4t05 ut4t05 Receipt Number 3200500000000000018 3200500000000000018 3200s000000000000r8 Total Amount Paid $73.71 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 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 during construction. t lt'lo5 ;^1 Insnections Owner or Contractors Signature Paze 2 of 2 Hees Parrl I 225 lrifth Street Springfield, Oregon 97 477 541-726-3759 Phone nity of Springfield Official Receipt _.:velopment Services Department Public Works Department RECEIPT #: 3200500000000000018 Date: 0111412005 1:3e:13PM J,ob/Journal Number coM2005-00052 coM200s-00052 coM2005-00052 Description Perm Serv/Fdr 200 amps or less + 7o/o State Surcharge + l0% Administrative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard BUILDER'S ELECTRIC njm 082660 Phone $73.71 Payment Total: -SE?f Ut4l200s Page I of I aDtsltillte CITY OF' SPRINCFIELD, OREGON 225 FIFTH STLEE'I' . SPRINGFIELD, OR 97477 o I'II:(541)726-3753 ' FA PERMIT APPLICATION City Job )Date I, LO@TION 3. COMI'1.,8'I'E F'II)IT DESCRIPTION o a JOB DESCRIPTION Permits are non-and expire if work is not started within 180 days ofissuance or ifrvork is Suspended for 180 daYs. z. COITTBACrcRINSTALLATION ONLY Electrical Contractor ciers krc{ ric ln( 2oo Amps or less eo % b3 5.1.) Address n 5 Mqch S o r\ City e e Phone 48i;5- 09'27 Supervisor Liccnse Number 3J7o ": Expiration Date o-l'o Constr. Contr. Number 4xr tp 12-ro -uf ising Electrician d. C. Tcnrporary Services or Feederu : l lnstallation, Alteration or Relocation. | ')r, 200 Anrps or IesS 201 Amps to 400 Anrps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 201 Amps to 400 Amps 401 Amps to 600 Arnps 601 Amps to 100'0 Anrps Over 1000 Amps/Volts Reconnect Only $ (r-1.(X) $ 75.00 $ I 25.00 $ I 63.00 $37.5.00 $ 50.00 , \\, I huht Exp $ 50.00 s 69.00 $ 100.00 $ 43.00 $ 3.00 Owners Address OWNER et ALLATION E. 1!Iiscellaneous (Servlce/feeder not included)-liach lnstallation Pump or inigation Sign/Outline Lighting l-imited Energy/Residential Limited Energy/Commercial l\Iinimum E,lectric Pernrit Inspection Fee is $45.00 * Surcharges The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 33 Phone - Llc I $ 50.00 $ 25.00 $ 45.00 4, SUBTO'IALOF,A,AOVN 7oh Slate Surcharge I 0% Adnrinistrativc Fcc .TOTAL 63 o.D Inspection Request: 726-37 69 Sharcd Drivc(l':)/Building Forrns/Elcctrical Pcrrnit Application l-0J.doc I -rq -G I $ 50.00 19.00 $50.00 s".$gJlt8l Fccdcrs - Installatiort, Alterations or Relocntion: )