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Home My WebLink AboutPermit Electrical 2006-05-09Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00523ISSUED: 05/0912006APPLIED: 05/0412006 EXPIRES: I110912006 VALUE: SITE ADDRESS: 3810 E 22ND AVE ASSESSOR'S PARCEL NO.: 1803031203101 PROJECT DESCRIPTION: 200 Amp Service Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration PhoneNumber: 541-607-1584Owner: Address: Contractor Type Electrical Contractor C PERKINS ELECTRIC Expiration Date 04/1s/2008 Residential Phone 54t-895-4466 HONER HENRY O & CATHIE S 1830 SUMMERFIELD AVE EUGENE OR 97402 License 159537 )R INFORMATION # 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: Notes: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: i Sidewalk Type: Downspouts/Drains: rport REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INF( PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated E qe _5 s 1-bUu-oo' r, U rLDrr\ (,-lNl !lr(v!\l-l!|N_l Street Improvements: Storm Sewer Available: Special Instruction: I SHA D UND u uf.i I PF Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2006-00523ISSUED: 0510912006APPLIED: 05/0412006 EXPIRESz 1110912006 VALUE: Fee Description + lOoh Administrative Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $s.04 $63.00 s74.34 Total Value of Project Date Paid st9t06 5t9106 5t9/06 Receipt Number r 2006000000000006 I 8 l 2006000000000006 I 8 1200600000000000618 Fees Pa 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. Reou 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 Pase 2 of 2 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone C"., of Springfield Official Receipt L-., elopment Services Department Public Works Department RECEIPT#: 1200600000000000618 Date: 0510912006 e:5e:32AM Job/Journal Number coM2006-00523 coM2006-00523 coM2006-00523 Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + lloh Administrative Fee Amount Due 63.00 5.04 6.30 Item Total s74.34 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard C. PERKINS ELECTRIC njm 122796 Phone Payment Total: s74.34 - cRecernt I Page I of I 519t2006 SPrl' .-IELE'IJ>L h, zoN INITIALS DATE SOURCE225 FIrfH STREET o SPRINGFIELD,OR97l77 . PH:(54t)776-3751 o FAX: (541)726-3689 E LE CTRI CAL P E KMIT AP PLI CATI ON City Job -oo6a3 yl4;e, zorseDate A.N erv Rcsidential -Single or Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Anrps/Volts Reconnect Ouly ,..; :,: t:t .: , ,,'. i:,:; i I 8% State Surcharge l0% Administrative Fee I II{STALIATION r3. coxrPLETE FEE SCHEDUN nrtOt{Srto e r--cl LEGAL DESCzuPTION JOB DESCzuPTION drvelling $ i 06.00 & o'u Sn^rp Ep4Lv1 cr_ l- IV Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. )C O NT fr*{CT O R IN STALLATI O N O NL'' $ 19.00 $50.00 B. Serl,ices or feeders - Instrllntion. Alterations or Relocation: Electrical Contractor Address $ 75.00 $ 125.00 $ 163.00 $3 75.00 $ s0.00 ciry Cpe&ne-tl Ph,," gr3- yy 6A Supervisor License Number 2f 7 D-s'C. Expiration Date /2^ ol -D7 Constr. Contr. Nunrber qEs 7/5 Expiration Date 7^ ts - o g Signature of Supervising Electrician Owners Name C tj iit i,l E i,J C E, _0#-,s,$.qfib\p0 N ED F0 RInsta I t{fo1y,,ru ff T?ll9l 2oo Amps or tess -,tHlull' $ 5o.oo 201 Amps to 400 AmPs $ 69'00 401 Amps to BbO,t pt $100.00 Over 600 Amps or 1000 Volts see "B" above' New Alteration or Extension Per Panel one circuit s 43'oo Each Additionai Circuit or with S.-i.. or Feeder Permit $ 3'00 Address Ci $ 50.00 s 50.00 s 2s.00 $ 45.00 \ OWNER IN .ALLATI The installation is being made on proPerry I own which is not intended for sale, lease or rent. Owners Signarure: Pump or irrigation Sign/Outline Lighting Limited EnergYResidential Limited EnergY/Commercial MinimumElectricPermitlnspectionFeeis$45,00*Surclrarges pnone SYI ' GQL: BgL(+1 scD. /^t60Lo5 - 3.o{ 1L+-3 () Inspection Request: 726-37 69 Shared Drive(T:)/Building FonnsiElectrical Permit Application I {6 doc LOCATION t Po Rn.^// qq E. N{iscellaneous TOTAL