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Home My WebLink AboutPermit Electrical 2004-06-23Status 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: COM2004-00768ISSUED: 0612312004 APPLIEDz 0612312004 EXPIRESz 1212312004 VALUE: SITE ADDRESS: 320 26TH ST ASSESSOR'S PARCEL NO.: 1703361418700 PROJECT DESCRIPTION: Service change and 2 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Owner: FRANK & cEORGIA VARGAS FAMILY TRUST Address: 3950 GOODPASTURE LOOP #Y132 EUGENE OR 97401 T T IS NOT Contractor Type Electrical Contractor NORTHWEST 06n3t2005 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Phone s4t-466-3201 PARKING OR IS mftbfls''ED HBirution Date # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 YN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Paved o/o of nla $ Per Sq Ft or multiplier bl Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project I Description Type of Construction Value Date Calculated -I Valuation Description 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: COM2004-00768ISSUED: 0612312004APPLIEDz 0612312004 EXPIREST 1212312004 VALUE: tr'ees Paid Fee Description + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.90 $4.83 $6.00 $63.00 $80.73 Date Paid 6t23t04 6t23t04 6t23t04 6t23t04 Receipt Number 1200400000000000963 1200400000000000963 1200400000000000963 1200400000000000963 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 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 Kequtreo rnfl)qguollsl 225 Fifth Street SpringfielC, Oregon 97 477 541-726-3759 Phone .rty of Springlield Official Receipt .velopment Services Department PubHc Works Department RECEIPT #: 1200400000000000963 Date: 0612312004 1:56:23PM Job/Journal Number coM2004-00768 coM2004-00768 coM2004-00768 coM2004-00768 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7oh State Surcharge + l0o/o Administrative Fee Amount Due 63.00 6.00 4.83 6.90 ltem Total:$80.73 Payments: Type of Payment Paid By checl(Number Authorizatron Received By Batch Number Number How Received Amount Paid CreditCard MICHAEL RODOLF djb 000418 023749 In Person $80.73 Payment Totat: -$EbF 6/23/2004 Page I of I rua si*ratri*(*r*s!-r, 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726'3689 ELECTRICAL PERMIT APPLICATION City JobNumber LOU zpi*-ooa6(Date -23 -oLl \ne 1. -/'<Z{) Lb : LEGAL DESCRIPTION t7 0336{L{l870 o Service Each Manufact'd Home or Modular Dwelling Service or Feeder es arB Set lo 3 ruleG 9sz-mn You r6ey D. r- A. JOB DESCRIPTION ZLvtc< c**MGC /Z c-rac-: $106.00 s 19.00 $s0.00 Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. Electrical Contractor t uya6frLlhc/) Address Phone ?rl G)o Supervisor License Number ? </o \5 Expiration Date Constr. Contr. Number /,ftE77 Expiration Date G /io-f Signature of Supervising Electrician ri /r-ot ficati Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel 6s R 952-00 $ 63.00 $ 7s.00 $ 125.00 $ 163.00 $375.00 $ 50.00 City C 7 /(One Circuit Each Additional Circuit or with se*f0$Upbder Permit s 43.00 Z $ 3.oo (= Owners Name ff*^V V,t /rs 37?o 6oo s E.Address City -1/\Phone c0M 7%State Surcharge l0% Administrative Fee TOTAL OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: IS ABAN r0D. Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45:00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 67 qBa 670 80 z) Inspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical Permit Application l -03.doc T-EE s0.00 4. SLTBTOTALOFABOVE