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HomeMy WebLinkAboutPermit Electrical 2007-06-15Status 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: COM2007-00878ISSUED: 0611512007 APPLIED: 06/1512007 EXPIRES: 1211512007 YALUE: SITE ADDRESS: 1294 31ST ST ASSESSOR'S PARCEL NO.: 1702303402401 Springfield PROJECT DESCRIPTION: Temporary Service for Manufactured Home TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: Address: Contractor Type Electrical POPOFF FREDERICK JR 1044 J ST SPRINGFIELD OR 97477 Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03n7t2009 Phone 541-344-3561 CONTRACTOR 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: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oI Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: LL EXPIRE IF THE WORK ER THIS PERMIT IS NOT S ABANDONED FOR $ Per Sq Ft or multiplier tn 1- v Square Footage or Bid Amount Value Date Calculated DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction Page I of2 I, u Lr,ull\ G 11\ r uKrvrA,_!_I.2N_.1 e cei-]I Y.t Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00878ISSUED: 0611512007APPLIED: 0611512007EXPIRES: 1211512007 VALUE: Fee Description + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Temp Power 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid 6n5t07 6n5t07 6n5t07 6n5t07 Receipt Number 3200700000000000398 3200700000000000398 3200700000000000398 3200700000000000398 $5.00 $2.50 $4.00 $50.00 $61.50 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Reouired Insoections 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 Communify 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 Paee 2 of 2 Date 225 Fifth Street Springtield, Oregon 97 477 541-726-3759 Phone Crtv of Springfield Official Receipt _ zelopment Services Department Public Works Department RECEIPT #: 3200700000000000398 Date: 0611512007 8:4e:5eAM Job/Journal Number coM2007-00878 coM2007-00878 coM2007-00878 coM2007-00878 Description + 5% Technology Fee + 8% State Surcharge + l0Yo Administrative Fee Temp Power 200 amps or less Amount Due 2.50 4.00 5.00 s0.00 Item Total:s6t.50 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check W.E. ANDERSON njm 4670 In Person 56l ,50 Payment Total: -S6i3d- cReceint I Page I of I 611512007 t,FrEr*t&Fl;Lsl ZZ5 FIFTIT STREET . SPRINGFIELD, OR 97477 . PHt(54r)726-3753 . FAX: (5a1)726-3689 E LECTRI CAL P E RM I T APPLI CATI ON City Job Number Lc,a-l - r'ro K1{Date G -t5- 61 r. ulceircw oi wsreu,erroN /a q4 3utf, A. , Neu,Rcsidential * Single or I\{ylti;Fanrilf net dlveflire ullit: LECAL DESCRIPTION 6*,F^4r,/{-pr-rt-rt JOB DESCRIPT]ON i ;o t 30 '9-Fo a-lo I Permits are non-transferable and expire if worh is not started within I80 days of issuance or if rT'ork is Suspended for I80 daYs' 1t Servicc Included 1000 sq. fl. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 $ r 9.00 $50.00 $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 ) Etectrical contractor fUWyt ttftlAC S.pt, trq Address 126 fi|orJ,t-oE 1__c, 1. City Eue EN L Phone 3,14-3sc. t B. fiq 200 Amps or less 201 Amps to 400 AntPs 401 Anrps to 600 AmPs 601 Ampsto 1000 AntPs Over 1000 AmPs/Volts Reconnect OnlY Supervisor License Nunrber 31 3s J C, 'l'ernporary Expiration Date lo lt lo?Installation, Alteration or Relocation 2oo Anrps or less t $ 5o'oo 5 d - Constr. Contr. Nunrber ?a4oo Expiration Date W##1 201 Anrps to 400 AmPs $ 69.00 401 Amps to 600 ArnPs $100.00 Volts see "B" above. 3,r 7 1' Si grrature of Supenrising Electrician Owners Nanre Address llcl.l City 3; IlrL Phoner OWNER ID{STALLATION The installatior: is being nrade on property I olvn rvhi is not intended for sale, lease or rent. New Alteration or Extension Per Panel One Circuit Each Additional Circuit on','itlt Service or Feeder Permit Punrp or in'igation Sign/Outline Lighting ?\ 3r sr D B. Li nr ited Energ)'/Res idential ch Linrited Energy/Cornnercial -.__- $ ATT Fhfi mM Oiegqfif aw, r€fiHireni}o B&is $45.00 follow Notifi $ 25.00 $ 50.00 $ 50.00 45.00 * Surcharges :..,O P ) g<)Orvtrers Signature: inO 009 AR 0. You 952-001- the rules by THIS HE WORK AU'IHORIZED UNDER THIS PERMI] IS NOT c 0 tu1 uprqCI*tj"o Rm"n$ni?fdf,fPo r o n ANY lBO DAY PERI()D ca I I i n g thuaGAt&in(itloter STo tel ep h o n e n u * o'.TffnP{ :'%"JII y.} !j i ti cat i o n ' bnarcd Drivelt:)/Building Foms/Electrical Pernrit ApPl icalion I -06.doc Iiecders ---fTP-- 5' . cn) & ot /. 5c>