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
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