The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-09-27Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01197ISSUED: 0912712004APPLIED: 0912712004EXPIRES: 0312712005 VALUE: SITE ADDRESS: 2833 VILLA WAY ASSESSORTS PARCEL NO.: 1703233202300 PROJECT DESCRIPTION: 200amp service and 3 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential Owner: BENTZCHASA & CAROLLEE Address: 2815l EDGEWATERDR EUGENE OR 97402 to b'lContractor Type Electrical # 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: of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o oflot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Type: REQUIRED PARKING License irt Square Footage or Bid Amount Expiration Date 02nu2005 Phone s4t-232-1212 nla \t $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated ,! si $e of Structure Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01197ISSUED: 0912712004APPLIEDz 0912712004EXPIRES: 0312712005 VALUE: Fees Paid Fee Description + l0oh Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Date Paid 9t27t04 9t27t04 9127t04 9127t04 $7.20 $5.04 $9.00 $63.00 Receipt Number 1200400000000001397 1200400000000001397 1200400000000001397 1200400000000001397 s84.24 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 signaturer l 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 Pase2 of2 ,L]["3,., I Keourreo lnsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone cty of Springfield Official Receipt -velopment Services Department Public Works Department RECEIPT #: 1200400000000001397 Date: 0912712004 3:06:13PM Job/Journal Number coM2004-01197 coM2004-01197 coM2004-01197 coM2004-01197 Description Perm Serv/I'dr 200 amps or less Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0%o Administrative Fee Amount Due 63.00 9.00 s.04 7.20 Item Total:$84.24 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid ,.. CreditCard ANDREI DZIEDZIC djb 00llll InPerson Payment Total: $84.24 -$84-ri- l i 912712004 Page I of I .D'B''ILll (]I IY OF SI'RIN(iITIEI,I). OtT[(iON 22S FIFTH STREET . SPRINGFIELD, OR 97477 O PH:(54I172G3753 O FAX: E L ECTRI CAL P E RMIT APPI.I CATI ON City JobNumber&)r;tAJo.l - O I I 1 I Dds l.3. zg33 I ,4 V/ LEGAL DESCRJPTTON A.t703z3sz OZgO Servite Included 1000 sq. ft. or less Each additional 5fi) sq. ft. or portion thercof Each Manu&ct'd Home or Modular Dwelling Service or Feeder 7o/o State Surcharge l0%Administraive Fee TOTAL aFItI'a?ttl_D $106.00 $ 19.00 $ 43.00 $ 3.00 JOB DESCRIPTION A'^/Z--L '3 c-ra<''r'l\ Permits are and erpire if work is not started witlin 180 days of issuatrce or if wor* is Suspended for lEO deys , Electrical Contras&or Address Supervisor License Number Expiration Daie o Constr. Contr. Nrunber Expiration Dafe Signaue of Supervising Electrician $50.00 me $ 63.00 $ 75.00 $125.00 $r63.00 $375.00 $ s0.00 63 Installation, Alteretion or Relocetior 2fi) Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see'ts" above. New Alteration or Ertension Per Penel One Circuit Each Additional Circuit orwith Service or Feeder Permit $ 50.00 $ 25.00 $ 45.00 Permit Inspection Fee is $45.110 + Surclerges 7Z toY B. \ niss City calling tholors 6 D. 7 OwnersNane Address ,'l ,* City >7,1\ Phone OWNER INSTALLATION The insalldion is being made on prop€rty I own is not intended for sale, lease or rent. Owners Signmrre: */ zv zo- et i o Inspcctior Reques[ 726}16I) Sharcd Driv(T:/Building ForrnslElecfical Pcrmit Application l-03.doc I]OCATION OF TIISTIU,ETION COIITPIETBFEE New Residential- Single or Multi-Family Alterations or Relocatior:Services or E.-Each Installation C ONTRACTOR IAI,SITLId TTOJY ONLY Services or Feeders Branch Circuits Miscellaneous SUBTOTALOFABOUE4.