HomeMy WebLinkAboutPermit Electrical 2004-06-16Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-726-37 69 Inspection Line
PERMIT NO: COM2004-00716ISSUED: 0611612004APPLIED: 06/1612004
EXPIRESz 1211612004
VALUE:
SITE ADDRESS: 770 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052201100
PROJECT DESCRIPTION: Reconnect for pump house
Owner: HASTINGS ROBERT & JACQUELINE
Address: 2375 PIONEER PIKE EUGENE OR 97401
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
lollow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
n copies of the rules by
(Note: the telephone
Contractor Type
Electrical
Contractor
DAVID RKIDD
License Expiration Date
35651 05/05/2006
Phone
541-726-9303
BUILDING INT
# 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:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
Yo ofLot Coverage:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Description Type of Construction
Total Value of Project
Value Date Calculated
Valuation Description I
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: COM2004-00716ISSUED: 0611612004APPLIEDz 0611612004
EXPIRESz 1211612004
VALUE:
Eees Pa
Fee Description
+ l0oh Administrative Fee
+ loh State Surcharge
Add, Alter, Extend Circ Ea Add
Service Reconnect
Total Amount Paid
Amount Paid
$s.60
$3.92
$6.00
$s0.00
$65.52
Date Paid
6n6t04
6n6t04
6n6t04
6n6t04
Receipt Number
2200400000000000792
2200400000000000792
2200400000000000792
2200400000000000792
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wilI 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
Pase2 of?
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^rty of Springfield Official Receipt
Jvelopment Services Department
Public Works Department
RECEIPT #: 2200400000000000792 Date: 0611612004 3:11:44PM
Job/Journal Number
coM2004-00716
coM2004-00716
coM2004-00716
coM2004-00716
Description
Service Reconnect
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
50.00
6.00
3.92
5.60
Item Total:$65.52
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check KIDD & COMPANY ddk 489 In Person $65.52
Payment Total:
-56ffi
6^612004 Page I of I
tFElt{otrtl-o
22SFIFTHSTREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 oF
E LECTRICAL P ERMIT AP P LI CATI A N
ciry Job Number fDW4^40+ - OC7/ b Date
1.3.
fa src.€
LEGAL DESCzuPTION ot A.
JOB DESCRIPTION fot<' Pu* f H6W
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
7
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
$106.00
$ 19'00
$s0.00
7?Ytlv<L
I eeoer
Services or Feeders _ Instatlation; .{lterations or Re]ocation: .
Electrical Contractor 1Cq €/c--
B.
Address y'a-. b37
City
Supervisor License Number
Phone ZL 3
/s
2
Expiration Date
Constr. Contr. Number ?-/77<
Expiration Date 6
Signature of Supervising Electrician
Owners Name
Ciry Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Installation, Alteration or Relocation
200 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 "B" above.
43.00
to/r/o/
cl)
?,q?-
t
Limited Energy/Commercial $ 45'00
MinimumElectricPermitlnspectionFeeis$45.00*Surcharges
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
7%o State Surcharge
l0% Administrative Fee
TOTAL
$ 50.00
$ s0.00
$ 2s.00
SWTOTAL OF ABOI,'E
5,bc
b 55>
Inspection Request: 726-3769
4.
Shared Drive(T:)/Building Forms/Elerctrical Permit Application I {3'doc
200
201
401
-0010 through
obtain
601 Amps to l00Qd+8P 1. 1
Over 1000 AmPs/Vols
Reconnect OnlY
br-
@- $so.oo EOZD
C. Temporar.v Services or Feetlers
NO
THI
with s 3.00 lo
5 .o0
City of Springfield
225Fitth Street, Springlield, OR97477
,
541-72G3759 Phone
541-72G3676Frx
November 16,2004
HASTINGS ROBERT & JACQUELINE
2375 PIONEER PIKE
EUGENE OR 97401
Job Number:
Location:
coM2004-00716
770 S 42ND ST
Project:Reconnect for pump house
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least Jrery 180 days.
According to our records, you obtained a permit for a project at770 S 42ND ST which is set to expire
on 1211612004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
UDh,