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Home My WebLink AboutPermit Electrical 2003-11-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01118ISSUED: 1110612003APPLIED: 11/0512003EXPIRES: 05/0612004 VALUE: SITE ADDRESS: 1490 sTH ST APT 10 ASSESSOR'SPARCELNO.: 1703263101100 PROJECT DESCRIPTION: Replace 100 amp panel Owner: MAINSTREAM HOUSING INC Address: 433 W 8TH AVE APT 001 EUGENE OR 97401 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 4s8 Expiration Date 05t0u2007 Phone 541-688-6121 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories:\CI Height of Type 6(\\11 Trees Rqd: Drive Rqd: Vo oflLot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING R-1 VN o{ $ Per Sq Ft or multiplier D h\ Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project Page I of2 Description Type of Construction Value Date Calculated IISE& ry D U I-1,[rlI\ t, lI\ I 1rI{1Yr4!!!9|1] | \no Total: \r \o( \\Ie \o( C H\S r0R1 hB Val u ation DeselBllq n--] F Buildin g/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: COM2003-01118ISSUED: 1110612003APPLIED: 11/0512003EXPIRES: 05/0612004 VALUE: tr'ees Paid Fee Description + l0oh Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid tu6103 tU6t03 tU6t03 Receipt Number 2200200000000001727 2200200000000001727 2200200000000001727 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. I Electric Service: Approval required prior to utility company energizing service. Reouired Insnections 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 ! 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 'City of Springfield Official Receipt Development Services Department Public Works Department Receipt #z 220020000000000 1 727 Date: 1110612003 8:26:50AM AmountTAiiI coM2003-01I l8 coM2003-011l8 coM2003-01I l8 Perm Serv/Fdr 200 amps or less + lYo State Surcharge + l0%o Administrative Fee 63.00 4.4t 6.30 Item Total:$73.71 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard CHRISTENSON ELECTRIC djb 000214 086827 In Person Payment Total: s73.71 $73.71 225 FIFTH STREET . SPRINGFIELD, OF.}741,I . PH:(541)7?,6.3753 O FAX: (54L)726-3689 flfurs)o 4 ) 1. i.l7C s-*k s tO LEGAL DESCRIPTION ao 263 Ottoo JOB DESCRIPTI €-e,/uer-g )oo An^P S (2,{L 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. Address 298 Bethel Drirze City Eugene Phone 54L-688-6L2L Supervisor License Number 3759 S Expiration Date 10 Constr. Contr. Number 26-34C Expiration Date L0/0L/04 of owners Name /ll 'lhns'reEAr llal,x,4 1 Address 33 g+^'l€E. Ciry kluGav€Phone 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 One Circuit Each Additional Circuit or with Service or Feeder Permit s106.00 s 19.00 s50.00 I $ 63.00 6= s 7s.00 s125.00 $ 163.00 s37s.00 $ 50.00 s 50.00 s s0.00 s 25.00 s 45.00 6': o 3. A. B. C. D. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect OnlY (?\? hu s OWNER INSTALLATION The instailation is being made on Properry I own which is not intended for sale, lease or rent. Owners Signature: Minimum Elecfric Permit Inspection Fee is $45'00 + Surcharges 63 L{r{ / 4. 7Yo State Surcharge 10% Administrative Fee TOTAL a3-L Inspection Request: 126-37 69 Shared Drive(T:/Building Forms/Electrical Permit Application 1-03'doc ELECTRTCAL PERMIT City job Number - ollt Date Electrical Contactor Christenson Electric