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Home My WebLink AboutPermit Electrical 2006-11-14Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line CITY F P Building/Combination Permit PERMIT NO: COM2006-01445ISSUED: 1111412006APPLIED: 1111312006 EXPIRES: 0511412007 VALUE: SITE ADDRESS: 1473 sTH ST ASSESSOR'S PARCEL NO.: 1703264201300 PROJECT DESCRIPTION: Add 3 circuits Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Owner: Address: Contractor Type Electrical OLSON KEN & MARILYN 87417 HALDERSON RD EUGENE OR 97402 Contractor J K GUCKENBERGER ELECTRIC INC License 45129 Expiration Date 04t24t2008 Phone 541-746-4656 CONTRACTOR INFORMATION BUIT # 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: R-3 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of 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: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK OMMENCED OR IS ABANDONED FOR $ Per Sq Ft or multiplier sqylu AUY,j.Bo DAY PERISD or Bid Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction Paee I of2 Date Calculated lI\r(rI(lYlAlrt,r\ | Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line CITY Building/C ombination Permit PERMIT NO: COM2006-01445ISSUED: 1111412006APPLIED: l111312006EXPIRES: 0511412007 VALUE: Amount Paid Total Value of Project Date Paid Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $4.90 $2.4s $3.92 $43.00 $6.00 tut4t06 tut4t06 tut4l06 tut4106 tul4t06 Receipt Number 2200600000000001s78 2200600000000001s78 2200600000000001578 2200600000000001578 2200600000000001s78 $60.27 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witt 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 Final Electric: When all electrical work is complete. Reouired Insnect 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 Cify 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 Pase 2 of 2 Date Fees ralfl I 225 Fifth Street Springfieid, Oregon 97 477 541-726-3759 Phone Cil-.qf Springfield Official Receipt D. ,lopment Services Department Public Works Department RECEIPT #: 2200600000000001578 Date: 1111412006 l:37:36PM Job/Journal Number coM2006-0144s coM2006-01445 coM2006-0144s coM2006-01445 coM2006-01445 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27Item Total: Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard JKG ELECTRIC njm 03 5564 Phone $60.27 Payment Total:$60.27 cReceint I Page I of I 1l n412006 CITY OF INGFIELD, OREGONe Lvz- Efi?,qI -1 225 FIFTH STREET o SPRINGFIELD' OR97477 o PH:(5{t)72b3753 o FAX: (S4t)72C3689 E LECTRI CAL PE RM IT APPLI CATT O N City Job Numbcr (oyurpG- Ol qrt \- 13 s:+-(^ LEGAL DESCRIPTION 1103 ?6qL ot3oc> JOB DESCRIPTION Ltl j Permltr lre non-treufereble and erplre lf work ls not rtrrted rr'lthh 1t0 deyr of luuence or lf work ls Suspended for 1t0 deyr. 2, Elcctrical Contactor Address Ll5r lOrrJ SJlr-lfl f,,Phone 1+b 4b5L Supervisor License Number 4rrs S Expiration Date i0= t-cb Constr. Contr. Number LOi?l1 C Expiration Date tQ -t - otc SeMce Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thcreof Each Manufact'd Home or Modular Dwclling Service or Fepder 200 Amps or loss 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only New Altcretlon or Extenslon Per Panel One Circuit PIRE IF T IS Installatlon, Alteratlon or Relocatlon 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. u.'ni"""r,$itiiffi*.ffi,.,|il :' :: .'l:,''' ,ir ::' :l'SEi$'':,;li q3 Each Additional Circuit or with -Service or Feeder Permit L E. tvtiscetlalliri -(Seri,icefeeder not includpd) . Eagh,lrnstallation Pump or inigation $ 50.00 Sigr/Outline Lighting $ 50.00 Limited Energy/Residential S 25,00 Limited Energy/Commercial $ 45.00 Mlnlmum Electrlc Permlt Inspectlon Fce ls 545.00 + Surchargcs Datc //-/n* Cr fu*i h 3. 1 A. B. C $106.00 $ 19.00 $s0.00 City $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 s 43.00 s 3,00 I C Orvncrs Address Name et\( 1 6F ^- ciry btce'{e' Phone _ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, leasc or rent. Owncrs Signarure P V? ur wOftc;r.- lT lH+e+l-Fzr- i;i,;lreciior-,ilequcst:'i2.6-3169 Crrli at s\?Z'( l- Ei:crricai Perr:il Applicslion I -06.doc v\t \t / 1q ox .t st4l6f#t"r AI}OVE 1. Signature of Supervising Electriciut %L-J