HomeMy WebLinkAboutPermit Electrical 2007-04-25Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Co m bin ation Permit
PERMIT NO: COM2007-00598ISSUED: 0412512007
APPLIEDz 0412512007
EXPIRESz 1012512007
VALUE:
SITE ADDRESS: 585 36TH ST
ASSESSOR'S PARCEL NO.: 17023r1302000
PROJECT DESCRIPTION: One circuit for garage.
Springfield TYPE OF WORK: Electrical Work Only
resyou to
Owner:
Address:
Contractor Tvpe
Electrical
Contractor
LIVEWIRE ELECTRIC INC
Expiration Date
05/16/2008
Residential
1
Phone
541-344-4928
C DALE OLIVER LOVING TRUST
PO BOX 70033
EUGENE OR 9740I
tollow rules
Center Those rules arB setlort;
IN OAR of the rutos
0090 You may obtain
r. (N
copies
ote: the telePhone
calli ng thB cente UtilitY Notification
^'r o
License
56697
# 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:
# ofStories: Lot Size:
Height of Structure: Sq Ft lst Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/CarPort
Eneigy P;th: N0TICE: Sq Ft other:
Sprinkled nui$ffi p E R M I T{il A L ; .Q,qq;panp I{efldl"tu i I fl l.
R ts ABAND0[EQ6ffiD PARKTNG
overtayplsl; ANY 180 DAY PERI0tJ rotal:
# Street Trees Rqd: HandicaPPed:
Paved Drive Rqd: ComPact:
o/o oI Lot Coverage:
Sidewalk Type:
DownspoutslDrains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
L
ryq r}'iJ
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-1 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00598ISSUED: 0412512007
APPLIEDz 0412512007
EXPIRESz 1012512007
VALUE:
Fee Description
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Amount Paid
$4.s0
$2.2s
$3.60
$43.00
$2.00
$55.35
Total Value of Project
Date Paid
4t25t07
4t25107
4t25107
4t25t07
4t25t07
Receipt Number
2200700000000000580
2200700000000000580
2200700000000000580
2200700000000000580
2200700000000000580
ees Paid
To Request an inspection call the24 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.
Rough Electric: Prior to Cover
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 correcto 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
Pase 2 of 2
Date
Reouired lnspections I
225 Fifth Street
Spvingfield, Oregon 97 477
541-726-3759 Phone
Cif, of Springfield Official Receipt
D _ /opment Services Department
Public Works Department
RECEIPT #: 2200700000000000580 Date: 0412512007 l0:52:08AM
Job/Journal Number
coM2007-00598
coM2007-00598
coM2007-00598
coM2007-00598
coM2007-00598
Description
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
2.00
2.25
3.60
4.50
Item Total:$55.3s
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard LIVEWIRE ELECTRIC ddk 365801 Phone $55.35
Payment Total:
-Sffi
cReceint I Page I of I 4t2s/2007
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH-.(541)726-3753 o FAX: (541)726-3689
BLEC:{RICAL FEF.MIT
City Job Number -00 Date
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
Reconnect Only
Pump or irrigation
Si grrloutline Li ghting
D1
$106.00
$ 19.00
$s0.00
n law utres yoTrto-
s s0.00
$ s0.00
$ s0.00
I 3.
A.
B.
LEGAL DESCRIPTION
JOB DESCRIPTION
/a).o)P
City
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1
ElecficalContrctd.@
P.O. BOX 23154Address EUGENE, OR 97402
Pb, jr/-'1778
Signature of Supervising
U_-
OWNER INSTALLATION
The installation is being made on property I own which
is nst intended for sale, lease or rent.
Owners Signature:
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.d0
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4s,oo
Supervisor License Number -3:2 ?3 " S C.,.ce*5",g:N .Sl; i o r.u.;.' ', ',, r1,1,:.., ':, , ,, ,., 1^..,,, r. ,
Expiration Date /t *t -c n Iistallation, Alteration or Relocation
200 Amps or less $ 50.00
Constr. Contr. Number 201 Amps to 400 Amps $ 69.00
Expiration Date
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "8" above.
o.,'.pi#;ifuli_t1gts,-ii1:.-:.:,.:,,:,1:,i,1...,,.fl',.1,,,,..,,-.'.:,1,,;'.ii,,,i,
##:trur
tf,B,l$tiSttA
ffitension Per Panel
L'-E#ft $t4{'ge w{Nno
Each Addtrtld]iil
Owners Name
Service "{igfiqffitflED UNDE R ]HIS ?$BS{N 1[; NOl
Address E
city AAA(A-!'Phone
8% State Surcharge
10% Adminishative Fee
5!h Te-uh fa-TOTA.LInspection Request: 726-37 69
4
Shared Drive(T:)/Building FormVElecrical Permit Application l -06.doc
9s2-001
401 Amps to
601 Amps tqfr9flqJmfor
952-00i
rules E