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Home My WebLink AboutPermit Electrical 2006-08-07OF SPRIN FIELD Building/Combination Permit PERMIT NO: COM2006-01007ISSUED: 0810712006APPLIED: 08/0712006 EXPIRES: 0210712007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line SITE ADDRESS: 1560 16TH ST ASSESSOR'S PARCEL NO.: 1703253101800 PROJECT DESCRIPTION: Service reconnect Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PhoneNumber: 541-606-5566Owner: Address: Contractor Type Electrical JERRY NELSON 2430 LAWRENCE EUGENE OR 97405 Contractor DONALD MARVIN HORTON License rt602t Expiration Date 0712512007 Phone 541-726-9021 CONTRACTOR INFORMATION TION # of Units: Primary Occupancy Group: Secondary Occupancy Group; Primary Construction Type # of Stories to Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: reg of\o Iorth -001- es trYSecondary Construction Type: # of Bedrooms: ater $ Per Sq Ft or multiplier Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: 52 ru nlan Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bid Amount IC IMPROVEMENTS Description Tvpe of Construction Page 1 of2 Value Date Calculated l, U I Ll-rll\ lJ rL\ -t{ (,l(1vrryJ rer is 1 v1t E Valuation Description I rF Status lssued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01007ISSUED: 0810712006 APPLIED: 08/0712006 EXPIREST 0210712007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 8olo State Surcharge Service Reconnect Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 120060000000000121s 120060000000000121 5 120060000000000r21 5 1200600000000001215 $5.00 $2.50 $4.00 $s0.00 8t7106 8t7t06 8t7t06 8t7t06 $6r.s0 Fees Pa 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. Electric Service: Approval required prior to utility company energizing service. nsnections 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 Springfietd 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 Paee 2 of 2 Date 225 Fifth Street Springfi.ld, Oregon 97 477 541-726-3759 Phone C;tu of Springfield Official Receipt . _ elopment Services Department Public Works Department RECEIPT #: 1200600000000001215 Date: 0810712006 3:18:21PM Job/Journal Number coM2006-01007 coM2006-0 r 007 coM2006-01007 coM2006-01007 Description + 570 Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Service Reconnect Amount Due 2.50 4.00 5.00 50.00 Item Total:$61.50 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check DMH ELECTRIC CO djb ll154 In Person $61 .50 Payment Total: -56 :l 5-0- cReceint I Page I of I 81712006 225FIFTH STREET . SPRINGFIELD,OR97477 o PH:(541)726-3753 o FAX: (s4t)726-i6sq E LE CTRI CAL P ERM IT APPLI CATION City Job Number C'o wr zo<>6- b /Oo'7 ZON INITIALS DATE SOURCE Date 3. COIIIPLETE FEE SCHEDULE BELOVIT A.Ncw Residential - Single or Multi'Family per dwelling unit. 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 $ 106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: SPHTIrIGFIELD :i .,r'.t-. j, %, I. LOCATION OF INSTALI.ATION: t5 N, lL '''t LEGAL DESCRIPTION 3ZS 3I otroo JOB DESCRIPTION: S..-..,i .a, e,o{r e<\lp 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. g0NTRACTAR TNSTALIATTON ONLY Electrical Contractor D fVt tl L lp,.r Address 57 "t4 R"l".l Phone 7d L'90 LI Over Supervisor License Number ,uq q{3 Expiration Date /b ot 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 AmPs olts C. Temporary Services or Fecders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I City s 63.00 $ 7s.00 $ 12s.00 $ 163.00 $375.00 $ s0.00 SO Constr. Contr. Number Expiration Date Signature of Supervising Electrician rn- Owners Name elvV LI58 L s 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 E. N{iscellaueous (service/feeder not included) -Each lnstallationAddress 8 tl3O Lr\uu- "c^rt ce. City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation $ s0.00 SigdOutline Lighting Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. STJBTATAL OF ABOVE So $ s0.00 Owners Signature ."i N?l 8% State Surcharge l0% Administrative Fee 57o Technology Fee Ll 5 z5-e bl 'v Only W lr,.ffin"quell 720-rz6e TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc ..1-,-h{o */r,/ e l- €r-., ,.r.t- Phone Aob'5{LL-.----<f-