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Home My WebLink AboutPermit Electrical 2004-02-02FIELD 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: COM2004-00139ISSUED: 0210212004 APPLIEDz 0210212004 EXPIRES: 08/0212004 VALUE: SITE ADDRESS: 3903 E 16TH AVE ASSESSOR'SPARCELNO.: 1703344305500 PROJECT DESCRIPTION: Install 200amp service Owner: ANNA HAyES Address: 3903 E 16TH AVENUE EUGENE OR 97403 TYPE OF WORK: Electrical Work Only TYPE OF USE: use initials Eugene Contractor Type Electrical Contractor LYNNS ELECTRIC Expiration Date 1011412007 Phone 54r-726-7895 License 102316 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: NOTICE: sErBAcKs THls PERMIT Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: AUTHORIZED GOMMENCED ANY 180 DAY Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: "/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: $ Per Sq Ft or multiplier onter is 'l - Square Footage or Bid Amount REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Pase I of2 Description Type of Construction Value Date Calculated l,utL|-rll\t; r1\ wr(rvrA r r(,N.J Go 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: COM2004-00139ISSUED: 0210212004 APPLIEDz 0210212004EXPIRES: 08/0212004 VALUE: tr'ees Paid Fee Description + l0Yo 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 2tzt04 2tzt04 2t2t04 Receipt Number 12004000000000001s0 1200400000000000150 12004000000000001s0 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. 1 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 Pase2 of2 q 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City .rf Springfield Official Receipt Development Services Department Public Works Department Receipt #:1s0 Date: 0210212 1:15:07PM coM2004-00139 coM2004-00139 coM2004-00139 Perm ServlFdr 200 amps or less + 7Yo State Surcharge + l0o/o Administrative Fee 63.00 4.4t 6.30 Item Total:$73.71 Payments: Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check Number Cash Change ANNAHAYES ANNAHAYES djb djb In Person In Person Payment Total: $80.00 ($6.2e) $/3.71 coM2004-00139 coM2004-00139 coM2004-00139 Perm Serv/Tdr 200 amps or less + 7%o State Surcharge + l0o/o Administrative Fee Item Total: 63.00 4.41 6.30 -sE r Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Cash Change ANNAHAYES ANNAHAYES djb djb In Person In Person Payment Total: s80.00 ($6.2e) $73.71 ( t25 FIFTH STREET . SPRINGFIELD, OR 97477 ' PII:(54I)72G3153 c E LE CT RI CAT P E RIUT IT AP P L I CATTON Ciry Job Numbcr 0,or*l"ol- OO5A.Date Z-Z-aLl 1.'40#.u.Q,Af :9"f'^tY,pr++I+'rro{s ,;.i'i,..1;51o: E )br" LEOAI* BESCRITTION ' o59oo i; sl,+ t I Z- A,^r >6tu.L€ Per:mits arc non-transferable and expire if work is ilst $tsrted within 180 days of issuance or if work is Siuspcnded l'or 180 days. ', Eloctrical Contractor Address approval Zoning Date Service lncluded i000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwclling Scrvice or Feeder 200 Amps or lcss 201 Arnps to 400 AmPs 401 Amps to 600 AmPs 601 Amps lo 1000 AmPs Over 1000 AmPs/Volts Roconnect Only lnstlllation, Alteration or Relocation 200 Amps or less 201 Amps tc 400 AmPs 401 Amps to 600 ArnPs r@wLqti Per Prnel ARg sO@ ,40tr0 ot as submitted has the following not require specific land use bL -o $ 106.00 $ 19.00 $50.00 $6300 Q3. - $ 75"00 sr?5.00 $ 163.00 $375,00 $ s0.00 $ 50.00 s6900 s 100.00 $ 43.00 $ 3.00 $ 50.00 s 50.00 25.00 45.00 * Surcharges b 3" A. o JOB Supervisor Licmse Number A*35.1-s Expiratian Date ot o Coustr, Conu. Nurnbcr I tO ?.I Expiration Datc o S ignature of Supervising Elccrician B. c. ATTE tollow \s c090- €S catling nuf,tbEJ O.*rrerp Addrsss 3o 3 L lbh" L rt-Y Photrc Pump or irrigation S i gr,- Outl ine L i gh ting 794 State Surcharge I0% Administrative Fee TOTAL O\\'I{ER INSTAILATION lhe iustailation is being nadc on propeiry I o\rlrl is nr:t inlended fcr sale, lease or rent. Owncrs Signarurc:c0M ANY o 13.4'.Inspecfion Request: 726-3769 1 Sharud DrivdT.)/Building FannslEloctncal Psnnit Appiiclticn i -03'doc 4.t Lf 's f,ltdrt', , ro, f*\\ WV* w,oo* fu,-'a01{ Energy/Residential N AUTHgSIlEts Eleetrie q+rffpEaili+tds L