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Home My WebLink AboutPermit Electrical 2003-11-04Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-36768ax 541 -7 26-37 69 InsPection Line SITE ADDRESS: 3100 E 17TH AVE ASSESSOR'SPARCELNO.: 1703334400300 PROJECTDESCRIPTION:200ampserviceforcrewtrailer OwneT: LANE COUNTY OWNED LANDS DEPT Address: rzin srH AVf Fu-sirC SERVICE BLDG EUGENE oR 97401 Building/C ombination Permit PERMIT NO: COM2003-01114 ISSUED: 1110412003 APPLIEDz 1110412003 EXPIRES: 05/0412004 VALUE: TYPE OF WORK: Electrical Work OnlY TYPE OF USE: New Commercial License Expiration Date Phone Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARJflNG T \t Contractor Tvpe Electrical # of Buildings: Primary OccupancY GrouP: Secondary OccuPancY GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: Contractor OWNER Eugene #of c Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot VN r$ SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: t0s $ Per Sq Ft or multiplier s Square Footage or Bid Amount Type: Downspouts/Drains: Total Value of Project Paee I of 2 Description Type of Construction Value Date Calculated N6FITLD f t-fx Valuation Description I 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: COM2003-01114ISSUED: 1110412003 APPLIEDz 1110412003 EXPIRES: 05/0412004 VALUE: Amount Paid $6.30 $4.41 $63.00 $73.7r Date Paid Receipt Number 1200200000000002418 1200200000000002418 1200200000000002418 Fee Description + 1006 Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid tu4t03 tU4t03 tu4t03 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. I Electric Service: Approval required prior to utility company energizing service. 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 of? L'l L-_ ICeS raro I 225 FIFTII STREET ' SPRINGFIELD, OR97477 ' PH:(541)726-31 53 o FAX: (54L)726-3689 E LECTRI CAL P ERMIT AP P LI CATI ON ^ 0, ucCiry Job Number z-c 1. LOCATTON OI'CHBDULE BELOWCOIUIPLETEFEESE--__ - Date t 0 o 3t oo€ 3. {r( N A. New'Residential - Single or llulti-Famill'per dnelling unit' LEGAL DESCzuPTION t'7 c333qq cso 3 OO Service Included 1000 sq. ft. or less Each additional 500 sq' ft' or 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 $ 106.00 $ 19.00 $50.00 6: ( so- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. I Electrical Contractor (LD L Address CONTI{ACTOR I}TSIUI L|TION ONLI'Services or Feeders - Installation, JOB DESCzuPTION a CI?EJ -T[.r-rL+ottion thereof B. P a Phone ti9z o/oo Supervisor License Number arYB 5 C. Temporar.y* Services or Feetlers Expiration Date $.qtU$p,teqation or Relocation ,@^46plq$tsie $ so.oo Expiration Date City Constr. Contr. Number Electrician owners Name t-*N g Co*- Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel S €Address City e1^(rC^€p1sr, OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. $ 45.00 m Electric Permit Inspection Fee is $45.00 + Surcharges :S\* 4. SUBTOTALOFABOW . 'lo/o State Surcharge TOTAL ;L3 "lq / Fc10% Administrative Fee 73"LInspection Request: 726-3769 Shared Drive(T:/Building Fonns/Electrical Permit Application 1-03.doc I{ $ 63.00 $125.00 $163.00 $375.00 1)V \'tle \c One Circuit Each Additional Circuit Service or Feeder '4-t .-/D A ) (\$ 43.00 $ 3.00c' Owners Signature: not $ s0.00 s 50.00 included) -E:rch lnstallation 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Ofiidial Receipt Development Services Department ' Public Works Department 7PM coM2003-01114 coM2003-01114 + 7Yo State Surcharge + l0o/o Administrative Fee 4.41 6.30 Item Total:$73.71 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check LANE COUNTY PUBLTC WORKS djb In Person Payment Total: $73.7r $73.71