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Home My WebLink AboutPermit Electrical 2006-03-22CITY F Buildin g/Co mbination Per mit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspection Line PERMIT NO: COM2006-00341ISSUED: 0312212006APPLIED: 0312212006E)?IRESz 0912212006 VALUE: SITE ADDRESS: 3895 E 19TH AVE ASSESSOR'S PARCEL NO.: 1803031200501 Eugene PROJECT DESCRIPTION: I circuit extended for gate in parking lot. TYPEOF TYPEOF USE: Electrical Work Only Addition Commercial Owner: Address: I]NIVERSITY OF OREGON BOOKSTORE INC N OTI C E: 895 E 13TH A\rE EUGEI\IE OR 97401 THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOI RIOD Contractor Type Electrical Contractor DAVID STUCK ELECTRIC LLC License t58177 Expiration Date 01/01/2008 Phone 541-485-8855 #of Unib: Primary Occupancy Group: SecondarX Occupancy Pkimary Construction TyPe Secondary Construction # of Bedrooms: Frontyard Setback Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Sq Ft Other: Occupant Load: ... ,] REQUIRED PARI(NG Total: Handicapped: Compact: nla e )n Sidewalk Type: DownspoutVDrains $ Per Sq Ft or muhiplier Square Footage or Bftl Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description Tvpe of Construction lof2 Value Date Calculated L,lrvt L(,rryr|lNr rl\{ryJ CITY F Buildin g/Co mbinatio n Permit Status: Issued 225 Fifft Street, Springfield, OR 541:126-3753 Phone 541-72G3676Fax 541:7 2G37 69 I nspe ction Line PERMITNO: COM2006-00341ISSUED: 0312212006 APPLIED z 0312212006E)PIRESz 0912212006 VALUE: ' Fee Description + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Amount Paid Total Value of Proiect Date Paid 3t22t06 3t22106 3122t06 3t22t06 Receipt Number 1200600000000000330 1200600000000000330 1200600000000000330 1200600000000000330 $4.s0 $3.60 $43.00 $2.00 $53.10 aid Plan Reviews To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following ' work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAITCY will be made of any sfucture without permission of the Community Services Division, Building Safety. I further certi$ that onty contractors and employees who are in compliance wi0l 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, thd the permit card b located at the front of the property, and the approrrcd set of plans will remain on the site at all times during construction Owner or Contractors Signature 2of2 Date Reouired lnspecfions I 225 Fifth Street Springfield, Ore gon 97 47 7 541:726-3759 Phone n1y of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200600000000000330 Date: 0312212006 11:48:53AM Jrt/Journal Number coM2006-00341 coM2006-00341 coM2006-00341 coM2006-00341 Description Add, Alter, Extend Circ Minimum/Adj ustment Elechical + 8% State Surcharge + l0o/o Administrative Fee Amount Due 43.00 2.00 3.60 4.50 Item Total:$53.10 Peyments: T-pe of Payment unecKNumDer Aumorrzalron Paid By Receirrcd By Bdch Number Number How Received Cireck DAVID STUCKELECTRIC LLC ddk 1746 In Person Payment Total: $s3. l0 $s3.10 iI '( 'l .) i:i 3122t2006 lofl Amount Paid 'vrnr- SPFIINGFIELD Date or ZON INITIALS DATEh,22s FIFTH STREET o SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRI CAL P ERMTT APPLI CATI ON Cify Job Number 0flr na - oo34 I SOURCE I. LOCATION OF INSTALIATION 3.COMPLETE FEE SCTTEDULE BELO\Y - tq& 6Jc o LEGAL DESCRIPTIoN i8 03 03 la ffiDl A.Nerv Residentiat - Single or l\{ulti-Famil.v per dwelling unit. ltnc O Ra c.gt c 0t utsl t2 € /tc; u52-Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof/:aA Go-r E /N futP rruc Lor $106.00 $ 19.00 $50.00 JOB DESCRIPTIONi;; ;;; -- iti"'"r Eo ren oLo Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ^ CO-]VTRACTOR INSTALLATION ONLYL. Electrical Contractor hr|Utl sT-uck 8kc421., ,U /-o- dclt; 4r-<- TY//tt/&7 City U'u*,y'r, dR 5 q/ '5t/_? - phone @) on? Supervisor License Number L/rt ? 2-f Expiration Date /a /o Z Constr. Contr. Number z c.4 /5's/77 Expiration Date i/os Si gnature of Supervising Electrician Owners Name bhclskre Address P, o- BoY 7{ EXP/R E/ B.Relocatior.r: 18p n A IVOON z5€ z Y PEB t0D200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only SUBTOTAL AF ABOW 8% State Surcharge l0% Administrative Fee TOTAL $ 7s.00 Address $ 125.00 $ 163.00 $375.00 $ s0.00 C.TemporarS- Services or Feeders Installation, Alteration or Relocation $ s0.00200 Amps or less 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts sEe "B" above. D. Branch Circuits"l : ,, ,,1', New Alteration or Extension Pelr Panel OneCircuit ' i $43.00 ?3,co Each Additional Circuit or withr' Service or Feeder Permit - ,* ,:, .-N.:, r.r i . ; l E. I\Iiscellaneous (S6rvice/feeder Pump or irrigation Sign/Outline Lighting $ 3.00 not included) -Each Installation 4 9ql "2t33/$ s0.00 $ s0.00 City E-4,ane ,,rR Phone owNER ^rr*"ii i:? The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4 3. 4. 4sa 3@ SD - 7? filDInspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application I -06.doc OREGONilffi-rffiil ala> toL, -