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Home My WebLink AboutPermit Electrical 2009-3-13 ',Electrical Permit Application 225 F;!th StceettSpr;ngfield, OR 97477+PH(541)726-3753tFAX(541)726-3689 SPRI:GFIELD -~.-' ,~=. . ~""b "iIJI . IW'!if!~'Y<"""''';''''''''*'~~'"~W'''''~1 t~~~:;g,~,e:~~~~~~Jl~~~~~g;~~ I I Pe~it no C '1- 00 3. 4 I Date: "5/1;' / 0 '7 I This permit is issued under OAR 918-309.0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issnance or if work is suspended for 180 days. 1.~~.lr0:CAI!fLGQMEBf\l.ME:t.jit~~P.R.QM~.ll~r~~1l1 Zoning approval verified? lS)i'Yes D No B;1i,W~C:;~mEGQBY~!,>FJ:C:QNSiliRl!Jl>lmIQN~~Kilt~ ~esidential l 0 Government .1 0 Commercial _if!'?J,0I3iJlSlmEIlINF"l'5.RM~illIQNrAN!:l]ll!pc:;'k.ml!'>N~-"~ I Job site address: (;{j:5 3'3 rd I I city:jnr/-:::te.1d JState:crl ZIP:?7'!7g I i~;~~~~1s~;~~~(~~~~~~;~~iEj 1,~~~cii~~~BER::~:::",:~:,,~,~~;~~!1 ii... m. .__~ ~__.. .'U'; l?:'" " ' " . & . _:~____E't,.__. _ _; _ _ . ~~4i~(1,<{&~1W("'i>~!i!r""',Akr~1 I Name: 0/"..LVt1 CVOS s, I I Address: '--/j::.,() / ~ ):>-1 ?_ C-y ~1- I I City: 7{'J4 I State: ,)V' I ZIP:'17l(o"Z-1 I Phone: ) -5'1/;.. 3'(5 3'r1);Fax: - - I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, excbange, lease, or rent. OAR 479,540(1) an . 79.560(l).p, . ./,.' , Signatnre: 1, ~ - '''.' ;r,l;iRll'IN's'm,A,'-I,'''A"m"IO.N'_''''''-''i.''''t;t,jl"41~.'j ~II~,...-,_, ."1:;1.:;",, .,!;i'~7#}4",~#,:;', o W i1J t"'_ I' I Business name:. I Addre;s: I City: I Phone: I E-mail: I CCB license no,:, I BCD license no.: I Signing supervisor's license no.: I Print name of signing supervisor: I Signatnre of signing supervisor: I State: I Fax: I ZIP: ~ i5\\~ /t . 440-2584-J (9/08/COM) ~~-;:$c..~ii'~~EE~S'GHE[)l!JI!!E.'~-~'f1-$;\m 1r..,w",:,'."II..'X);'41:h"~.~~,~,=<z"",~,_""",wc,. ._,.,. '~m. .., .... ..._...m~~~~~~ I~I~t~~~fJJ1;=~T~~{~~I~mIQ~j~~~pst~I~'-tRt~,I~ il\s.""""""X~"""'''m",,,.;,,,,,,,'''',,,l'''''''':'')'',,h~''li ~I~e~~ ~1i,~Qs-,!l!l1i I Residential, per unit, service include(j: I 11,000 sq, ft. or less (4) $134,00 $ I Each additional 500 sq. ft, or portion $'[ thereof $ 25,00 I Umited energy (2) ,$ 32.00 $ Each manufactured home of modular $ 63,00 $ dwelling service or feeder (2) Services or feed.ers: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ ft 20 I to 400 amps (2) $ 95,00 $ 40 I to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201, to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ I 'Over 600 amps or 1,000 volts, see services or feeders section above I Branch ,circuits: new, alteration, extension per panel I a. Fee for branch circuits with purchase of a service-or feeder fee: I 'I Each branch circuit I $ 6.00 I $ I b. ~ee for branch circuits without purchase ofa service or feeder fee: I First branch circuit (2) I I $ 55,00 $ 1.1 Each additional branch circuit $ 6.00 $ I I Miscellaneous fees: service or feeder not included ) I Each pump or irrigation-circle (2) $ 63.00 I I Each sign or outline lighting (2) $ 63,00 I I Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) '. $ $ Each additional inspection: (I) $58.00 $ I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surch!'fge (.12 x [AD (e) Technology Fee (5% of [AD TOTAL fees and surcharges (A through C): $ $ $ $ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00341 ISSUED: 03113/2009 APPLIED: 03113/2009 EXPIRES: 09/13/2009 . VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line SITE ADDRESS: 603 33RD ST ASSESSOR'S PARCEL NO.: CROSS2LOT PART PA Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Site work for partition approval Owner: GARY CROSS Address: 460 W 25TH EUGENE OR 97402 Phone Number: 541-345-3496 I CONTRAC~OR ~NFORMA TlON I Contractor Type . General Electrical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone' BUILDING INFORMATIO~.I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: . Energy Path: Sprinkled Bnilding: Lot Size: Sq Fj 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENTINFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sctbacks: Overlay Dist: # Strcet Trees Rqd:. Paved Drive Rqd: 0/0 of lot Coverage: . REQUIRED PARKING Total: Handicapped: Compact: ;;'::,~. ~-.:. I PUBLIC IMPROVEMENTS I Street Impr,ilveit!ent~DN: Oregon law requires ~ou to Storm SewWA~arl~ki~:adopted by the Oregon Utility S . I I l'tullTlt'.'RlIon Genter Those rules are set forth peCla os r.ue IOn:. . . III (JAM ",,,2-001-0010 through OAR 952-001- Notes: 0090,. You may obtain copies of the rules by calling tile center. (Note: the telephone number for tile Oregon Utility Notification Center is 1-800-332-2344). . Sidewalk Type: NOTICE' .'. Downsl'?ntslDrains: THIS PERMIT SHALL EXPIRE IFTHEWORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR /S ABANDONED FOR . ANY 180 DAY PER/OD. Pa2e I of 3 Status Issued CITY OF SPRINuJ< u.LD Building/Combination Permit PERMIT NO: COM2009-00341 ISSUED: 03113/2009 APPLIED: 0311312009 EXPIRES: 09113/2009 VALUE: 225 Fifth Street, Springfield. OR 541-726-3753 Ph~ne 541-726-3676 Fax 541-726-3769 Inspection Line I V~luation Descrintion I Description Tvpe of Constrnction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Value Date Calcnlated Total Valne of Project Fe", P,irl 1 Fee Description + 12% State Snrcharge + 5% Technology Fee + 5% Techuology Fee Encroachment Permit Perm Serv/Fdr 200 amps or less Sanitary Sewer - 1st 100 Feet Storm Sewer - 1st 100' Water Line - IstIOO' , Amouut Paid Date Paid Receipt Nnmber $37.08 $6.98 $15.45 $139.50 . $81.00 $76.00 $76.00 $76.00 3/13/09 3/13/09 3/13109 3/13/09 3/13/09 3113/09 3/13/09 31\3/09 3200900000000000161 3200900000000000161 3200900000000000161 3200900000000000161 3200900000000000161 3200900000000000161 3200900000000000161 3200900000000000161 Total Amouut Paid $508.01 I Plan Reviews I To Request an inspection call the 24 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. I Rr'l,!irerl I r'l'~ftin'l~ I I Uudergronnd Plnmbiug: Prior to filliug the trench and iucludiug requir~d testing. Water Line: Prior to lilIing trench aud inclnding required testiug. Sanitary S~wer Line: Prior to lilIiug trench and inclnding reqnired testing. Storm Sewer Line: Prior to tilling treuch. Underground Electric: Prior io cover Electric Service: Approval reqnired prior to utility company energizing service. Eucroachment: After item(s) have been removed to inspect condition ofpnblic right of way. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00341 . ISSUED: 03/1312009 APPLIED: 03/1312009 EXPIRES: 09/13/2009 VALUE: . 225 Fifth Stl'eet, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and.1 fnrther 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 OCCU P ANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnl'ther agree toensnre that all reqnired inspections al'e reqnested at the proper time, that each address is readable from the street, that the pe!:mit card is located at the front of the property, and the approved set of plans will remain on the site at all times (juri.ug construction. (J, ".p, C ow"fe~tra~rs Signatnre 3/13(0 <J I Date. Pa2e 3 of 3 225 Fifth. Street Springfield,Orcgon97477 541-726-3759 Phone City of Springfield Official Reccipt DeveIopmcnt Scrvices Department Public Works Department Job/Journal Number COM2009-00341 COM2009-0034! COM2009-0034! COM2009-00341 COM2009-00341 COM2009-0034I COM2009-0034I COM2009-0034! Payments: Type'of Payment CreditCard cReceiotl RECEIPT #: 3200900000000000161 Date: 03/1312009 Description Sanitary Sewer - ] st 100 Feet Water Line - 1st ! 00' Storm Sewer - 1 st 100' Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Encroachment Permit + 5% Technology Fee Paid By GARY CROSS , Item Total: Check Number- Authorization Received 8y Batch Number" Number How Received Ikw 04009C In Peison Payment Total: Page I of I 9:29: \JAM Amount Due 76,00 76,00 76,00 81.00 15,45 37.08 139,50 6.98 $508.01 Amount Paid $508.0 ] $508.0) 3113/2009