The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-4-17 225 Fiftb Street.Spdngfield, OR 97477+PH(54I)726,3753+ FAX(541)726,3689 fe~fn~O?-C> 0 Sib I Dale: L.j ~ 17 - 0 i ,"JC?,:X'iJ;;'~;-d'-...._-,;.,:;:;~;..-"",.-',..,.,;,)~.~;:;-_~.,::C"' ~~~~,'lr. ..q"~~~ '~"I !%';'i'OEPARTMENJ,1USE10N~Y{~ "li",t.~\jt!,;,-,~: "',' -::'::;1'::~$,~,;a:~'~~iiP)i;0.'i~Jl;" I I IDlecttical Permit Application D SPRINGFIELD This permil is issued uuder OAR 918"309-0000, Permits are uontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspeuded for 180 days. 1~j!Et~b'~C;;'~.'tj.~I:B''''MI:Nfftf.<<e~R<DMii.~.'1 Zorung approval verified? 0 Yes 0 No' 1 er.' ,(i 1=~~~ill.~&tlB~~~~~:;mR~if~o~~~;~ll Resideutial, per unit, se:~~:~:'~ed: 1~~~:::;~~~~O;?illl~"';~~~~Q~t,\~~~~~fl i ~~;;o~~i:~::::s~o(:~ft. or portion :1:::::' : 1 City: C; ~ ~.a 1 State: DoL.. 1 ZIP: 77C{771 1 Limited energy (2) $ 32.00 $ 1=~~~~~~~~iE>liJIwJ~~~~~i I ~~~~I::::"s~~~~r~~fe~~:r (~)odular $ 63.00 $ I Zt:fJt../'rC..l- Sl:ftV lc..c I I Services or feeders: installation, alteration, relocation I 1 200 amps or less (2) ( $ 81.00 $ ~~~--#~R0J5,~RiID'~i;))lVNI:RW(~~it41~;r~'i;1 1 201 to 400 amps (2) $ 95.00 $ Name: S;rElI'e wt':>l~ I 1 401 to 600 amps (2) $158.00 $ 1 Address: ' Z b ? SAID V;+- '5> T I 1 60 I to 1,000 amps (2) $205.00 $ 1 City: -s.f'Pb 1 State: e>fL 1 ZIP: <;7lt77.,o"I,\R~"it)~~~iiPS or volts (2) $469.00 $ 1 Phoue: I Fax:, _. OtegOIi 1"-""; l a,tR~c'i\'rtp,\'F\elW (2) . 1 $ 63.00 $ _.."...1 _,.,."/t" "'~_ "'. I E-mail: . p.11\::.\'\l \.- S adO\w:;~hOSe u\ }~l~PB!:.V'-~se!,vices or feeders: installation, alteration; relocation ., ...\e. ,_"" g\' 'A' ,D- ,,;1 Th" II' . , d 'li~""'" ,L,"'''-- ,M\,\\'IIU' 2v~'IlJl1i1l0i1es~(2) 1 $ 6300 $ IS msta atlOll IS bemg ma e on. resle~ualf.9.rlfiirIlLpr_~\..., \e" 0\ . _ .'~ ,......p. . owned by me or a meniber of my imrri~at~t~{":!llil,9''fhi5btaili cO" ,,\ZO~'f6e4R\i~t$2) . , $ 8700 $' property is not inteuded for sale, exchli.ngeflt~&JOl"f:ebt. Rk.Rl.\-lO' e. '" ;\2" " . 479.540(1) and 479,560(1). 0090.. 9 '~e celi\OI'egOIi $\ ~4~UQ.\~OO amps (2) I $126.00 $ ,. \\IIi' ~e 3'''- Signature: ca 'pel 'lot \ 'IS '\ ,\)00' , Over 600 amps or 1,000 volts, see services or feeders section above . ",If\} :::~ . l~s!2i.0'Nml;lWcJil0l~iU~.ISJr~U1Ll'.!\mi!:)JIi~~l1IJ\'iMWffff 1 Branch circuits: new. alteration, extension per panel 1 Business name: E AS /5/ Of ([f(, Tit., c... - 1 a, Feefor branch circuits with purchase ofa service or feederfee: 1 Address: 3 ~ 25' ::l 'I6 OSC A G- Eo V ^ Iv Ell Each branch circuit 1 $ 6.00 1 $ 1 City:. 5 PI? LD 1 State: Op(. I ZIP: <:] 7Y 7'll 1 b, Feefar brauch circuits without purchase ofa service or feederfee: I Phone: - 7Y 1'1 V'I'f I Fax: ,736' V960 1'1 First branch circuit (2) I' $ 55.001 $ I E-mail: R Ie K. t6 A S T S 10 E- ((l) '0 1-1 C> b ,C 0 IvJ 1 I Each additioual branch circuit $ 6.00 $ 1 CCB license no.: /1777CJ I BCD license no,:::20 - Y oS'c 1 I Miscellaneous rees: service ar feeder nat included I Siguing supervisor's license no.: .~ 7 J. 7 5 . 1 I Each pump or irriga!ionCi~cfe (2) 'r:p,' $ 63.00 $ 1 Prmtnameafsiguingsupe~isor: l<OGff( ICING- .nd .1 EaChSignOrOutl\!:l~i\2):.~'i'~i $ 63.00 $ I Siguature ofsiguing supervisor: ~ ICr4 ~~~~~~\frt;~f~~~'ffiel~ $ 63.00 $ . f>-\l\\1~~I",t:,~~.. 'l\~~~~C..t.iO~",~~I~.~'llli.. '.....--_.....~~~:-E-4~",g,:_-.1 . CO\lJ\w,'1!ili~"'?".~.,...~:A'P.Rl!!lS!;~N[iilcl:J~E;~_ P^' f>-\Il'l '\ ~q~ Enter subtotal of above fees . ~ V . I (Minimum Permit Fee $58,00) , $ 8' f ti:. ~.' (B)Enter12%surcharge.(.12x[A]) $ 97l-1 \?\.~ ~_W: (C) Technology Fee (5% of[A]) $ 4 or[ \J'" \y I TOTAL rees and surcharges (A through C): $ 9lf Zl. 440-2584,) (9108/COM) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00S16 ISSUED: 04/1712009 APPLIED: 04/17/2009 EXPIRES: 10/1712009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726,3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2695 NOVA ST ASSESSOR'S PARCEL NO.: 1703224404200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Total: Handicapped: ~~~ompact: .N..~ 'l'l ~~ \~ \" \~~ :iQ\~'t:. fl"-!\\\ ~" I PUBLIC IMPJlt'WJ;Mf~m\..;\\\\S ;;~'t:.~ ,C ~V,~ ?'t:.'?-~~~ '0~ ~S tS'r1r~walk Type: \'01 Cl?-.\~ ("\ Cl?-. n, t>-'0\'0 x.~'V't:.'v ?'t:.?-.\Cll:lownspouts/Drains: 'VCl\\\~ '01,) ~~ t>-~'l PROJECT DESCRIPTION: Replace 200amp service Owner: MOIR STEVEN W & LYNETTA H Address: 1390 OAK DR EUGENE OR 97404 1 CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EASTSIDE ELECTRIC INC .~ License 117770 .l"'~. I BUILDIN(';"INR0RMATlON I " \8.'f'l' o~e~- \-\u'. rjO\< ,,6 6 '06 '0\- # of Uuits: ~'. 016 c\ '0'1 li'o{;~l>ri~:~<)'2.'O '0'-1 Primary Occupancy Group: -<-<\:.~\$\R,3.l-c\0\l\6 \,,0't'i\~igh,t:Of'Struc'tlJ1e ~\ \ u\e':2 \e~ ....Ifr,.~$.-~.J' I.~\\IJ' .....0'(\6 Secondary Occupancy Group(IO'<IJ I. C6\< Q\O\\'~Xe,~oPHe~li\l~' ,\0(\ Primary Construction Type\O ,\\ICe.\I~{).B.lO\-O 1o\'3.1\< Wate!"lfYl{eo\\\\C'<> Secondary Construction TyJ!\,qO~'" g",~ \<;\e.'1 0 ,61, \ii~~~e:IW)!P~:A)' I\< '{Ov C6\< ("II "",.;,'" # of Bedrooms: \jo90, ,\,,6 016 ~lS!,gJi",gth: Ce.\\I\<rj 1\01 \,,6 \'0 \"8~rinkled Building: nla .",'06 _ .n\61 ,,- ~. '1 DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Streetlmprovemellts: Storm Sewer Available: Special [nstrllctiOIl: Notes: I Valuation Descriution I Description $ PerSq Ft or multiplier Square Footage or Bid Amount Type of Construction - Pa2e I of 2 Expiration Date 10/04/2009 Phone 54t-915'9828 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00516 ISSUED: 04/17/2009 APPLIED: 04/17/2009 EXPIRES: 10/17/2009 VALUE: 225 Fifth Street, Springtield, OR 541,726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line Total Value of Project F~rs Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Numher $9.72 $4.05 $81.00 4/17/09 4/17/09 4/17/09 1200900000000000271 1200900000000000271 1200900000000000271 Total Amount Paid $94.77 I Plan Reviews I , To Request an inspection calUhe 24 hour recording at 726-3769. All in'spections 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 Reouired Insnections I Electric Service: Approval required prior to util.ity 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 1 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 c?ntractors and employees who are in compliance with ORS 701.005 will he used on this project. I further agr~e 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 Pa2e 2 01'2 225, Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00516 COM2009-00516 COM2009,00516 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 1200900000000000271 Date: 04/17/2009 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ROGER KING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 072482 In Person Payment To.tal: Page 1 of 1 1O:13:19AM Amount Due 81.00 4.05 9,72 $94,77 Amount Paid $94.77 $94,77 4/17/2009