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HomeMy WebLinkAboutPermit Electrical 2004-7-16 v Service Included LEGAL DESCRIPTION /702- "5 Zoo 0'0402-' -;:"~~'i'r_-'iY7='o-O:,,""'"":~-'-:--~"" ~~-~"""'":...,O:"-":""T~~<~,r-J""""_ A. f;N ew'Rei;ideiiii:i1"i'Sirlgle or: i\-Iulti, Family '.:~""'~~'<---'-"~~~~"":~;';;:~):,c~~-"""'- ( 1000 sq. ft. or less ' ...J r Each additional 500 sq. ft. or 5t .:> CliZCS:.. portion thereof $ 19,00,4 Permits are non-transferable (nd expire if work is Each Maoufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50.00 Suspended for 180 days, Feeder I" 2 rrcbNiiiACtOR'iNS1:Aii!AiION{5ND~ B. ~Sef~i~s:orll~d~~II~i~'llatiri~iAlte,Jaiio'n~ o~r'Relo'c'a'tiol1:!'i" I .,,,,-;o;,-,,,,,,~ "~<".~""''/J-':''F~''''~''''''~-I, . ~""'-\\i#~~6r~\\~' . ." .,''''''''.' '."- -- , Electrical Contractor ~r..;.vI"""vI 1?u.~~~~~~aTel!~~O". . $63.00 , ~~~ ~~#'fu~W_~Q2 '\)~ $ 75.00 Address -;)"frZ;'S1 4e'7f- II ~l\ceni~~G\~T\l\~~ - $125.00 . ';~gS2~.~i~~~"~~~!l $163.00 City t;;,... ....~,~..-(~ ,Phone r;f3("-!~'J ce~~JlW\l1iC.. $375.00 ,j _..~tno':<lka'~~). $ 50.00 Supervisor License Number, ,.!:L7 t? \ <; ~\)8t Cf:':"ltt!~t~ry~sJ.r:~)~e~iOr FHq~r~};:,,~:.;~::: . $106.00 JOB DESCRIPTION La r.J vol k t" ~l Expiration Date. If? ; ~/ "l/;~ ,I Constr. Contr. Number / S"''3PJ"3 ""f Expiration Date ! '2 - S (')-.).LX:;; '+ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see uB" above. . ~_ "-- .-'~.\'-0~.~~'~-~:--r '''''''':''C'-,-''~''''".,/)''~''''''.'''''< . _. ',-' ''':<0':' <c...'..... .~: "- ,~, :~I D. ,Hfari.ch~(;b.ciiits~: z',:,t." -::>.~~~\~:;\:/-<:,:' ", t '.~~lfs'0i~' ,~~:,:_,;> ("-'\,'-: ._.... , .' ........ .. "< ....".. . '." ,'.. '..~,. ..__. ,_..,,,",,.:.>;. .....".'t.". _,....,.."'~...~'....- ,.'c.,,>,"" .;,:, '-'.~.';... OWNER INST ALLA TION New Alteration or Extension Per Panel One Circuit ~ $ 43.00 If '> . Each Additional Circuit or with, ~~ Service or Feeder Permit \'f ,,\y.~~ $ 3.00 I L- E. ~~1i~i~lI~~~r-r~.:.c: ~~~'If!~~~~~I;'d~)i:E~'~mlh~t~li:iiiitI; ,1 ~\\i~.~\~~1\\\~\)~'U ." . . '" " ~~\~~~~~~~\':> \>.~\>01 $ 50.00 ' \>..Jt'gniq~1 . ~. , $ 50.00 cla1Pktl\~'"~ esidential, $ 25.00 ~t~Energy/commercial J $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4, ~~:@tQt4:gJ;-~B~-X~~~i;'~~.~ 'j /0 0 7- I.{) ~:- ~ Owners Name AVl d flt=:w \~J Address IbI b A-(l...J6;,...CAlc LN City f::::tA~e Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 7% State Surcharge 10% Administrative Fee n- ~7~ Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Elcctrical Permit Application I-O),doc ' . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00343 ISSUED: OS/25/2004 APPLIED: 03/29/2004 EXPIRES: 01/15/2005 VALUE: $ 2,400.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4440 MAIN ST ASSESSOR'S PARCEL NO,: 1702320000402 Springfield TYPE OF WORK: ReRoof TYPE OF USE: PROJECT DESCRIPTION: Reroof. Owner: ANDREW HEAD Address: 1616 ARDENDALE LN EUGENE OR 97405 I CONTRACTOR INFORMATION I O\,) ~... Contractor Type Contractor lvAU\leS 1 \)\i~~.m License General HE~P.J..~~(9~~~~~~~~TION INC 156943 Electrical i1~w:-t~ ;'l? ~f>~~,., ..... 153834 ~~~~et. V;~~\- 'BW-eDrN.GpNFORMATION I tp'.:-;:;.;f:P""$\O c$\~...&Df' # of Units: ~":A~SIt' ~ ~"~ V/.~Ories: Primary Occup~*~~ ~~~ \)\\\\\'f~ht of Structure Secondary occu~!E ~~':~"'fype of Heat: Primary Constructio I~~~N~ Water Type: Secondary Constructi9 p'<iIP~ Range Type: # of Bedrooms: Energy Patb: Sprinkled Building: nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I \j~~ Overlay Dist: '\~t ~ ~\j'\ # Street Trees Rq~\~t \~ ~\\ \CO Paved D~'ve "tl;~ "- vt~ c.S) ~\j~ ~.of W ~-r-\';, f;)~'- \\~~~t~~~~ ~~~ ~ ~~~~IJ J!Nn~W.~~lfs 1'''''l'';'1\./1 I c,CJ\<" -o'i) V" ~~'{ '\ Street Improvements: Storm Sewer Available: Special Instruction: Repair Commercial Phone Number: 541-344-2341 Expiration Date 09/04/2005 12/3012004 Phone 541-344-2341 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Otber: .. Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paeelof3 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Estimate Use Bid Amount Estimate Fee Description + 10% Administrative Fee + 7% State Surcbarge Building Permit + 10% Administrative Fee + 7% State Surcbarge Perm ServlFdr 201 to 400 amps Plan Review CommllndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Total Amount Paid Initial Review Structural Review . 05/11/2004 05/11/2004 . CITY OF ~rK11~hHJ<.,LJJ Building/Combination Permit PERMIT NO: COM2004-00343 ISSUED: OS/25/2004 APPLIED: 03/29/2004 EXPIRES: 01/15/2005 VALUE: $ 2,400.00 $1.00 $1.00 2,400.00 1,450.00 Total Value of Project $2,400,00 $1,450.00 $3,850.00 03/29/2004 05/10/2004 Fppo. tlWLI Amount Paid Date Paid Receipt Number $5.28 $3.70 $52,80 $7,50 $5,25 $75,00 $34,32 $4,50 $3,15 $45,00 $10,00 $7,00 $43.00 $12,00 $45,00 3/29/04 3/29/04 3/29/04 5/4104 5/4/04 5/4/04 5/10/04 5/25/04 5/25/04 5/25/04 7/16/04 7/16/04 7/16/04 7/16/04 7116104 1200400000000000399 1200400000000000399 1200400000000000399 2200400000000000469 2200400000000000469 2200400000000000469 2200400000000000505 2200400000000000649 2200400000000000649 2200400000000000649 1200400000000001094 1200400000000001094 1200400000000001094 1200400000000001094 1200400000000001094 $353,50 I Plan Reviews I 05/1312004 05/14/2004 OK RJB APP JMP To Request an inspection call the 24 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. Il?p~ Roofing: Prior to installing any roof covering, Electric Service: Approval required prior to utility company energizing service, Framing Inspection: Prior to cover aud after all rough in inspections bave been approved. Final Building: After all required inspections bave been requested and approved and tbe building is complete. Rougb Electric: Prior to Cover Final Electric: Wben all electrical work is complete, Low Voltage: Prior to cover. Paee 2 of3 . . CITY OF "'rK11~u1'lJ<.,L1J Building/Combination Permit PERMIT NO: COM2004-00343 ISSUED: OS/25/2004 APPLIED: 03/29/2004 EXPIRES: 01/15/2005 VALUE: $ 2,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, tbat I bave carefully examined tbe completed application and do hereby certify that all information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety, I further certify tbat only contractors and employees who are in compliance witbORS 701.005 will be used on tbis project, I further agree to ensure that all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 00 . 8"'~'I~IN~~Ip.-D.C_ . _"___~. '. Wt:' : , -'-.- M:: ! - .",1 } ti/iiii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 225 Fifth Street _. Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2004-00343 COM2004-00343 COM2004-00343 COM2004-00343 COM2004-00343 Payments: Type of Payment , CreditCard 7/1612004 RECEIPT #: .1200400000000001094 Date: 07/16/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By STEVE GREEN Item Total: (:heck Number Authorization Received By Batch Number Number How Received djb 000443 129282 In Person Payment Total: Page I of 1 10:15:57AM Amount Due 43.00 12.00 45.00 7.00 10.00 $117,00 Amount Paid $117.00 $117,00