HomeMy WebLinkAboutPermit Electrical 2004-7-16
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Service Included
LEGAL DESCRIPTION
/702- "5 Zoo
0'0402-'
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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
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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. .
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D. ,Hfari.ch~(;b.ciiits~: z',:,t." -::>.~~~\~:;\:/-<:,:' ", t '.~~lfs'0i~' ,~~:,:_,;> ("-'\,'-:
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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
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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
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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