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Home My WebLink AboutPermit Electrical 2004-5-11 i ' 0 ;, , I~" 'J.'. .". . ">> .."~ , , . olect es submitted has the following 225 FIFTH STREET.' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~'7g6a:J6l@es,not require specific lend use' epproval. 11 " ELEcrRI~IT APPLICATION 1-' ' ,. Zoning. . \.:/"- Ci~,::~:::""",,?=~~:~ ~,~~, .~:" '0 ;:a 6D1. ~~:':~~,:J= 1. E,H?ftiJ!QiY o/~Sr~I.~HQr-r '7~,,,,'>j 3. .Cfl~fgTEf!E $... ~. . . /~~~..'f1,;tlE'; ~"':\] L/4L.1 () mO. Ln-dr ~"~<;"Zi.;~,t."'":''''W':;''!'''?';;:~'!'~:~~':'''':J't,::"''{'''''"~\?J"r,r;;= LEGAL DESCRIPTION A, ~N.~'x R.e.~d~nt!~JS5J.!'gle!~r\l}".!IM!;fJl!'1tb:p,et'O'Y.el.I.mg,,!m\,'''''~ / 7D.J6;l{J()OOLjO:;)., ;; I , JOB DESCRIPTION flOD ~ 1LV1-~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. fTC'6NtRXCTOk'fNSTALClfioN)jNLyj 2.. la,i~d:f'''''!''I.w~,,,, .... .;;:;:r~1d'd;,':J>~~-,~~,Q.1f"7ti1..-'ifi".;.:;1.'~'J Electrical Contractor ~r..;v-, 't:-;:. vi bJ..f('- Eta.: Address ~fr5V 4e''7f 11it- Ci~ ~('PAP J _ ,Phone 6't3('-iqezer Supervisor License Number 4 7 P r; <; Owners Name d ./ Ad,ilr ~~~.L/J Ci P./ Phone OWNER INSTALLATION The installation is being made on property I own which, is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included $106.00 .M.' . $19.00~ $50.00 1000 sq. ft. or less ' Each additional 500 sq. ft. or ' portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder l:'J' '.<Y,;::.~'i"~;, ",' _, '!Vl'~ '~.':" ':-:.' }~>~ ,'F,' -~. ::.' ,/ :,,~~..< ,;.:> "l>;. . B. ~!0~~~~~."~~:~t~:~er~.;t;:!p~:~~M~~n"AI~!I~n~,~~J~~~~8Fll.~~g~-1;~J 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 ArilpsIVolts Reconnect Only $ 63.00 $ 75.00-, $125.00 $163.00 $375.00 $ 50.00 1fj .CO / . c. LJ~m~9;~r}~~~~r.f.i~_es 9.~ F:,~~~~~i'~i;~~:;:~:r:,:~'~( <:ri~~~:rT{i.:~~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 .NOTlOO\Ampst0400Amps __, $69.00 THIS P't<HtNiiPiItb^6do y,,'hPJ~E IF THE vvunl'o $100.00 AUT~rOV?too~~~~rTf~~~~~~\l~!~~Jve. COf\DN'.;rB~iAffiJCii&1!. ";',"'}'d'l;s'.' NY 1 \;'d'[)1(Y'Pcflletl,-L'. ", ,'." """.", A ~ew Alteration or Extension Per Panel One Circuit , Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. F~~~'~ii~:~~~~l(~~f~C'~f~~~trt~~t:~~~~_~~')~'~~~j~{l~~t~ti~!~~ Pump or irrigation Sign/Outline Lighting Liinited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~~~@!~t~'~gf~~IT.; jJ:~,:,~6jJ '76. oV 5.;;) 5 ,.50 \It )(7.7) 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-03.doc ! " I ._G~ql'l_ jiI'" '" " II ~ _ '.. JII.._ , I .'. t ./ .- ,,' ~, .~. , ,,~ .,.. ." . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00343 ISSUED: 05/04/2004 APPLIED: 03/29/2004 EXPIRES: 11/04/2004 VALUE: $ 2,400,00 SITE ADDRESS: 4440 MAIN ST ASSESSOR'S PARCEL NO.: 1702320000402 Springfield TYPE OF ReRoof PROJECT DESCRIPTION: Reroof TYPE OF USE: Repair Commercial Owner: ANDREW HEAD Address: 1616 ARDENDALE LN EUGENE OR 97405 ICONTRACfOR INFORMATION I ContractorlON: Oregon law requires you tOLicense HE~D~'.RO_0F.IN~tGID~1lJak.M!tJl.. Hlt~tYI56943 AM!'RJ:&1:M.l rE~GUEr. Those rules are set lort~3834 in OAR 952-001-\ft\tl:lr{f>9'N~~'i'nlRQifM.\'iiiiN ~ 0090. You may dJ,:: . / # of Units: calling the center. ,l<<Iftll~9~el~fhO~:n Primary Occupaucy Group: number lor the DreMS in' oti lea Secondary Occupancy Center Is 1-8~ ft1it). Primary Construction Type VN Water Type: Secondary Construction Range Type: # of Bedrooms: Energy Path: Contractor Type General Electrical SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: 'DEVELOPMENT INFORMATION I NOTICE: Overlay Dist: THIS PERMIT SHALL EI!;l>!r!'!tj[fr.~ WUhi\ AUTHORIZED UNDER lPr'~"")/.>Arr~'~fl5Ii~U r COMMENCED OR IS AiYo\M[IlIl.tjGl~e: ANY 180 DAY PERIOD. IPUBLlC IMPROVEMENTS I I of 2 Pbone 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 Other: Impervious Surface Area: REQUIRED PARKING .Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00343 ISSUED: 05/04/2004 APPLIED: 03/29/2004 EXPIRFS: 11/04/2004 VALUE: $ 2,400.00 Status: Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrilltion I Description Tvpe of Construction Bid Amount Use Bid Amount. $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,400.00 Value Date Calculated Total Value of Project $2,400,00 $2,400.00 03/29/2004 Fees Paid I Fee Description + 100/0 Administrative Fee + 7% State Surcharge Building Permit + 10% Administrative Fee + 7%>> State Surcharge Perm ServlFdr 201 to 400 amps Amount Paid Date Paid Receipt N urn ber $5.28 $3.70 $52,80 $7.50 $5.25 $75.00 3/29/04 3/29/04 3/29/04 5/4104 5/4/04 5/4/04 1200400000000000399 1200400000000000399 1200400000000000399 2200400000000000469 2200400000000000469 2200400000000000469 , Total Amount $149.53 I Plan Reviews I '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. I Rellllired ~nsne"'ions I I Roofing: Prior to installing any roof covering, 2 Electric Service: Approval required prior to utility 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 I further certify that any and all work performed shall be done in accordance with tbe Ordinances ofthe City of Springfield and tbe 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 furtber certifY that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, I further agree to ensure that all required inspections are requested at the proper time, tbat 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 d;:jur:n nstru~?:~~fX-/ t5!tH/:J67Jy Owner or Contract s Signature /l ~ Date 2 of 2 225 Fifth Street . Sp'ringfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00343 COM2004-00343 COM2004-00343 Payments: Type of Payment CreditCard 5/4/2004 RECEIPT #: ~ .. of Springfield Official Receipt Wvelopment Services Department Public Works Department 2200400000000000469 Date: 05/04/2004 Description Perm ServlFdr 201 to 400 amps + 7% State Surcharge + 10% Administrative Fee Paid By STEVEN GREEN/AMERlCAN EAGLE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 000373 027467 In Person Payment Total: Page I of I 9:01:55AM Amount Due 75.00 5.25 7.50 $87.75 Amount Paid $87.75 $87.75