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Home My WebLink AboutPermit Electrical 2003-12-15 ':' "".': '-"3 ,;,- chY'-Op.'SPl'JGFlELD :OREGON '::< -_. , .~. -, . , .'. .' .: .. ,". .: " . ..' .. ..... ~ .... -' . . .... ,'. ~ . I '. ;.'". '.. reject as su~mitted has the following as not reqUIre specific land use '225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S4r}'726aj689 (J ELECTRICAL PERMIT APPLICATION ,/ / Zoning. ,C- CityJobNumber COt1-Izoo3- 01247 Date 12-/12/0 J Date bl- 's- 03 1t~~,'q;l@N[(;iFiiNsrr?A'Tiftf'iflfit@Nk';!f.iJrJij;lt;'flP. "'~ fi!Eii;,--' "'<!') ';:{Lh~~~~..;"",~ 9J;,~... -.... 1. '~~'~"~~'4"~'~",,,,~~,;~*~,,,~,,~__}!t~'~i<~ 3. ~~C~~~~q~B~~~EG:~~~~~m~~...;:'~~:.<@ / 5--o~ IYJ ,4-/4 s, LEGAL DESCRIPTION J70~ 363>2- JOB DESCRIPTION ZOO A-m p o 6LfOO s &1/ i c.e- Permits are non-transferable and expire if.work is not started within 180 days of issuance or if work-is Suspended for 180 days. 2 r~iJll18i~@iifiNST~R4,.:r~.,~~~j . ~ ~'fe;i2iiliii'lM"i'!':~~~,~..~;~ti""" , '" , Electrical Contractor (I) (,rue Q~ (J""(1l.. Address ~K'.DF. City tll f...I8Je Phone 344- '3 6lJ I Supervisor License Number 3 7 '3 6~ 1:" Expiration Date //1-1-04 Constr, Contr, Number l.l f3 ClJ2/) DD Expiration Date j-l1-hS Signature of Supervising Electrician );J~ Owners Name -rs, -::s- 0 N e-,S Address 93/7~ ?(Y~I,;;'t:- ~ City ~e- Phone OWNER INSTALLATION The installation is being made on property, I own which is not intended for sale, lC?3se.or rent Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof , Each Manufact'd Home or , Modular Dwelling Service or Feeder A. ~...!." :;;'~lR''''''''jj'''''''ti'~'I'''!lIS\%'''1 :P-'(~M'''''''I''t'kF.''''::l,'ll''I-i>'''''~''''I''I'n'''..'', '" " . eWf eslucn a ~~'7 mg e'Of:i' .u 1::- ~mJ..npj'reniuwe mg\Uill '-'r'~.Jt\Q~~~j~..u.:.""'''''''''r~~~''' ,...""..~...,.,.",...,......_ .~. $106,00 $ 19,00 $50,00 B. ,f!.W'*':!1f.frJJ11'e"d','~i'~';'~Ti1{i~1'e';lions or. i1=i;Wj',;P ~'m.;' " -'>..r}J.G~J"';":{j" ....'. . W'" ~~I~","w.:, i.;~ "",~ / 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only b"'S $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 ~~,~-,-'~, '"sm:, '''-'''''''.'''''l<ifm,''"~~, -, "'llf ..~ 1AA."Ili~'"'' -m', 1,I!i!J.ll c. ~p'~~f)~~~:~ces oRf~e.[~.Qip~~:;'~~J~~ Installation, Alteration or Relocation ,200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps , Over 600 Amps or 1000 Volts see "B" above, D~ ~~Ift~, . '--. 'W\H. _ ,., ..,.r: "'~!'f.t\IO;'.lt~ ." . _ . . , , $ 50,00 $ 69,00 $100,00 New Alteration or Extension Per Panel One Circuit $ 43,00 Each Additional Circuii or with Service or Feeder Pen'h1iTENTIOI\I'()rQ~'1I~ 1e-.QOrer:' ".~~ ~':;'::J fnll,,,,,, rlll"c ~,--Ir\ntr,,"l h., H-.A. r'\~~~___ t l."'~ E. ~."f:;'i'c':rllii'~s~~~~~lfI~EWh~1n~~Yrt ~!U:'i'1&~.'-t"'~Bi~~~~~l"~~~ 'n UAI1 i:Jo:<-U(J'I-001 0 t'lrouqh OAR ~5::?-OO' Pump orinigationJ090, You mF'" "'htc-i']~'?~9B~~' 'h~ ~;.:':: l Sign/Outline Lighling~alling th2 ,..",r',:o" 11MO~QO':n .~rMh^__ Limited EnergylResiiliiritialer for ths O;Pl,$:25,.OO;ty I\'''''if;'';;i;'] Limited Energy/Conunercial r 'r '.,. ',: ~ - "$~4:S:00'.234/,~. ' TOTAL Shared Dri,,:e(T:)lBuilding FormslElcclrical Permit Application l-03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01247 ISSUED: 12/12/2003 APPLIED: 12/12/2003 EXPIRES: 06/12/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1505 MAIN ST ASSESSOR'S PARCEL NO.: 1703363206400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 200 amp service Owner: BIRDSALL JONES Address: 93175 POWERLINE RD EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03/1712007 Phone 541-344-3561 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved19rive Rqd: QuwesVOU '., ' Rearyard Setback: ON' oregon laW ra oregO'Y.o\!iNlcit Coverage: NOTICE: Solar Setbacks:iEN'TI . ted bV the sat tori THIS P- P' ...1"" adup .. _~ ".laS are _ _^' tRMIT SHALL EXPIR~ I~ TI-lt IAInDV ~~~i\\~~tiOn cen\~~~ ~ ~hrougl PUBLI~.iMj;RovEMENTsjU I HUH/ZED UNDER THIS PERMIT IS NOT - . n Q52-00~ - , cQles _. - OMMENCEO ~R IS ABANDONED FOR Street Impr!,lVements: may obtaIn c ; . 1he te\3phO~e ANY lSid'V'al"p ):11.0' D nJ:\!'lQ '(AU ter ~No,e, t'ficatlon ou I', fill. Storm Sewer'Avallable: thS can . on Utility No , DownspoutslDrains: ~a"'''" oreo 4) Special Instruction: ber lor the ~ 00_332-234 . nU1I1 center is ~-8 Notes: Total: Handicapped: Compact: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of2 . . \...11 f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01247 ISSUED: 12/12/2003 APPLIED: 12/12/2003 EXPIRES: 06/12/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F"". Pair! . Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServtFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 12/12103 12/12/03 12/12/03 Receipt Number 1200200000000002595 1200200000000002595 1200200000000002595 Total Amount Paid $73.71 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 Reouir"r! Tnsnertinns . 1 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 tbat 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 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, that each address is readable from the street, that tbe 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 Pal!e 2 of2 225 Fifth Street'" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0l247 COM2003.0 1247 COM2003-0 1247 Payments: Type of Payment CreditCard r_""~",:,!U!"',,!',1,,~,,~,,, ".'"., 1IiE'. =,= , ! '-. ' _ "'" .. ~",." . i'. _.~ Receipt #: 1200200000000002595 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Received By djb Check Number Batch Number Authorization Number Paid By TAMMY DEAN 000248 012259 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/12/2003 10:30:46AM Amount Paid 4.41 6.30 63,00 $73.71 Item Total: How Received In Person Payment Total: Amount Paid $73,71 $73.71 . .