The URL can be used to link to this page

Home My WebLink AboutPermit Correspondence 2005-12-15 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726.3753 FAX (541) 726-3689 www.ci.springfield.or.us December 15, 2005 Qwest 3050 N Delta Hwy Eugene, Oregon 97402 Enclosed is a revised original electrical permit to install a power pedestal at 100 Mountaingate Drive, Springfield, Oregon. When your contractor obtained your permit, we neglected to identify the address on the permit. The permit has been revised and I am enclosing a copy of the permit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Lisa Hopper Building Safety Supervisor .~Q, ~, ,~o ~0 ",0 ()-:i fo~ z,'f::' S~~ ~",V,S.(.'fJI:M 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-368900,..:,,,,01 '~.'" ~ ELECI'RICA[- PERMIT APPLICATION . '1'~:"o '-- - City Job Numb~e (i.m.lrJ?J5 - 0/7/ L./ Dat~,r'i,o~'f1J/tq, I () \tfJ Mbt-,;~r:::N!;:=. 3. . COMp'LEi1{FEESc,;$'}j~L1f'fJE ~,~~X",~0 , , . ~ ; . ..' _,",." ,'" ",fl.., .;00. -- - ,....', '~'.'."' ",' LEGAL DESCRIPTION I A. New Residential- Single Dr Multl~Famil~' per d,,'elling' unit. .. .- - -- ~'r ._~---~_... ......... ,---- fYr/ ~ ~..;- ;r Service Inclnded ATTENTION' 0 . r0tlOn /;./I~' rn~r" JOB DESCRJPTlON 1000 sq. ft or less ,fOIl.ow rulr- o':":":J:U,96jOg- I ":S you to J!J J:J. 1/7 Each addlllonal 500 sq\ft.torCiJtion Centar TI' ~.~ ~c u, ~[.on Utility ('lI,W~r /00 /ttt1 F r'tJWt;:1l-rt:P portion thereof in OAR 95" nn. ~.'_ _ $")19:00,les ale set forth no' - -. vv, v through UAR 9- Each Manufact'd HomiorO. You may obtain co ie f 52.001- Modular Dwelling Service-6'ing the center. (r$50POO~ 0 the rules by F d n b . nA tal,...""l-._,~ ee er um er f6r me Ure on .: .'~._..e '. . . .' .... - r." f . '. ..g.. Utility Notification B. ~~r\'ices ~r _~eeders - _ln~tn!nl~i?n~~(1tehticlns:-Or;R~19:~;:~ 200 Amps or less $ 63.00 ft:) ;;> 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 . Permits are non-transferable and expire irwork is not started within 180 days of issnance or if work is Suspended for 180 days. -- ~"f- 'T _.~. 2. CpNT~cr()R INSTALLATION ONLY . - ,- ,.,. - .._-, ..... -' -' . -. -, Electrical Contractor ~) m ~t:..-- Address Fo .pij X City (?:V bt;:l/&' 11/31 Phone bgt - ffl'b Supervisor License Number ~ ~ 53> 5. /0/0 b Constr.Contr.Number C;q 7ft r;/()b Expiration Date Expiration Date I Signatureof~:s/;L- {/ Owners Name c1we::;;;;r Address ~>V lI- j:J~7---77f . City .(t;, 1/ t.t:::X/r-::3. Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Reqnest: 726-3769 I "..- -,"," _' ~ ,--,- ~.~ ---"J C. Teinporary Services or Feeders _ . '. _'.J. _ . _ 'u _.-*-. __ ._ ______ _' InstalwaT1~ation or"Relocation 200 A'l'Plilr s ~T SHAll EXPIRE IF U'WOKI\ ~~: ~~rn:Pi I 'uNDER THi3 rcn~t;~~UI ecr ~I)' OR IS AO~I~UUI~tD FOR Over C}!lfljf"lW''D';W<P'tl\~''B above.. __ .. . D. Branch Circuits ,-~ ". .. ^-"'. -, ......--.. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with. Service or Feeder Pennit $ 43.00 $ 3.00 , . Pump or irrigation Sign/Oulline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 . $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. . SUBTOTAL OF ABOVE ~3. cJ0 ~ .Ljl ~ /i 73 ~/I , 7% State Surcharge 10% Administrative Fee TOTAL Slmred Drive(T:)/Building FonnslElectrical Pennit Application I-03.doc "':> () n . ~ t:.n "--/(1) . I"J'ltG(fJ ....\;). [): v..j p, J:tjl Y'il~t . . , '. ., OJ;, ."1'- a Jt 'JW 311T113;:;q;t3 J.!,. :~n:' ." . ll"j :~I'IL..tJ;1'1 Gthf M~"",J u~~.. . . t ~', fip1 Uj,jU".:"";~ ;'1 M..i Ujv~;.. .;J l.Ll .u....ll1;lq vila \ of I"" , IJ~ {I"'~ tAOV m ~ ~ ~, <. ~ c.. ~ - ft~~ ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-017l4 COM2005-01714 COM2005-01714 Payments: Type of Payment Check qt' :, o!. ., ..I 12/12/2005 RECEIPT #: ~~ aity of Springfield Official Receipt ~evelopment Services.Department . Public Works Department 2200500000000001688 Description Perm ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By LITE ELECTRJC SERVICE Received By nJm Page I of 1 Date: 12/12/2005 Item Total: Check Number Authorization Batcb Number Number How Received 5166 In Person Payment Total: 2:49:07PM Amount Due 63.00 4.41 6.30 $73.71 Amonnt Paid $73.71 $73.71 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01714 ISSUED: 12/12/2005 APPLIED: 12/1212005 EXPIRES: 06/12/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-3769 Inspection Line SITE ADDRESS: 100 Mountaingate Dr ASSESSOR'S PARCEL NO,: MT GATE LOT A Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential PROJECT DESCRIPTION: 200 Amp Service Contractor Type Electrical Contractor LITE ELECTRIC SERVICE I ,1-. ;\' ur,'r1on ':1\~' "p"'lJir~"'. t . . . '.. . Phone Numlier: 541'!870-1403 I d.. aOqJlCO by tllC Oregon Utility .;;r ,"~ Ce::tor. Those rules are set forth I;: ( ',.1; !)5?on1-nn1 n thr""",, .....1.. ,-.. A,.... ^~_ ~_ , CONTRACTOR INFO~A:ii~~ :,nlay obtain COPI~'S of the ~~~;b~- e center. (Note: the telephone Ill!nlber for tht> Or.9arm I It''''" ~Iot" ""~ Llcens~ent6~~p'~ratJon .D.a.te 'Plionll ouu'JJ~'~344). 541-688-8996 Owner: Address: QWEST 3050 N DELTA EUGENE OR 97402 BUILDING INFORMATION' . # ofVolls: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water TYP'~\lTICE: Sq Ft Basement: Range Typei1IS PERMIT SHALL EXPIMlffqjlj@lWg~ort EnerGY pat'If:\T.h\.OBIZED UNQER THIS'\t(M;Wrers NOT Sprinkled ~nb'r:htNr.FO Off~~ ABAtRffifJl:,,~d: I DEVELOPMEN1PINFORMWr~ON~OD. REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speclallnstructioo: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 -~.- ~ . . CITY OF SPRlNGFI.!j,LU' Building/Combination Permit Status Issued PERMIT NO: COM2005-01714 ISSUED: 12/12/2005 APPLIED: 12/12/2005 EXPIRES: 06/12/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection LIne Total Value of Project Ff'f'~ P~W Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid $6.30 $4.41 $63.00 Date Paid 12/12/05 12112105 12112105 Receipt Numher 2200500000000001688 2200500000000001688 2200500000000001688 Total Amount Paid $73.71 I Plan Reviews , . 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. 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 . 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 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 Pal!e 2 oCZ