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HomeMy WebLinkAboutPermit Electrical 2010-3-29 225 Fifth Street. Springfield, OR 9747HPH(541)726-375HFAX(541)726-3689 '. "". '.' DEPARTMENT USE ONLY ',- .' Co_zoiC> ~oos.7.8 PermIt no.: . Date: ~.Z, "/C:> This permit is issued under OAR 918-309-0000. Permits are nontra!)sferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. <COCAL(t;30VERNMENT "A~PROVAC~"1\;"\ Zoning approval verified? 0 Yes 0 Na ,,".CMEGORY'OFCONSTRUCTION'/:" -. G1l Residential 0 Gavernment 0 Cammercial ~~y,;~i?j.QBlt($ITE!"Nr=QRM;A."'IQNNAN!ijfiI10.CATJON:!it!~1<<fti" t(JoJ () G- f. State: V".. ZIP: 97'17 D:>25"33 Taxlat./~7C C DESCRIPTION, QF'WORK'\' Jab site address: City: S' .z...,-v' \C.Q.. Un' .e. Name: Address: 'iJ~bl-7 City: ~&' Phone: E-mail: .e.. 7lfO;- Business name: Address: s,,~ City:S r n 1"1 e.A-- Jb3/5 Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: , ~ o-.~ S~ ~o ro''>jJ'' ~ ~. 440-2584-J (9/08/COM) Residential, per unit, service included: 1,000 sq.ft. ar less (4) Each additianal 500 sq. ft, ar partion thereof Limited energy (2) Each manufactured home or modular dwelling service Or feeder (2) $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps ar less (2) 201 to 400 amps (2) 40 I to 600 amps (2) 60 I. to 1,000 amps (2) $ 81.00 $ .5 $95,00 $ $158.00 $ $205,00 $ $469.00 $ $ $ 63.00 $ $ 87.00 $ $126.00 $ volts, ~ee services or feeders section above : new, alteration. extension per pane! ranch circuits with purchase of a service or feeder fee: $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch ,circuit (2) Each additional branch circuit $ 55.00 $ 6.00 $ $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) ,..~-~. Each sign or ou}line lighting (2 $ 63.00 $ $- 63.00 $ $ 63.00 $ $ a:t:~;!;i(~J~>}L;~;Y';o' $ t'/ $ ., $ 'fD~ $ ?-'I77 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00378 ISSUED: 03/2912010 APPLIED: 03/29/2010 EXPIRES: 09/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1312 MODOC ST ASSESSOR'S PARCEL NO.: 1703253314700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service change TYPE OF USE: Repair Residential Owner: STEPHEN & JODIE WIZE JOINT REYOCABf Address: 85627 DILLEY LN EUGENE OR 97405 Contractor Type Electrical I CONTRACTOR INFORMATION i # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description n/a I DEVELOPMENT INFORMATION i Expiration Date 0211912011 Phone 541-505- 7223 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ,.. DownspoutslDrains: I Valuation Description I $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Type of Construction Paee I of2 '::\\'. '" ';". 'Ol.. ,',', .,;\j., ,;!' ~'J, ' Value Date Calculated ~' ~ ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00378 ISSUED: 03/29/2010 APPLiED: 03/29/2010 EXPIRES: 09/29/2010 VALUE: .. ...Lt?,f ~~,,;:, e:..4 ',,,,. . .;<:':: ~ .,.r. i :1" l . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 3/29/10 3/29/10 3/29/10 1201000000000000270 1201000000000000270 1201000000000000270 Total Amount Paid $94.77 :':" f1.an Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reauired InsDections I Electric Service: Approval required prior to utility COmpan)" energizing service. I I , !' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify lhat all information hereon is true and correct, and I further cerlify lhat 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 streel, that the permit card is located at the front of the proper"ty, and the approved set of plans will remain on the site at all times during construction. .'. ;;:,;1:, .".".;0:. ::-" . ~"..~, , . '; '.1 f( ~~; I ' ;< . Owner or Contractors Signature Date "I' Pa2e 2 of 2 225 Fifth Street Springfil~ld, Oregon 97477 541-726-3759 Phone ~.~'~.'.'.' ........ ' ^".."..._-._--_.~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000270 Date: 03/29/2010 I :49:28PM Job/Journal Number COM2010-00378 COM20 I 0-00378 COM20 I 0-00378 Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Paid By AZAP ELECTRIC Item Total: Check Number Authorization .' "" ~ ,-,. Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Amount Paid djb 472517 In Person Payment Total: $94 77 $94.77 "l;\\' ""~'~.{ ..,.-. ._,-, ,,- ',. .,..,' , .i'.", " , "~~'F cReceintl Page 1 of 1 3/29/20 I 0