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HomeMy WebLinkAboutPermit Electrical 2006-3-7 225 FIFTH STREET. SPRIN'--l'JI!.LD, OR 97477 . PH:(541)726-3753 · FAX: (541)72~3@.19 - ~. ELEl..-.i..tdCALPERMITAPPUCATlON~' "Cilc City Job Number C 0 - tll") 2- 4~ Date' . & O'~ . . 'V",''",, _~""';~"7,P"C~'" ...",;.~.. 7':'''''~''''' . ""'.,~: ""'0-'. ..~,"7<"""""'"."':i,"'"';".,,, ...... ....<.;.""',..,..i~ ""'"" 1. LOCATION ,OFJNSTALLAT10i!i[''f;':;;'~<i} 3. if.€;OMf~;lr;1!IfBiSf,).t1..t'..!QrJI,.'P'B~ 4;~;-:~'"MI~ :;.~'~=~c>' ,~ ~~,=~="~".... "~,~ .... LEGAL DESCRIPTION ( A. tN~f~i~','.~~~~ J;;i~~1\1~ji~g~ilt ~ ,_ ~....._ _.;:_........'-lJ-_~..._..u.~...;...;........_.- ,_..':K /7 () Z, 'J;> ? ( 1J-fJ..0 /J 7- JOB DESCRIPTION r OndJ Aw-d?<' t' Permits are non-transferable and expire if work is Each Manufact'd Horne or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for ISO days. Feeder :~: .r-" ._...,-'n-:-:::.,,'....'. ,;:.-.,~,~,._.~.'r"'-,~"7'Ti'i~~"'"rc~.r;c~i ;~ ,,' <$"""','N ':'. ~. ;-:,' .., .7"'--~-' -;-;-'"..,..,0.-. .--,---;:- . 2.:.~9~CTO!l.:nvST~~Q~,~l":" B. 'se: '., ~~,F~ers'~lnstalhItit;l~~te~tions or_Reloc~tion: E1':;~' ~.;:~(\:{;:-.:t:~~'Fd nGoo:~:: ,.'-- "'; ~~ "" " '-- : {,'" , ~..A ~'......, 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 r \ .-"') \ - \ Address" ,,""'t ! J' \ U \(V'.D):",A( .. r' .~ CiJ U1\C,+t D Y\ 0:iJ,,- OJq ~ - ~ \ '6"l ~DD0S ID-\-blL, Supervisor License Number Expiration Date ConstI'. Contr. Number \c:~\O\\ \ J n\ Ot('} \0'- t-. i - t<, Expiration Date Signature of Supervising Electrician 0;:';,/--/3 (tl~ / - /' /-- OwnersName ft.A.~ t vCA:-,r1& Address 3? '74 t.d:/l:1i1LJJ6 City h1<') Phone ~ y/-C}SJe OVVNERINSTALLATION The ~Yifa~Jrl~eQg€f6lld8 bn~~QlViil\Vfiieh is nJCilbre#dedit'6r&a1~pe~ lnyrene Oregon Utility Notification Center. Those rules are set forth O'tWI@i~et~t101-001 0 through OAR 952-001- 0090. You may obtain copies oJ the rules by ~a:::r'i=J ti-,e. C,Qi~~';;'. ~t~ulc;. t:,c; lc;;cjJ; lune number for the Oregon Utility Noti'fication Inspection JieqlrdstE i'21i~VM332-2344). Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $50.00 c. t~~~if~~~~~~;~ti~~~ftit~~~,?f2j~~i':?=-E~',..~. ':1 InstallatioD,AlteratioD or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over. 600 J\ml?~O!~~~V <?l~~ see "Boo above. D. ,!~~v<~!rc~:.~~':{,;~;::t~, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit t.,../ $ 50.00 $ 69.00 $100.00 ~6.~ .1 $ 43.00 $ 3.00 E. "~1;~~~~; @';..;tc~;f;der'~rit~~irid;d)-~a~iiiri;~allatiOn _._"'~' . '''''NuTICE: >. ..... ....- . -,'.. ,- - . Pumporinigatiqij-jIS PERMIT SI:iAII EX~~~<W= p.lI: \~ODj( Sign/Outline Li~~ORIZED U~~~ THps5~f>{MiT-IS N9f- Limited Energyl6~1tM~N CEO 0 R I) ,Cl.SAWt9~ E D-FOO LimitedEnergy/~~t3a~AY PERIOD. $45.00 Minimum Electric: Permit Inspection Fee is $45.00 + Surcharges 4.s~g;~~:~~~?!Fis~:J~fi~:.:2'i~".-~ JcJ c1 t!) 4~ C"IL{) 5~9 C)"V ~State Surcharge 10% Administrative Fee TOTAL _" rn .1..1:.. _ r.___fCl_~....l 'Dot"I"nl't AnnHr.~t;nn 1-03.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~G:;'-'....u. U&.. . . -... . GJty of Springfield Official Receipt "~velopment Services Department Public Works Department Job/Journal Number COM2006-00245 COM2006-00245 COM2006-00245 Payments: Type of Payment Check ;1 , 4 - '< , 'I .:.1 .. '< , ..j 3/7/2006 RECEIPT #: 1200600000000000262 Date: 03/07/2006 Description Temp Power 200 amps or less + 8% State Surcharge + 10% Administrative Fee Paid By SUSAN E KNIGHTS Received By dIm 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 6192 In Person Payment Total: 11:54:10AM Amount Due 50.00 4.00 5.00 $59.00 Amount Paid $59.00 $59.00 .......... Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2006-00245 ISSUED: APPLIED: EXPIRES: VALUE: 03/02/2006 09/0712006 $ 126,478.00 SITE ADDRESS: 4252 Daisy St ASSESSOR'S PARCEL NO.: 1702323300607 Springfield TYPE Or, \)(ORK: Single Family Residence . ., !',,;:, ,: I,;\.''/ i'8c:uires \lO~! to TYJ>E O.~ ~~:o_~:~'::ryeW2 Ci'2;:;8~ Uiili~esidential '. ....~_~ ....,1. r! 10:2 rl'rSS 2re 88';: '~otfh - ,; -C'~'::; ':-rc' '-.~' '" '\ ,..., "~,, '00' l' .. .., .....-~_I,: .........i-d-: ';;"'~1<- ... PROJECT DESCRIPTION: Single family residence Owner: PRASAD SATYA Address: 3274 LAKESIDE DR EUGENE OR 97401 , -':.11' CO,Ji"-S u; the rules by '"" -=-- '~.. C" ~ ('\!.,,: . .'_, ,r , V. l_ _'_ r. I' J ~ t'Cl. ...'....:\,oi)'lOne " ....... .., IV ;.,-,,0; I I; ~.;. 21C~Cil ~jli~y \lotii'ication ," ," I"" PI'r:, '>",> ?" . ') , ~" v -:..) ~ ,-,"1,-(./_ ...../._,! I CONTRACTOR INFORMA TION . Contractor Type General Electrical Contractor DUANE A KNIGHTS BATEMAN ELECTRIC INC License 12112 151911 Expiration Date 07/10/2006 06/21/2008 Phone 541~726-2960 541-998-7187 # 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: BUILDING INFORMATION. # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: U Typ~ of Heat: Sq Ft 2nd Floor: VN Water T~~et: Sq Ft Basement: Range(EYfJt:AMIT SHAL Sq Ft Garage/Carport En~.rIDr~~Al~~D JJ' N L EXPIRE IF~(M),t~er: SPul9nOOl~M n6, DER TH1& PER l;~~,M<<l(oad: , IV n ~~!~:~~~ IS NnT I DEVELOpMEmol~it([)KLY~UUNED FOR . REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Page 1 of 2 CITY OF SPRINGFIELD. Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2006-00245 ISSUED: APPLIED: EXPIRES: VALUE: 03/02/2006 09/0712006 $ 126,478.00 I Valuation Description I Dwellings Garage V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,162.00 440.00 Value Date Calculated Description Type of Construction Total Value of Project $115,038.00 $11,440,00 $126,478.00 03/02/2006 03/02/2006 Fees Paid I Fee Description Plan Review Residential + 10% Administrative Fee + 8% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $424.71 $5.00 $4.00 $50.00 3/2/06 3/7/06 3/7/06 3/7/06 1200600000000000224 1200600000000000262 1200600000000000262 1200600000000000262 Total Amount Paid $483.71 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 Reauired Inspections. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 70] .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 Page 2 of 2