HomeMy WebLinkAboutPermit Electrical 2006-3-7
225 FIFTH STREET. SPRIN'--l'JI!.LD, OR 97477 . PH:(541)726-3753 · FAX: (541)72~3@.19
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ELEl..-.i..tdCALPERMITAPPUCATlON~' "Cilc
City Job Number C 0 - tll") 2- 4~ Date' . & O'~
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LEGAL DESCRIPTION ( A. tN~f~i~','.~~~~ J;;i~~1\1~ji~g~ilt
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JOB DESCRIPTION
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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
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2.:.~9~CTO!l.:nvST~~Q~,~l":" B. 'se: '., ~~,F~ers'~lnstalhItit;l~~te~tions or_Reloc~tion:
E1':;~' ~.;:~(\:{;:-.:t:~~'Fd nGoo:~:: ,.'-- "'; ~~ "" "
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~..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
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Address" ,,""'t ! J' \ U \(V'.D):",A(
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CiJ U1\C,+t D Y\ 0:iJ,,- OJq ~ - ~ \ '6"l
~DD0S
ID-\-blL,
Supervisor License Number
Expiration Date
ConstI'. Contr. Number
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J n\ Ot('}
\0'- t-. i - t<,
Expiration Date
Signature of Supervising Electrician
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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
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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
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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
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" ....... .., IV ;.,-,,0; I
I; ~.;. 21C~Cil ~jli~y \lotii'ication
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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