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Home My WebLink AboutPermit Electrical 2006-3-10 , fOllow;"::~;:;!~;~:;"g 22.5 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(54I)726-3753 · FAX: (54Blte6-3689 "~'J^~'i n~ ELECTRIL"ALPERMll'APPLICATION . . - ..:~ J. City Job Number COM2.00 to - OO.z.Of 0 Dat/LltrI60lltsa/Oh . . 1. LOCATiONOFINSTALLATION- 14-70 cf- l4-1lP l?rodC.lun LEGAL DESCRIPTION 0 11 O?7 ~4-43 OO~ JOB DESCRIPTION ~ - (~ ~ Se,uA" S Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 3. COMPLETE FEE ScHEDULE BEWW"' ' . . A.NcwResidcntfal- Single or lVlulti-Family per dwelling unit. 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 . $106.00 $ 19.00 $50.00 2 CONJRACTOR INSTALL;!TION ONLY B. SerJttg,~~ders;::' I~staJI~i9.Qr.Attfj;lW.o.1;I5.qrkJ~cation: . THIS PERMIT SHALL tXI"' Kt It" I Ht vvUKK Electrical Contractor l..n\Al~ Qa\(YWf fuL..-tY~ G 200 AtAUlkHaBIZED UNDER THISJ1ERM!l"tj~cNOT~". tiD -.--.J 201 AIOOM~ OR IS ABANDONE~ ~ Address \~\ 2:.-., '2.?.)(d A:v-e.. 401 A~Yopaal~ PERIOD. $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 c: City 7 V\~ 0.._ Phone L\~t..\-~~ Expiration Date 2..1l\'LS \b/\/ol C{D1 ~S Supervisor License Number Constr. Contr. Number Expiration Dan 6 \ 2:> \cl 0 s;gn,: 0 !suJrv;'i~'" . Owners Name 1)a\e, C> b uer Address :P.O.. ~~ 7Q033- City ~e.ne. Phone(SlI1)7~-(I"5 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps . $ 69.00 401,8~J~~fJ(fOO'lAQp~gon law re~ulr~::; yt'$1',d&.OO follow rule~ adooted by th~ \.!,I t:::~UII On:J'ty Qv.ert600 ~mRs(of:."1 O.QO V,jorltssseeeruB"'sa12.ov,e"e'l rorth ~NO'!TICatlOllvcdlL.....1. 10 I... ~It::.... ' D. iN~J!J~1~~~e~I-001 0 through OAR 952-001- N€w,~lteflitio'jll(jtjExten~ro'ii~eipPa1/eihe rules by One aJl&:i'ig the center. (Note: the telepl)J~!3~OO Each(,1\d.mtjorildrairc-:uitlbt~th Utility Notltlcatlon Service or F~g~ftg~rmi~-800-332-'?'3.1.i1: $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OFABOVE /rJb. of) /0. {ig 1~. ~O /4<l. b~ 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-06.doc CITY OF,SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00290 ISSUED: 03/10/2006 APPLIED: 03/10/2006 EXPIRES: 09/10/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax '~~'541-726-3769 Inspection Line SITE ADDRESS: . 1470 S BROOKLYN ST 1476 ASSESSOR'S PARCEL NO.: 1703344300600 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTIqN: 2 -125 Amp Services. ":: Owner: i . Address: OLIVER C DALE TE PO BOX 70033 EUGENE OR 97401 NOll~t: II EXPIREI\~o1h!lNWtOO~ 541-726-1165 11-11S PERM\T ~~~ER 11-11S PERMIT IS NOT AUTI-III~[RII~:[Df' no \~ ARANDONED fOR vUIV VI iU - - . I CONTRAC1TQRfINFOit&i'AltiBWl . , ... Contractor Type Electrical Contractor DOUG PALMER CORP License 90725 Expiration Date 05/03/2006 Phone 541-434-5600 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Baseme~t: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a .~ .,. I DEVELOPMF)1N1i,[l~n<1(\)RMNTf0N I ['J requires Y~~'I~u follOW rUles ClUU\-,LIJU uy the Oregon mQ.UIRED PARKING 1\10+;f.;r.~tion Center. Those rules are se, T~~ L1: Overl~! J?~~ 05? 001-0010 through OAR 95~ota1: # Street Trees,'Rqd: bt' copl'es of the rultlJlQcJlcapped: (1~r.('\ "'"'I' may 0 aln Paved DnveRqd: (N t . the teleph&mnpact: 0/ fL _t;:)II,~ro thq center. 0 e. ,,' /00 ot,,,",oveiiage. Ut'\'t Notification number tor the Oregon II Y r'ontpr ic:; 1-800-332-2344). I PUBLIC IMPROVEMENTS I Frontyard Setback: Side 1 Setback: .. Side 2 Setback: Rearyard Setback: Solar Setbacks: .. .. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 "r Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00290 ISSUED: 03/10/2006 APPLIED: 03/10/2006 EXPIRES: 09/10/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project :'.J, LFees Paid J ~: Fee Description ... + 10% Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $12.60 $10.08 $126.00 3/10/06 3/10/06 3/10/06 2200600000000000299 2200600000000000299 2200600000000000299 Total Amount Paid $148.68 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 ~' 5da~ . L Reouired Insoections I "'" " 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 Paee 2 of2 '.' 2'25 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number .; COM2006-00290 COM2006-00290 CpM2006-00290 Payments: }." Type of Payment :: CreditCard :? 2, . ~4 :/, " :1 1.:1.. ~i'" Q :] ; ~( ., 1.:1. ,~ '2 'r' 3/10/2006 :1 RECEIPT #: ~~,j,l';!tN,,'~'p,~~.~,~ M;:' " "l: .!; 'J. I; f w~ ,":,"r,,__ ",,,. ~ ~. . '0:' ,.,...i~~b.t,~~.,~; _~_.",f ' , .',",} r'ity of Springfield Official Receipt ;velopment Services Department Public Works Department 2200600000000000299 Date: 03/10/2006 12:26:03PM Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Paid By DOUGLAS G. PALMER Amount Due 126.00 10.08 12.60 $148.68 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 058731 In Person Payment Total: Amount Paid , $148.68 . $148.68 Page 1 of I