HomeMy WebLinkAboutPermit Electrical 2010-7-30
ElectriCal Permit Application
225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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Permit no.;
Date: 7 . 3 0 -/ 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. .Permits expire if work is not started within 180.
days of issuance or if work is suspended for 180 days,
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Zoning approval verified? D Yes D No
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o Residential 0 Government 0 Commercial
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Job site address: 20 z" E S-r
City: ~ n' FolD State: 0/'-
Subdivision: 7D3 J &. ( Z. Lot no.: 17~ C
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Phone:
E-mail:
This mstallatlOn is being made on residenl1al or
Signature:
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Business name: 51ErJE. HftlX1--
Address: . Q. 50" 1-J:% /
City: Gu State: Qrz. ZIP: '1'No{
Phone: _5",_ ~1-Gl("0 Fax: -~,- "f-IJ-J095'
E-mail: S S !-fllucJ<.. @, C<MGqST. fV6.r
CCB license no.: /'1.110/8 BCD license no.: 20- '1=fZ-G
Signing supervisor's license no.: S 11 5
Print name of signing supervisor: SiftJ6 HfI
Signature of signing supervisor:
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NOTICE:
THIS PERMIT SHALL EX
AUTHORIZED UNDER T
COMMENCED OR IS AS
. ANY 180 DAY PERIOD.
440-2584-1 (9/08/COM)
Residential, per unit, service included:
1,000 sq. ft. or less (4).
Each additional 500 sq. ft. or portion
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 or less (2) I $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
$469.00 $
$ 63.00 $
$ 63.00 $
$ 87.00 $
$126.00 $
1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$/1
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 not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63.00 $
$ 63.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees
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. (Minill{urrl Pe~mit ee:$58.00).
$ 63.00
$
get12 x [A]) $
ee(5%of[A]) $
AL fees and.'slircharges (A through C): $
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00828
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 01130/2011
VALUE: $ 1,500.00
'225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2020 E ST
ASSESSOR'S PARCEL NO.: 1703361211700
Springfield TYPE OF WORK: Foundation
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Foundation repair
Install heat pump & air handler
Owner: STEVE MUSSAK
Address: 4988 CHANCELLOR LN
EUGENE OR 97402
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Phone Number: 541-953-5751
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I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mecbanical
Contractor
OWNER
STEVE HAUCK
LOWES WEATHERIZATION
License
Expiration Date Phone
147618
176741
04/30/2011 541-221-2665
06/19/2011 541-485-2282
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
.... Heigbt of Structure
Type of Heat:
Water TY'be:
Ra~Wt'l
\eo.~tfe~~'W~'\'I
0<'\ \e\!J\'\'Ie <SP~~!<t.;'Vt'!i\tling:
c~~\O 'eo.o'il\ . <fORMATION
,,"''' '0$ '01.
r IN tU' ee<'\' \ W \\3. \\0
\0\\0. 0.\,0<'\ O\_r.:l~ \<,\ co'il. ;'\'\'1" \'\og"C'i>
~o\'\'~", 9'61.c\J 0.'l o'p\~ ~O\~~~~y~ifit:
\<,\ OJ>l ,<ou ~ ce<,\\e ;,,<:)0<'\. ~~'\o.rrees Rqd:
0090~,\<,\g. \'\'101 \'\'Ie? \-'cF'.J'0 ,aved Drive Rqd: .
<ft ",'pel \0 ....\131 ,,,, % of Lot Coverage: '
~$P ee,' ,
R-3
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:.'\. 'F'ii'~~il~~",'& ':~
Downspouts/Drai~,\\ "'I\~ \'0 ~\)\..,'.'
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Notes:
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Page I of 3
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00828
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 01130/2011
VALUE: $ 1,500.00
I Valuation Description ,
Description
$ Per Sq Ft
or multiplier
$1.00
Tvpe of Construction
Foundation Onlv Use Bid Amount
, Square Footage
or Bid Amount
1,500.00
Value
Date Calculated
$1,500.00
$1,500.00
06/25/2010
Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
$6.96 ,
$2.90'f,..tA ',,:i. t,;:,
$58.00":""" "'"'''''
$1l.5F}\", '...
$4.80!1' ..
.".J
$79.00'-
$17.00
$11.16
$4.65
$12.00
$81.00
Total Amount Paid
$288.99 '
Date Paid
Receipt Numher
6/25/10
6/25/10
,',",,' 6/25/10
7/1/10
7/1/10
711110
7/1/10
7/30/1 0
7/30/1 0
7/30/1 0
7/30/1 0
2201000000000000747
2201000000000000747
2201000000000000747
3201000000000000358
3201000000000000358
3201000000000000358
3201000000000000358
2201000000000000903
2201000000000000903
2201000000000000903
2201000000000000903
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PI,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.
l..Reon;tedJ.Dsnec.tions I
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Footing: After trenches are excavated. , .
Foundation: After forms are erected hut prior to concrete placement.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric, Service: Approval required prior to utility company en,ergizing service.
Final Electric: When all electrical work is complete. . ,
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00828
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 01/30/2011
VALUE: $ 1,500.00
By signature, 1 state and agree, that 1 have carefully examined the completed application aud do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance witb
the Ordinances of the City of Springfield and the Laws of the State of Oregou pertainiug 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.
1 further agree to ensure that all required illspections 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
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Pa2e 3 of 3
Date
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Reeeipt
Development Services Department
Public Works Department
RECEIPT #:
Date: 07/30/2010
10:50:43AM
2201000000000000903
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Amount Due
81.00
12.00
11.16
4.65
$]08.81
Job/Journal Number
COM20 I 0-00828
COM2010-00828
COM20 I 0-00828
COM20 1 0-00828
Payments:
Type of Payment
CreditCard
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 05134d In Person
Payment Total:
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
STEVE HAUCK
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Amount Paid
$108.81
$108.81
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Page 1 of 1
7/3012010