HomeMy WebLinkAboutPermit Electrical 2010-8-6
Electrical Permit A
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225 Firth Streett Springfield, OR 97477+PH(541)726-3753+FAX(54J)726-3689
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'DEPARTMENTUSEONLV, .
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Pennitno,:{1/!J-! cJ?3
Date: :1' &/10
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This permit is issued uuder OAR 918-309-0000, Permits are uontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
'[OCALiGOVERNMENL,.APJ?ROVAL..
Zoning approval verified? 0 Yes 0 No;;::
," ',.'~' "CATEGORY OF :tOJllSTRO.CTIOJll
o Residential 0 Government 0 Commercial
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City: 'L ZIP:
Reference:
., '''''''PR'OPERTY' "'O'WNER- d', ""i;oM,'- "'0'"
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Address:
City:
Phone:
E-mail:
This installation is being made on residential or fann property,. ,
owned by me or a member of my immediate family..This:: ,2Jl:;,
property is not intended for sale, exchange, lease, or reil.(OAR'Si;t' ..
479,540(1) and 479.560(1). ,~jRi\f": :~;','i
Signature:
ZIP:
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City:
Phone:
E-mail:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-) (9/08/COM)
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, , , ' ,'c;- " ., Qty. Cost 'Total
~.N!I~be~,~~f i.nsp~tJo~s per:,item ( ) ,~' ea. cost.
Residential, per unit, service included:
1,000 sq. ft, or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwe,1ling service or feeder (2)
, Services or feeders: instaliation, alteration, relocation
,200 amps or less (2) $ 81.00 $
: "201 'to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation. aitermion, relocation
200 amps or less (2) $ 63.00 $
~qlto 400 amps (2) $ 87.00 $
40 t to 600 amps (2) $126.00 $
Over 600 amps or 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 $ 6.00 $
b. Fee for branch:circuits without purchase of a service or [eeder fee:
F~rst branch circuit (2) I $ 55,00 $ >1 -'
'; Each additional branch circuit 1<4fP1 $ 6,00 $ u'-
M,iscellaneous fees: service or feede; not included
, 'tach pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) . $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration. or extension (2)
Each additional inspection: (1) $58.00 $
2007,," ':'if APPLICANT USE. .:i ' . i': ,.' "".:;1
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(A) Enter subtotal of above fees $(ot -
(Minimum Permit Fee $58.00)
(B) Entcr 12%surcharge(.12x [AD $ '1'J!::--
(C) Technology Fee (5% o[[AD $ .i ':1-
TOTAL fees and surcharges (A through C): $ '1/12.
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01073
ISSUED: 08/0612010
APPLIED: 08/06/2010
EXPIRES: 02/0612011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1415 MISSISSIPPI AVE
ASSESSOR'S PARCEL NO.: 1703344309300
;', ."Eugene
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TYPE OF WORK: Electrical Work Only
,(t"~7-7.('~-n08- ~ SI JaluaCj -
PROJECT DESCRIPTION: <Oircuit'e'xtensionfalteration"'wnu
uO!leO!I!ION M!1!H I uuu'''U V~."_, .,'~~ ,
_"_..~_,_, ~'" '",n,,) 'JalUao 811IBu!\!eo
; - ;,.: 'I=Sa.crlo"> """[10 Aew nOA '0600
NORM}{N'!,:OUlS rKXN'K REOWC~BLErlNUUUl
2511 LIU\'l()\;Y.Ei l:IVO L1onOJYI ,u(J- ,UlT,," " '
EUGENI;!JfORl~91408alnJ 8soLll 'J81U80 ~o!leO!lI\oN
Allllln uoBaJO 8L11 Aq p~ldope saln~, MO~!OI
NORMAlYl \1Q,V!SJERANKEI,m~O€ll.BUEI:(1R1Jsitj
2511 LILY AVE ' .
EUGENE OR 97408
TYPE OF USE: Alteration
Commercial
Owuer:
Address:
Owner:
Address:
Contractor Type
Electrical
I CONTRACTOR INFORMATION ~
Contractor License
MY ELECTRICIAN INC 87506
BUILDING INFORMATION ~
Expiration Date
11120/201l
Phone
541-729-1454
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupaucy Group: . . Type of, lIe.a.\:. j'
Primary Coustructiou TtH'Jj a:JNOaN aO(l:!:JdwatjliJfNP~NIf
Secoudary ConstrugtB','J SPliWl:!:J 1f8V SIl:!O S~!Jre]i,W~bJ
# of Bedrooms: )Jl:!OM:JH d SIHll:!:JaNrJ_~ rf~\~'),
'.... 1:J( :Jl:!IdX:J lllfHS llW~ 'd<<~3J,lding: n/a
I DEvELOPM:E/'iTlmFORMATION .
Lot Size:
Sq Ft ht Floor:
Sq Ft 2ud Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%. of Lot Co~~r~ge:
REQUIRED PARKING
Total:
Haudicapped:
Compact:
I PUBLTCIMPROvEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Dowuspouts/Drains:
Notes:
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Pa~e 1 of 2
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: COM2010-01073
ISSUED: 08/06/2010
APPLIED: 08/06/2010
EXPIRES: 02/0612011
VALUE:
Status
Issued
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Description
, Type of Construction
I Valuation Description I
$ Per Sq Ft Square Footage
or multipl,ier ; '.' _ " or Bid Amount
"\J "'J'! .').'
Value
Date Calculated
:;1'otal Value of Project
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I Fees Paid .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7.32 8/6/10 3201000000000000524
$3.05 8/6/10 3201000000000000524
$55.00 '8/6/10 3201000000000000524
$6.00 8/6/10 3201000000000000524
Total Amount Paid
$71.37, ,.; ,:.
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I Plan 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. ..."1' '. ' ,
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Remiired HISDections I
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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that auy and all work performed shall be doue 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 incompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspe~ti~,rif~te reqti~~(~d at ihe proper time, that each address is readable from the
street, that the permit card is located at the fro'rihiffh'e:propei'tY', and the approved set of plans will remain on the site at all
times during construction. . . f
f6S/IO
Date
Owner or Contractors Signature
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000524
Date: 08/06/2010
'11 :50:56AM
Job/Journal Number
COM2010-01073
COM2010-01073
COM20 10-0 I 073
COM20 I 0-0 I 073
Payments:
Type of Payment
CreditCard
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
EDWARD GUIDRY
Amount Due
55.00
6.00
7.32
3.05
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
$71.37
$71.37
316005 In Person
Payment Total:
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