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Home My WebLink AboutPermit Electrical 2003-12-18 (2) CITY OF S' lNGFIELD, OREGON . c . djn+au~!8 P.:.lpOlUnV ~ ~O" )\-'1.1 BUlUOZ 1Iq:; "leMJdde asn pUB I :>lJpads 9J!nbaJ lOU seop pUB '6u!uoz BU!MOHU. d4. 3a4 paUjUJqns sa pa[oJd 6u!MOllOJ a4J. alea 115....... 1 n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54Im6=J"RCI ELECTRICAL PERMIT APPliCATION City Job Number COwtZOo:> -6 (267 Date One Circui'f. . $ 43.00 Ea~hWlditiO~I~itcBif,l'l"t~IR~~~6tTE ~QRK l<l ~ SeMceoPF&tJerpmJll~R THIS I~ ~m E. ~~~~~i~~Jrl~Af;~j~r~~W;r~~~ Pump or inigation $ 50.00 Sign/Outline Lighting $ 50,00 OWNER INSTALLATION Limited EnergylResidential $ 15.00 The installation is being made on .. ,,;, I own which Limited Energy/Commercial $ 45.00 . 11f._YIJ"'\.I/J-U"eo I .. . is not intended for sale, l<;'E'e orren~~..' I. ~on 8>v j'MbiliiiilnllEleclrlc Permit Inspeetinn Fee is $45.00 + Surcharges ! . .L.. l,ul........ d(,;IP18C1 Ly it,,)" _'; . -- Ie /'-' - UI'-('lJ .tI':''':!'''~'''''<-''''''''''''''i''''''''''''''''''I<'.,-~,,-~,,-,-v~l Owners Signature: ~li'~ ''',IV",,.. ,ltil'.Jfd:...4. "~' Jj,.~~.t~O::~p" .;~,;.".::tf![f' 00' '-'.'.j~'~-j-'/'-'''1\01'')t",'!.'''_h(~!\'t:''.,..~"" .'- "-A~E;""'ti"~'K~,~..._ ,- ,.,,"'.' ':)" . 'I" . _ ' I d,-'. -!.IO . '. .' '.' ':'."'1 C ,'.- -',.,7%StatcSurcharge l..c ",!(l ( ',...,.... - . .,...._. '.. .. - ~ .. '1',""'::: I . . .~Ic. '.' l .; ~ :,..IO%AdministrativeFee nUrr. ".. ." ~ ". _- ......., J.,( II") ( ,.+t"'"'"lO'll"r'" ' .. . '_<oJ Inspection Request: 726-3769 '. -. . '" ~:,; _:.'~ ,y 1\1-'I!fOTAIJ1 . ' . 1- . -':.'1 :/;\ 1. t;OOcA.fi(jN(jit;iN~(}M,'i;t:;.J,i'\l .,,,,,..,.,, ~"_.,,."". "'._ ' ,,~.' "".r,,'- j' ,..,'...."... ~_ ~ t'~" i, T~'1 .1)(, L. () t:ro. nU 'VI r/T / LEGAL DESCRIPTION I r;03o 3/ / 02/ce> JOB DESCRIPTION W~~tt~e... S~HJ1CQ. ,a.JJ It<ta.-t- Permits are non-transferable and expire If wnrk Is nnt started within 180 days of issuance nr Ifwnrk is Snspended fnr 180 days. :dJ' ':RAcmR;';:;~:;. ~:"'1i'.'ftQ. Ni1@J{f~.'~~ :Z.r';<'~T"'7" -"''I'";''' .... ':r,'.; ,,",', ;'i:"'....l;j<;ff~,'~'f":i,{,.,./t .~.. Electrical Contractor Arc... pi ~ r-/-ht'" .InG- Address q~'J1_i ~'15bU.tl; City bjpj}e.. Phone _? tJ/, 0 tffy Supervisor License Number q' 3 C::, )7 S 10/ D 1/..:z.tJO <{ Expiration Date Expiration Date ;20 ,to 36 /!J-/- ot./ Constr. Contr. Number of'k'''-i~-1_ OwnersName LrnfL<+, Q,1 ~ Address 2C;/~ /1~~. SeW. City .8.p.lloj~ 1! Phone 7'1 V- 0 ;1S3 17/;8/03 3 !"c()MP.i!Jtrn.FEits€.i.iitiitJi3E7fiill6wt"!j,;~:,, ':j';}'::; "'.....-j..l'1 . .',.... ,_,-~' t..... .- ,....,...-,:'.'.,. ..,,_~.. ...~"" ',_ ,,..," "" "" .' -',.' -'. --'-,' . ':{:";,"",-'>,'. _,:..... ". "-'" '" ".L,' .~'... i A. [i~.N~~"PR~ld~'t~, '~lii~~tMUiffi'Rinriil';;~eia#dl1IftJfuii[+':~ r..","~,,~~, . ,_"."~,,gI~.........c,,~._ ,Y.\P"'c',,, "..,\l\!,.~~i[Xl Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $19.00 Eacb Manufact'd Home or Modular Dwelling Service or Feeder )... 00 $50.00 100- B. t~;s~lt:?i'~~~,~'fililid~.Ai~;:;;tlO''''icl~" ~i~mr;t:.,~ [;'r""\f!';"'~ilt....,OC~I~-"J'~~..Jii~~~""'J<-":'3:,,-,~g:ttr',:ii!.:.~~"'}',t~,.t,;!.~,.'<~, ':/'.' .;;;:t}, 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 ~::~" ,-" .' "-.~' ,'" ..,-'''"'...'',..,''' -"'..............""""" ," ....1. '.'~" .~...t ~.. ~.~.'-'^. ~.....-. .,~-", '..4_~_." ..'..........1 C <:J'l'" ~ . .....-........., 's......... ,'"'~.~-.~1:'~;.->'..I.- , --m.t"~. :'_'<_t;".~..,.~,. ..tl'" \ ~"'. ~'7l't,",1"'. "... . "'I.l:el~p~n;p~;^ ~m~~.es;:.o.r#';~s.~:... ..;~; .':;;t4;\~fb/;"'4':.1Y'e~~~'},~ Installation, Alteration nr Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above. I'.. .'''''.~..r..".~~'.,m..'~.. ..-""~'ia...,.,...".,..'A,'i;."'1J~'i ,.~. '"Ii'~ D. .;;Jlran. ~~q,I!S.UJt8. .,~.t~.., '~r..:',-';...1,..,..,.!~~>fJJ,;,.tf-~.$.";j~\ L"':~.)~}ie"; '",' :""".,...,.-<:) h_. Lv, .,..,...... ".~.." _.... .,'<>,c~.I:>~ ,r.'J'J, -^,,~' U::'''''''', ......,. ., $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel I/g (!jZb //B<> n80b ',. Shared DrivcIT:VBuiIdin. FormsII!Icctrical Permit ADnlica1ion l-03.dnc Status Issued '. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01267 ISSUED: 12/18/2003 APPLIED: 12/18/2003 EXPIRES: 06/18/2004 VALUE: SITE ADDRESS: 4660 FRANKLIN BLVD SPACE I Eugene ASSESSOR'S PARCEL NO.: 1803031102100 TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Upgrade service add heat Owner: OGG ERNEST Address: PO BOX 186 ATIN EUG MOBILE VILLAGE SPRINGFIELD OR 97477 Contractor Type Electrical , CONTRACTOR INFORMATION I Contrl\ctor ARC ELECTRIC Phone 541-741-0494 A"!-, a'l'iUi,::(J,DpC.lla" i.3qulies you to fe'low "d~, ;:;[Juplcr) uy ttoe OI:Jgon Ulility .'oLriei,(ILi' ,;8. ".sr, 11 .:J:'~, rul;.,.o are set fort ,01\1-1 CJ:,J.i)IJi.n01:: !:'i'lw',l, OAf] 952-00 0090. You ~l 'V '.ll"'~,~::l ,......,~i2- nf th':} nIlE'S l call1ngu'.' Hm, "",." ...." nU'Il~)ar~,', td'Viiltilitiiin-n'escrlpti6n110n '. .... . .: '-, ',,,, - -:,_1"~:' '.;. j. '" # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS ... Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License 115113 BUILDING INFORMATION I Expiration Date 07/11/2004 # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: NOTICE: Impervious Surface Area: ~,,,..... ,...",-,....l..T C'tJ^1 I CVDIQC u: Tl..U: WORK I DEVELOPMENT INFOIWATioN;I'i'E'6 UNDER THIS PERMIT IS NOT COMMENCED OR IS ABtmtQJjJug;PrnlRKlNG Overlay Dist: ANY 180 DAY PERIOD. Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction '" Value Date Calculated Total Value of Project Paee I of2 ... . . CITY Vi< IH'KlNGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-01267 ISSUED: 12/18/2003 APPLIED: 12/18/2003 EXPIRES: 06/18/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F""s~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Manufactured Home Feeder Manufactured Home Service Amount Paid Date Paid $11.80 $8.26 $18.00 $50.00 $50.00 12/18/03 12/18/03 12/18/03 12/18/03 12/18/03 Receipt Number 1200200000000002629 1200200000000002629 1200200000000002629 1200200000000002629 1200200000000002629 Total Amount Paid $138.06 I Plan Reviews , 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. ~ Reouirp,d Insop,ctions I I Rough Electric: Prior to Cover 2 Final Electric: When aU electrical work is complete. 3 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 4 MH 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 225 }<'ifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01267 COM2003-01267 COM2003-0 1267 COM2003-01267 COM2003-01267 Payments: Type or Payment Check ~'.'..'.."." ~1 Receipt #: 1200200000000002629 Description Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ESTATE OF ARC ELECTRIC Received By djb l.:heck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Departlllfnt Date: 12/18/2003 2:42:34PM' . Amount Paid Item Total: 50.00 50.00 18.00 8.26 11.80 $138.06 How Received In Person Payment Total: Amount Paid $138.06 $138.06 . .