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Home My WebLink AboutPermit Electrical 2003-10-16 ect as submitted has the fol/owing 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:;(5I4ili}.f7l(OO(iSl!s not require specific land use ELECTRICAL PERMIT APPLICATION approval.. L -n K ~.iryJ:~C:;::::::::o:'f Oat, 3/::::EnE~=-,nwlb-n~~ 96g- . s 'S~ LEGAL DESCRIPTION /7{)s z6f3 D?90G JOB DESCRIPTION Low VD/~e> Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , " , 2. '. CO!jTRACtORINSTALIATION ONLY. Electrical Contractor () L]) H e- ( 1) <, Address ) 7'(.., 5 L..J. 71/1 City CubE-rJE Phone f<ir5 -torou Supervisor License Number 3 7 (} / L ~ Expiration Date /0/0 I /..z. DO'S Constr. Contr. Number I;? 173" Expiration Date & / '1 ,~tJOJb Signature of Supervising Electrician br:6 dL j/ / j", - /' Owners Name G~ I bc-a- +- ~ he Address 2770 Co.,,^-& ~{~ City c:--i/LG-C=N'C Phone 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 A. New Residential' -:Si~gle or Multi-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 /, " . ' . B. .' Ser,'ices'or Feeders:'" Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps ~G~~163.00 Over 1000 AmpsNolts W \\\t. ~G1375.00 Reconnect Only 'i:..'j..?\~'i:. 't.~~~\\ \ _. $ 50.00 \\\)'U~\\1,,'2>~~~\\\~~'t.\) f\)l\ \\\\'6 G~\1.t't) ~ G~ \'2> ~~ ~1~~i~~\1i\\)~'Relocation 2Q~~(d~fss 20}\),,~nps to 400 Amps 401 Amps to 600 Amps Over600Amps or 1000 Volts see "B" above. D. . Branch Circuits (. - . $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel \0 One Circuit \N f~aUu'es '/r{\M~O Each Addition2.I.. c;,~tW\ffi n9 oreg01\ t.Wf\ Se~et-f'e~1Jt'Ptm\ed 0'/ t . ~ 5 ~ ~51)'() IX\ , U\eS aOVt-' ,nOse fU''''O^"f\ 9S2...() ~\\oW" "hnte{; \Ian"" \'Ss \ E. M.\~CB~IlAAO&;;'(':s.erotf~<<~'ft)~ iB,IWJild)\.LE~h Installa tion '\lot\ \ p. 952-00'\. b\a\O COP\~ he te\epno~ n Putb9t} i~~iji(Xl\a.'l 0 \ef. t",ot~w ~\ot$1~ Si~~t1ffin~~&tn oregon . _ _r:~yAl50.00 Limit~~tfEJf~~\~f~~_P,OO-3;j" I $ 25.00 Z) Limited EnergyfC'Ommercial $ 45.00 Minimum Electric Permit Inspection Fee ~ Surcharges , , 4. . SUBTOTAL OF ABOVE tfr 3/S- '-1.)"0 526J 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Elecllical Pcnnit Application I-OJ.doc Building/Combination Permit PERMIT NO: COM2003-01054 ISSUED: 10/16/2003 APPLIED: 10/16/2003 EXPIRES: 04/16/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 968 S ST ASSESSOR'S PARCEL NO.: 1703261308900 . CITY OF SPRINGFIELD SPRINGFIE TYPE OF WORK: Electrical Work Only License 129736 I BUILDING INFORMATIO~~()~~ ~ '\~ ~ ~\) # of Stories: ~~~ ~ ~\'\ '\ ~ R-3 Heigh~f~fu:~ ~ttJ\?~~\x,~ ,,<(J ~ T~ 1\ ~\)\~ V~~'\\~ ~~~~. Sb'~'Q~~ '\~\S ~\)~ ~~\)'V. ~\\\ ~~ ~. \~~ ,,~~ 'V . M l I Dlatv ~LOPMENT INFORMATION I u \0 feqU\fftE~Q~{f~W> PARKING \a\N aon~tl f\' Overlay Dist: ON..Ofegon 0'/ "nEt O{el'~ij1tet ~Q . # Street Tre~~1\ aoo~ted se {u\e~~f!iSiP9Qi: Paved Drive ad:., {U\aS .....tef .1nO OU"n mn\lQ~S \ \0 ,~.., ca\ y '\ 0 \\,\f ':t ~ tr\e % of Lot ~'6\il\'g.&\\~-OO'\ _00 \n CO~\eS ~ te\e~nO~e n \ O~p.. 9 ('(\a'/ obta t\'lote'. ~~ \'lot\\\Cat\O 'f-. "nU _.,.,.~Af.' .~\\\'I . I PUBLIC IMPROVi~\t\e ~~e ofegu~_;~'2.-Z'3~~)' 'Of Os '\_80 nu1(\ ("p('SRl~alk Type: TYPE OF USE: PROJECT DESCRIPTION: Low voltage Owner: GILBERT CASTRO Address: 2230 COMSTOCK AVENUE EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OLD FIELDS INC # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: New Residential Phone Number: 541-953-2518 Expiration Date 06/09/2006 Phone 541-485-6000 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Downspouts/Drains: Notes: I Valuation DescriPtion' Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2e 1 of2 Value Date Calculated . . CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2003-01054 ISSUED: 10/16/2003 APPLIED: 10/16/2003 EXPIRES: 04/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Low V oUage - Residential Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $3.15 $25.00 $20.00 10/16/03 10/16/03 10/16/03 10/16/03 Receipt Number 1200200000000002327 1200200000000002327 1200200000000002327 1200200000000002327 Total Amount Paid $52.65 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. L Reouired Insoections , 1 Low Voltage: Prior to cover. 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1054 COM2003-0 1054 COM2003-0 1 054 COM2003-0 1 054 Payments: Type of Payment CreditCard Paid By OLDFIELDS Receipt #: 1200200000000002327 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Residential Minimum! Adjustment Electrical Received By djb Check Number Batch Number Authorization Number 000196 016014 City of Springfield Official Receipt Development Services Department Public Works Department- Date: 10/16/2003 9:39:44AM . Amount Paid Item Total: 3.15 4.50 25.00 20.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65 . .