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Home My WebLink AboutPermit Electrical 2005-1-6 .r.;~~'" ?,~."~.<':;;::<:;:~"dT\(OF::SI"'NGFlELD ,OREGON '..., . .: . . . :'~> ~:,,: < .-' _ :". '_,".;" .: l :: . -:,!'. " . .11.,.'" 'r: _" l' , , . . ,( ~ <:"0 @,.o:: ~ ')/, O~ ;0'0 ~O ott.z 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 0 ~~ ~-" 1:> ELECTRIfYlLPERMIT APPLICATION -; ~,~ ~'/ "'00:''3-;, City Job Num(e.(rn'/.('j[\S _ frl,Q1 gDate 1- ( Il -0 5 c;"o~., 0-""" .. -"o~'~, "'c,." \9 (" '" <5'v. '*Y-'_"<""{"",.,.."l1N',~ll>~~~~. - '; -- "-,,~-~.1'\(l>r'l'~_ml.)"WJi"F~1~l';C;" 3. '!ir:,C";;;""MP'''~''1i-:i'ii?r'jm~~r.E' rSr.-J'TV_~T.rl~:v.:1Jw, " .. . ~~1 1. ~~~!~~l2J,?@~l~t}1~>f~Nii.'-t*,~~ I&!,",:;,'_=~~~~,,," ~'1.~!.l~, -.. . . ~~ c9Lft2,S A ~c;:-~ ~ 'P;;U,"'.!"""'''''''''''''!''1'!!.''".''.''"",n,'''''' ''''''~;''''''"~''''"''''~:'i\'>' iSI~0,,' LEGAL DESCRIPTION A. iliSi~;~~~~~~tlal~-tjSl~~;~~t~~~~-ur.i. ",~fn' gl I ~~~~iX ~"O'-o9c, ll)[)'Y~Q A \ n\c;:m Service Included ... tl Go",,' .... JOB DESCRIPTION 1000 sq. ft./or le~sJTiC'N O,'<'(."",~, 1"'rI" 'e$lO!j,OO ) ,<=;\ Co,r-r//I( J..- C' - .1 n \!1 0 \r._L, '.-....A '<l. Each addit\~ry,'t!\~qI!J1,qJt;:5',Ij,. :~"J .'! I' s ('r,,~ .,. t;;""y ~ " "1)1 "(Y1\JC../ ve;T' lA.H I..J portIOn th,ereofcall'On Center T"^'" "d.". ^r$ 1.9.00'r'h 'l.Ullll . .1 _ _ _ C ~Cll\J Permits are non-transferable and expire if work is Each Mahufactid lfome8i1 .001 0 Ihrough OAR 952-001- not started within 180 days of issuance or if work is Modular O~!Jjrlg;S.erni<;1' QJi)tain copies of Ih~5ii\m' by Suspended for 180 days. Feeder calling the center. ("u",." '" ,dephone i1'a:':'"':-&"l1'G."~b~. .fif!..';j':.'%.T/i:.'lfi(!JM"(5......ifi.~ B. I1:s.1;';;\ht.,.~Me"R\tlfflts~~l~. . i!".tlii>n~ 2. ~~~~~t\:l~~~~ )):,.~.1".Y!'....~ild!i~~~~~t:M~~ Electrical Contractor G a- S f.k('h' C'.-,j 0t:.-. 200 Amps or less $ 6;.00 Ii) 201 Amps to 400 Amps $ 75.00 Address t/rJ &X lfe'd 401 Amps to 600 Amps $125.00 ~ P 601 Amps to 1000 Amps $163.00 City Y//7 Phone 7tJ/-;;/;;)30 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 Canstr. Cantr. Number 4<Z9l.fS Jo -() /-07 3gLjq 9 -J- DB Ct" r~~Wr~~V}~~feafrs'~. ~V( ILl&.. 1 irifiall~fionrlAIter.atibrfoif~e~qitipAE WORK A2bTd~i4?pl5f;lJ~NDER THIS PERMIT IS Nl$]5o.cio C2011t.!!;,P'{,'tril400flJUp,\BANDONFn FOR $ 69.60 ,,4oi A'mpS;tQ\Mo:=A0ilP~. $100.00 Over 600 Amps or 1000 Volts see "B" above. ff.;'~~I:SV,e71jF-'~~:i~q~',-,~.~-""~",, .~. ,'..~ .~~'Y"''''l'-'''~I.~'t~m~ D. t~BI;anch~~t:;'Il'CUltiL tf,,' . *.$,i~.1~ ..:H .~ \ ,,';j d>s:~.t::.:. ~~~i~..1.1i~.am: ~' "::v. \. ,.,;;,;",~ Supervisor License Number Expiration Date Expiration Date ~ );a:::C;E~i. Owners Name f2-.,--rJ1fG(2.. \ ~ f<Y ^." Address 2:PI .5. ~ (p~6t- ' City'Sp . p),./ Phone I 'f'- (n '6.1,)" OWNER I~ )TALLATION New Alteration or Extension Per Panel / / One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 --<J3 av. .3 .<JD $ 3.00 E. wrMi~~il;1Wgils: s~~1it~f~~ff6tiiniiif~11~E1r~~t~'il'n;fi~~ l':;:.:;;.;..;.~t::~~\"';".' ;;'.-~U~~':f.;s!i~'~::'~~- ~'~~~~1.:,m;J.::~ The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Inspection Request: 726.3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~-;\:}~L'!H\lmh\lt~llr..::l"~:'(.;,.:Ii'~'i'':'ri:lfiA'I:\I''.~~\!t'....IJ !:f~'\'K.~:~. ~... .;J,'';l;'. 40 ...-.\ 4. lfiS&BTe'FLJ:l:reEi'A1JOVE'~ '~.\~",'itu ;,~~q U '-" 2:';.i~~~~~"~?f.~\;H~~I{~ii~~v.~ ~~[~~. ~~ ..3 . d~ Lf. /(20 <1.53 .o~ 7% State Surcharge 10% Administrative Fee Owners Signature: TOTAL Shared Drive(T:)/Building FormslElectrical Permit ApplicatioDl-OJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00019 ISSUED: 01106/2005 APPLIED: 01106/2005 EXPIRES: 07/06/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2435 A ST SPACE 2 ASSESSOR'S PARCEL NO.: 1703364101500 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Correct code violations TYPE OF USE: Addition ,~~!EN~JON: Oregon law requires you to - - - . -.....- ...............t-JLCU uy 1I1tj urpOOQ l1tjlit Notification Center ThosPhooe Number. ~41-747-6312 . . e'rUltiS are set forth 1~~~~~,952-001'0010 through OAR 952-001- _- -II' ---.........., ...,....~cUIII,.,Uf.Jlt:~ Ollne rUles by , CONTRACTOR I~FORM..~.'r~ElN'" (Note:. the telephone -. .--, Yu\ \, fd G,'llgon Ulility Notification C~@iJ~1-80~~Date Phone 3849 09/01/2008 541-741-2236 Residential Owner: SCOTT BEVERLY J Address: PO BOX 149 THURSTON OR 97482 Contractor Type Electrical Contractor C & SELECTRIC BUILDING INFORMA nON, Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range,Typ.e;:: Sq Ft Garage/Carport Energy,P-!,t,h:r..L1IT S".' \' Sq Ft Other: Sprinkled Building: Il"LL Fn/H'/RE IFOccupant Load: 'lU IllLJnlLtu llNflr:O Tl ,'r> .....~ _ "'L. VVUf1K I DEVELOPiviENTINFeRM*1JIONgINOO~ED ~o'~ NUT . 'uu u" r r-tKIUU. R REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: # of Units: Primary Occupancy Croup: Secondary Occupancy Croup: Primary Construction Type Secondary Construction Type: # of Bedrooms: I PUBLIC IMe nv" J'.JdENTS I Street. Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of2 . . CITY OF SPKll'lj'->-1'1ELD Building/Combination Permit PERMIT NO: COM2005-00019 ISSUED: 01106/2005 APPLIED: 01106/2005 EXPIRES: 07/06/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees P,llirl I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3.22 $43.00 $3.00 1/6/05 1/6/05 1/6/05 1/6/05 2200500000000000022 2200500000000000022 2200500000000000022 2200500000000000022 Total Amount Paid $53.82 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. I Reouirerl Tnsoeetions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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. ,<;fl fU u-tlldv ~ W-P . . lito/oS I Date (\f' Owner or Contractors Signature Paee 2 of2 .> i25 'Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-000 19 COM2005-000 19 COM2005-000 19 COM2005-000 19 Payments: Type of Payment CreditCard 1/6/2005 . ~ ~..., <lllliity of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000000022 Date: 01106/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MELISSA GERHKE Item Total: Check Number Authorization Received By. Batch Number Number How Received njm 300617 Fax Payment Total: Page I of I 1:37:27PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82