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Home My WebLink AboutPermit Electrical 2005-2-28 ,.%1. J.J/W(.., '1 ' .TJ\~\ V lO 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~689 ~ ~ ELECTRICAL PERMIT APPLICATION _ ~ 0%~'O/. City Job Number rDvYI 2DOs:'- Q02q J -<7 ~ate A:>\;~~d-g' los 'v. ell . 0- '" 3. C01\1PLETE F1!c S 1-J~ULfPlf'@;J.OW ~ ~. is' '> WttLSflJa:o-MOI-I4W/L "arrWM4c ~ ello- ~ "0" ~iS' , _ 0 ~, ~. '& is',, LEGAL DESCRIPTION I ~OO ~l~ew Residential- Si?~je ti-Fa~?~er dwelling uuit. " (?~ @ 1:> M/4Ujtk&/l! rr Mw EK/l:f2/tJe ;;/at4lfS ()17ii ~ce Included ~ '" 'SJ..~. ~~ ~ JOB DESCRIPTION \., O'2>d.S~ ~~ sq. ft. or less C}tf~.oo !fx15!/t1jp 661NW {{trUA1S Eac~ additional 500 sq. ft. or 0 ~"- ell15,,; portiOn thereof 0 i2 _ $ 1~~fP~. Each Ma~tt.~roregOn I w r~;s yot. ~ Modular ~~flmlf~~i~pted by f e e9! ~~tlllty Feeder allOW . I Ie-v a~ ~'t:'l forth Notification Center. Tho~t:: OAR 952-001- B. seni~Ff@A~e&2sOQ1;9~!~:~ar1W'tf1'SJftlW!y~ion: 0090. You may obtaIn caples t' hone 200 Amps oc!mltlg the center. (Note: thE$~~~ea*"n 201 Amps ttl~Psr the Oregon .UlIII~~ ~..)O --- 401 Amps to 600 ArOsnter is 1~80U-;;s~2-"f1 ~.bo 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 1. LOG.4TION OF INST4LL4 TION 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor IfbL- /3,tcUJ{., (0. Address /tJ/% $t ~& 8f. City 16ml'-b Phone ~!:) !kh-f/o7! Supervisor License Number 6/rtfs Expiration Date to /01 ( Ol City Phone OWNER INSTALLATION ~ ~5'1lol The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 SpmNGAELD . C. Temporary Senkes or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. llnmch Circuits Ne~Mt~!'~t1?n or Extension Per ~panel .I /? t2.9- One Circuit". .$ .43,00 ,::::> Ea~.~~t!qaaHjlr&1it/MJvith(PI - I 't wuHK ~ Se~~tr1~rdV<.<r~t.rLf~tR THiS PE .MIT~~.f3JDT q G'I;\Jq>-!\lCE'1 DR IS A8ANDONED FOR E. M. .i."c't'tf<\fifl.l,QS. t~li..tt~~l;'fJ"~der not indudfil) -F:.u:h lll",talhltiofl :\NY 1 aU uA {Vtt'\IUu. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyIResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SllBTOTA.L OFABOltE :If ;;~ ~ 11 5. b-I it ?;Ju 11 fdJ. fjl 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuiJding FonnsIEleclrical Permit Application )-03.doc Status Issued. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00241 ISSUED: 02/28/2005 APPLIED: 02/28/2005 EXPIRES: 08/28/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1600 CENTENNIAL 'BL YD' ASSESSOR'S PARCEL NO.: 1703253404402 PROJECT DESCRIPTION: Installation of new exterior fixtures Springfield .'];.~.Q,R~ORK; Rlectrical Work Only KIll::.l\ITfUN: uregon law requires you to fottoWJ:'(j~R4qpteq R~rt.~~~regon U~Ullimercial Notlficatiori.C'enter. "those rules are set forth in OAR 952-001-0010 through OAR 952-001- S:OO. \tw .d'~J' vLl"-4;'1 vvt-';0~ v; ~;tc' ,uic'~ uy calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Owner: Address: WELLS FARGO BANK #92471 INC PO BOX 4900 SCOTTSDALE AZ 85261 SECY OF HOUSING & URBAN DEV 520 SW SIXTH AVE PORTLAND OR 97204 Owner: Address: I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor HElL ELECTRIC CO License 387 Expiration Date 02114/2007 Phone 503-255-4074 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Ene.r~~r~~~~.E'.. 0 '-"PIRE \\t~.~~~~fAK Sprm~~~c,B~g~1~R1 St-lA~~ ~~;IC' OCQ\~R\~P\~nt\lUo\ad: DEVELOPMENTFiNFQRiii.r.iQN^' 'IANDONED fOR 'UIIJ\I\I'L1WI.-~ _. REQUIRED PARKING {If\I\{ :\ BO DAY PERIOD. Overlay'Ehst: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Front yard Setbac~: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , . I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of2 ,sPRJNGFJie:LD -~ "" .. !! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00241 ISSUED: 02/28/2005 APPLIED: 02/28/2005 EXPIRES: 08/28/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated . Total Value of Project L-Fees Paid-l Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.20 2/28/05 2200500000000000229 $3.64 2/28/05 2200500000000000229 $43.00 2/28/05 2200500000000000229 $9.00 2/28/05 2200500000000000229 Total Amount Paid $60.84 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 . 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 thatonly 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 of 2 225 Fifth Street ~pringfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department Job/Journal Number COM2005-00241 COM2005-00241 COM2005-00241 COM2005-00241 Payments: Type of Payment Check " " 2/28/2005 RECEIPT #: 2200500000000000229 Date: 02/28/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By HElL ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 581 In Person Payment Total: Page I of I 9:29:30AM Amount Due 43.00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84