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Home My WebLink AboutPermit Electrical 2006-9-5 .~~C> ....... CITY Oi.dPRINGFIELD, OREGON ..'-.-<:. .' , . . rl- r. tj"II-OY iJiY'/ 6PRI~ ". 225 FIFTH STREET. SPRINGFIELD, OR 97477 ."PH:(S41)726-3753 . FAX: (541)726-3689 ELECTRIC1/-. . PERMIT ~PLICATION CityJobNumbe{;(Jm'2OlJt.P - Oil ~c::; .. 'j , Date .9 -~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or. S you to rt. .th-. fJon law require ATTr:PP ,12n.~. ereo.. ' Il>aihl . -" " ~ ~~\(,,"<',l hy the Gregor, ~""'J fdo. ';'!Eac.lYMal1\~fact'd,Ho,melorles are set forth \' -'r"_'-'\~r liP'.;,;\:: l.. NGlif~2<Modi.llarJDwel1ing Servicenor'AR 952-001- , \ ~F.' "d' "O'j -001 0 lhrou~ v , In 0, I!' .ee erJ " .", f the rUle::. uy \'" ~~"" nh";:!I~Oi'vS 0 CC'Jr1. ., ~,,!;[Jl.~Ili_~' '\. I" ".a". II." '.' . 'Y'I..D ~m'l-,'W'.~ - , - '"~ '. ,~mm.,., I. !ll, . - , ",., -" u. C~'liir ..; c. ,':" . ~h Oreoon UlIlILY I\lV."'V~"-" . -num.,or fOI l e ~ 44) &A I U -'".'. 20'0CAmpslorclessBOO-332-23 . I ....,-~ ell.1:: IV I 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only Signanr of Supervising Electrician q' 1~~0lJk/ . 0C&n vt ~ J ~ -27ly. Owners Na _ "_ i : '; ; . rJ.d: A.:-' n.J, ~ Address 0 OX- I ~ 3 ...~,(['O C-nnt XVI n .. ~ ~~ LEGAL DESCRIPTION /10;). 3/ /dOOrcrv JOB DESCRIPTION ~Q.--~J..-'f- ~~. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Ci~4d,.u.. cO2 U Cf?lf09. \ : Phon~_~,~ - (lo~1 Supervisor License Number I_~~~ Expiration Date - ... (0 - ( - 0) Constr. Contr. Number i , ((0 ( S' (<l Expiration Date q ;.. ~ - CJ (o City / Phone );~(/':> c'i:kc:::;?) 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 " I " :: 1'. ~ . :' , : '.! ;-: : ~ .; I \ " .. I . ',: '.. . '.. . 3. . iji 'i>i' .,.. . .... ".." .,."". .,.....,... ,- II..".....,......... ~{~ . . ..~\"#}:..;~~"';j.~.';~.~..:: . _~I'i th.:....;.I,);>I',":j-J....,::... _'t 1O '!. ".~;~~.:.03' :~~~k; :~ A. $106.00 $ 19.00 $50.00 $63.00 ~ ~ $ 75.00 $125.00 $163.00 $375.00 $ 50,00 , c. .'. histail~t~,?q,i,;~l~e.ration ,o~ Relo~1!f'rr\E IF i.HE ~OR\\- . ~. 200.,AIlI~.~i<Y !e~H~I~\~ Sh;AL~. i ~,~S p::f.R'\I$~5~j00'\\\01. . . --... ~91 Am~o t,o,.~-90\:Rmps \.1\\\0\ p.:~",^.~~0('N:E$_69.ro0\ 401 Amp,bt~\?~Q.~~n[p~ OR I D' $100.00 . ,', ",,\/ ~tR\O . Over 609\~ps,or. woo Volts see "a" above. . ''11 D ~t'.: I~,~~om . ",. . , ",,- :.~. ~.' :- to; \' -~ - ......; "....~ t~i(f.t,-ill!t;~:~-:j~;:.,.:m;/i.:~."...... '.', !H~ - l...t','i.:rJh~-;~~~J,.~'l''-~'"'''''''''' . .. '. (<<; . I . f;:'~ll'~~":l;'...;)),;:~.'l;t)."<~i\';';:'. _:: ,!~ . .' , , 't4,!' '.' s,1~1.i.'''~;'1"r.:~:~~':~~ ,: 1.. N'w Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 cl ~k> $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential . Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 4. . . t. i:''';~t. . I; , '.(.. <'i':i / q. .6-0 . ~ It$ r,,'l!",I~ 8% State Surcharge ',' ,''', "..;c; . ~. 6~ 10% Administrative Fee., . . '. :., ,," ..' .'- ....~.......( '1 <=i? . " '. .....' '.' ....,.;.,~,<;;..':: ',' ':':.,:; " . :;'0":':4-"'\" TOTAL ., f' " .' .' ~\ ~ 6% ~/l/?noI94U ~ - 3.45 Shtred1Yrlve(T:)/BUil~ FfnnslElectrical Permit Application I.06.d6c' {O~ Ji &'Lt.6f . . , ,-' '- . '.' ,/ ~". ' ':. '.',,'. .. ""...,....,--. _ ~eI1llIINQrml\tiJ, ~; \ ~: . ~ " . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01165 ISSUED: 09/11/2006 APPLIED: 09/11/2006 EXPIRES: 03/11/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3700 COMMERCIAL AVE ASSESSOR'S PARCEL NO.: 1702311200700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: New service and two circuits TYPE OF USE: New Commercial . u to ,f. (}'gcc:n law reql1lres yo " J~ i .~, '. - :. ,', "'~, : h,/ '(;'le Cregon Utility \u ,IV" .~.. . -hose rules are set lUI U \ Notification Center, I , OAR 952-001- . AR 052-001-0010 through , In 0 '" obtain copies of the rules by 0090, You may .. . L_, ~l~~ t.....lonhnnA ca\linq tne cellllJl. \"~'u"i't Notification I CONTRACTOR ll'oj"U~M^ln@IN)llthe.Oregon tl ~~344). , Center IS 1-800-332 License Expiration Date Phone 161518 09/28/2006 541-343-1681 Owner: Address: ' DIAMOND STREET INVESTMENTS LLC PO BOX 783 SPRINGFIELD OR 97477 Contractor Type Electrical Contractor, OREGON ELECTRIC SERVICE I BUILDING INFORMA nON 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: NOr. Sq Ft Basement: Range Type: '. ICE. Sq Ft Garage/Carport Energy Path: THIS PERMIT SH;,SSI F~Rthe(: ' Sprinkled Building:AUTHOR.IfJ~D UNfPccup.fJt~olfa;rHE WORK f"nAH......__ tli IHIS PJ:DAA'-r-.~ ". I DEVELOPMENT INFORMJ\,T'iQ~'~i~~ ~EH I~ ABANDONED 'FOR'vu, ,.' ,R/OO, REQUIRED PARKING \! Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: , Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Fees Paid I Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination PermU PERMIT NO: COM2006-01l65 ISSUED: 09/11/2006 APPLIED: 09/11/2006 EXPIRES: 03/11/2007 VALUE: Receipt Number 2200600000000001259 2200600000000001259 2200600000000001259 2200600000000001259 2200600000000001259 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. $6.90 $3.45 $5.52 $6.00 $63.00 9/11/06 9/11/06 9/11/06 9/11/06 9/11/06 Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. $84.87 I Plan Reviews I Reouired InsDections . 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 Comlpunity 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 Page 2 of2 Date /, 225 Fifth Street Springfi~ld, Oregon 97477 541- 726-3759 Phone . .. of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2006-01165 COM2006-01165 COM2006-01165 COM2006-0 1165 COM2006-0 1165 Payments: Type of Payment Check Cash Job/Journal Number COM2006-01165 COM2006-01165 COM2006-01165 COM2006-0 1165 COM2006-0 1165 . Payments: Type of Payment Check Cash , cRcceint I RECEIPT #: 10:11:24AM 2200600000000001259 Date: 09/11/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 63.00 6.00 3.45 5,52 6,90 $84.87 Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid OREGON ELE~TRIC SERVICE nJm nJm 20028 $81.42 $3.45 $84.87 In Person In Person Payment Total: Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due. 63.00 6.00 3.45 5.52 6.90 $84.87 Paid By Received By OREGON ELECTRIC SERVICE nJm nJm Item Total: Check Number Authorization Batch Number Number How Received 20028 In Person In Person Payment Total: $81.42 $3.45 $84.87 Amount Paid Page I of 1 9/11/2006