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Home My WebLink AboutPermit Electrical 2005-6-28 "ec\aS'::lV-:fe ~~"n/? ",\n9 ?'O\ not ,.<\\ll Il'l ,.,/' ~ ,-- \0\10 0 00.5 (; ) r CITY OF ~r"RINGFIELD, ORE.GON / 9 n-:::.:~~e~q 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54m~6-J . I\h~ ~'''-... J ELECTRl~'ERMITAPPUCATION .J~* 66SCG:";;3,b//S'9n~_! City Job Numb r 5"- ()()Lj9' Y Date ().;) r /O.L . - I . I. ,LOOA,''F10N.ifm!N{ff,jfJJHA7!ION. '. >J 3.I.cOMPLETEFEESCHEDULEBELOW -------. 3333 ~(i."",P Cq...~ ';2.l\Q..J LEGAL DESCRIPTION S pc,-u.. '#;;L '1 IfJI!;ZZOO 0 l (X)O JOB DESCRIPTION ~ ~ lb-r~t...i)o~. ,,~ Permits are Don-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. I'~~''''''- 1J 1, ~ -~w1i 2.<t~lfP~~R'INS:P~~~tqNL~ Electrical Contractor ~. c. Crwt ~ Address fo ~ -Q a.c:;' ~ City ~_~ Phone b'"tfl- 9~6-v:>.~ / Supervisor License Number 3 ~ f: I) ~ 16(/(()? Q.~-l.~(' 10///06 Expiration Date Constr. Contr. Number Expiration Date . ,ature of Supervising Electrician o~ers Na.4f!J'-/ r/J/li-ti-J Add,:!:l~bV"l!t))( /Odl1// City mz.rh.m~ Pho4sD3) <YO} '-J -35/i OVVNERINSTALLATION The installation is being made on ~.~~~.;; I own which is not intended for sale, lease or rent. A. t 'New Residential" SI"gle "rMulti-Family pe~ dwelling uni!._J Service Included 1000 sq. ft. or less $106.00 Each additi'iJJ@5003llJ:fDIrjgon law requires you to portion lh"1:'(.o,fi rules adopted bl' thp nr.egoo~~ Each Mantfi'ct'a(Hbhili'aler. Those rules are set forth Modulan DwelliiigSeMcelliV1 0 through OAR~~%.Q01. Feeder0090. You may obtain w...~~ .:.Hhe rule~ bi B I.Ns."~i"......;o.;~,}!!Ft.e "(J'el""."'''. fl-llikllltNti~~lt!.'!B~~~~". . . ~-$,~~~WJf~~J~'lbku.re~88!_ _ CaUop9!=8;tIO!l: 200 Amps or less Center is 1-800-332-234f~3.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 C. tiI'e'*t~;1~~~~iC~'9~JF;f~i!~i'j<P1RE IF 'l'Hh W:iJl'i~ ~.I i'1-HnRIZFD UNDER 1HIS PERMII I~ NU I Installation, Alteration or Relocation~DONED FOR r.OMlv1tNGtU un '0 "u", 200 AmI);' W~s~O DAY PERIOD $ 50.00 20 I Amps~to 400 i\rlips $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. -l\t~n~-m!!cufts~Y~tJ;:~Urt;:,.,,::,,:-~: .>;~,:::;J,[,y{', };'1:~~':_' '"',; 1 '- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E. il~!1i;~il~~~~~lt\!~!:d~J~phli~ilJ!~_~911.1 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 , ~ Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4.1i.~imTOTAL'OF,.w('>VE . '.! 'fs.,Q 1\ ~ 7% State Surcharge 3. I L . tt'\~ \~UOIO% Administrative Fee Cf. (' 0 ..~ ~\'f.j TOTAL " ,.C;::;....6-.t; ~W '# \' Shared Drive(T,YBu.ldlng FormslEloctncal Penmt Applicatwn 1.o3 doc ~ Owners Signature: Inspection Request: 726-3769 225 Fifth Street ! Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment CreditCard c c 6/30/2005 . RECEIPT #: .~ WiL-- . ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department 3200500000000000406 Date: 06/30/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By EC COMPANY Item Total: Check Number Authorization Received By Batch Number Number How Received njm 030264 By Mail Payment Total: Page I of I 2:54:31PM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65 , . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 . \..ill' OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 12/30/2005 VALUE: Springfield TYPE OF WORK: Commercial Miscellaneous PROJECT DESCRIPTION: Construction Trailer Site Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Electrical Contractor ECCOMPANY # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I License 49737 BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 01115/2008 Phone 503-224-3511 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descriotion I $ Per Sq Ft or multiplier REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Square Footage or Bid Amount Date Calculated Pa!!e 1 of3 Value , .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 1000 amps/volts Perm ServlFdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid Initial Review . . CITY OF ~rKll'1uJ1lJ!,L1J Building/Combination Permit- PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 12/30/2005 VALUE: Total Value of Project F""o. PIilLI Amount Paid Date Paid Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 3200500000000000406 3200500000000000406 3200500000000000406 $803.10 $562.17 $750.00 $1,141.00 $2,007.75 $1,400.00 $4,140.00 $600.00 $4.50 $3.15 $45.00 5/2/05 5/2/05 5/2/05 512/05 5/2/05 512/05 5/2/05 5/2/05 6/30/05 6/30/05 6/30/05 $11,456.67 I Plan Reviews I 04/28/2005 04/28/2005 APP LLH Temporary Electrical Plan Review approved by Clair. See attached documents for information, 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. Pal/e 2 00 By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that ail Information hereon Is true and correct, and I further certify that any and ail work performed shail 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 ail 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. ::;~C~SI~ ~tr(L~ .. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Paee 3 of3 . LlJ f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 12/30/2005 VALUE: (qj 00/ d (JDS IV~ Date