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Home My WebLink AboutPermit Electrical 2006-11-20 . . CITY OF SPRINGFIELD, OREGON L-LYZ- \ I - 2.0 ~ EX,.. tV "^ . -~~ ..A ,. . ';:'.'.. h~~_".. ~ '''.< 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCALPERMIT APPLICATION . h City Job Number C6IMZOOb - 0 l4 <6~Date J1;dO,~ 1. I LOCATIO/( OFINSTALLATION . .1 3. 1."CpMPLETE FEE SCHEVilLE BELOW LE~~ ~~RIP~:w\ c-=: ~ ;~~E~~r1 ~~~&\J,l.~i~itp\~F~rig!~~~FamiIY per dw~lIing unit. /70] Z- 'Z 12. C> 170~THORIZE.~'trN~(Re.IiTdell) PERMIT IS NOT JOB DESCRIPTI0NCOMMENC@OQ)$Q.I6-.&B~DONED FOR $106.00 ./ I I I _ / ANY 180 D~cp'~l!!\iI:iw.aI500sq.ft.or f..i..o r- "'hA!::> C-, 'f" ( (A I + pomon'ihrnof 2. r CONTRACrOR.INSTALLATION ONLY 1 B. rS;rvices or,Fe~ers''TI~stanati~n, Nterations ~r R~lo~lion:1 Electrical Contractor ~,"a.,.. QJ_ ~,\.' 200 Amps or less $ 63.00 J' 201 Amps to 400 Am'ps $ 75.00 Address ?fa/?7 4/e.,-(- /~ ,.' 40IAmps 10 600 Amps $125.00 City ~{-'J€- Phone bPb-(~~;- ,'~~~I~~~~~~~~:s ;}~~~:~~ ./ III 'RecO~q!,C!Only. '.' . $ 50.00 C. I'Tem.porary Services t.r F.eeders . fJ A-rJ ie'fs. G,4..vY/ f:: .ft1(/..vv-... E. I Miscellaneous (Servi~'e/feeder not included)-Each Instanation I Phone ~ gr . 0 Y 56 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 . Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum'Electric Permit Inspection Fee is $45.00 + Surcharges 4,1 SC{!J.T9T;f.L O{ABOVE jJ I.{ ) :360 'i n> / z zr 55.3S""' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Expiration Date 47 f?5'5 GJo..d/'> -; ~ 1f-3t? '}c{ (*~/og Supervisor License Number Constr. Contr. Number Expiration Date c Owners NameD1AAlfF Address S 5 ~ Z City --.S ?p.-~ OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volls see "B" above. D. L Branch Circuits . New Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder Pennit &10 State Surcharge 10% Administrative Fee I 5 % Ta:t{ pee TOTAL $ i9,OO $50.00 , ,I $ 50.00 $ 69.00 $100.00 $ 43.00 If] $ 3.00 Shared Drive(T:)lBuilding FormslElectrical Permit Application )'()3.doc _[1;;9- ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . eLll i' OF ~rKm\.J'l'IELD Building/Combination Permit PERMIT NO: cOM2006-01485 ISSUED: 11/20/2006 APPLIED: 11/20/2006 EXPIRES: OS/20/2007 VALUE: SITE ADDRESS: 3382 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703221201700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Hot tub circuit Owner: DIANE DANIELS Address: 3382 GAME FARM RD SPRINGFIELD OR 97477 Phone Number: 541-988-0936 I CONTRACTOR It,"v.,,,IATION I Contractor Type Electrical Contractor AMERICAN EAGLE License 153834 Expiration Date Phone 12/30/2008 BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOTICE: THI~ Di:v;~iL-o~Nr\!N--ffiI~Bk~At~bN1't1t\l\ AUTHutllLCU ~1~Mf{ flHJ I d\"f.\ ,U "UI COMMENCrm.Q.\J.jfn&~ANDDNED FOR ANY 160 DMSiliealIDrees Rqd: Paved Drive Rqd: % of Lot Coverage: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Coustruction Type: # of Bedrooms: . R-3 VB n/a REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Availahle: Special Instruction: I PUBLIC IMPROVEMENTS I ATTE;\~ IIU'\l.I.-'. ;~UI \ lal'! r,;' !1~Side~~\ik ty,pe: follow rules adopted by the Orc:gon ullh:y . ., .' C t Those rlJle~Q.~1!~p!,ujslDralDs: NotlflCf\1I0n en er. c-' in OAR 952-C01-001 0 throuQh OAR .,~)2-~~.' 0090. You may obt8in copie~ of tre,:IJIS<> J calli no the center. (Note:t~'e ~~'~.:.j2~~~_ Notes: .._-,-,....,..,. ."4".... 'L""l"~".._-" I \,'~i~';ti6h:i)escriDifoR-I"2-23"A). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01485 ISSUED: 11/20/2006 APPLIED: 11/20/2006 EXPIRES: OS/20/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fp.p.s P3UU Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Snrcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $2.25 $3.60 $43.00 $2.00 11/20/06 11/20/06 11/20106 11/20/06 11/20/06 Receipt Number 1200600000000001666 1200600000000001666 1200600000000001666 1200600000000001666 1200600000000001666 Total Amount Paid $55.35 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. ~lP.~tions 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 1 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. 1 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 Pa~e 2 of2 22S Fifth.Street Springfi'eld, Oregon 97477 541-726-3759 Phone . ~ Wit <;& of Springfield Official Receipt .lopment Services Department Public Works Department Job/Journal Number COM2006-0 1485 COM2006-0 1485 COM2006-0 1485 COM2006-0 1485 COM2006-0 1485 Payments: Type of Payment CreditCard cRcceint I RECEIPT #: 1200600000000001666 Date: 11/20/2006 Description + 5% Technology Fee + 8% Slale Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum/~djustment Electrical Item Total: Paid By STEVE GREEN Check Number Authorization Received By Batch Number Number How Received djb 010345 In Person Payment Total: Page 1 of 1 11:00:51AM Amount Due 2.25 3.60 4.50 43.00 2.00 $55.35 Amount Paid $55.35 $55.35 11/20/2006