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Home My WebLink AboutPermit Electrical 2005-11-21 zunmg, and"doos not';~-u"'J~"'~'.~lltt IOlIowmg approval. q U,Ji~~nd use ,,~,,~,", ' LU---' 10S !aD!' - ~. I I. 0 .~~\i' iJi~ "inQ ~F-...":'~.I.--.W==>, 1"1' "'!jAt.",,:",.' "- ....:,.~~, "H ,~,'" __~.:~, . . 225 FIFrH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726,~6~!/;igna~;Q;,rn~~ct ELECTRICAL PERMIT APPliCATION ' " " . '~",-'~~ J City Job Number (I~t\o'\..,1..6-0'<; - 0 110 ~Y1 Date 1\ - ;) 1- oS- ' 1- Over 600 Amps or 1000 Volts see "B" above. D. Il<:"Bmffi'Citc'~itsi\\l"~~~~~~-1'Ilo~J:~"~.i.!Ii.':!,!,*'",,:%;~~'!\'il(j '~'_"""'f!-_b''''~'~'~~,"",~~~'3l.:>'~-'''''''''' i .,~""~~:E" 'lJn~""~ New Alteration or Extension Per Panel l '3 One Circuit I $ 43.00 7.-- A rEachTKdditional$ircuit or with '7 ' J f(lIl(Service-o~.F~d~r 'Penllil' requires vn..b.- $ 3.00 (tJ -- J' 'o;,:~-~ "'U~fJ'''U uy me Oreaan l!'ili\l ~~2u~:);j:::'~aj'.lf~"P..;n ,!,;\~;",>!~.,.J:"'f'..t-4~"'~'" .........>:r.-,..."-'V';;A,,..'..,ji., r E,' RM!S~!!an.it'~,(~~~1~!i.~,~~~~9Jj~S!~~W"'~.a.fl(I.lfst'!!t~I,~!!)I ",'1 Yel maYl)bt ' ._~"''' '" :> '001- . . PumPlor irrigatiiili copies af,the rules h\l $ 50.00 ., ., . C \"",,,.;' rNnte'th t I . , ,SignlOutline,Lightingu' e e ephane' $ 50.00 _ . ......, "Ie UI "-'401 I Wit N '. . OWNEa~lIlJl."'_TATION Limited,EnergylResidentialY allflcatlon $ 25,00 '''"'l'....;l:7'', '--.. uvv-"".<-~344J The ~~ltl!foR~~erog ~L'f ~ >m [ own which ' Limited Energy/Commercial' $ 45.00 IS not mCl:\idcld(f!>fI!~EJ \mEJg'Rr~~ IF THE WORK Minimum Electric Permit Inspection Fee is 545.00 + Surcharges UMMENCEO OR IS A ERMIT IS NOT ~_"""""""'M'''''''''''''=~'''""'!i-'''~'' ~.;;,V~-'~ If Owners'~ialll\tnn"OAY p BANDONED FOR 4, MS.lJBTp;rA.LLOFAB()~~~;~<"~&'ki'%~."' 't1 - 'OU ERIOO It"""..,.".,,,,'~.,.__.>r',"",]."''''=~ !1!'1-~ 'if'iw I'm" ,"'"'., ":1 . . ,~~ 7% State Surcharge 3, '13 ~ ~ 10% Administrative Fee if,90 Inspection Request: 726-3769 ~ ~~ TOTAL C}Z:3 '3 C-." - "" Shared Drive(T:)IBuilding FonnslElectrical Permit Application I-oJ.doc 1. r,1:6CAfY6N.OF.XiNSfXt';"AtidN~~ . ~~~~;.'J-c:.SN:t<.__U1~~':i~. /22./ !N-r)/b,if ~r: LEGAL DESCRIPTION 17'03'(j,f'13' OOIOd-- JOB DESC~ON fitt1;}1 r1 j'}fldh CI,ft't/l( ,AIM j)t5tfu1tt5W y- f1?U- c/~ 15 , Permits are non-transferable and expire if work is j, not started within 180 days of issuance or if work is Suspended for 180 days, !#:eONT..iRrWTo&J:iNST.APf!'4.TION~~."..' ,2. l~~."'t;...~.~c,"J,~,~'~",n.v1i~~"'-" Electrical Contrac~RE ELECTRIC. INC. P.O, BOX 23154 Address EUGENE, OR 97402 City Phone 3rlf-f7Z?! Expiration Date 3.393-5 10-( -07 C;'(P091 VV\1rY 'llZOh' Supervisor License Number Constr. Contr. Number Expiration Date Signature ofSUperviSin~~ 7I~ Owners Name Address :J ;r :J- J _<~f-tl) IJ/t1W14 51 City Phone 3. rteoMPI.:J:.l1!FEE'fSCiiEjjtftEljjELO~$.iI!;I"1;'iI!lli;,t!~i1'iI ~~"""""".l..h>":~~~,_~_",,,,:*~~~~ A. ~1'W1it~id~ti~f~~gICJori~='F~p'~~lli1.~g.',ti'~ii:'l,~ ~~......,.."., -<tv' ~ 1"~'''''''.r'''''''~':I..o:A~~''''''-'-- ,~~~ Service Included 1000 sq, It. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50.00 B. ~s'~~~TJ.{~rF~1m-~~ris:f~1:;l::it1;~1n;r'atfo1i~rJR~.~ru~rin~~ ~~"1~j,,~"~lI.I!'P'l..-<<,;;;'l""'~i'~'_;I\1"U'(.,'r~A.f,,"'~::1C':3li''''''~~~iJW;l.l'I:'r'''-''~''' .f; 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50,00 ~"~!t_~"':tN~'i(;.~~~r.:":l4l'o.~"""~J:i'~'~~."'"~.l'~ C, [jl'l'~,'!'PJlr.~r.y..S_"J;Y1~.~JQr.lF:..eileq, ":;PPf'.9/1., 7'1,' Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69.00 $100.00 ~ I' . . CITY OF SPRINGFIELD Status Issued Building/Combination ~ermit PERMIT NO: COM2005-01627 ISSUED: 11/21/2005 APPLIED: 11121/2005 EXPIRES: OS/21/2006 VALUE: 225 Fifth'Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2221 DAPHNE ST ASSESSOR'S PARCEL NO.: 1703244300102 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: New Circuits Owner: , Address: BECKNER MICHAEL R & WANDA M 2221 DAPHNE ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LIVEWIRE ELECTRIC INC License 56697 Expiration Date 05/16/2006 Phone 541-344-4928 BUILDING INFORMATION I # ofUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: : # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEV"'LvndENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . Ll1 r OF SPRI1'\jljN~LD. Building/Combination Permit Status Issued PERMIT NO: COM2005-01627 ISSUED: 11/21/2005 APPLIED: 11/21/2005 EXPIRES: OS/21/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~, Pllirll Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.90 $3,43 $43,00 $6.00 11/21/05 11/21/05 11/21/05 11/21105 Receipt Number 2200500000000001603 2200500000000001603 2200500000000001603 2200500000000001603 Total Amount Paid $57.33 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.~p.OJJi~ 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 herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 oflhe 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 readahle from the I ,street, that the permit card is located at the front oflhe 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 l~l 225 Fifth Street ""Springfield, Oregon 97477 541-726-3759 Phone . ~! ~~. "ty of Springfield Official Receipt Whelopment Services Department Public Works Department RECEIPT #: 2200500000000001603 Date: 11/21/2005 I :48:46PM Job/Journal Number COM2005-0 1627 , , COM2005-01627 COM2005.0 1627 COM2005.0 1627 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: , Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 43.00 6,00 3.43 4,90 $57.33 " " Amount Paid cpeck t:. ~. LIVE WIRE ELECTRIC Ikw 10389 In Person Payment Total: $57.33 $57.33 , ~I " .( :' > . . ~ i~, 'i ~i , u' ~~ . " ,t :: " " :', '~l " :\ I,;' li' ~ " 11/21/2005 Page I of I