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Home My WebLink AboutPermit Electrical 2006-6-13 __.:- ~ w, LlYZ., : __ INITIALS ,Al'jJ ~ -~, DATE ~II 10'')(.., ~ ~". SOURCE -6f-~~ "~ 11-13--00 . :;~:';;;o\.I\ . ..' ", ';""":'" "",. .~, j' . ''''.\ """ I' ^ 1.:..l(t1.;'oI'~'~;'U : . b.. .errY10F ,SP.RlN\:..AELD, OREGON,.~: . .' . ,,' . ,~:.:'. '-.'::'~ '-. ''ol .:....", . ',~ ...., .:.~ -::...... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Lo'(Y\. "U:51'J1.(;> - b 0'7 'd--4--- . .,.... . -. . , .. . . '.. ,.~ :.' ~ ", ..~. ',- I..LO~TION OF INSTA;LiATI01'f.:{ X.;"'" 2 'iSj5"-Jq~<JQ~"~'~ " LEGAL DESCRIPTION \ I /l"\ '), 'd"'::l L./ ( 0 S7(S7:) JOB DESCRIPTION rJcW 'UJO (f\, ~Ii.<oJ\c.e 2. ~S, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . ......t ~......" - -i."--'.'-:.....,.,'''''_..-..~..- . 2. /io.f!!i0Y!2~}ift;r~n.~It8!i?P:Y~ Electrical Contractor 5~> eLQCf'I'eI<!.. Address f() ~x (:1-/3 City f/m54tft !II II Phone '726 -()61 f Supervisor License Number L/-()1 tf - S Expiration Date 'X-o<6 Constr. Contr. Number q5lf7L Expiration Date f I - 'Z- '3 -0 h Signarure of Supervising Electrician ~ -Iff . Owners Name ~Ci1A\'Z1') Address.:J ?<3~ ~{""y\e C 'f\d'C.\1 ~O 'C.,... __ TCUo""'-"'- Q.D City ~ V ,<L.-- OWNER INST ALLA nON Phone The installation is being made on property I own which is not intended for sale, lease Of rent. Owners Signarure: Inspection Request: 726-3769 Date '<,>;-_,. ""'~' _ ...:,......,......_' ,,''''..,._......~~.. ....~. or,.. ,',"'" .~_ "". .'-~'-,'~ -. 3, l;CQMPLETEFEF/SCli'EDUI$BELQl1:i ;..<.;: ,';,,;';";;?I,j,,>:i t.~".....:..-:~.-.. ..;_.....:.~~',~_\... "-,- ,_.'... _.._.....~....\...:s. ..<..'l-...t::......... ....._,.~ ....(1', <,. .."":-:::- ':"'1",-~'r--4V:~7'" .,"'::.,--:_:,:,",1-_4"'~;T,'_~'"I"~ ,.-- .~.-,"C',?'~ ,"~.";'T";","'-;r~" A. ,.New R~sideri!i~I:'Singlec o!-Multi-Fa111ily'perj:lwellinguniU;< _~ _'_'''n~'' ''-<;;.'' -+_.,,_,._..., .'"~.._........ ---....~-, ,--".-~~,~"~-",-,,,,:, Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular DwelItff~~~~e ';,';. ,_ _ _ ,_ $50.00 Feeder " ~ " Q. .. 0....... "," '~,1U1res YOu lU ,...,.,,, _'. ,_ ~,. -.lc,J::>-1li-j r..;.....~~:;t[.;1.1,I,..LC",.... ,: hH tl"\C.r;.rc--rr\1:'l' 'L',w.i!Hi'I-""~- ..,.,. -~. '.......~'., ..;.r'. ,,~>. ,". ""'~~'1..~~-,~-,,~"'.......\..t ""''''''.'T'~tfl~1:V'-'-'''-' "{ B. :,,'~e~vi~e~, o~~<! ~~~h:~:~.J~s!aJ},~ti,o~!~Att.~;a,ti~ns:Qr, 8!lpca tioil: :', .,i '/ ~-' ,;.""..40.-, ...1"-..."'......,.,-01,:.......'--......-,""..-. :t'_~ _.'t--'._~.~p.-lJ;,......(:.....l:<i, ~..._,-U.:1!:.L'1__--'..:..:.'-... L, l " - (' _ :'C01.Q01 0 throuoh OAR 952-(,/J'< eO 200 Amps orclessc,. " ':0 cl mw oLJt,~'~ t~~;~s$_63.00 r ,,__I':l I - J , - Ullllt: L;.......~ ""'I 201 Amps to 400AmpsU,~ ce,ltnr ~~I",,,, tl~&7?6?Bpr':'~: 401 Amps to 600Wnpslo' th3 O'r'lnn' "'I,$125.00rot;nn '} . ......1,1 601 Amps to 1000 Amps,)'ltor is 1-8GO-332-$I'63\PO Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 c. &!~TR2i~rI:~~tYfi!s~::~e~~.~;'227~:';iic~",:J~f~::~~i(~~~~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 '401 Amps to 600 Amps $100.00 Over ~OO Am'~s or' 18bo'vbl~;s{~2~"lfb6~t WORK D ;'B"-" 7': 'h..C' .';i,J.:'.lt:J,;t,i:I;~#tJ~') 1til ~'p-~n -lSii\in'!', , t. L'L')S"",!~~LsJJ#J;S:?'fBAN5f3'N?ffl~'0H:J:...:- New Aiteration or E,,-te.~i~n Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 h~ 2- $ 3.00 ""r-~-~-'" r~::--;~"'''"' '-,..'~-,'" -~~ ~ "-;-7.--'-.--", .u,.;/.-... ',; " 4_~' -''O~7'' E. :.:Miscellaneous (Sei-'viceifee'dei- not included) '~E:ich Insiallaii~n; ,.:::...:.z...c"l';;~_:"_S' -';~'-' ''-"''.:.l__~,,,- ~~._~r":"':-:':';"";": . : ....f~_ <. ';~_:_':";.J, Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/CommerciaI $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges "':o.:~ "'-"~."'-~"7; --""""'-:;;;:'--\r"ir:-" 'f,.~':' - '. -; ,.- - '':' 4. ~,~Ul1tOTAf:, 8f.~PVE:.\." '- ;'_ '; ..' ~,,....,;J,,,"'_~<",,,""N_._...,.~,,..-,,,......~.,.,.. _ ..........-........ "_..'" .-..... '-'- (o?~ . 0- oU S-5~ ff / . L-f). 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonnc;/Electrical Permit Applic<ltion 1-Q6.doc . . CITY OF ~rKll~ljJ'lI!,LD Building/Combination Permit PERMIT NO: cOM2006-00724 ISSUED: 06/13/2006 APPLIED: 06/13/2006 EXPIRES: 12/13/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: r,\ ' , '....,.. .......,.., ,;............ ,......... ~.... - Springfield TYPE OF WORK: Ele~tiicaLWork,O'nIj\ity .~ ". -I ..J~ 3 rll:rs (~~e set 10rth TYPE OF USE:" ; lRem9d~Il O^R C5;~~~.il!ential " c'-';:;,~s of the rul3s by I. ' , .r. r:' 'nc:' r)p tpl0nhnnA , ,.. ; ..'....:..'1 L'.;;Jty i'!otJfication ~, ".:;, 1-8~v-::J32.2344). SITE ADDRESS: 2833 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224105700 Owner: RICHARD CARUSO Address: 2833 GAME FARM RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor STEVEN GEISLER License Expiration Date Phone t".~ i-9~472. , 11/23/2006 541-726-0618 BUILDING INFORMATION rJ U;~D'EH T~-S~ It- THE VIO,i/( vi.. .,[, -., J IS '. ERlvilT is "OT j. Uq I~U'I""fH'O # of Stories: ",: "I 'Uot-Size:ic FOR Height of Structure ,RIOI). Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupaot Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , DEVELOPMENT INFORMATION I Frontyard Setback: Side I 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: Stnrm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of2 -i:&.,I~~~:~ ~~~ . . Lll i' OF ~rt<ll~lj"'~LD Status Issued Building/Combination Permit PERMIT NO: cOM2006-00724 ISSUED: 06/13/2006 APPLIED: 06/13/2006 EXPIRES: 12/13/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectinn Line Total Value of Project Fpps tlWU Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $6,90 $5,52 $6,00 $63.00 6/13/06 6/13/06 6/13/06 6/13/06 Receipt Number 2200600000000000825 2200600000000000825 2200600000000000825 2200600000000000825 Totai Amount Paid $81.42 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..JUll.Wr~~ t'lmrr~ Electric Service: Approval required prior to utility company energizing service, 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 tbe City of Springfield and the Laws of tbe 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 furtber 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 tbat all required inspections are requested at the proper time, that eacb address is readabie 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 of2 225 Fifth Street Sp[ingficld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00724 COM2006-00724 COM2006-00724 COM2006-00724 Payments: Type of Payment Check cReceintJ . RECEIPT #: -iiii-~.-'.P}~"". lilt, ! ; . , ' . . .~. . ...,. .' .....,.,--- .- * of Springfield Official Receipt _elopment Services Department Public Works Department 2200600000000000825 Date: 06/13/2006 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + ! 0% Administrative Fee Paid By STEVEN'S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1867 In Person Payment Total: Page! of! I:08:l7PM Amount Due 63.00 6.00 5.52 6.90 $81.42 Amount Paid $81.42 $81.42 6/13/2006