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HomeMy WebLinkAboutPermit Electrical 2005-8-26 r ,. zonina.. ana croes norreqi'lIC' ~,~ --- - ~ opprov"ai. t-t:>::'2- . Zoning 5, ;~ I V 'i . .,""~inq 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 '.6~.' J ELECTRICAL PERMIT APPliCATION .. City Job Number COWl l."'O~-- OlJ6S"Date <?- 26 -OJ 1. ~ bou.,.u LEGAL DESCRIPTION I<6D'!.OZ:Z~ 3. . !iitJM1i1lliliil;l:KErSeHEDdi1E1BEi?(:)W"-"~ E-~~- ~"'~~___~~~"_~""_."""l!"~~ 01000 A.Ii~~~~~1tti]i:1~j!1}~~~. Service Included -., ,allowing projec!js submitted has the fOllOW. ing 1000 sq. It or less . .-.. 7 ..n$'ro{ort1b~ Each additional 500 sq. ft. or portion thereof $19.00 JOB DESCRIPTION 'j2t..."'1NII1.~. ~e- tJli::LIJ Se-t/..vlc.e Permits are non-transferable and expire if work Is Each Mimufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. . Feeder 2. ~~~~1j~~iia B. ~"=f~!~~~!1!ll1~~~~}~~~~ Electrical Contractor 379 C C~ci? lie 200Ampsorless 'jou\O .~. $63.00 -!r,,,'-- ( t? c:. r 201 ~~Il6\lI~'*~wP;\i\i\'j $ 75.00 Address 3'fC( (!~~r,~ 't' ---->r--- ~.Ole'i\iji'~nJ6oo~klPJ!Sl\\ol\~. $125.00 QJ ~N\IO . do\>'60Q.Ammtb'\r,,"ho~'OO $163.00 S' Cl' .~AleS ll' ''\\\vn'::. .,,~"()p', \ s 'o'j City (,) Phone (/S- ~r. cen\e~~ill\JlNUnp~11s11.l e $375.00 /I ~O~~~~~~-O~~'~~~~~e \~~~~~~~l\ $ 50.00 Ie c(5/'/ \P. 'loll !'II ~!k~\~, ~-'..,'" Supervisor License Number J '-( ~n90. \ne ~. m !1II'f:~c~'l!'iq...!l!l"de - Ca.\I\lIJ \ I \ne QO-?):''t- Expiration Date I,r') _ (') ( - () 7 (\u!'ll'oel ;en\!Jnria1ti!lon, Alteration or Relocation 200 Amps or less $ 50.00 J.'\& 1.(.2'6 201 Amps to 400 Amps $69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. iB.~~~(,f~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $50.00 -~""'... '7-*.i ',~.~:'" "" "".. j!,J _. ..., Constr. Contr. Number Expiration Date 7-27-07 Signature of Supervising Electrician (7u~. G~Or> Owners Name Tt\wte:::. ~ M S7( ~PEIIf ~ ~,c~ Phone $ 43.00 $ 3.00 Address -:::r E m~~~lI. L'~,l;'(~~~t~''''-I~)IE'~'illflfi"''\ii!II'''''~ . . 18<< ap.eous~,_ _e~c'=tl~,~~ ,no In~ u ~_ ,- 'a~u nsta . anon Pump or irrigation Sign/Outline Lighting OWNER INST ALLA nON Limited EnergylResidential The installation is being made on property 1 own which Limited Energy/Commercial . . d d Ii 1 1 .- \~In"'''' IS not mten e or sa e. ease or rent. Minimum Electf.lc,PermiUnspectlon Fee is $45.00 + Surcharges ....t ("I.;:' \... ,..;"un"\~\'_ ,(' Ml\ \ \'~~ \\~~~NI\' ';)\'I1\\..4,,'liS~ !;ob>VY:li ,Ii\';) r c-" \ll'\\)t:,,~~~\,~,.. tlO\'l\lf\). ';) ~1'.1\\'lUv .- p,\ll _ "Ct.\) 0\'1 \ d% State Surcharge CO\W\\'\~C; \)i'-'1 1't.\'I\0 10% Administrative Fee ~~'1 u TOTAL $ 50.00 $ 50.00 $ 25.00 $ 45.00 City Owners Signature: lOb 7'fl. 1000 12t{ oz Inspection Request: .726-3769 Shared Drive(T:)lBuilding FormslElectrical Permit Application l.o3.doc . . CITY VI' ~l'Kll"lt.Jl'l~LD Building/Combination Permit ....... I~II,.....,.... . PERMIT NO: COM20'lJS;(JTtWlflhasthef 1/ . ISSUED: 08/26/200S -'''- ,__"o,,~~ Ing APPLIED: 08/26/200S EXPIRES: 02/26/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 210 DORRIS ST Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1803022401000 ires yoU to . _,_ N: Oregon \aWhreq~eQon Utility TYPE OF USE: ; PROJECT DESCRI"l'IOI'HN'i.9w[a8!J~!llrI\ttrep~ce;sl'bn:,is~lorth . folloW ru\es,.,~nl"'. Those rule;. ~ a Q"2-00~- Owner: JAMES ti~\1I(;""'V" _OO~-OO~? tnrU~~~ ~\ the rules 0,/ Address: 571 ASP u may obtaIn cO . the telephone SPRING. ~R~%7&Jf!ter. {Notuet. 'I.t" Notilication ,..~ \0'6: .....__,..n.n \ I .J . numbeflOI '''~.'' R"n-"I.12-'t.;:;..",. center IS ~'Tc'ONTRACluK m~vKMATlON I Electrical Work Only Repair Residential , Contractor Type Electrical Contractor. BIG C ELECTRIC LLC License 156428 Expiration Date 07/25/2007 Phone 541-744-8946 I BUlLDIN", m~uRMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type . Secondary Construction . # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a , DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I ~ct c~~~ \ ,,' n>. t)(I'IRt \r NOI Storm Sewer AvailablJi' uS' l'\..k\:,\I S\-ll\\..~ 1 \-lIS I'tRN\\I IS R Special Instruction: \\1\ \.)\'\11.\:.0 \JHOt Qi\NOONtO \'0 1\0 \ \'1 '~CtO OR IS I\u - Notes: C0\~\,,\tl :'/I'\:.RIOO. ....N'{W\J\.J/\ Sidewalk Type: DownspoutslDrains I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated .' 1 of 2 _."l:I!!'IAIIIIILq; . . ' ~l ., . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM200S-0116S ISSUED: 08/26/200S APPLIED: 08/26/200S EXPIRES: 02/26/2006 VALUE: Total Value of Project Fpps tiW!.I Fee Description + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Amount Paid Date Paid $10.60 $7.42 $106.00 8/26/05 8/26/05 8/26/05 Receipt Number 1200500000000001254 1200500000000001254 1200500000000001254 Total Amount $124,02 I Plan Reviews I To Request an inspection caD 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certiJy 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 wiD remain on the site at all times during constructiolL Owner or Contractors Signature Date 2 of 2 225 Fifth Street 8fJringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0ll65 COM2005-0ll65 COM2005-0ll65 Payments: Type of Payment Check :' - '; " - " 8/26/2005 . RECEIPT #: ""~RIN"'''II!,I?H' __ \ WIi:=- . ~ . . , ._~. - - .ili..ty of Springfield Official Receipt '.velopment Services Department Public Works Department 1200500000000001254 Description Residence Wiring 1000 Sq Ft + 7% State Surcharge + 10% Administrative Fee Paid By BIG C ELECTRIC LLC Received By djb I of I Date: 08/26/2005 Item Total: l.:heck Number Authorization Batch Number Number How Received 1634 In Person Payment Total: 1I:14:31AM Amount Due 106.00 7.42 10.60 $124.02 Amount Paid $124.02 $124.02