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Home My WebLink AboutPermit Electrical 2006-8-22 . . Lli!... /-.JY'^ ?"/;J..J-./(N;:; ~~N~J ~" , ' , , ,~,'''--.. . t.-:-/ .; / O-<'v.r ~-2..Z~ CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ,(..oMA 'Z..oO E;-Ol 0 e, ( Date I, LOCATIONOFINSTALLA1'lON 3. : COMPLETE FEE SCHEDULE BELOW ..._~.....J City HuBfJHILP. hI<. 'n(3)' 2t4t:' <:; CLot/~I?L6f~ Loof r- _ ._, _ _ __ __'________ _, LEGAL DESCRIPTION 170'3 'ZZ"{ '3 '" IOOA. , New Residential- Sin~~r JVl~ti-Fa~!ly p'.':-'!.w<!.li,:g_unit: _.: PHGJ,..IIX /t)(;/,1'Tn UI/'II/I. rA-f...II,1' Servicelncluded JOB DESCRIPTION ATTENTION' 1000 sq. ft. or less tOlloW rut . Or Each additional 500 sq. ft. or /J ~ ~ e~ ad ..... 'OW ro. . 1<.E (1Ivf)~/ () r I!lC, fllAlt5 ,<;-f'"/z'/.JU'WI..e. OPP9[)IO~ thereofi1JI/es You t . d . Inr"A" :''::'' venter. ""hu/ rlJ~ Ore';1l'n ..,.,.0 Permits are non.transferable an expire I work~IS)2-001 'Eae "ManUt3ct'd'nome Otlty not started within 180 days or issuance b:r.if,wo'r!!~sm -00 Nlo'dY~fi)~gj1iri'gServic.e~91h $ 000 Suspended for 180 days. Calling the ay ObtcF.~e21:/Pi:n UAR 952,001. 5 . ,--- ---- -- - - - ---nrl!rjr;-;. . ,center. Vii' S Of/he rufj- - --- - ---, .., 2 I CONTRACTOR INSTALLATIONONLYm the Oli. J S~,!vIC.s'orlF.eedert~I~Stallation, Alterations or Relocation: ' . l . - ,--- ----'.. -.-- Centeris ;,e~~nYfi7lt{N~7:t:'lOne-------'--"-----" ,~ Electrical Contractor WII,t;K~7 H/IL €I H.:rf/J(.)ji!200-KrrfPf:.'i!,r411',~s Cation I $ 63,00 & J. ~ 201 Amps to 40'0 Amps $ 75,00 f. 0, B/JX 2tJ(., 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 $106.00 $ 19.00 Address Phone 5~VI(J(~ Will Supervisor License Number 'It ')...! ~ c. : _T~~p~r~~~~ s~vi~e;~r Fe!d;~-----~=~-_~~~____ , Expiration Date II). - / - 07 Installation, Alteration or Relocation , 'rU lICE' 200 Amps or less $ 50,00 Constr. Contr. NumbefH/S fIi-:D~t.. ' .201 Amps to 400 Kmps $ 69,00 . , AUTHoR/liio ~~At I. EXPt 401 Amps to 600 Amps $100.00 ExpiratIOn Date COM"iZr-:-:. J. '-IJA'6fl:. - Rr /F "'HE~ 600 A 1000 V I "B" b AN '''''to -.. II1/c'P I, Mer mpsor o IS see a ove. Sig~Ofsupervisi~ Ei1,8td~i,,\,, P~~:S A8ANOO~RMtJD,Sk6~fi-h:~i!.~~it; , =.='-=, -..-~~_ _ _..O'.. ! ( -(.' 17 1 / :=: OD, ED FOilfew Alteration or Extension Per Panel . ..)U~ One CirCUit , $ 43.00 Each Additional Circuit or with ','2-(' Service or Feeder Permit $ 3.00 h3 OwnersName ~tfE,.v '?ro'C"-~t:.-s Address 'S 0 E ,?,l.oA-J(,.v'Ay City t::a6-&'/€ Phone s;7e IC$O E. i~!~ce~ai~~u~~~~;:"ice/i.:;d~ nO~in~IUd~)-Each:I~S;;I;~tiOn . OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. SUBTOTAL OF ABOVE L.....,..._ ......_. ___ ____, I I . IZb (0 v8 t260 6~ -.---. Inspection RVst: 726-3769 (jl; \ \ L{)f-\ ~ \ \ '"2))DQ ~(~ ~?-\ 8% Slate Surcharge 10% Administrative Fee 5% 7'~1' A:C TOTAL Shared Drive(T)lBuilding .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-0I081 ISSUED: 08/22/2006 APPLIED: 08/22/2006 EXPIRES: 02/22/2007 VALUE: . . Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fox 541-726-3769 I nspection Line SITE ADDRESS: 2645 S CLOVERLEAF LP ASSESSOR'S PARCEL NO.: 1703224301100 Springfield TYPE OF WORK: Electricol Work Only PROJECT DESCRIPTION: Remodel of existing strnctnre TYPE OF USE: Repoir Commerciol Owner: ALLEN PROPERTIES JA CHATEAU GARDENS Address: 30 E BROADWA Y STE 160 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electricol License 162985 Contractor WHISKEY HILL ELECTRIC INC # of Units: Primory Occnponcy Gronp: Secondory Occuponcy Group: Primory Construction Type Secondory Construction Type: # of Bedrooms: , BUILDING INFORMATION I I'.'. - . "-~"7'~N' . I. 'R/ ru:'# ~~St'(rries:1 law re . ^,~,'I C"tl'o,e HeiglitloflStructureoQl.1lreS you to . "U n' ''':In+_ - J "'t! re . In O;,ll 852, 1y,p~~f H~'!.tje rul gOn Utility 0090, You ('Woter, '}:YP.~iou h es are Set forth Colli' m'Raiige=T,ype:. 9 OAR 952-001 Q ng th -, ~'jOles f - e 'Energy Poth: 0 the rul nUmber ~' I'" 'm' '" es hv Or lSpmnkled Building:telephon nlo r:~n*...._ . -. ....~un Utilih, ^,_ .... t# I DEVELOPMENT-IN FORMA TlON' 'I Frontyord Setbock: Side I Set bock: Side 2 Setbock: Reoryord Setbock: Solor Setbocks: Overloy Dist: # Street Trees Rqd: Poved Drive Rqd: % of Lot Coveroge: Street Improvements: Storm Sewer Avoiloble: Speciollnstruction: I PUBLIC IMPROVEMENTS I NOT/CE" THIS PERMIT SH ~?~~~gJ~ l~l~!~~Z~~~;j('Q~ Expiration Date 0210112009 Phone 503-981-4640 Lot Size: Sq Fe 1st Floor: Sq Ft 2nd Floor: Sq Ft Bosement: Sq Ft GorogelCorport Sq Ft Other: Occupont Lood: REQUIRED PARKING Totol: Hondicopped: Com poet: Sidewolk Type: Downspouts/Drains: Notes: Description Type of Construction I Valuation DescriDtion I .',} Squore Footoge or Bid Amount $ Per Sq Ft or multiplier Poee I of2 Volue Dote Colculoted . .CITY OF ~rKll~t..FIELD ' Building/Combination Permit PERMIT NO: COM2006-0I08I ISSUED: 08/22/2006 APPLIED: 08/22/2006 EXPIRES: 02/22/2007, VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l.Fm P~id I Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Eo Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number' $12.60 8/22/06 2200600000000001173 $6.30 8/22106 2200600000000001173 $10.08 8/22106 2200600000000001173 $63.00 8/22/06 2200600000000001173 $63.00 8/22/06 2200600000000001173 Total Amount Paid $154.98 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. U"ouir"d Tnsnections.l Rougb Electric: Prior to Cover Electric Service: Approval required prior to utility compauy energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, tbat 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. 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 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 Paee 2 of2 225 Fifth Street Spri,ngfi.el~, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 I 081 COM2006-0 1 081 COM2006-0 J 08 I COM2006-01081 COM2006.0 I 081 Payments: Type of Payment CreditCard cRcccinl1 RECEIPT #: . ;;:~~:~, MiL CAof Springfield Official Receipt ~opment Services Department Public Works Department 2200600000000001173 Date: 08/22/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WESLEY SCHREIBER Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb 079385 In Person Payment Total: Page I of I II :34:09AM Amount Due 63,00 63.00 6.30 10.08 12,60 $154.98 Amount Paid $ 154.98 $154.98 8/22/2006