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Home My WebLink AboutPermit Electrical 2006-11-15 (2) r; . :".'.,::.. , ' ':'<fI;il~'~L,~:, .. ':;:-'7;,:~.!i;;:'jj;~'~j4", i_~~~}:l: LDZ- NM. il - /tv .-00 .,. (Y\/"",,-<>r.o;'i) Cl{ :~."\ '"i'" .. '....'...'I~ r - --> . . ;;. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54])726-3689 ,;{]t ~;~;~~'~~~2e;;:;2;,'~:~:1::~5::vts- Date 1/---/5- ()~ - 1. I.OC.nTON (II" INS'/:.\tLI1'10N ()13)~ LEGAL DESCRIPTION ling :::n IITV LlLf(J7) ~:~C(~):U ~ &euils 3. COU I'Ui'/'E FliI! set J JWW.ti /J1il.O II' :5t' JP24 " I A. 1\('w ,Hesidcillial~. Sil1~lt~ Uf :\lulti-f'Uillily pd' (h\'l'Hill;': 11111 . Service ]ncluded Permits are non-transferable and expire If work Is not started within ISO days of Issuance or If work Is Suspended for 180 days. 1000 sq. ft. or less Eacb additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 :'lect~:::'::~:~:::~(IJC~~SJE[~0 ~20::::so::~:c"ers ~ InSlallation. AIt7r~I::.~~ R"I"C":l\~ P'D B 1//#. 201 Amps to 400 Amps $ 75.00 Address _ 10)( 'fC\ L 401 Amps to 600 Amps $125.00 ~ T" 7/11 22")/ 601 Amps to 1000 Amps $163.00 Ci Y q.. Phone I. - ~ \0 Over 1000 AmpsNolts $375.00 . Reconnect Only $ 50.00 Supervisor License Number I ~7 . S . C. TI.:mpuri\l")' ScrricC's 01' FN'lkr-s Expiration Date ~ Inslallallon, Allerallon or Relocation ~ <;l;' LID 200 Amps or less Constr. Contr. Number ;)/ t\ I-' 20 I Amps to 400 Amps I.' I Dr! 401 Amps to 600 Amps Expiration Date '~ Over 600 Amps or 1000 Volts see "8" above. D. Brunch CiI'\'lIits $ 50.00 $ 69.00 $100.00 Signature.of Supervising Electrician ~AIII::~I ::I.,.. :~~' ' f,,'I(llMrv ~.<~)piC' .1 .' "'. ' , NewAlte'N~~'rcE~te~slonPerPanel - d'. f'-. _. 'One CirCUit $-43.00 :--''''-~..~''~v''mh ,!"S.:l,,;i' "T, EachAddii'i6'ria'itWJM!16T$iI/,ALLi:7~lf IHtW8~1\ r~_,?AR B;/2-l\:1-GO)j.F) Ih V\rOI "'1,' Ul'\ /"'A'v; '()M'I~rvice or "eedet,pertilitD UNDEo T E$)3,nn I~ Nn~ o'-"n~~~ar'lm~e' ~/.l"~/' ,.,,' "\'!;_:~'oI=-:~.tr1~ /te:.(/JEI/ , . 18Q~~'\J~NCfQ OR IS' ARANDo~~';~n'R Addr . IU~~ J.I JO:~p~J ~ ,:;) . :dlscd :JlhOlb Sl'I"'H,,'l'dce'dcr llotinCfu\kil) -Eneli Insllllbfit'll c,' ,".mb'1r1orH13 Uregon lH!liiy t, 'l;,i,.'::;i~;,l . ANY 1 0 DAY PERIOD. . !I J, "..' ~ '1!,hone, _ ." Pump orlmgatlon $ 50.00 '7 '-10 I . /. Sign/Outline Lighting $ 50.00 OWNER I T ALLA TION Limited EnergylResidential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Owners Signature: Minimum Eleclrlc Permit Inspection Fee Is $45.00 + Surcharges (gq . Qb 3.'15 ~ . 5 '1- (,,-0,0 4. -'irJR7'O'J:A L OF rlllOVli 51.. ' So/,;state Surcharge 10% Administrative Fee 'Inspection Requesl: 726-3769 TOTAL ~1 t!>~ If- Shared Drive{T:)/Building Forms/Electrical Permit Application 1..o6.doc 225 Fifth Street Springfield, Oregon 97477 54(:'726-3759 Phone .Wi~ C.,f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-0 1465 COM2006-0 1465 COM2006-0 1465 COM2006-0 1465 COM2006-0 1465 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000001590 Date: 11/15/2006 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 C & SELECTRIC Item Total: (;heck Number Authorization Received By Batch Number Number How Received njm 216841 Phone Payment Total: Page I of I I :20:47PM Amount Due 63.00 6.00 . 3.45 5.52 6.90 $84.87 Amount Paid $84.87 $84.87 11/15/2006 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01465 ISSUED: 11/15/2006 APPLIED: 11/15/2006 EXPIRES: 05/15/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 24 ASSESSOR'S PARCEL NO.: 1703271004700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service & two additional circuits Owner: WUORINEN LIVING TRUST Address: 2154 LAW LN EUGENE OR 97401 Phone Numher: 541-344-9249 Contractor Type Electrical Contractor C & SELECTRIC I CONTRACTOR INFORMATION I License 3849 BUILDING INFORMATION I Expiration Date 09/01/2008 Phone 541-741-2236 # of Units: 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 Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Stor~ .~e~.!r~1~~i;I~~!~:f)gon la11\/1 ~ Spec13I,lnstrucl1on:dopted by t'" t IVIIU'.'llIUIQ;:)a I r;; ;: " N "otil'lcu(ion Center. Those rulr.:;! 'I' otes' . III OAR 952-C01-00l0 throullh O^::' " Sidewalk Type: DownspoutslOrains: . Street Improvements: NOTICE: M.__ .. ~I "- ...._~_. .-............J .................,........j........,;,llll L1ll' 'H. . . "oJrCt11YlII SHA calling the cenler. (Note: tt!,,: tck:I, I1tValu~tion DescriDtio1-0lHOR/ZED U LL EXPIRE IF THE WORK number for the. OreJon.~tilf1J fJ',UILull'-" l,UMMENC NDER THIS PERMIT IS NOT CentPps l__,r,~_., . ,.?""'l) $ Per Sq Ft square.!oo:M!!e ED OR IS M.o'NDONED Description Type of Construction" I' I' B!:IJV 1 ,nAY PER/OYalu~ D81f!Calculated or mu tip lef or lu m nfJ U. . .Y1. .,' ,':" Pa!!e 1 of2 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01465 ISSUED: 11115/2006 APPLIED: 11115/2006 EXPIRES: 05/15/2007 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 Fp.p.s tlWU Fee Descriptiou + 10% Admiuistrative Fee + 5% Techuology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.90 $3.45 $5.52 $6.00 $63.00 11/15/06 11/15/06 11/15/06 11/15/06 11/15/06 Receipt Number 2200600000000001590 2200600000000001590 2200600000000001590 2200600000000001590 2200600000000001590 Total Amount Paid $84.87 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. IRp.o~ By siguature, 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 aud all work performed shall be done in accordance with the Ordinauces of the City of Spriugfield and the Laws of the State of Oregou pertaiuing to the work described hereiu, and that NO OCCUPANCY will be made of any structure without permissiou of the Commuuity Services Divisiou, Building Safety. 1 further certify that only contractnrs and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required iuspections 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 remaiu ou the site at all times during construction. Owner or Coutractors Signature Date Pa2e 2 of2