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Home My WebLink AboutPermit Electrical 2006-6-26 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2. r~q,L~~R~ST,J1lIID-~miil~Nfj;y~ B. sl~,.\i~~ ll.!';' ~.r'I' - [~tiiii.'ti~I\~M't~I'~ti~hs(~r 'R~i~:Jati~n':" _.._ .illk.Jl'~~. L.........Xo.lII"J{..J1...",lo<o.....u 1~lj,I"!,, I~ Electrical Contractor LA- S f1<'-" cd- 01 Co; --:I;7c . 200 Amps or less I $ 63.00 6. J ;) i2 _ ' ;?11mg~W Amps $ 75.00 Address V() uvX' J V'? d--~'il \a'll401,~Ds\t~~.O'OIAmps $125.00 . " po Ore9'-" h C/J' r../I 70-1'. .?}'yt ~31e%'nP!!to:~60a:,:mps $163.00 Ci~~fl()~17e/O Phone IY c?,d3.~::>se9vercJpgQrAmP~f.VOItS $375.00 . '.'" ~,(); 00; 0 thrOIR1b'onnech<VnlyS by $ 50.00 \ 2.-v - , n\eS 01 \01...... ."',,,. ,- a obtaIn co,.. ,~~\o.hone I "Jo.(j\ (/{ ~J m 'i (1\.I;qt€li' . ~,. "rt.,~. ."',' I ,. ...~I~J1 I, I, Supervisor License Number '1N'7'7.~.hO r.enter. """\j~. '!W.ees """el'S c""" '~;'Dr the oregon :;\32.,2344). /0 - 0) - ;;;;>-cV70nter is 1.800.Inst~llation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps I ~ I ,. CITY OF S,,- ,JNGFfELD. OREGON '....... 2.'!'5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72~-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C b - '" () 786 Date ~ p~ b I. 1mP~~joiy!@lJl~~&\1i{~~ 3. e~~~~~Wt.ii!J~iiijHM z I $""0 L!MArA "";:/ 8'1 LEGAL DESCRIPTION /703 Z. 7/0 ~"."'""""""""'jffi A. R"siilL'Jltiah ",. ..,..~I M ( D41.{OO Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or porti?n thereof JOB DESCRIPTION ,:::ee'"J~11... "{Po ,4""" o(L )€S.s LDz- &/~~(o(o ~S(Y2;r'J $106.00 $ 19.00 $50.00 Over. 600 Amps or 1000 Volts see "B" above. D. dm..~~~tIIlI , New'A1teration or Extension Per Panel One Circuit Each Additional' Circuit or with lJ . I, L Service or Feeder Pennit O",ners Name Ol'\ n'^~ 6<t L.i I,: I' n<.~T LA L' E ~.,""~~ll ., '. , ~......"r:~li.....,..'t!""'..I'1i..d,t,'.'Ei...,j;'i..'t..ll...t'''"' Address "'7''-LI ..J.~ . :........aneon' c, e,er,no ,IDe u e 'i- ac liS a .1011 '"" ~ -\ vY ,.. 0iU '" I... IIi. 1,1... ,II "... Phone -,$ 'Ii( -~lt,... \'oJ\\\~.P.\9!:&?i~?~~~~\\ IS ~OI_ $ 50.00 1\-11S I'cR OSU\lli9.!\ili7i~~~~~IrR~o fOR $ 50.00 OWNER INST ALLA nON (l.\.Il\-10R~~cbun\ljltfE&.!}!rY]j{gldelll1al $ 25.00 The installation is being made on property 1 own wfil~~iQ oNiitjliji\lil~Rergy/Commercial t $ 45.00 IS not Intended for sale, lease or rent. f\ Minimum,Electric Permit Inspection Fee is $45.00 + Surcharges , Expiration Date Constr. Contr. Number =)RY1 CJ - ) - ;;;>(JO F( Expiration Date $ 50.00 $ 69.00 $100.00 I -s;:"".&"'~ :: ':" .....t;~.. ....: ''':: \ ~' '-.: .' :- , S' '~ature or:upervising E]~ City 1:=u.(.~C $ 43.00 $ 3.00 Ovmers Signature: '4. ~~.@E 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc b3 $'0'( "0 71.( 11( . .CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2006-00786 ISSUED: 06/26/2006 APPLIED: 06/26/2006 EXPIRES: 12/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541;726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 84 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install feeder 200amp nr less Owner: WUORINEN LIVING TRUST Address: 2154 LAW LN EUGENE OR 97401 Phone Number: 541-344-9249 Contractor Type Electrical , Contractor C & SELECTRIC I CONTRACTOR INFORMATION I " ,on I1rennn I t I " '/"" a'I:icense aw EfPllllltYnuJ1blte ~~. '''''''eObytl 0 .\;otl/icatinn ('o,~~~.9 ..-' 1e rrOjtotAZ\),l)~ BUILDING INF-ORMAl'IONIIO thr~~~h"~;~e9s5et_forth ----, ,uu ""'Y oDtain co . 2001. E~U' h pIes O~~f}.r"'BS b # o~ Stones:,"? t e center. (Note: the ~I, ~I;re, Y HeIght IlfiSlfuet(m,the Oregon Uti/il R ~f.M~or: Type of Heat: Center is l-B00-332-2Y 1f~f2il\iCll1oor: Water Type: ,3~ Nt Basemeut: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-741-2236 # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rljd: Paved Drive Rqd: % of Lot Coverage: NOTICE: I PUBLIC IMP~~~~~'E~"'''t1ALL EXPIRE IF THE WORK ,.i'~NDER TH'~~Hrr COMMENCED OR l~iWI' . IT IS NOT ANY 180 0 f\ EDJOR AY PERIOp)ynspoutslDralDs: Total: Handicapped: Collipact: Street Improvements: Storm Sewer Available: Special Instruction: " 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 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00786 ISSUED: 06/26/2006' APPLIED: 06/26/2006 EXPIRES: 12/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne o{Project Fees Pltid I Fee Description + 10% Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.30 $5.04 $63.00 6/26/06 6/26/06 6/26/06 Receipt Nomher 1200600000000000960 1200600000000000960 1200600000000000960 Total Amount Paid $74.34 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. I Rellllired Insnect\lw.Ll Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 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 with~ut permission ofthe Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe 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 of 2 225 Fifth Street Springfield, Oregon 97477 541-7~6c3759 Phone . !j:~~~ ~,-. - c;Aof Springfield Official Receipt _Iopment Services Department Public Works Department RECEIPT #: 1200600000000000960 Date: 06/26/2006 IO:38:3IAM Job/Journal Number COM2006-00786 COM2006-00786 COM2006-00786 Paid By C AND SELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 305003 In Person , Payment Tolal: Amount Due 5.04 6.30 63.00 $74.34 Description + 8% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Payments: Type of Payment CreditCard Amount Paid $74.34 $74.34 cReceinl1 Page I of I 6/26/2006