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Home My WebLink AboutPermit Electrical 2006-10-18 .' . -~...' . LIY2 IJ~ lollt/Or;" " {Y1flA'1<::h2/~4 :~,-'l'''''"",,-::''':':~-' J -"'.., ':".;.i'...: . ~:):':~.t':.:;:;;.: . ~::L~:i,-~}N~L.~; .::D~€i'j:i~jl~';~l;~i;~jc::~'~L:ift.B..';:!~t;,::;jf0mi: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . ~';~;~~~~~~:Wm~.~2)I!O/~~d, Date /0/ J %/';;(JU~; \ ' I~ /5~,.nZ;;;;;~\tulJ~ (j.L3. LEGA.L,DESCR1PTlON , /706;;273";;;; 01 (5crv JOB DESCRIPTION /lJeL~, ~.,o {Yifl/D Permits are 000- ra era ~d expire If work Is not started within 180 days or Issuance or If work Is Suspended for 180 days. 2. (-:ON'rl~4.tC'1'Ol{}f"'~'r.1.LI...4TIl~~ Il~~LY B. Scniccs or Feeders -Installation, Altl>r:J.rinl1s m" Il.:hu..':ltiun: Electrical Cont~actor L.. ~ S Etten' Ie. ~200 Amps orlfs~egon laW (eQU~~;t~i~~6f'00 @3 P (j" II#' 'f~I:~P~.t'ri'4do Amp'S)'! \1'1e 01 ~<" set ''$05.00 Address 'D PO X' I '1'~ 2- , f\40~Am\iSlio"'6lfoPA;;;p~,Ose (l.l\eC~ ~Cl95Z-I$%.00 ~ ,Ollu ~et\\e\, gn. "b' ~ J l{ db '601,:Aln'ps to 1000 <AnfpsnlOI.l f .he {1.l1E'$163'.00 \, "'I 7 1-22, NO'\ll''-'- _nnu\~u"". leSe ....10 Ci I L. Phone . ,q~j\fOOO"'0!!ls(}'.:..o.I~(\ COp. "'_ .o\eOnO~.:;;5.00 ""lOReeonnect OnlY \el ~l'lo\e. \ - ,,^tiliC8S\S&.OO ~/S 0 "'~~II\~g \ne ~:~ O{~gO(\ l.l~i\i\Z344), Supervisor License Number L,- C. -Tl.\lUrmrh'iI}' Srl\ir.cs..'nGlb'l~d;?r.~ I ' (\I.lhl~ tenS I v , 0 7 ~, Expiration Date , 0 Installation, Alteration or Relocation ~<pi'a' 200 Amps or less $50.00 Constr. Contr. Number t\ .-, 201 Amps to 400 Amps $ 69.00 /,' I Dr! 401 Amps to 600 Amps $100.00 Expiration Date ~ Over 600 Am~s or 1000 Volts see "B" abo\'\I waR\<. D. ~~\.~I<M\1 S\-l~ll ~X?,~;~~~\I \S N01 Ne~lAireratlbn or EJlm~/flIl'er,panel fOR onelW~\J\~R\1.t~" "I< \s.M3~NOONEO $ 43.00 EacMMi!!W!WltiitcUlt'drwIOI \3' ' Servke'b'i ~<;l'd"Dl\"M'itR\OU. $ 3.00 ~N'{ 'IoU , E. ~\'liscdl:1l1;"OUllo (Se'Tin':fct'l!t'r nollncllhh'dl-E~l"h Insl:dhlfiun , :; '. ~:.:. ;i, ~ ~':~ i:reofSIt5;E:~ Owners Name, ~ 1l ~ (~h ~ A~3/f5 Ln1d.u1 J) LV Ci /J..../ Phone 747 - ;rt.;o<( OWNER INSTALLATION The installation is being made on pr~perty I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~. CO'uI'UiTE F1W SCIIIWUl.fi filiI-Oil' A. Kt'\~:,nesjdci1tilll-.. Single HI' :\lulti-r'';liniJr Pl'j' (hnl!illg Hili!. 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 Dwelling Service or Feeder $50.00 r PUmp or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee Is $4 $ 50.00 $ 50,00 $ 25.00 $ 45,00 TOTAL, 4. J/~J'(IDIL OFAllOl'E 8% State Surcharge 10% Administrative Fee ~ ,/c;.,. 7. ;;:;>0 Shared Drive(T:l/Building FonnsJElectrlcal Permit Application I.06.doc . . CITY OF SPRI~l..l'lJ<.,LD Building/Combination Permit PERMIT NO: cOM2006-01342 ISSUED: 10/18/2006 APPLIED: 10/18/2006 EXPIRES: 04/18/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1615 LINDEN AVE Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703273201800 , Uti (V _ TYPIj:01~~-L~I';iiW NeWl"tl:> Y Utility Residential PROJECT DESCRIPTION: New 200 amp panel and 3 circuits'AlTeN\ IUNdO ted by the Oregon set lortt tn\loW rU\~_ a .?_ ThnSe rules a~e _~n "n1 'f at\OHVV'..- on':../I""\I'....-- NotllC 952_001-0010 thpll~ne ~pw,ter;.l\E5lIi~'747-8404 in O~R'l'OU may obtain COf~~~e te\ephO~e 009 _''''nn the center. (No . ,~".." NotificatIon -- ,k":.l"rthe VI "'\olU" 332 2344). I CONTRACTOR INFORMAJ'.ION'I; 1-800- - Owner: Address: SUNSERI ELAINE T 1615 LINDEN AVE SPRINGFIELD OR 97477 Contractor Type Electrical Contractor C & SELECTRIC 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: # ofStories:~9"'ICE' Lot Size: r \"n-". I . I ~l- 'hJ-; Height ofSt T c urhRMIT SHAll EXS'<\fFlt l~tFl~O,r~ 1(" Type of Heat I HIS UNDER T\1lffi"lt~ji.d/Floor:N.J Water Type: AUTHORIZED ~'l.lft(~~emefi~~ Range Type: COMMENCED OR IS ABSlj'Fi e~r~g~/Carport Energy Path: ~MV 1BO DA'I PERIOQ.Sq FtOther: Sprinkled BuillJrrig: n/a Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 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: Storm 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 Paee 1 of2 J':"" . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01342 ISSUED: 10/18/2006 APPLIED: 10/18/2006 EXPIRES: 04/18/2007 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.Fees P3~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Exteud Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.20 $3.60 $5.76 $9.00 $63.00 10/18/06 10/18/06 10/18/06 10/18/06 10/18/06 Receipt Number 2200600000000001460 2200600000000001460 2200600000000001460 2200600000000001460 2200600000000001460 Total Amount Paid $88.56 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. 'Re~ Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any aod 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 I ' S})J'ingfield, Oregon 97477 541-726-3759 Phone . 8f'IUNOirii"'J;I~' ',..,.. 1IIi:, ," , . . , , ".... -" Giit,of Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-01342 cOM2006-0 1342 COM2006-0 1342 COM2006-0l342 COM2006-0 1342 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000001460 Date: 10/18/2006 Description Add, Aller, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C & SELECTRIC Item Total: L'heck Number Authorization Received By Batch Num.ber Number How Received njm 577396 Phone Payment Total: Page 1 of 1 1:02:35PM Amount Due 9.00 63.00 3.60 5.76 7.20 $88.56 Amount Paid $88.56 $88.56 10118/2006