HomeMy WebLinkAboutPermit Electrical 2007-1-19
8PRIN.D
ZON
INITIALS
DATE
SOURCE
llS FW1'1I STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-37SJ . FAX: (541)726-3689
-
-~.~
C. [Temporary:~er\'ices or Feeders
lit., , / C-A'
Installation,/Alteration or Relocation
200 A~p~ 6'{,I€ss<',f4-'l'''
~ .. Ii?" -'T/") / (l
201 Kmps to;400'Afnps v,l, $ 69.00
"r y ,/1/':1 '<'; / "4/
401 Amps)o 600<Amps~/> <'( f' $100.00
v 0 <./ n_ </f.'() <:.r"
O\'e~OS> Ampfo~)!gQ.;V.olts s~e "B~o~e.
D. fBranch Circuits-f9//l v4.<> 11S',o~ 1:<'" ,
,- . <JO~.<I":;IV/) <N1../1I(:"-- ---. -_. )
..... New Alteration or ExtensIOn Per<!'anel'-'l''' q"n
..... 'I'f;O '/, v(),
. One Circuit ,.. <$,43.00(
E~'Ch Additional Circuit or with . <./1' YOI'
,.ServiceorFecderPennit 6 $ 3.00 18.00
Owners Name M.CAN-B-r.ORPORAT-ION- jl-.:_A-4~"/~;, -,,) \."....-..__ _ _ _ __ _ _u _ _
J,\ ~~, ' "_~_- -,,---" '"~.--~__
Address R40 R1!T.TT.TNE ROAD. SUITE 20~ Yo"'~E. l\!is~eil~.;'e~us (Service/feeder not illcluded) -Eneh Installatioll '
i1. U. V(};:~,~ljVI -, --.----
"j "-, 'f) l, 'I)~ "O~' ?,:J... ..:'/.' ~
Phone 541-746-84.44 'Ii" ~'il'mp Ob'Jflg~).lOfi'(" O'.....i, $ 50.00
. '.~-.. C$ISi~~/Outline Lighting r;>,.. -,- y $ 50.00
, '~...) -'(-},..." ~~ 'V(Jr. 'C:C\ ~(l'J ....(
'., - CLlmlted Energy/ReSIdential (j,. '. $ 25.00
"'''' '~~...."Y()~'-'~\,\ vA}^"CO'I;\ 1/1/..
7 Limited Energy/.l;:ommerciallt, 'I, J. $ 45.00
. ,~,.'(')~> -1//. . !IJ. ' fh. CJOS..., .'0.... .
MIDlmum Electrlc'Permlt-InspeCtlon Fee IS $45.00 + Surcharges
j-- -~:'-({/rA";_L"If:t ;-'-(;/:"-r_......W- - "---~-- ~
4. L SUBTOT;AIJO(ll:ltOVE; ,81. 00
- -- -----"-'<1,..,-':I'IQ._.'~G-/---- ---
8% State Surcharge qlto 6.48
10% Administrative Fee'" R. 1 n
5% Technology Fee 4.0<;
ELEC1'RlCAL PERMIT APPLICATION
City Job Number CoW\, 'Z,bC> 7- 00 10 Z.
I. I LOCATJONOFINS,!{lfIATION: I
~ 88B-t+1'f~r,;)-~C:\-l
r.T.nVFRnALE APARTMENT!,;
LEGAL DESCRIPTION: 0 Z.'ZO~
a:;-\i AA:;'~J.I iffiAD 17032200
JOB DESCRIPTION:
j\DD SUB PANEL TO TOOLSHED. ADD LIGHTS
Permits are non-transferable and expire if work is
not started within 180 days of issuance or irwork is
Suspended for 180 days.
2. I-CO~~9?I!I..N.S7~~!:I()~_()~I:YJ
Electrical Contractor SCOFIELD ELECTRIC CO.
Address PO BOX 27(, <;
City
EUGENE
Phone <;41-686-8612
Supervisor License Number
471R!,;
Expiration Date
10/1/07
Constr. Contr. Number
38702
City SPRINGFIELD
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Reqllest: 726-3769
Date
1-19-07
3. I COMPLETE FEE SCHEDULE BELOW
---1
A. lNew Residel~tial- Single or Multi-Family per dwclling lI~i;:- I
1..-.--- ._ __ ~______~_~__._ I
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manllfact'd Home or
Modlllar Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. rservires or Feeders -Installation, Aile-rations or Reloc~~t-i~I~--:
-----.-"-.-'-.- ,--.------.. ~_._------"'- -., - - ..'
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Ovcr 1000 AmpsIV olts
Reconnect Only
1
$ 63.00 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
"1
I
$ 50.00
TOTAL 99.63
Shared Drive{T:)lBuilding Fonns/Electrical Pcnnit Application g-06.doc
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00102
ISSUED: 01/23/2007
APPLIED: 01/23/2007
EXPIRES: 07/23/2007
VALUE:
.
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 886 HARLOW RD
ASSESSOR'S PARCEL NO.:. 1703220002206
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Subpanel to sbed and ligbts
TYPE OF USE: Addition
Residential
Owner: CLOVERDALE APARTMENTS
Address: 840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR IMv.,.,vlATION I
Contractor Type
Electrical
Contractor
SCOFIELD ELECTRIC
License
38702
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R2 Heigbt of Structure
Type of Heat:
VB Water Type:
NOTICE: Range Type:
Energy Patb:_ II' THE WORK
THIS PERMIT Sfs~h'nlnid'B't'ilding: n/a
., ........, '......nl..,rn lla.ll'....CO TU1C: DJ:t:n"IT I~ Nnl
'\\..1 II'....'......_~ _H__
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
COMMEIIDFNElIOPMEr!llJlNE'ORMNRION I
ANY 180 DAY PERIOD.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
_ _.............. ",..,11 t"
Expiration Date
12/21/2007
Phone
541-686-8612
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
AI I tFpi9B(iC;itY.Ip"RO:YEMENi~:,)n Utility
fO.llow 'V'-- - . les are se' forti
N t'f' at' ,on Center. Those ru ,Sidewalk Type:
o IIC l' rough OAR 952-UU I
in OAR 952-001-0010 n . s of the ruDow!,spouts/Drains:
y ay obtain cople .-- -
.0090. . ou m , (Note: the telephone
calling the cenoter. on Utility Notification
numberlorthe reg, 44)
r"nt",r is 1_flOO-,:\32-23 .
I Valuation DescriDtion I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I of2
Value
Date Calculated
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00102
ISSUED: 01/23/2007
APPLIED: 01/23/2007
EXPIRES: 07/23/2007
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
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$8.10 1/23/07 2200700000000000092
$4.05 1/23/07 2200700000000000092
$6.48 1/23/07 2200700000000000092
$18.00 1/23/07 2200700000000000092
$63.00 1/23/07 2200700000000000092
Total Amount Paid
$99.63
r Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
l;..Rf'nu;rf'r1 (n<nf'd;on<.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 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 of 2
225 Fiftb Street
Springfield, Oregon 97477
54I-726-3759'Pbone
caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00 I 02
COM2007-00 I 02
COM2007-00 I 02
COM2007-00 I 02
COM2007-00 I 02
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
2200700000000000092
Date: 01123/2007
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
SCOFIELDS ELECTRIC
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
32095
In Person
Payment Total:
Page 1 of I
9:21:J6AM
Amount Due
63.00
18.00
4.05
6.48
8.10
$99.63
Amount Paid
$99.63
$99.63
1/23/2007