The URL can be used to link to this page

Home My WebLink AboutPermit 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