The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-5-12 ~~ ~~~~ \ . A!" DATE-S-l?_cia ~F SOURCE .~r~j Date 5, \"2..- oC:, \ ll5 FIFI'I1 STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number c(s>llC<\~-~ L ~i9'c.AV'ON(jF;i~sTAiPrTroN~~9~~1~~1 ,,*, I.... .,,':4. ..lV.... ~~ ,;.,""",';'".'>.:,;:,,,~;,t.!L;>i..~ ',..,,,r.,'.....,.,Ii,....1C.;..t..\if,u.t,:.~ ..::i"ir- d;.O< 2S5'<)" l/~jJedl ~('I-~c,,,, R~< LEGAL DESWPTlON 170.s 7.-L{L{( JOB DESCRIPTION Ilil ( tJo.-t-f.J to r 007-60 te({l!/I 5 ftJ,J e it(~"1'J :,lI....,'I';\:,.7,<:. ;O',.,,~u.....w""1'"'Z.~i"'i:"~{'::.t:t.":"l~117V1:.,:;."f.".....!:'f~":'O':'-~I';,F.1~~":~~!""'I'~""'~ 3. !iCOMPLETE;FEESCHEDULE BELOW.(f{'i$%i:>1"':)I,,\\,;i!l;',<"',IN "~':<~i.iSI:'_,\fo.;..~".;,;,;;s;~lI.':"v...l;;;',':f"~'~'~;~..Jk.'.~o;.:;:.:.;(,,:.r,'::a;.Jt;!:.~1iP_;;;d.~h:3":~Ui,~~&~~ \;f.~:.~~t;l1:l;~;::x}.'t::1t~~,;/",~"-",,,"....-W"';!"~~~W~~'~l\):;f'.Y':'r;~,;r'i:,"'fl"-"<,J'" " A. ~;NewResidentiaJ;.o.:-'Singlc or Multi:Famil)'.per:'o\\'elling uriitW.;.~< ~_e..:~ ~_-_- _,''o~ .- --'" "'o.:..,.._~..k....:..-t.i.-~~"L."""-::""!:.ilN""",~~..";:~""d' -.- .~; '". . ,.~ Service Included 1000 sq, ft, or less Each additional 500 sq. ft. or portion thereof $106,00 $ 19,00 Permits are non-transferable and expire if work is Each Manufact'-o Home or \....\l.'"""" not started within 180 days of issuance or if work is l;1pdular%;)\~!~ing Service or $50,00 Suspended for 180 days. Fe~der.\l,\ ' '\J'CFJO' I "'1~'Y~ "-;';"~""I ~":7~f:>:"'~:.. ~~~o:.:!.;;;-tJ<f'i'~'-~k.ver;..: l<':?'''''-~. :: t.-if.~t.;';':.fl~~lJ.~.~'{'~~;."";;;:~",y,~.~~~',t'!-..\-'\-;:": ]'t,,'\:~(;,f"'::':-"b<"i\'V,'lR.~~ ;,CONTRACTOR INSTALflATION ONLY, 8,. ;~Se.=vices:or1Feeder" ~Jnstallation;' Allenitioiis"orRelociltion:t,l 2. 6;-. :;........ "~~\~ .....:i.;..;.olLT:l;.c.l,..)Ci'.('.~....(.;..-+;.~~~';,:.'t..:.:;:,j '\)\'''~r~""",-6t..\ijJ.<<..';o;.<<~~?.{t~.~~....-:l\...~;t..'"<~t;i.......~~~4k~~1.:~ ... :\\f \.~ O\\V~. , J~ /J ~/ _ /(6\0\0.,\:0')0 ',,,,0\\0\ Electrical Contractor 'r-.... 7 c..:..- T_I I". ' r, C"o> ,v-' \200)Amps,Q~.less. ,-q $ 63,00 ~ . J' cO\\'>- A"O<> "-:>'V' :' I~'" S<l,(\l <10", 201IAmpsig';l00-Amps $ 75,00 '4 ill/ /7 I' _Ii "" ",c/ ~, :I I'" \" 'r 10 ,I Address ~ -, '--~(:) r. i:X9f ,,,,':?t::'_.r:J <Iv.. \dOIl'A:mps to 600 Amps $125,00 ~}V1 00u~ ~ N'''\3 Lf'/J \\\\\\(\,oe\f\'o<l601Ampsto1000AmPS $163,00 City --?f-d:, Phone 7'( t(~(fl:J;;f' Over 1000 AmpsIVolts $375,00 Reconnect Only $ 50.00 Supervisor License Number 5<( 5"4 5 Expiration Date /0 - 0 (. 0 7 Constr, Contr, Number / -:; t, '-I 2. '1{ Expiration Date l' - () (- () 7 Signature of Supervising Electrician (17 ~ (l~ Owners Name 'Tn.p u.J o...f!P.lLt:. v:' Address .2~~.... ~CA.,e - R~( City ~. p~one .JMir~"'J>4:- OWNER INSTALLATION The installation is being made on propeny 1 own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ ~~'::!"r'''_,"",,-~~'-''.~~:1''''.'''~'''P-'''''>''''' C 'j .:.~ ",'t" '-:"""IS,:+;,~r,=",~{-",;',' 'F'''''d''~'\~~,it:''l''''.:..<,:..f;~:;'l~''€$~~A'<('. -'Jt~,:,.l'~";'f~~:'~l . ". ~E'!t2r~~,~m'.~c.~s. OI:,.. _~~~ _;.~r.t0J~~h~'ti~~ >~~;'e..~?,:,OU.1i,\:;~i:,:\.'1;_f\'l Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to 400 Amps \j~l'I"''f.. $ 69,00 '401 Amps to 600 Amps- \r \v,'C. c "11;)\ $100,00 1>\ <\\\C~?~;~?SIi'~'I)~}~~.~~~~~1S~~i~~~~~.gt.~'1tg~il!~'~f>F~ \'~\~i'-e:~.!:i'ttri2JWIiS~l.!~~'a~~~~x ,';i:;,,f."'Z.si~~:i".c;;::s~~"\;:~r;.,;j \" \\\-'\'l~1Alteratibri'=6rrJ):xtension Per Panel \>.'v . ,G~\\J\:.v - c\l.\\.lv' " "7 - ()\-;c;'lneCir~~,ii 1'1.- I $ 43,00 ., -, - C, ~l'a~hI:'A'dditional Circuit or with I" Service or Feeder Pennit $ 3,00 E. t!~Ei!~~~t1~~~~~1L~~~F~~~:~r~~~~I~~i~R"i Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergyIResidentia1 $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fe~OO.+-Siircharges ~;:~,,${~., ~~..:,~-:;a~".~,", :C--"-." ,,1'~:;:~ '~~:i:;'~:~~~f~~} 4. "sgn,!-O,[1!-9fAJ}.QV];',v;',;, ;.".,>-;;'<.~,,,!,) ~"'...~l..~-$....;...-< ,. ,.r.::..:.:J,i.;'....:::~."J!...M'-'-.~~~ .!~.,.~,..:fC~~.;. l(') 3bO l( F(J -,10 5,;- 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-Q6.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . U 1 r OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00356 ISSUED: 03/31/2006 APPLIED: 03/27/2006 EXPIRES: 11/12/2006 VALUE: SITE ADDRESS: 2555 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703244100200 PROJECT DESCRIPTION: Pellet insert Owner: JOE WALLACE Address: 2555 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor .Hl;ense'lCl E,pRiration Date BIG C ELECTRIC LLC . ,vSZ'ZSS'OO'3 J,5~4.2~, )0\ )a~\ \,a~07/25/2007 THERMAL RESOURCES INC.:~,\ f..\I\I$I $O~ 1~.W~46) al.\\ 0_. '\.($IQ!.Z9/2006 I BuiLDINGIINFORMA:fION'I' 1\";~c;6 ",'li0 U\ r\(\J al.\\ IV' onOJI.\\O>U\Y'O $0\\l3~\\\\~~ f..'ii 6f.Stories;ClI.\ a501.\1- 'Ja\\)aCl 'a$1J ~(Jt.lSize: "H~!IiJ~~Stfu-CiUre f..a. pa\dOP~ ';jO\1-~_qHltJlst Floor: l>TypiofJte.j1t:\O al.\\ l3\ $06aJO.\-I Sq Ft 2nd Floor: w;ii~~ ~rll~;,\(1'oaJ M Sq Ft Basement: Ran'g\!Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential Phone Number: 541-988-9173 I CONTRACTOR INFORMATION I Phone 541- 7 44-8946 541-343-1131 I Dr... v i!.LvntILl"llI 1i''lJ'0RMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , ~\jt: \NO\\~ I PUBLIC IMPRQ..VE~,ENTS t I\\.\. 't.'j..?\\\\: ~?-~\\ \'2> ~\J \ ~~\S ?'t.\\~~~ ~~Dt!li~~ntpe\1 to\\ 1\1.\\\'\0\\ \'IC't.D 01'- \DocrnspoutslDrains: cO\1l\1l't. 1\'1 ?'t.I'-\0 . I\\'I'{ \'OCl D . Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Inspection - Preliminary Minimum/Adjustment Mechanical Pellet StovelInsert + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00356 ISSUED: 03/31/2006 APPLIED: 03/27/2006 EXPIRES: 11/12/2006 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 2200600000000000416 2200600000000000416 2200600000000000416 2200600000000000416 2200600000000000416 2200600000000000416 2200600000000000597 2200600000000000597 2200600000000000597 2200600000000000597 $10.00 $4.50 $3.60 $45.00 $15.00 $30.00 $4.50 $3.60 $43.00 $2.00 3/31/06 3/31/06 3/31/06 3/31/06 3/31/06 3/31/06 5/12/06 5/12106 5/12/06 5/12106 $161.20 1 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 R'ponirprt Insnections I Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing chimney. Pellet Insert: After installation Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , Paee 2 of 3 . . CITY VI' M-K1r\iu~ IELD . Building/Combination Permit PERMIT NO: COM2006-00356 ISSUED: 03/31/2006 APPLIED: 03/27/2006 EXPIRES: ll/12/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby eertify 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 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-37~9 Phone · iit~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department .' Job/Journal Numher COM2006-00356 COM2006-00356 COM2006-00356 COM2006-00356 Payments: Type of Payment Check cReceint I RECEIPT #: Date: 05/12/2006 2200600000000000597 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Paid By BIG C ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number: How Received djb 1649 In Person Payment Total: Page I of I 1:24:22PM Amount Due 3,60 4.50 43,00 2,00 $53.10 Amount Paid $53,10 $53.10 5/12/2006