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Home My WebLink AboutPermit Electrical 2006-6-26 mu0 &2/J.I!-2-CuG. NY'^ . ;>P~::SI.J~}'\j: /. ;:,;'~:'.~"~"\j.~;.~~' .'i\~6:;i,~~/~ f"'" .. " ", ...~ "',"', ' '...... :;l:~;:;-....l ((P!f. ~'..\ (f::.~.::;'6it~~:r.. ~.~ 11;" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'3689 ELECTRICAL PERMIT APPLICATION ~~" - 0071IS- ,City Job Number -,1'-'~'.' '~"_:o{'.">:'.'-~~. ';.--.1>: .....,_., .., '.' -. . .'-, . . ,'."', '~<fi;:\;".{"l." I. ,LOCATION OF INSTALLATION' :'.y;;,",:i; ""....-...loo.........."'.;.;.... .....,...,.....<<..:.0 ~-,f.....~~ .,,;.'\.-.". ...,,.:..~..~-Jr,,"'lo"'4!:l4' (PO"-. m~ LEGAL DESCRIPTION /7 tH :~~ ~/ . f}'t71J~ JOB DESCRIPTION ;tI~ ~ 5 Ci.t:.~'S Permits are non-transferable and expire if work is nnt stllrted within 180 days of issullnce or if work is Suspended for 180 days. ,r,CONTRA'B;()R"HJsT];}&TIOj$'o'f!iy~ 2, t!~"r'~"'l&",~;.v.."",\:;.::-~"J..l:O...;u;.ji'.ll.j.:..,;:."_\t:7",;+i~~~~4iaM..~j~~ Date ~ _ .:tG. ..d " .:... ._ _.:\,,".. ~ -.,:.~...., ~.-~ "".- .~. r 0,,,.:.;,<;;"'. --to"" ,. ..... ,-, ..:t':~.. '. . 3. ':COMPLETEFEE'SCHimULE BELOW"': ,- 5', t' 0..: .,.>t-, ............,.."";:..t.,:.......'s..: r.'olo~>:.~'-:. ........ ,l::, ...."'"_. .1"~,,""',.' -.~...;~ ~:~'",,~ ~_,~"';?.,.?.: .~,.:'1" ~':,,-:-.,...~ ;.......,,; -_' ..1~:'P'L'...',.,.!"'"~-:'i~+. ~ .' "',. "'~.':'l', . .;. ....l:,..,'~~'JI) ~,,:f.v;o.~ A. ~.+~~~r~~$~:~~~~.t~J~t ~.~l ~.~!~~~ ~!}I}~.~:.~ ~~~~~" p..~~.. ~~e}~~~~_~:~~lfill: Service Included , 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ~'::;~;"'':'~~''ii~. ..t.'S}.~.1....\;\r::-..~~.:f!tfr,~;;- ;~~f..,~~"i19l~....~~:~~~;J;';t;'h.t'';:t:i.:.~~~4: B. .~.Ser\.ices,orFeeders~,Installatiori; Alterations or'Relocation:'~--"'" ::"~"..:.L',.~'~1:lr."'ii:..'h;~~:~".'Jti'~Zl"~~A'''::V.;;:.'t'.f ..l.,I.ttt,~..;.:-~lr.r';,e.=:;M.n.~_~"S:r,'"- .:..~ -" r $ 63.00 /o.~.cD $ 75,00 $125,00 $163.00 $375.00 $ 50.00 Electrical Contractor '1'\()ll ) /Ah 'l f&.(' Zvh 200 Amps or less, . /J '1 201 Amps to 400 Amps Address r () ./ ytr/, r:2I :')03 401 Amps to 600 Amps 1 ' ) 601 Amps to 1000 Amps City, J.i(.lf JU~ PhoneSQ/-t,!?!a-;;?365 Over 1000 AmpsNollS a Reconnect Only Signatur::::;Sing Ele~ 0':= NiJix:'~ 0(4 J, '~C"<_"'''''_~AA'~:'~: ~,:-,~ ::,. Address l<Q;F~J 1.ii:.~uo6aJn a7JJOl J::lnwnu E. :~~~,~~tI.,~.~~:~2~~i~=~~f.~?!. i,~~,I~~ee.t:-~~~~ .l~lt~~~~~?..~;.: . ~UOI 'd8181,8l/l :810~. ' Illij:l1W.f<l:!:t1leO Clt . _ "Phon __ ~: . i ~ .:I01UU", . .....t....... .....:w I IVtI. '0600 .-~OC - __' " ~~~~S6u'-'OUI OWNER 1NST AI, 'ION " ffl1l'1" <J v . ~...-. ,-- "'" "~I,IJ 8S0Lil 'J8IU8::> UOljeOllljON The installafiHHlf~ l\~'i'n1'%'ii'd2'dhfpl'openylJlOWri;w~l~h'v\Oliol Limited Energy/Commercial $ 45.00 is not intend2i1 ~or1\;;\\.}Ie:lsebt/ra~tlo58JO :NOI1N311\YIinimum Electric Permit Inspection Fee is $45.00:' Surcharges Supervisor License Number ,,-:J;} ,f;? 0 Expiration Date /0-0/-07 Constr. Cnntr. Number ----,,>5/0;? J:> Expiration Date or:, -d 7-6 7 o. Owners Signature: ~~'''.''--l-'.''~'1,~'\lt~~1.'7'~~'\~:''~~'Wf.''''''~~.~~oI!~~''Q!'~'~~~t(r,~..~~~ C. Ci.TJ,rilporary Scrviceso~ Fee!lers ?>"~r-;il,!,..;;,~?J',":"":J'iC.",,\,.,.;;;,'\\l;j;f11 ''''A,...:.~..."",-,.....,,,,,,..w,,''''l~_.'~'' ,,.s:..;:~"~J:! '-.'.~~"\.'" "'....,,~.r.'. _ ;.v...>-,~,.J..S~~.~ Installation? Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1 000 Volts see "B" above. D I5'B-"'l'.'~~~ih""C~~\;"...~~~~:-:,~:;~~~~:~~~r;l~~W '~:;.\Z2t:#~.\3':'\f.~'-)~ , r;:;:....~~~~~~~t~r;f~;..?~~~~*l~::~t~-!~~J:l~:1~:i'~~+!~.;:r..0i. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 Pump or irrigation Sign/Outline Lighting Limited EriergylResidential $ 50.00 $ 50.00 $ 25.00 ~-.; ~-!~'IU'""?,'~t-"r,;~:"Jt."::."~"'Z"'-":Jr<.M~~~~~'"':$-'-"""~' "W' 4. SUBTOTAL OF ABOVE~'.Ff''1tf' ~i:;,;:,:,.,:. t .~: ',,*.' " . .","" ,. -""'"'..... ". >'i1,~1i-,~:'...-, l_l:-"(/, ...:J.'~.*, -:"~"~L"'.:::<_~.:.'fC(.:' ~..I"'-"~. ...:.:....-.:.i......u..~~ .,.t'1-.....,-it<..'5l. Q3.- "7.4f/- q.3l> --1JL'I. 1..:t:- MnTII'~: 8% State Surcharge, THIS PERMIT SHALL ~!(ro;f't~"liniWil!i~~!j~~K AUTHORIZED UNDER tWpAIJJ:RMIT IS NOT COMMENCED OR IS ABANDONED FOR " A NY 180 DAY PER I 0 [). Shored Drive(T:)/Building Fonns/Eleclrical Pennil Application I-OJ,doc Inspcction Request: 726-3769 " . .LII i OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00785 ISSUED: 06/26/2006 APPLIED: 06/26/2006 EXPIRES: 1212612006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 602 MAIN ST ASSESSOR'S PARCEL NO.: 1703353108700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: New Circuits Owner: TAM JOE CHEUK YU Address: PO BOX 126 DEPOE BAY OR 97341 I CONTRACTOR INFORMATION I Contractor Type Applicant Electrical Contractor ANGEL ARCHlGA NEW WAY ELECTRIC INC License Expiration Date Phone 747-6328 06/27/2007 541-686-2365 51088 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyllrd Setback: Side 1 Setbllck: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: HandiclIpped: Compllct: IJ'UBLIC IMPROVEMENTS I .(.. -<:88-008- ~ S! JillUE ~ Street Improvemenls: 8~ 06aJO a41 JOI Jaqwnu U01l1;?OllllON "limn U 6U1I1BO Storm SewerAvliilable:'41 'aloN) 'Jaluao a41 . AUO"U"'I'" ~ . r 0' '0600 Special Instruction,: 4110 saldoo U!Blqo I\ew n " f..q salnJ " 6(1OJ41 0 ~Oo- WO-<:96 \:lVO U! Notes: -~00-<:96 \:lVO 4 aS041 'Jalua;:J UO!lBO!I!lON 41JOllas aJe salnJ I f..q paldopB salnJ MOllol f..limn Uo6aJOb a~BI u06aJO :NOl1N311V 01 nof.. saJ!" aJ , ' Sidewalk Type: ., 'oJTlCE: lilS PERMIT SHA ,IUTHORIZEQ UND~~ ~XPIRE IF THE WORK UMlvlENCED OR IS ASH1S PERMIT IS NOT "I' lRO DAY PERIOO. ANDONEQ FOR DownspoutslDrains: Paee 1 of2 '. . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00785 ISSUED: 06/26/2006 APPLIED: 06/26/2006 EXPIRES: 1212612006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F\r';~ tiWU Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount PlIid Date Paid $9.30 $7.44 $30.00 $63.00 6/26/06 6/26/06 6/26/06 6/26/06 Receipt Number 2200600000000000880 2200600000000000880 2200600000000000880 2200600000000000880 Total Amount Paid $109.74 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. ~....tion'l Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signllture, 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 furtber certify that any and all work performed shall be done in accordance with the Ordinances of the Cily of Springfield and the Laws of the State of Oregon pertaining to the work described herein, IInd that NO OCCUPANCY will be made ofany structure without permission of the Communily Services Division, Building SlIfety. I further certify that only contractors and employees who lire in compliance with ORS 701.005 will be used on this project. I further agree to ensure that III1 required inspections are requested at the proper time, that each address is readable from the street, thllt the permit card is located at the front oftbe properly, and the IIpproved set ofplllns will remain on the site at all times during construction. ~ A7~ O't..~ Ow~er or Co~actors Signature (p - J..{p ~ /) r... Date Paee 2 of2 '. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .li~ C_f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-00785 COM2006-00785 COM2006-00785 COM2006-00785 Payments: Type nr Payment CreditCard cReceintl RECEIPT #: 2200600000000000880 Date: 06/26/2006 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 8% State Surcharge Paid By NEW WAY ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 316290 In Person Payment Total: Page 1 of 1 1I:13:14AM Amount Due 63.00 30.00 9.30 7.44 $109.74 Amount Paid $109.74 $109.74 6126/2006