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Home My WebLink AboutPermit Electrical 2005-2-9 \.' . ~ I ,,' . '.- . -. ,. '''; .., ~ ., -, - -, , . < . " 'c"'" -. ' CITY OP..C'1)RINGFIELD OREGON "" , , . , Aid 1$ . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~~l!l.>1'o ~~ ELECTRICAL PERMIT APPLICA tv :o"o~: 01'1)""1)",0 I n ~~~. City Job NumberLD~m~ ~ '" Date <::J.. -~ -OS 06..~6"/0I' 0, \S',rt. L 3,"W ~,,~ LEGAL DESCRIPTION ..... ''''I'm ...,'...."o,:X' , J --r "",0- --9GM-9'/'~~r.'1/~';'j"~~""X:-"""""'tA=-""""_' .---...."'~.,..". '-r-:v,' ...~~ ----L.LJtl..:). ~~".:r>~~~, !o!-:~*;0r(~'li4j(AJt~~;:'~~~ds1~~S.er,Yifei.~~cl}i~e.~~tg{1'~:1::;;~..;~ti.t~J .~~}.\. ..-~ ~,. JOB DESCRIPTION' '/C.. .. :'.';::';,'~" "'~: ',', .,. ":'.:' :i1066;;q."ft~or'fes~:;t~ ,~"\:;:":~~'f,~,,"'!'::',, . ~ "'~'-"'--'-'-<'., L~., ..~..-..~. \,,~~'."-<c.t.~"\;.,..'. ..._'...,.4..__....__.. ~_ _._ ... __._ ..~..l....,-". _ _~. ~ . f- Each additional 500 sq, fI, or N\ ~ ~ I tlu,L/A 0 , Ln ~ portion thereof $ 19, - ATTENTION: Oregon law re I Permits ar on-transferable and expire if work is Each Manuftl5tl~.fflIeS'ad t qu res yo~!O not started within 180 days of issuance or if work is Modular ~il&7I>-1' oPP ed by the Oregon Utility Suspended for 180 days. Feeder n venter. Tho~A rill"", a'teOs~ lor~ , ' ,in, O~~ 95~-00,ll,:tlgJ!H , ,~;,,:;',q,;,.\I'Ji 2, B.lism&u~~ 1IIlh:r,', ~'u..~\tl;. {~'O e: 'eteI8Phon~ , ' ''i 200 Amps cnlle!lPer lor the Ore(lon/Utilitv ~66tWati6&8 "-0 201 Amps to 400 ~ter is 1-800-332-23&41\,00 40 I Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 Address City Supervisor License Number ,I :::'Ci'~ ~...:'\ Expiration Date \ () '- \ - 0 I Constr, Contr, Number ,\ l t) I ~ 1,\Z Expiration Date 0. ~ ~~ - ('Xo Signature of Supervising Electrician ' 7,;-]) />"""-",_1 ((j ~ Pr1.J , Owners Name 8.H'1/.:L:;n ~.. m-4Ai;s Address f & m 11/ ~ , Ci~\\=I' Drl Phon;::::BW- (PqL~ OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: 'J:"\>'i.': "~ '. Inspectiou Request: 726-3769 i" :::;~:.:;;:::;:':;:::-:? "" C'~~l~'!lilf~~~ MnTICf,' Installation, ~teration or Relocation, 200 iHI~ PtRMIT SHALL EXPIRE IF TH~ ~dg@K 201 S,s7bfJJ~UNDER THI3 ~cn;/'Il$I~~~T 401 ~~i~I~b'1liA)tyR IS ABAi.uu"cu fs9&;,oO AI.J'V f8u UI\Y~ERIOD. Over 600 Amps or 1000 VollS see "B" above, D, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43,OU $ 3,00 E.__lI~';~.~ Pump or inigation Sign/Outline Lighting Limited EnergyIResidentia1 Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 MInimum Electric ~ermit Inspection Fee is $45,00 + Surcharges 4, u,_,:\ }.:D L\ '-1.\ ( ..3'0 n ~ )-?\ lJ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}lBuilding FormslElectrical Permit Application I-03.doc ........-..,. . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-00079 ISSUED: 02/07/2005 APPLIED: 01120/2005 EXPIRES: 08/07/2005 VALUE: $ 0.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line Owner: , Address: SITE ADDRESS: 660 MAIN ST SpringfierdT1iWE!OP.:WORK:1Sto~'i- ' ASSESSOR'S PARCEL NO.: 1703353109000 ',follow rules adoPt~d'b;;he eri~~res you t,o Nollti<r.}lRE1~~.,:!~1': ThJ1"J'}t~tlOngon Ut1lilYommercial PROJECT DESCRIPTION: Demo non-struetural walls. Electricallremoilel.l52-001_0010 throu h es are set forth 0090, You milV nhb;n MF"~' ~~R 952-001- HARRIS AND BERKMAN Calling the center. (iIlo(\!l:ij;~~~~We9~6-0327 91167 MARCOLA ROAD number forthe Oregon Utility Not/fie ti SPRINGFIELD OR 97478 Center is 1-800-332-23441. a on I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Contractor OWNER OREGON ELECTRIC SERVICE License Expiration Date Phone 161518 09/04/2005 541-343-1681 # of Units: Primary Oecupancy Group: Secondary Oceupancy Group: Primary Construction Type Seeondary Construction Type: # of Bedrooms: B BUILDING INFORMA nON I I HIS PERMIT SHA ' # of Stories: AUTH LL fIf6tI~.~e,:,: THF Height ofStrUtt~reMOR/ZEO UNDER l~!I:fW~f.l??~:~ORK Type ofHeat:AN'VI ENCEO OR IS AfS!lrF.,t 2iId,Floor: NOT Y 180 tH." "'I~I-Jl ~n/') Water Type: DAY PERIOD Sq Ft Basement" Range Type: ' Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: VB I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPKuv..,...." 1;' 1 Street Improvements: Storm Sewer Available: Special Instruetion: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construetion Estimate Estimate Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Plan Review CommlIndlPublie + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-00079 ISSUED: 02/07/2005 APPLIED: 01120/2005 EXPIRES: 08/07/2005 VALUE: $ 0.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500.00 Value Date Calculated Total Value of Projeet $500.00 $500.00 01/20/2005 ~ F pp<. tili.lU Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 $29.25 $8.50 $5.95 $43.00 $42.00 $6.30 $4.41 $63.00 1/20/05 1/20/05 1/20/05 1/20/05 2/1/05 211/05 211/05 2/1/05 217/05 2/7/05 2/7/05 2200500000000000075 2200500000000000075 2200500000000000075 2200500000000000075 3200500000000000039 3200500000000000039 3200500000000000039 3200500000000000039 2200500000000000142 2200500000000000142 2200500000000000142 $255.06 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. Il?p~ Demolition: After demolition is eomplete, sewer is eapped or septie is pumped and filled and Inspection Is requested and approved, and all debris is removed from the site. Rough Electric: Prior to Cover Final Eleetric: When aD eleetrical work is eomplete. Eleetric Service: Approval required prior to utility company energizing service. Pa2e 2 00 . . CITY U.l' ~rKlNGFIELD Building/Combination Permit PERMIT NO: cOM2005-00079 ISSUED: 02/07/2005 APPLIED: 01120/2005 EXPIRES: 08/07/2005 VALUE: $ 0.00 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 eompleted applieation and do hereby eertify that all information hereon is true and correet, and I further eertify that any and all work performed shall be done in accordanee with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deserlbed herein, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only eontractors and employees who are in eompliance 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 eaeh 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 eonstruetion. 0\~&, ~p Owner or ~ntractors Signature ClttzuJ"_Q.e9- 6ft/OS ~(' Date Paee 3 of3 p5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~~ Wit, JohlJournal Numher COM2005-00079 COM2005-00079 COM2005-00079 Payments: Type of Payment Check " 2/7/2005 RECEIPT #: 2200500000000000142 Description Perm ServlFdr 200 amps Of less + 7% State Surchafge + 10% Administrative Fee Paid By Received By OREGON ELECTRIC SERVICE njm Page 1 of I .ay of Springfield Official Receipt "elopment Services Department Public Works Department Date: 02/07/2005 Item Totai: Check Number Authorization Batch Numher Number How Recclved 18356 By Mail Payment Total: 2:19:56PM Amount Due 63,00 4.41 6,30 $73.71 Amount Pnid $73,71 $73.71