HomeMy WebLinkAboutPermit Electrical 2006-3-13
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approval Os re ul'~ s - .Bn1le fOllolVin
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ELECTRICAL PERMIT APPLICATION . 'liroom, ~ ~ ~
City Job Number [Ow---V::>O b - 00' I '1 Date "3 - I J - 0 ~
1. 'LOCATION OfrNSTALLAnOfv'" :,,'- 3. ~:CpMPI:!f.TE FliM~ijED..iJp;BELOlf.
727 \I\I1A-/IV s. T
JOB DESCRIPTION 1000 sq, ft. or less
/ ( 1 , Each additional 500 sq, ft. or
Ad-a Ib c(r,-,^l~ '1-0 effStY"'J ~ortionthereof
Permits are non-transferable and expire if work is rt>tl.oA^l fach Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for ]80 days. Feeder
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2. :CONjRACiOR INSli ii"4.iiON, O^,L,Y;
" .'. . . : .,.., " ~1, ..J,,_ J' _. _ ~". ...., _,_, _" _ 'c.+
Electrical Contractor r_ h 'LI <,fe...4 SOY! laeLOUC: 200 Amps or less $ 63,00
201 Amps to 400 Amps $,15.:00
'Ie" JU
401 Amps to 600 Amps la\N ,,,CuI ~$~f,5:QO
601 Amps to,100QIAmjls90dl\ b" t\'le Ole9u~ H63!OO\'l
.-r:!,\l IV ,,,te 'Ie" ".. ~ ""~.
OverPI oOO'Amp's~.oltS't' "'''''os'' IU .. ,., $3);5,00
,(\I,D' t \\' .\oJ b"
Reconriect10nly cel\te, , tDlnllon vP: $,50:00 ,
~;ti\ic~t~~2,()Q.i:O~~~t\ CQ?ies OI~~~e~;Ol\e ,
c. ' Temporarv Ser,viC'csl'o'r Feeders e', tl~e " t'I\'ICatiO!\
'; "'oo9b,iO\:J;~e'~~er.\e\. \1~Ovl\\.l\i\IW \'l~ . ,
II' 0'-' ," "",,0 "3A")'
Installation, :A:lteratioD\or,RelocatioDJ2-(:...
- !fInel \U'" . ~.l:l\:Ju-~
200 Amps:6r less cel\tel IS $ 50,00
201 Amps to 400 Amps $ 69,00
40] Amps to 600 Amps $100:00
Over 600 Amps or 1000 Volts see "B" above,
.. f"
D. ,Branch Circ'uits .' .
4. SUBTOTJIL OF flBOVE
~~
~ ~J$ ~ TOTAL
'-J~~ 0
LEGAL DESCRIPTION
/70'5"] ':) l.f 2
07700
I
,q
Address 61'JD S, DpY\~L1 ~
City ~ q7/ov Phone (P?r'~' J./
I
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Expiration Date
4-01~S
I Db I ~OV'l
J-lrJ4 e....
Supervisor License Number
Constr. Contr. Number
Expiration Date '} II I 0 L,
';~tJ;7r
Owners Name j:k:-c.,f-.... , ~? ~
Address?' , r~ e::t IlIO LJ
City T.c."'C.f....- C-4 Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
'.,..,.. ".,' ,'. "" . '.-'.'
A. :;:"Ne,v:Re~idcntiar-:.Sirigl~. o~ Multi:'Family.pc~ 'dwelli~g' ~nit.
'.',.:__ ,"'.._....l.,~,L.,..,.'":...._.....:..._~....., _."'.i,,-'. .. ....,.., '. '.
Service ]ncluded '
$106,00
$ 19,00
$50,00
:'-':If''j'"'':\':':''T" ..-\:.:;,~:~",..tf:"~',;'"',:;:"",,-;,'. .",.,... '.:'." ':~', .
B. :>Scr;Yiccsor.Fe'eders'~ Installation. Alterations or Relocation:
:',:.':, ,_,,:.,- ;.t, . '"'~ \:i;,,:'~::"':':;.;l:-:".'~' ~.,..: . . . .. '. . '.. "
New Alteration or Extension Per Panel
One Circuit $ 43,00
EachAdditional Circuit ~r witb. } I 1-f.3t'lJgl'\\<.: l./ (;
ServIce o,\.fr;ter Penmt ' tJn\',~ I\::)\ I'S ~O\ ~
"0 \\" . ~\ S\-\I\ll IS ?tI'\WlI\ ,
E. ~m;<\t\lGr2Ii~. ttr~~ijf&J~o~~f\t<tll)rJ:f?:lch IhstllMation
" '1\1,)1\-\01'\1 '01'\ IS 1\'31\ '
Pump~mj'ltq,r~CtO ?tI'\IOO. $ 50,00
Sign/O~i~Y ~i8Gti~'{ $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is 545,00 + Surcharges
8% State Surcharge
10% Administrative Fee
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Shared Drive(T:)/Building Fanus/Electrical Permit Application I.Q6.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-001l3
ISSUED: 0113012006
APPLIED: 0113012006
EXPIRES: 07/30/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
. SITE ADDRESS: 727 MAIN ST
ASSESSOR'S PARCEL NO,: 1703354207700
Springfield TYPE OF
Electrical Work Only
TYPE OF USE: New
Commercial
, PROJECT DESCRIPTION: Lighting for stage,
Owner: SANTIAGO HECTOR HUGO
Address: 29955 EL RIO LN
JUNCTION CITY OR 97448
Contractor Type
Electrical
'CONTRACTOR INFORMATION I
f\ laIN \ ""'~ f\ \.Jtll\CY
Contractor '''':\'I'.N"\ION', ?;~~p.~ b'l the o(e~~Jc.ense(th
CHRISTENSO~ _",r"E.!"TRIe:I~CThOse (\Jle;, ,(I,~8l52-00~-
,..... . -. -,..- ,-'''''' - 'J.\e';:i u,
No\\llc:',\BUILDING\INFORMA'IUONI f\e
, Of>..'ii <J~- " obta\l' v., , he tel""hO ,
If\ 0 '{0\J '#'~fStories:Note, t. NotilicatlO(\
009. \~~ ,;"".~ 15\\11\'1
calling !!~i~~J !!.f(e~~f\ 32-2344),
n\J(l\be( Ty, pe of,Heaco-3
\. ~ nt8\ \;.;1 .
'Water Type:
Range Type:
Energy Path:
Sprinkled
Expiration Date
05/0112007
Phone
541-688-6121
o
.
# of Units:
" Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
, Secondary Construction
-: # of Bedrooms:
."
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
'"
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dlst:
# Street Trees '!-.
Paved Drive Rqd: i~'t. 'l'JO~
% of Lot Covertlj$l\~'t. '\r ~\i \S ~Oi,
~01\C~~.~ti S~~~~ i~\S \';~\t:\'\ rO~
'~! ,- . 'J""'~ "-~J\J'
InU. n ti..W:-~-
I \. I ,
t".. ~\'-tI't."'~(..V \''t.~~ u.
cO " ,"01) D~'i
~~,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
, Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains
- Notes:
."
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
o~ multlp6er
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.
.
CITY OF SPRINGFIELD,
Status: Issued
, 225 Fifth Street, Springfield, OR
,",541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2006-00113
ISSUED: 01130/2006
APPLIED: 01130/2006
EXPIRES: 07/3012006
VALUE:
Total Value of Project
Fees tlWLI
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
;-
Amount Paid
55,80
$4,64
$43,00
$15.00
$4.80
$3.84
$48.00
Date Paid
1/30/06
1/30/06
1/30/06
1/30/06
3/13/06
3/13/06
3/13/06
Receipt Number
2200600000000000141
2200600000000000141
2200600000000000141
2200600000000000141
1200600000000000290
1200600000000000290
1200600000000000290
~
Total Amount
$125.08
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.
L
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, 1 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 wID 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 uscd
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 wID remain on the sUe
at all times during construction.
L
Owner or Contractors Signature
Date
.
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-'3759 Phone
,./
JoblJoornal Number
COM2006-00113
COM2006-00113
COM2006-00113
,
, Pnyments:
Ty~'e of Payment
CieditCard
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3/13/2006
.
RECEIPT #:
sPj:a, ''";,' 'D._~", "
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"".- "
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-~--- . .
..ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
1200600000000000290
Description
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LARRY CHAPMAN
Received By
djb
1 of 1
Date: 03/13/2006
Item Total:
Check Number Authorization
Batch N umber Number How Received
013345 [n Person
Payment Total:
11:35:0IAM
Amoonl Due
48.00
3,84
4.80,
$56,64
Amount Paid
$56,64
$56.64