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Home My WebLink AboutPermit Electrical 2006-1-30 ../ ,;",,:,:';, ,d'; "CrJ:Y:OF ~.t'RIN ~dREGbN-::':,' ' ~' .' " - -~'" ,~ . ~...., - - ~ . ' -, " " . ..' - 225 HI! Lt1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (rirn~Q(", - ()1Ju.3 Pump or iIrigation $ 50.00 Sign/Outline Lighting $ 50.00 - Limited EnergylResidential $25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4, $SmrroT:@roEABO~~~~~ 'r-d,tJD ~ ~~:~7'~~~~ '~'.,i~ '70 ~~ ~:;"",",~F" bl~ ,(\ ~J ('"-.\ ':::JJ \,J~ Y J Shared Drive(T:YBuilding FonnslElccnical Permit Application 1.Q3.doc '''-"-~ 1. ~G::4'TtON'tJiili\i.sL4-'t'l?!.fiffi1>~ tfJ'i'f"r.."".--,;~~~-,..,.,.;;o.w",.Ji?" " - """ . ""'~ . 7;),7 fV}~l.n ~ <)t- . LEGAL DESCRlPTI,Q1'~ 11 ' ~ \f\D3'O~c... ~ JOB DESCRlPTION ' _ Pe are ~on~able a~d exprreffwork is ,. not started within 180 days of issuance or if workis Suspended for 180 days. " ~€i;.~~~ ._ ~ 11--""" .,. " Electrical Contractor t h rLl S f"",,- 50\0\ ,V"",lll.'\l U , . Address \ ;;l, ~ f0e.-tkG-1 91<-\ v~ r City, ~ Lv,,,.....L Phone , (,}y,1.o i;rl Expiration Date '-/Olq) 1611101 :;(1~"'lll'-l G ill/VLP Supervisor License Number Constr. Contr. Number Expiration Date Signature~~g EI !J~ L/' '. / Owners Name ?i{JIlft~ ~ tIM~ Address .:;ez..q J:)C) ,L,PI '.1) /.d::) City /Uhf,d-/lJh Cdlj Phone V OWNER INSTALLATION The installation is being made on property I own which is nOI inlended for sale, lease or rent ' Owners Signature: Inspection Request: 726-3769 '~ ' , ~ , . Date 00 ' ,',' , ' ., ~,'--""~- ---.--"-,,,--,,,,.---,.,,,,,,,,..,,,.....,;,,, "~,,,, 3,(i:OMP. ' ~ 'FEEJSCHEDrJlI::E.'.IiEr-(i)" . ",.........N".... ..~ ~ ..... -." -', _.~. . , A, ~lW'eMritr~_:r~~~~,' ' -'",'~~"" ~JO'l)'~vp. . ~~l Service Included 10QO sq. ft. or less Each additional 500 sq. ft.,or portion thereof' ' ~~I'dHome or Jy!fWg~LQ~,~llingScrvice or ~ORIZE! B, $106.00 $19.00 , ' 200 Amps or less 20 I Amps to 400 Amps' 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV oils Reconnecl Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00, c, Installation, Alteration or Relocation 200 Amps or leSs $ 50.00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600-Al!;psaw requires you lU $100 00 AT ff:N I.L1I\I. -:'.~~~-,:_ . ~r~ Grenon Uln;LY . fo<?,'(er 600jAmps'orll ooolv oils, s.e,c ::J3~ ,aboye.th D,~~i't_' : ' ", " " .'-- '.' t._t~''--I?-J~~__._.___ . ,....,~R <)~~..UlJl'UUIU .'''-'''--.;.J . . b " I~ Newy~,te~~~~~)!',tExte~ion;per'-paDelleS y , , 0,,1 C,.' '1 ' '" '" '~18'~rJJne $ 43 00 A ~ ^", ne ll"CW I' ..,.' , > { . ~..l.AJ Eac~Additional circui~ or with ~,,,,,n$ 3.00 'jr- ,,"\ ServIce or Feeder Penml . v ...2..., (ill E, ~~~r~~it4>l?~t!~2i . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00113 ISSUED: 01130/2006 APPLIED: 01130/2006 EXPIRES: 07/30/2006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax '. 541-726-3769 Inspection Line . ' SITE ADDRESS: ' 727 MAIN ST ASSESSOR'S PARCEL NO.: 1703354207700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Lighting for stage, NO neE: TYPE OF USE: New THIS PERMIT S lliITU"Fl 7- HALL fXPIDI" ,,. , f~MME~CED ~~~~~~~~ PERJ:T~t~~" Y 180 DAY PERIOD. DONED FOR Commercial : Owner: SANTIAGO HECTOR HUGO Address: 29955 EL RIO LN JUNCTION CITY OR 97448 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 07/1412006 Phone 541-688-6121 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy pa'tii,ENTION: Oregon law rESqlFt Olliet;O Sprinkled(Building:l~ adoptEn/lby the Occ!!pantJIioild: ..,_.:r__,:_._ ,.....__._.. .,..,____ ..,1__ _.._ __-',,__...... Frontyard Setback: . Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENTJINF0RM>\TIONOlhrough OAR 952-001- 0090, You may obtain copies of the rMQY}RED PARKING Overlay DiSi!ling the center, (Note: the telep:Total: # Street 1'reeS'Rqd':'Jr the Oregon Utility Notifi(H~ndlcapped: Paved Drive Rqd:';enter is 1-800-332-2344), Compact: % of Lot Coverage: ~ I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft .or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I on -lirq . . \...11 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00113 ISSUED: 01/3012006 APPLIED: 01/30/2006 EXPIRES: 07/3012006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-37691nspection Line Total Value of Project ~ ".; Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $5,80 $4,64 $43,00 $15,00 Date Paid 1/30/06 1/30/06 1/30/06 1/30/06 Receipt Number 2200600000000000141 2200600000000000141 2200600000000000141 2200600000000000141 Total Amount Paid $68.44 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. ~ I R n..lrpd In.np..tlnn. ~ rfl,rr'~ Rough Electric: Prior to Cover 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 of2 225 1<ifth Street ..springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-00113 COM2006-00113 COM2006-00 113 COM2006-00113 P;iyments: Type of Payment CreditCard , , :( :f "I' " 'C :f 'a; 1/3012006 RECEIPT #: ~~-~"!;'>,"""" IA: i, . "0_"_ _. .. . __ -; ~ Jility of Springfield Official Receipt .velopment Services Department Public Works Department 2200600000000000141 Date: 01130/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LARRY CHAPMAN Item Total: Check Number Authorization Received By Batcb Number Number How Received ddk 030504 In Person Payment Total: Page I ofl 9:13:21AM Amount Due 43,00 15,00 4,64 5,80 $68,44 Amount Paid $68.44 $68,44