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Home My WebLink AboutPermit Electrical 2006-10-3 09/29/06 CITY OF SPRINGFIELD IaI 001 "',I~"I .', ,.. '''~ ......IN.... - i ZON c.D .. ~.. . ,,'. [INITIALS ----.f\.l M i DAn: lOT 03. <;0 115 FIFTH STIlEET . SPRIN(;F1F.I.n, OR 91477 . PD'(S41)?26-37S3-!.FAX:'(S41)~(;.361' -~ ,*" , i SOURCE Y Y VUf ~ ~(1;) ELECTRICALPERM1TAPPUCA170N ~A\>^<I~ I)) , i ':::) City lob Num~dtTotO - n/;)~;;). 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Feeder 'f $50,00 , , f!C6~.RXt:roif~~;~Vj~fF1~~~J- ~ -B. .~1~~~~~~:~~l1t~IH~i~r~~F~?#i~~:t~~lmtt~~~~~~~WJ~~~~ ':Iec::~<?:::~;"r;'''~~: t.2:::~:O:::"~~~~;""ii~~~'-"'::l,:~~'~'""~"~t'b"",' , {)f\ '-:l. ^ / ' 201 Amp. 10 400 Amps'S 75.00 . Address~)L (e.fl9;' '401 Amps to 600 Amps SI25,oo ~/l ~.JJ 601 Amps to 1000 Amps SI63,oo City, ,(lephone:JIf/"39~fj:J71 OverlooOAmpsNolts' S375.oo "-f,).s Reconnect Only , . . S 50.00 3. t/~ c"'It;:.,~'''~~:i''''.'''.':'''-''.''S\!;' "".,wC",~""=,,,,,"'_o""''''''':lI~' ,.''''-....'''':.:.-''li,'._w~....':Il...to.'~ ""._"~ ~'''''''''''fI''l'l^"I-.rt "l A'\ ... . '"..~'\' "':'~.".",.~..c. 'j ',':'>i"'"""~".=,..m_..'.:,J" .~l., "'E',..l."._... t""'ll'''::'":':'-;''~;t,\l''''~''''''l\"'''''''ia, "';~'i' "I"r Supervisor Licens~ Number , t1't ( -.; c. ~~eH!~~1~~~~~1~4~L~[;!1@&~~~lr&~g~m~i~1it~~~~~a~m~~~~Rl~tJ EXpimtion Date / tJ /~ / / p 7 - Installation, NhtJ'.l&~ or Relocation'..' : II 2 I 200 Amps orT.!SdS PERMIT SHALL E~PI~5d.OoTH.E WORK ConsD'. ConD'o Number .1J{2.;.2l'rf) ~ 201 Amps to^Qllf.+.t'!~IZED UNnFR THI~169.ij(MIT 15 NU I ExpiratioDDate "3 -9- 0 7 401 AmP.to~Mwrt'NCED OF/Ie: Ml~NUBW1.llJ.EDR ~~~~~;~;,M,,!~, "~~"~I,J;f~:P'l;g~V~;"""'~'^""'""'W.'"''')I.':m'''':: S. '~Z:S .. El .. D ,~'~i ,r,U:"'~';}'."~l'~U~ItA:'''~''.'''''''''' "._~,;v.:!....:r;I'" -'~Jl~~";;J3,..,~:\'i~"i.r 1~,~:..,~,._, .-- -'1-~ "sna;';;;G: ~ '~:~:~~::~:~~::;::~:~:=e~'\:i~~:::J:~'fl~~)l~~~~.i: . - () /, Each Additional Cin:uit or with i Owners ~~~): r:;;C~: re on 12l)J ~;T;~~~:,'~4j,:~:~;~'jHlr~~~~Sii~~;j~W;~W~Jii1~~11~~j . Ad7~~ J WI ioiiow r~l~ ad~PI~d by Ihl':"~"il9O'rffi'fffFt~",=,J~~"""''''''"'''''':~''''-'''''"'t"",,"'''''u'''~ Citf.AM L!./~ ~ ~~ffi~ff::.~:::,: 'C'z:,:~:-. Those rll!"J!;~iui!!t~!brtt' , S 50.00 -tJi) C; /9:).-.5 in OAR 952-001-0010 thro(,~~'l!liD3!!-.!AAPB S 50.00 O~ INSTALLATION 0090. You may obtain copit;.TL~lffier8Y.&-jls.!.dfntial , S 25.00 Tbcin'1allationisbeiDBm.deonp!~(~O't~~bJr. (Nofe!.iiIliJ<!dJEu,~I.Qlmm.rcial I: S45.oo 1/5.- is not iDle.nded for, sale, lease Or 'FILl.mber for the Oreg~'E~Iiilc:lleholt Inl,..":... Fee is S4~.00 + Surcharges . Center is 1-80Q:3~m~f;;'B~~~lla~~~rm~!~f~~~~~lifw J Je ~ Ownen Signature: . .' -~~~:~~~~_~lki:.'i~~~~~~~Ul"!~-+~.. '1~ ) . , 8% SlDte Surcharge ~ . ~ 0 10% AdmioistI1!tive Fee ..}. . 0 50/, Te.boology Fee ;j . ;:;)0 TOTAL .P?l . 10 Sbued on'ic:(T:yauildins FDnnt/ElCEniC:I' Pamit Appliclllilm 8.Dfi.doc ~-- ~-~ -..- ~ 225 Fifth ,Street Springfield, Oregon 97477 541-726-3759 Phone . 8PJ7~~ ~. Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1262 COM2006-0J 262 COM2006-0 1262 COM2006-0 I 262 Payments: Type of Payment CreditCard cRccei~" , !~ RECEIPT #: Date: 10/03/2006 2200600000000001381 Description Low Vollage - Commercial Indus + 5% Technology Fee + 8% Stale Surcharge + 10% AdministraIive Fee Paid By MARLENE PIPER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 5 510053 By Mail Payment Total: . ~,,!~~ ,-.,' , ......, 'l.. . "f ~ . .. i." . --.".r<t'" Page J of 1 I :36:21 PM Amount Due 45,00 2.25 3.60 4.50 $55.35 Amount Pnid $55.35 $55.35 10/3/2006 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01262 ISSUED: 10/03/2006 APPLIED: 10/03/2006 EXPIRES: 04/03/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 808 MAIN ST ASSESSOR'S PARCEL NO.: 1703354205500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Camera Installation Owner: LA FRANCHI RON Address: 580 N CENTRAL COQUILLE OR 97423 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MARCA ELECTRIC INC License 46575 Expiration Date 10/30/2006 Phone 541-396-5271 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sola r Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: SpeciaA~n~~l'J'fiQJ)N:iJregon law [I.quires you \0 follow ruletl adopted by the Oregon Utility Nott\f6tification'Center. Those rules are set fort~ NOTICE: XPIRE IF THE WORK ._ "'....n.,... nn'-n'HOthrn"nhnAR!l52-001 ~\\lC' D~IH"I\T SHALL E., '~'1'~7 0090. You may obtain copies of th"IIU'"'' u'. . ~lIi~RIZED UNDER THI~ l'tt'tlvlli IJ w' II' the center. (Note: the telelk..V.aIuatlon Descrmtnm ED OR IS ABANDONED FOR ca 109 . LoUIV ENe flu.mber for the Oregon Utll!ty Notifif~~?~q Ft Squ:r:!if{Ott,,,ggA~ PERIOD. Descnpllon Cerl'i~I'~or,C8t1ijt!i'1J;!~"ll344) It' I' , 1Utl t Value Date Calculated , 'or rnu Ip ler or lu moun Pa2e I of2 . .CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01262 ISSUED: 10/03/2006 APPLIED: 10/03/2006 EXPIRES: 04/03/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P,airl . $4.50 $2.25 $3.60 $45.00 10/3/06 10/3/06 10/3/06 10/3/06 Receipt Number 2200600000000001381 2200600000000001381 2200600000000001381 2200600000000001381 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Total Amount Paid $55.35 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. ~ Reouirerllnsnections, Low Voltage: Prior to cover. By signature, J state and agree, that J have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and J 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 descrihed 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 he 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 of 2