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Home My WebLink AboutPermit Electrical 2005-9-27 ,. \ ~~ltted has the folloWing I 0 ora ae r;;'and use I " not . S CI P1Jfr~ I - ,',c",_" . ' . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: .(541)72~9~~~L.v-\ T ',: " , ''j.'}, :"~f:: ELECTRICAL PE~T AP~ICATIbN " Date;' (:':. ., '.,. City Job Number l'...'?). rJ \ -.~B '... D:ii'eonzed Sign. . ~-,"f-'," ." v "1"".,-,"- ,-""t_'..... "! .. "" . '" . ','. " ".". ." _.G'o " "',';~'~'l" ., -'"'~ - -'C' t ,"-,.f .'; .,. ~ !" 'l ,. '..... :f........ \., U)CATION'OF INSTALLATjON~ 3, ':COMPLETE FEE SCHEDULE BELOW'.")' ' ""\OOr'~n\'if\,'.'" "..'" ..",", "".- "''','' ....,' ...--,....,,'.."'...,.., ." ....".- """'.. ,<,..' ''A.Ll. '..';:'~-'''<",,,,~''''.-''V7..d.!'"': ..,_.:""'..'.4~".,~'~ ~"'._~"~..' --'} L\~A()L ~~~l1~N at:.. -a.f'\^ A, .. ~~i ~~~.i~.en,ti,al,-:,S!~~!e,~r ~l~t!:F~~~I~' !,e~ d";,e,1I .,~2m. 'I 'J J~ u UV Service Included JOB DESCRIPTION J.u~ @-A Permits ~transfe;able and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50.00 (. """'-:7\ .,'-.~.,...',.....1"7".~.~....'.... t\...,...~.'I>.;t.......,""'"V1-.... '~""f"""':"" ,'com-RAdoR iNSTALLATION ONLY;; 2. u:.....~__:'~Ho'" ''^'.:...:!-~'s....:O;..._L..:..\'>>...;.p'l;-.~..:L. ~lkiU-.'I!ST..-d 'JY.~"':4.7'I:O;Y~~ "~.;;.~':""''''<:'~: l<<~r. '.-:"':;' r:-(,;,o:..:'lT':""T("f..'l,~':.-mr, :"..-~..~Z""~~).'q"J<:t -r.. ..'":"': B. :; Services:or Feeders':::: Installation; Alterations or Relocatio~:~;'::'; "'_"~_';;'~.=~,~.. ~~...-...l:"d..:.:":..J~: '.:..;>'~ "f...~J:i:=... ....~.l;r.t:::,~~....:..~. .,...~... .,:-'". Electrical Contractor '1\oll ) uJz 'l fLR,(' !/U..V 200 Amps or less. , /J '1 20 I Amps \0 400 Amps Address r () .f yhl~ r-:2.I5'O~ 401 Amps to 600 Amps I j 601 Amps to 1000 Amps City vi "-tOf JU ~ Phone Sl/ I {.J;1a -;;? 365 Over 1000 AmpsNolls o Reconnect Only $ 63,00 $ 75,00 $125.00 $163.00 $375.00 $ 50,00 Supervisor License Number ,"-:J2 J~~~:r.1IT SH~l{f~~~~f~~';"F~~~S~:m~~J~~Jlf~t~~;c~~;0 Expiration Date _/0-0/-0 ~THOR'ZED UND~f{'~~ibgl:!frtnJ.i;.wQilK.location P~MENGED OR I~OQt>-.iri.p.s oH~MIT IS NOT $ 50.00 Constr, Contr. Number ~ '5 /0 R~y 1 se DAY P 'io1%\l~DtG/lOdJNrhlR $ 69,00 ER/QO'\.Amps to 600 Amps $100.00 Expiration Date 010 - d 7 -() 7 0 600 A 1000 V I "B" b ver mps or 0 ts see a ave. > 7J2G ~~~~~~i~::~~:" ,/ / Each Additional Circuit or with ..J (\, . a Service or Feeder Permit ::#" $ 3.00 Owners Name ~l-) Address jbD \ \J...rU.l\ ~ City Phone -:J1:1o t~ Pump or irrigation $ 50.00 ON:Oregon law requires you !\illn/Oudine Lighting $ 50,00 OWNER INST 10 oj~~l!l6 adopted by the Oregon Uti~Y':ted EriergylResidential $ 25.00 The ins\allatiorJlib\'lfhllll~@lJplbperiyhl3~ (;4JRIf are set 101lIIled Energy/Commercial .r ~,OO is not intendediYlrGA.'R1952~lJ'lUOO10 through OARIWfril;J;\\l;\ Electric Permit Inspection Fee i~Surcharges 0090 You may obtain,copies of the rule~ b"~""~.l "''':''''~'.''''"'':;;'J"'''''",,-s'''';, _..~, Owners Signature: '111 the center. (Note: the telepl1qr@~T(~TAL.9f ~Q~;,~i::;,};ir,,;;';:;i<:::. 4-~CO ::m::i::'4~:~:;rifl""I~,:,;~:.;,:c_. .n,'. -.. 4~ :.~ \0 \() L:::::> 10% Administrative Fee Inspection Request: 726-3769 TOTAL F3'L.(P >'l;. '''^'\'{''.' .....i:'T-, ';~!Y";'\ ",.~..-;.. "~','r.v::r"'~~~e :;;. "'r.-A'l11~" '.'...,,~ ..c~ '" "l,. 1:" ." .~. E. . 'I\1iscella~eous (Sen::ice/feeder-'notinchided) ':':'Ea'ch I~stallation">; _'::"1:',"'Ar:.H..':..._':::-,~";~;0,.'".:''' .,'''':..."..''(,;;,o._'lj-;(,.,."", ,,".,"~,.'.~:' ",,,,,,'''''.'\.'''-.;'', .\.\:1,:.... .,<.'\....... >..;", Shared Drive(T:)/Building FonnslElectrical Pennit Application I.03.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01318 ISSUED: 09/27/2005 APPLIED: 09/27/2005 EXPIRES: 03/27/2006 VALUE: . Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1001 MAIN ST ASSESSOR'S PARCEL NO.: 1703354105300 Springfield TYPE OF Electrical Work Only PROJECT DESCRIPTION: Lights at Annex Building - One Circuit TYPE OF USE: Addition Commercial Owner: SPRINGFIELD UTILITY BOARD Address: 223 A ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 I BUILDING INFORMATIONI # of Unils: # of Stories: Prima"Occupancy Group: Height of Secondary Occupancy Type of Heat: Primary CO,ffi(ruction Type Water Type: Secondary CWltlil~n Range Type: # of Bedroo~L~ PERMIT Energy Patb: ~.;,~ORIZf:n ~~~~LL EXPllJt; ,\a; _ Sprinkled nla ANy 1~tNCED OR IS ~ rHIS PFbbt.~iJ(!)~ENTINFORMATION I i 0 DAY PERIOD BANDONED FOv ,VUr .. Front yard Setback: . ROverlay Di~ Side I Setback: # Street Trees Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: f~;;; t:NTtON: Ore IPUBLIC IMPROVEMENTS' . N '. W rUles ad gOn Ja'V Street , oliflcation C OPted by th reqUires y In 04R 9 enter r, e Ore Ou to Storm Sewer Ava..U3'J>be: 52-001_00' hose rUles 90n Utility Special Instruction:, I" YOU may ob 1.0 thrOUgh 0 are Set fOrth La ling th lam c. llR 95 . nu e cent oP1es of 2-001 Notes: mber for the Oer (Note: the the rUles b - C"nl~_. reQon I,,,,,. teleOhnn_ Y 'V l-dOO-~"t~1f;Z~~L~lJeSCriDtion I Phone Number: 541-746-8451 Expiration Date 06/27/2007 Phone 541-686-2365 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDralns Description $PerSqFt or multiplier Square Footage or Bid Amount Tvpe of Construction I of 2 Value Date Calculated ., . . CITY OF SPRINGt<u<.,LU Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01318 ISSUED: 09/27/2005 APPLIED: 09/27/2005 EXPIRES: 03/27/2006 VALUE: Total Value of Project Fp.p.s Paid I - Fee'Description ... + 100/0 Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $3.15 $43.00 $2.00 9/27/05 9/27/05 9/27/05 9/27/05 Receipt Number 1200500000000001403 1200500000000001403 1200500000000001403 1200500000000001403 Total Amount $52.65 I Plan Reviews I To Request an inspection caD 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. wiD be made the following work day. 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, 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 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 wID remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street . ' " Spnngfield, Oregon 97477 541-726-3759 Phone . 8f~,'~.!'I_q.F1...~.) .._____.,_.:.'. Wir- I "..~.'~ ' ',~ J ",aity of Springfield Official Receipt .evelopment Services Department Public Works Department Job/Journal Number COM2005-0l3l8 COM2005-0l3l8 COM2005-0 1318 COM2005-01318 Payments: Type of Payment CreditCard ;, 'c 'r 'i 9127/2005 . RECEIPT #: 1200500000000001403 Date: 09/27/2005 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By NEW WAY ELECTRIC Item Total: Check Number Aulborization Received By Batch Number Number How Received IIh 027890 Phone Payment Total: I of I 11:12:35AM Amoont Due 43,00 2.00 '. 3.15 4.50 ' $52.65 Amount Paid $52.65 $52.65