HomeMy WebLinkAboutPermit Electrical 2006-10-20Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-0I361ISSUED: 1012012006APPLIED: 1012012006EXPIRES: 0412012007
VALUE:
SITE ADDRESS: 158 18TH ST APT I
ASSESSOR'SPARCELNO.: 1703363101400
PROJECT DESCRIPTION: Reconnnect for apartment complex
Springfield TYPE OF WORK: Apartment Building
TYPE OF USE: Repair Commercial
Owner:
Address:
WEST FRANK C & MARY SUE
91320 KIRK RD
JUNCTION CITY OR 97448
Contractor TYpe Contractor follow ruleG dby
Notilication Cen
i'uQuiiu..s yOU tu
e Oregon UtilitY
ruErpimffiloHte Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Sfqlffier {or the
Height of Stru$Bffier
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
h oAFt 952-001
copies e
Note: th e telePhone
Oregon Lot Size:
is 1-800-332 -2ffit tst Ftoor:
calling
nla
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
lF THE W0Rlft.rquIRED PARKING
dviiidgtsl&ED UNDER THIS PERMIT lS N0hotat'
{.qiMf,IEHAEB@B lS ABANDONED FOR Handicapped:
P,mfl B6,oRrf rntoo. compact:
oh of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO; COM2006-01361ISSUED: 1012012006APPLIED: 1012012006
EXPIRESz 0412012007
VALUE:
Amount Paid
Total Value of Project
Date PaidFee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Service Reconnect
Total Amount Paid
$5.00
$2.s0
$4.00
$50.00
10t20t06
10t20t06
10t20t06
10120106
Receipt Number
3200600000000000546
3200600000000000546
3200600000000000s46
3200600000000000546
$61.50
Plan Reviews
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.
Electric Service: Approval required prior to utility company energizing service.
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 Iocated 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
Paee 2 of 2
Date
I ees raro I
Kequrreo tnsDecuons
225 FIFTH STREET . SPRINGFIELD, OR 97477 c PH:(541)126-3753 t FA-\: (5a1)726-3689
E LE CTRI CAL P ERMI T APPLI CATI ON
cityrobxumuJ'6y6/glfu -O3G( Dut. / c; / 8ol aopc,
1000 sq. ft. or less s106.00 _
Cc-
S;'Ft I N
dopt
Each Mdliofrtr0dttroru@ rr t e r Those rules are se
LEGAL DESCRIPTION
3 3\O
JOB DESCRIPTION
C\C\.Q.CJ
Permits are non-truusferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
)
Electncal Contractor
5
1. rbcai,rr6r{Ginsiiiiitt-iiw-:2",,'k{:ffi{;:*ffi1f ?
r\(
1.
Each additiorr* flft flrlr.
Portron mffiBbw ruieo a s 19.00
timy
Utv
Address f \-)9 trl tJ n"\ Av c
City E.c,Ei.g Phone asf}
.)
SupervisorLicerseNumber aqac, :
Expiration Date l0 C*l
Constr. ConE. Number tC - \ 5= C
200 Amps o. 1"r. Cerlter
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Arnps
Over 1000 Amps/Voltsneff$;ffilr
t fort!'
s 63.00
s 75.00
s 125.00
s 163.00
s375.00
$ 5o.oo 5() . u "
ModutariD@f,F$ggg.4t9 P4)010 throuqh O,{F0 e9e-oorFeeder C090. you ma y obtain co
-llci I
B.
C.
D.
EffiHrhrd'ffi
Expiration Date -l- t-Ct
II,S NOT
OD
FQBo.oo
201 Amps to 400 Arnps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
Si gnanrre of Supervisin g Electrician
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Servrce or Feeder Permit
$ 43.00
s 3.00
s 50.00
s 50.00
s 25.00
S ,15.00
Name
Address (3Qo K'ratc- 4D ''- tri:t . . 11 Y. i: .-,. '. ,_. '. .
E. Miscellaneousr (Service/feedernofincluded -eac| Installhtion,
q
PhoneUi
OWNER INS
The installanon rs being macje on proper.y I own which
is not intended for saie, lease or rent.
Owners Signature
Pump or imgatlon
SignrOutline Lightrng
Limrted Energy/Resrdentral
Limited EnergyiCommerciai
Minimum Electric Permit Insllctiol Fee is 545.00 + Surcharges
A^
Fa
6%
$9/o Starc Surcharge
i0% Acimrnrstrauve Fee
TOTAL
T.:Sd-
6 .5'OInspection Req.uesr: 12G3169 ritffi
s\\ "
Shareo DnvetT:),Buriding FormgElecmcai Permrr.\opiicanon i-03.doc
e
i02-
26b\AiltE
225 Fiftl-Street
Spf:ngfield, Oregon 97 477
541-726-3759 Phone
Cir" of Springfield Official Receipt
L .lopment Services Department
Public Works Department
RECEIPT #: 3200600000000000546 Date: 1012012006 3:41:05PM
Job/Journal Number
coM2006-01361
coM2006-0136r
coM2006-01361
coM2006-01361
Description
Service Reconnect
+ 5% Technology Fee
+ 87o State Surcharge
+ ljYo Administrative Fee
Item Total:
Amount Due
50.00
2.50
4.00
5.00
-56Is-o-
Payments:
Type of Payment Paid By
rc
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard ELLEN REYNOLDS njm 074373 074373 Phone
Payment Total:
$61.50
-$6-130-
cReceint I Page I of I 1012012006
*[lrase*F