HomeMy WebLinkAboutPermit Electrical 2006-07-10Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00850ISSUED: 0711012006APPLIED: 0711012006EXPIRES: 0l/1012007
VALUE:
SITE ADDRESS: 1075 SHELLEY ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'SPARCELNO.: 1703270000902
TYPE OF USE: Repair Industrial
PROJECT DESCRIPTION: Relocate meter base for Clearwire cell tower.
ATTOwner:
Address:
Contractor Tvpe
Electrical
MCKAY INVESTMENT CO LLC
2350 OAKMONT WAY STE 204
EUGENE OR 9740I
lollow rules ado
r^+i+;^atinn Ce[-ltl
Utility
iet forth
h oAR 952-001'
Contractor
RONALD ALLEN RUCKDASHEL
License
157496
Expiration Date
r0t27t2007
Phone
208-746-1400
# 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 Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
\Hf
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Tvpe of Construction
Page I of2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
Building/Combination Permit
PERMIT NO: COM2006-00850ISSUED: 0711012006APPLIED: 07/1012006EXPIRES: 0l/1012007
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$6.30
$5.04
$63.00
s74.34
Total Value of Project
Date Paid
7n0t06
7n0t06
7n0t06
Receipt Number
2200600000000000948
2200600000000000948
2200600000000000948
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.
Reouired Insnect
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
Pase 2 of 2
Date
G
Fees Fzro I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
c-'", of Springfield Official Receipt
r- -yelopment Services Department
Public Works Department
RECEIPT #: 2200600000000000948 Date: 0711012006 8:53:24AM
JobiJournal Number
coM2006-00850
coM2006-00850
coM2006-00850
Description
Perm Serv/Fdr 200 amps or less
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
63.00
5.04
6.30
Item Total:s74.34
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check QUALITY ELECTRICAL
SERVICE
ddk 12260 In Person
Payment Total:$74.34
$74.34
cReceintl Page 1 of I 71t012006
2. co^'-rr{.4cToR r^IITALLATTONO ,'}'
Modular Dwelling Service or '':
, :i
B. Servic:es or [eetlers - Installatio[, AlteratiQns or Relocation:
iJur.oo I aoi
zoN UnE
INITIALS
JDATE \
SOURCE
$ 106.00
$ 19.00
$ 7s.00
$ 125.00
'--'1--
$ 163.00
$375.00
$ 50.00
not includecl) -Each
.1
5P' GFIELE'
1
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 o FAX: (541)726-3689
E LE CTRI CAL P E RMIT AP P LI CATI O N
Ciry Job Number C,O 2 A\b - oDq50
LO CATI ON OF INSTALI-LTION
LEGAL DESCRIPTION
JOB DESCRIPTION
o7
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Date
-7-1 Dfr1
Cf.-rl€Z-& New Ilcsidential - Single or N'lulti-Familv per dlvelling unit'
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Electrical Contractor
Address L
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
city L Arot s,h,,- Pto"e 5 O?- 7 l0'l{Oon,
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date o-
Signature of Supervising Electrician
Owners Name
Address
OWNER INSTALLATION
The installation is being made on properfy I own which
is not intended for sale, lease or rent.
Owners Signature
b 05a 5 C. Tempor-arY Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 50'00
201 Amps to 400 AmPs $ 69'00
401 Amps to 600 AmPs $100'00
Over 600 An.rps or 1000 Volts see "B" above'
D. Branch Circuits
New Alteration or Extension Per Panel
one circuit $ 43'oo
(-r,Each Additional Circuit or with
Service or Feeder Permit $ 3'00
zor
E. Nliscellaneous
Pump or imgation $ 50.00
Sign/Outline Lighting $ s0.00
Limited EnergyResidential $ 25.00
Limited Energy/Commercial $ 45'00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SI.,BTOTAL OF ABOW
87o State Surcharge
10% Administrative Fee
TOTALInspection Request: 726-37 69
Shared Drive(T:)iBuilding Fonns/Electrical Permit Application l -06'doc
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