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Home My WebLink AboutPermit Electrical 2006-05-03G Status 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: COM2006-00520ISSUED: 05/03/2006APPLIED: 05/0312006 EXPIRES: 1110312006 VALUE: SITE ADDRESS: 1635 30TH ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1702303401800 TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Electrical Only - I Feeder and 30 branch circuits. Owner: Address: Contractor Type Electrical MERRILL EVONNE E 1465 3OTH ST SPRINGFIELD OR 97478 Contractor OLSSON INDUSTRIAL ELECTRIC License 63473 Expiration Date 0y2612009 Phone 541-747-8460 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 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: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I of 2 Value Date Calculated t:LI bulLLrING rNlur(lYlryJ Valuation Description I \LL E} )FR Ti D Status lssued 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: COM2006-00520ISSUED: 05/03/2006APPLIED: 05/0312006 EXPIRES: 1110312006 VALUE: Fee Description + 10"/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 201 to 400 amps Total Amount Paid Amount Paid $16.50 $13.20 s90.00 $7s.00 $194.70 Total Value of Project Date Paid 513106 513106 5/3/06 5t3t06 Receipt Number 2200600000000000ss2 2200600000000000ss2 2200600000000000ss2 22006000000000005s2 Fees Pa Plan Reviews To Request an inspection call the24 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. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover 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 Sat'ety. 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 3 - t(eourreo lnsDecttons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C' of Springfield Official Receipt Ir. velopment Services Department Public Works Department RECEIPT #: 2200600000000000552 Date:05/03/2006 10:36:l8AM Job/Journal Number coM2006-00520 coM2006-00520 coM2006-00520 coM2006-00520 Description Perm Serv/Fdr 201 to 400 amps Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0%o Administrative Fee Amount Due 75.00 90.00 13.20 16.50 Item Total:$194.70 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check OLSSON INDUSTRIAL ELECTRIC ddk 42778 In Person Payment Total: $ 194.70 $194.70 cReceint I Page I of I 5t312006 TFTII'6FIELD CITY OF SPRINGFIELD, OREGON unt *,*,,..S.J 1 ,lP? 225 FIFTH STREET o SPRINGFIELD, OR 91411 o ?H:(541)726-3753 r FAXr (541)726-3689 ELECTRICAL PERNIIT APPLICA'TION City Job Number Cbrnsoot, i Date .Df-dh $ 106.00 LEGAL DESCRIPTION [-10 a 80D1635 N 30th Street JOB DESCRIPTION I feeder, (30 )b ranch circuits Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. 00NTRACTORTNSTALLATTON ONLY Electrical Contractor O lsson Industrial Electric Address l9l9 Laura St City Springfield Frone 541-747-8460 Supervisor License Number #3334S Expiration Date t0l0ll07 Constr. Contr. Number 63473 Expiration Date 01/),6109 Signature of Supervising Electrician OwnersName Bill Benetreu C Address \U2b5 k City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature Service Included 1000 sq. ft. or less Each additional 500 sq' ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 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 t.3. COMPLETEI'EESCHEDT]LEBELOW A. New Resideutial - Single or IVlulti-Family per clwelling unit' B. $ 19.00 s50.00 Services or Feetlers - lustallation, Alterations or Relocation: C. Temporary 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 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Pet Pirnel One Circuit Each Additional Circuit or with Service or Feeder Permit 3 0 $ 63.00 s 7s.00 $ 12s.00 $ 163.00 $375.00 $ 50.00 s 43.00 $ 3.00 90.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting s 50.00 Limited EnergyiResidential Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. suBToTAr,oFAIrovE t65.oo 8% State Surcharge 13.20 l0% Administrative Fee 16.50 TOTAL 194.70 s 50.00 $ 2s.00 Inspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical PermiI Application l-03.doc 75.00