HomeMy WebLinkAboutPermit Electrical 2006-12-12Status 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: COM2006-01594ISSUED: 1211212006
APPLIEDz 1211212006
EXPIRES: 0611212007
VALUE:
SITE ADDRESS: 195 39TH ST
ASSESSOR'SPARCELNO.: 1702314101300
PROJECT DESCRIPTION: 400 amp feeder and service
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Commercial
Phone Number: 541-344-1122Owner:
Address:
Contractor Type
Electrical
BARR JIM W & KELLY A
2624 CHUCKANUT ST
EUGENE OR 97408
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Date
06t27t2007
Phone
541-686-2365
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"/o 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:
Street rmntr1ufroH:
::""Hffifg}$fEHmrr sHALt EXPTRE rF THE woRK
DPErrar'""h[lT'ti6'RlzED
tINDER THls PERMIT ls N0T
Notes: COMMENCED 0R lS ABAND0NED FOR
nla
Sidewalk Type:
REQUIRED PARKING
Total:
Handicapped:
Compact:
1
the
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of 2
Value
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Valuation Descriutlou ]
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2006-01594ISSUED: 1211212006
APPLTED| 12n212006
EXPIRESz 0611212007
VALUE:
Amount Paid
Total Value of Project
Date Paid
Fee Description
+ lO"h Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 201 to 400 amps
Total Amount Paid
s1s.00
$7.s0
$12.00
$150.00
t2n2t06
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Receipt Number
2200600000000001690
2200600000000001690
2200600000000001690
2200600000000001 690
$184.50
Fees Paid
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.
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 witl 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
Pree2 of2
Date
}-l
ralral d"M
; i,:' 1;:: : t .i: i* {1 i ,13
225 FIFTII STREET o SPRINGFIELD, OR-97477 r PII:(541)726-3753 r FAX: (541)726-3689
ELECTRI,APPLICA
City Job Number Date
3 COMI'LET'E FEE SCHEDULE BELOV/I LOCA'fION TTONq33qk
LEGAL DESCRIPTION
l-7ri) 3 tLlt 0ts6A
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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
o17 ABOVE
$ 106.00
$ 19.00
$50.00
coArIRAC?OR lNS?e LI-A'IION ONLY B. Services or leeders - Installation, .A.lterations or Relocation:)
Electrical Contractor
Address o
vnon"ffi
-t=-760.Lra)
$ 43.00
$ 3.00
J.a
t3,&
$ 63.00
$ 75.00
$ 125.00
$163.00
$37s.00
$ s0.00
City
Supervisor License Number
Expiration Date /o-o/-c7
Constr. Contr. Number
C. Tentporary Scrvices 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 Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
E. Nliscellaneous (Sen'ice/feeder not included) -Each Installirtion
Cq$$$b[!fiHlt08 lS ABAND0NED FOR $ 50.00
ASYg,rb0tDAY-&tel0D $ 5o.oo
Limited Energy/Residential $ 25'00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee o*
Expiration D^t" CL -,.7 7 -C 7
Signature of
Owners N
TION
EI
rflEmg+u +! qn j'.k yffi ijH#*r5,Jr*ffi ,& ;,foIPdWH#* &6Se*
$g["HIH-Bs#fu*HilTffi",''.;l'il'
[b!6 ] "ffi;;, *" l^::g ml lT:J, i:: ]4. &irorAl
ff/o State Surcharge
10% Administrative
TOTAL
otiiication
, $ #;'',mqhs i.' t, AIg9a 932-23 4 4l
Shared Drive(T:)/Building FonrsiElectrical Pennit Application l-03.doc
A. Nerv Residential - Single or l\{ulti-Family' per dwelling unit.
/)/ ^' ^mc
DESCzuPTION
t^]o
pnon"3rl.l :lfz)
225 Fifth--Street
Springfield, Oregon 97 477
541-726-3759 Phone
C:'v of Springfield Official Receipt
elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001690 Date: 1211212006 3:00:15PM
Job/Journal Number
coM2006-01594
coM2006-01594
coM2006-01594
coM2006-01594
Description
Perm Serv/Fdr 201 to 400 amps
+ 5olo Technology Fee
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
150.00
7.50
12.00
l5.00
Item Total:$184.50
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard NEW WAY
ELECTRIC/BRANDON
PASLEY
njm 612195 Phone $ l 84.50
Payment Total:$184.s0
cReceint I Page 1 of I 12fi2t2006
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