HomeMy WebLinkAboutPermit Electrical 2006-01-18Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7263676Fax
541:7 2637 69 I nspe ction Line
Building/Co mbinatio n Permit
PERMIT NO: COM2006-00070ISSUED: 01/18/2006APPLED: 01/1812006E)GIRES: 0711812006
VALUE:
SITE ADDRESS: 152 28TH ST
ASSESSOR'S PARCEL NO.: 1703364100200
PROJf,CT DESCRIPTION: Replace mast wire
Springlield TYPE OF
TYPE OF USE:
Electrical Work Only
Repair Commercial
Owner:
Address:
GET N GO GROCERY
150 N 28TH ST
SPRINGFIELD OR 97477
Contractor \a$ I eO\N
IContractor TVpe
Electrical
# of Bedrooms:
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbaclis:
Street
Storm Sewer Available:
Special Instruction:
Notes:
dtoo'
INC
License
136446
nla
Expiration Date
08t20t2009
Phone
54t-747-2724
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
DownspoutMDrains
REQUIRED PARJSNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bitl AmountDescription Type of Construction
I of 2
Value Date Calculated
-
E L\
Type:
Yaluation Descriotion I
Lr|! v lrLLrrlYll,l\ I rl\r1rl(]YrA r rL,r\ |
CITY F SPRINGFIELD
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Frx
541:7 26-37 69 I nspection Line
PERIVIIT NO: COM2006-00070ISSUED: 0111812006APPLED: 01/1812006E)?IRES: 07/1812006
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 87o State Surcharge
Service Reconnect
Total Amount
Amount Paid
$s.00
$4.00
$s0.00
$59.00
Total Value of Project
Date Paid
yt8t06
ut8l06
ut8t06
Receipt Number
1200600000000000049
1200600000000000049
1200600000000000049
Plan Reviews
To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Electric Service: Approval required prior to utility company energizing service.
f nsnections
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ 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 wilt be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff 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
2of2
Date
LLJ
rees raro
225 Fifth Street
Springfietd, Oregon 97 477
541-72G3759 Phone
^W of Springfield Official Receipt
_./evelopment Services Department
Public Works Department
RECEIPT#: 1200600000000000049 Date: 0111812006 1:16:11PM
' Job/Journal Number
-. coM2006-00070
:j
coM2006-00070
ccM2006-00070
Description
Service Reconnect
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
50.00
4.00
5.00
Item Total:$s9.00
Payments:
Tlpe of Payment Paid By
CheckNumber Auttorization
Received By Batch Number Number How Received Amount Paid
CreditCard JOSHUA BURRELL djb 020758 In Person
Payment Total:
$s9.00
-Sse.-0d'1
;r
i
:l
t
,t
U1812006 lofl
aDatrerS,o
is.*
$i06 00
ll: FIFTH STRIET ' SPRINGFIELD, OR 97417 '
I: LECTR]CAL PERMIT APPLICATION
, r, lrb \umber (OnlZOO6- 6cO7Oourc
LOC4'1'I'
/SZ z4v
0 'tu oozoo
PH:(541)726'3753 ' FAX: (541)726
l- ta-06
Service Included
I 000 sq ft. or less
Each additional 500 sq. ft. or
porrion thereof
Each MLnufact'd Home or
Modulal Qwelling Service or
Feeder ,'
B.
C.,,;;l
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over I000 Amps/Volts
Reconnect Only
D
New AJteratl
One Cucuit
Each Additio
Service or Feeder Permit
tt
Pump or inigation
Sign/Outline Lighting
Lim ited EnergylResidential
Lim ited Energy/Commercial
3
A .;tulif
rh Wt
l'crrrrrtl ir( norl'transferable and explre ii work is
nor starred rlithin 180 days of issuance or if work is
Suspended for 180 daYs.
-:,j i- DESCRIP
O3 DESCRIPTION
$ s 0.00
$4100
$ 3.00
$ s0.00
$2s00
$ 4 5.00
U'- !:it:;i
$ 61.00
$?500
$ 125 00
$r63 00
$3?5 00
--f
$5ooo .--9
C
\s \-J
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 [06.vot,,t:.rrailon Date
:r-:: ci SupervrsLng tncran
tsrBRttoottr D FOR
.- .' l,:li \?iIf 6-G
/SO z6# >f
5Pr'l\ Phone $ 50.00
O\\ \E11 I\ST.{LLATION
-l'ic ::rsl::larrcn rs being made on properry ] own which
rs nci :nlenoed lor sale, lease or rent.M.inimum Electric Permit Inspection Fee is 545.00 * Surcharges
5o
Ll
7% State Surcharge
I0% Administrative Fee
TOTAL So/o3
s
lrrspectir.,n Requesr: 776-3169
Sbarcd Driv(T:/Buildi-o g Forms/Elcctrica I Pcrrojt Appl ic at roo I -'! ) o I
Iroll:
i, :,r:,.::i ccnrracror h"*-US-t tit.fa-ic
,..-::1..j, Do Box G9)*tl!{;'u"
-\-')::-,:iJ. License Number S
- -: s:: Ccntr Nr.rmber
tl0n
3.,:rers Sign:rure: