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HomeMy WebLinkAboutPermit Electrical 2006-7-31 (2) . . . [,,/)2, P -01 -CJ~ /' 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC~PERMIT APPLICATION City Job Number 'LJrn::!rm({l - ()(J~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum\Eiettri~ P~rmit Inspection Fee is $45.00 + Surcharges , ." _ \ \ . r \' ".' _, ~ _ . , 'l \ ~~I~~";~,,..,;~,:;t;V~~.~~;c.:f~~''lR,.o;::''':I:t,'''''~x:::I''~~'.1~llge1i'\~~~iiJ:;~;; - .. ';;''7'.''~'f\!,';~'tf?f;[i~<:@:Ii;.':':;';':,,:/,;,':'.''1) .- \.. :", 4' t~~~%~~\~;~'~;~r~~~~\S~~~~;~1~~;%-,ir '. ~g;!~:~~~0~j - \ . ~~~LJ~;j:;'~~:>w..[}~ _~,~I';~..c;.':'$_...t-:. ~ ....::,'17.'';O.;i;.,.'''!.''.~J , '). I, e. \ '""" ~i::-:.s~~,(:~P~~I:b1:i~~~~~!~~'~~~~~~~~~~~~~\;.~;l~~~fu::t\:;'.:ii';"~~f-z~~~~r,! ., \ ')\~\ ,: \~..' .' "~\.i8~ ;tate Surcharge \. 10% Administrative Fee ".....,,'~..'"..el~f 't'''''''4~~'''''''''.J('''''''r.~-t'~''''''''''''-''~-~'~''~'''"'''''''''''~!i'~'''~~~''~''' 1 "\'E"'eooI0M1f' ":mTS-~:ENJ~ifi} . ith" . rif.~ ,1,',.': ~". ,","'~:._'~.,'_: ~,' ,_I~t_:._:.c.:,:"fJ.!; ._!":~.:...,.~.? ,,' !;"...~; . h r,;,., '-'.. "-LfW,~u...a;:=""""._"..."",,, ~ /7/&- fin .. .. LEGAL DES<;RIPTION /7 n. '? ~ 33. 05;:).QD /lO~ DESCRIPTION (j Jt('~ . J?- f1~/Ylf1VJ , , Permits are non ansferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ... If,~'!~1i~i~~;.~:~"t:>~t~'~~~~%~i#:f~~if:~~~~~i~[K~'trt';'~iJ~'i~#f~~~lf;,r~#C;Sj 2 !~l,€(j).lN;I1?JrJe'lE€JR'1NST<Jt'ff'fr,<;mU(f)Mli).lW!!W~, . ~~U:~:;i..'i!~'fa:l~~,,:~!',.~, ;:., '~~~.{r,~~~~1;;;,j!t.~~~;L;J:~ZI:;;'~:,~Q;:.)~~'))':::~~:~~~"f.:'~i2;~~.l Electrical Contract<tIVEWlRE ELECTRIC. INC. P.O. BOX 23154 Address EUGENE, OR 97402 City Phone J'I'I-'I7J$ Supervisor License Number 3313 .- S Expiration Date /~- / -07 Constr. Contr. Number ,~f;6 '17 I~ --0 ~ Expiration Date t( - / b - ti8 Signature of Supervising Owners Name .f~ ( ..) S1l3P I/r;h.J Address /7/& (l~(~ City~' fd / IU 60 OWNER INSTALLATION Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: , ,,\ I " . \.: \. 1\. l' ,\\,..\ \.. Inspection Request: 726-3769 Date tl!~//? fJIJ,0 3. ~~~~0~l~R:=;~~lS~~;:Ijj~BE~~~~ft%~~1JI?t~1.~.:~~~~~Sl. ~:!'i;'~,~t\~!';~it~~~~~.Jt.;~;~~,;.~~;~.~fii,: ';""'~~;"'~'~~4'~""-i;;,....;:~L~h:::':%1~:~~~::tJ.,~~~.~~;~~~~S~,~\.. :~.t::i~W~I.~~l~1;~~~~~.t~~~'!1~~'~!~tt~l;t~t,:!,~~1t~;I~t.;.{g~~(~\~1i:.f,,~)-::;~lK~~~~::??~~~t.Jf;~;;cg~~~\~:~1~f~t~$lTh~;~14ir4$~j. A l1ti1\.e' 'J. '.",''''';"~''d'''".''''$~;;'~f'~'''''''''''''I''''''''''''1\''''""l~,'~''''amlr">>'~"'.''':.>~'''''n;~''''~''''''''''''<'''>..' . . ,.<i"":e,}Wcl':esIen,,,,_l':. ;~mg eml1>luuJLLi:ix.. . :'If,ner;;:Uw'ellUIO>fum~.1i~):1 !l~::t:':''i~zc~,'>'':'''.:,,:~;h~~'~~:iJi.'tS.. ,~'c'~'<"~:~"i;';t.~~z""'~'[<;I~..(~.glfi',.1.~{..;,~~e:2t:'fJI'~~~.rw~1i.tt-..tJ Service Included 1 000 sq. ft. or less Each additional 500 sq. ft. or portion. thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 1~\\-~~:~~:gf:.;~~~~~.::..~.~~.~.'~.~*gfi.Y($};.;i~~~~.'~~,~.f€l~~.:;~.~'''~~1filE...m..,]:J~";~~I'~\\iji~~..!.~,,~~.~~,~:r ';' B. ~'ltS:~~~~"': .-:7In5 'x; . .< -o.n...~temi'tionSRijr,;~1'(.Cli)'cation~l it.t.~fl':s~..r : ~'.'''~~~~{.i~~~:~,7~~~~~~~~~:3~~:''~':;.~~.k.t;"~'t.~iii. 1 ,... ~-'(Y \.-,-. u" LLL \....t;. " ,. ..'- - follmv ru,s;, c,-' ~:' . , .., .' " . 2~,,0 Amgscor lessr,,"'i''''r 'li18.:'~ 1''..'.':- .. $ 63.00 ,_\;OTlt:G<.lliU'1 Veil .,v . " .' '. . 20ln] 1~\Plslto;iQ8cNnP~1 C t\,i",~Wi: ,,: '$ 75.00 j 'J'J I ...,- . , 40rAmpsltoI600(.~ps:~';:~ c:-' :~, l $125.00 I' ., ' I I ... I., . j .-' vv..,....,. u , ,.' . 601 Wl',~\tg J.QQO.:Art1ps. ('$163.0,0 Ovef1W~Q)b.mp-sNol~'. ;;','~ ~. ;. . $375.00 Reconnect O'EY: :"tei:~ : -(;.." ',j,) -. u' ,. $ 50.00 ~rn:~~;~~~~~;~iii.:.~.t\!;~~t."f~~$...~.~:t:.r.:\~tJ?tt~~;~~'t:.~~']~'i.\:;'",:~~~w~:,ft~J1~~~J:'t;~..,~t,~k~~71.~:!c,.,~.4."',,*"t'~~,' l:;1:?; ~i~fi~~.,~.f.~7'....;&~r~': C r~', .....>.. .,....~.... .".'''S'' .. . ... ''''''''''''''''"'''d' ' '.I7i".<~...< \,,,,,,,"..,.,,.w,.~,., ,""""Oo,,,,,:,,,,,,,,,>.,,,",,,,"'o,' . (f~ l,empo.naml.:~, e-nvleeS~,Or"';.F"ee ersn::;r:.;-~li~~$..t~ff.(c~.J~-""'~~>'~".:"'SE~;~"~~i%'~i<...;;<,,;-~q.t?--.:,.~:_ ';~''''''''~'''P;:'''' --";:i,<.:""_.-'..,....-':i,.,..~:.i:","'.><,....,, ~.,i.~:"':~!,,:~""'l';.:_'^~-:.,..;;~~~~...'fE.:L.'U'!li. ..."'~\':'~i~t:...~;~.2.}:.-~i1..."".;,.~~~~,,......Ii'\J Installation, Alteration or Relocation 200 Amps or less 20] Amps to 400 Amps 401 Amps to. 600 Amps Over 600 Amps or 1000 Volts see "B" above. >)....~<<~~f~.\.;.~.:*;;.r--~-i:~'i$;~~~~~..~\.,,=~~.fif<\~..:.~f.~;j;1"~$M_~:Y'1~r~~~~~~$.,;'~Rffit";:r~;~J"!:S1 D r~7';Jj~':'!t_-.:.~.l:.~J..7~a....n.'-~....,~~':'..:;.."';j\:ar.~,~.,,~....~.;.~.~~~_~~'-"t':lV<:-. ,.".~""z.,.V"M.,J.,~..~~S~t{;~ "~''''~'~''''lO ...",.~...-<t;'.i.~t . ~~g!J~~~~I!.l~!!&~~1~~~~:b€A~~1~~~~~~;~.~~~]t;~~~~~~~t;;;~~~ $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit / . Each Additional Circuit or with / Service or Feeder Permit $ 43.00 L/3 ~ $ 3.00 ~~:ift7.Z;;"*';f~fftiK~~~~;tt-'L..~~';-~~';l-~~~~'i~"?~"'".;.~~.)ll"~.j;~~~~X{,"':..~~:~~~.:iJd.~':A;t4>":\"~~ E. ~,ilNm\f'rn''ireb1iwsf':''r.'~eea~~'8t7iili.~iiiae1t~;''Nt~Tns~lIatiOii~~ lif~-"t:;.,.,...~(j~~~....,...~'h~~;t:l...~~""';,,~'-.....;;I...N...:....,-I:i:\.,',-~o;.;~k" ~" ."""'-"~~.-."_1;~.'1;.~....,-n.~{"'-..,.",...;,.'.:::iZ';...',.-..~~,-~~-.....:'1 1,.'i;'-,-,'-~.::-'---t~i>>U'~b~~",~Y'~:i_.. *~~.~::"".;.r...-.._'a'"::.JJ..;.~~~oJ..t~+.~...::J: :.."...~,,~~'1.f"-,~., '~~,"'.~ TOTAL Ji L/0 . ()O S~r ~.Go fR. ~ J( Shared Drive(T:)/Building Forms/Electrical Pennit Application l-06.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00958 ISSUED: 07/31/2006 APPLIED: 07/31/2006 EXPIRES: 01/31/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1716 COTTONWOOD AVE ASSESSOR'S PARCEL NO.: 1703273305200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Residential PROJECT DESCRIPTION: Dedicated circuits for appliances. . _ ..,...1\ to Contractor Type Electrical Contractor LIVEWIRE ELECTRIC INC I W rel..\UII'-''" J..c N' Oregon a on UlII\lY ATTEN1\O . do ted by the ore9.o 39l 10:\'" talloW rule~ a p Those rules ~~v C\().OC/I . n center. I.-. 0 \\:.l, -'~,.. ..._.L~t;,....,,=,t\C)ll .......1.\......r\\\n\\ I . '_.1 I~'-''' ,... OOl-UU IV" . 'tn3 1'-.1'-'-' ., . .....1\0 o....,~- . caples 0 I CONTRACTOR I\NFQRMA.;rtl(}~ <,)ta1n te: '\.I,e t8\~P;',G.\J uvv -' . the center. lNO unity NO\\1\c::"on ca\\lr~\C~s.~.e OriB*,n~~~~5!f!,iQ~te Phone num~6~~3nter is 1-80005/1612008 541-344-4928 Owner: Address: LEWIS STEPHEN 1716 COTTONWOOD SPRINGFIELD OR 97477 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: _--. ~u -' ..-". ._. _ ~..v. I V al~ation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00958 ISSUED: 07/31/2006 APPLIED: 07/31/2006 EXPIRES: 01/31/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I $4.60 $3.68 $43.00 $3.00 7/31/06 7/31/06 7/31/06 7/31/06 Receipt Number 1200600000000001172 1200600000000001172 1200600000000001172 1200600000000001172 Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $54.28 I 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. I Re(JJtired InVJections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Date Paee 2 of2 225 Fifth Street . Springfield, Oregon 97477 541~26-3759 Phone . <&of Springfield Official Receipt "-Iopment Services Department Public Works Department RECEIPT #: 1200600000000001172 Date: 07/31/2006 3:13:42PM Paid By LlVEWIRE ELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 033874 In Person Payment Total: Amount Due 43.00 3.00 3.68 4.60 $54.28 Job/Journal Number COM2006-00958 COM2006-00958 COM2006-00958 COM2006-00958 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Amount Paid $54.28 $54.28 cReceint I Page I of I 7/31/2006