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