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Home My WebLink AboutPermit Electrical 2007-6-7 ~ ZON l.D?_ INITIALS N1Y'\ DATE C,~7'0I SOURCE-h\<.., 225 FIFTH STREET' SPRINGFIELD. OR 97477 , PH:(541).726.3753 ' FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number L.ofYI? HI' _ nn k-71_ Date . Co - 7- d c:r'o<:- ~ '. 1. lCtOCATioF(OFINSTAlLATiON~I~ 3. ~COMPiETiFFEifsCHED'VLEBi:LOW.!!'<N%~*,~'" . ,."'''''''-':e..'"'''_<j{j:;'''."..,....,'"',.'"''''"',''''"''.''''n''"''c'i!lf..~'ll. . ~_"",., _.""_"""""''''......,.,.....'''''(c.....,~~."..>,''''''~t'''lt''' . ;;?8')C:; 'J!J:JJtJ'f1~f) 11-; 'f*.~ . 77'717~"'o.1->)1'..~....~i""\f''''''''''.'~,2]e'''~::,~,,v..~..~~~,...,:. .' -': LEGAL DESCRIPTION: A. ~~!1';~~~~~$.l~L~ ~21j;15~~!.~~~~J!t!~;nJJI~~~~el!!~.w~;A~' I '4 In '<-, ::I?. '< 2. 0 I 3 cr-v Service Included . JOBDESCRlPTION: 1000 sq. ft. or less fI _LEach additional 500 sq. ft. or :<: (1 n. -r GOJ\O (').R Ak uJ ('D>1shvq portion thereof . J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. FC'ONrW'CioR1~'ffION^oNi~jt 2. ~f~~"'i:.~~Wd,~~;.!.:..~,~,~~~','\.tau;a!:l~~~~,:Ji.j~l Electrical Contractor Ih .. It:H~ r:(P -n-I<.- Address ') 51-1'0 11-1.-4.0-.. Cl",,1 ::.,j-. A "c- City /5.Jt.6<1,"'" Phone 541" <;Z j. s-r;.;.o LIIIl.. ') Supervisor License Number NOTICE: T~3P~~!1~Ra~I4MC P'/II'I"RI~ TH~ wnRK AUTHORIZED UNDER THIS PERMIT IS NOT cOConstr'NContr. Number, DJ~~':7~'KC '''n IVIIVICI lICU Ut\ I:) M I I V I I "OJ l AtfxJiMiof1~rl'aPeERIOI/- I~'~y Signature of Supervising Electrician .4~ ~~. " Owners Name 'Kd,....,; ^ ~\o ~c.l2 Address 7 'X- 1") YYJ~?l g,...J> f2 City 51 p/d , Phone ()?i'5- R 3 c.. ') OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ag~ture/;~1I} Inspection Request: 726-3769 $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. ~~i!~~~s'~mitibif,~.lte?1'fJ~lW~~~~ ~l;r'A~,:j~.)':~~:'~~;w:':'~;.i.;~i-..3-'j~'r,lr,a.;';l.;'~'t[~~~6 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000Amps/Volts Reconnect Only / $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c;3 ~".,'w;~,,<._~"""~l'ffl\f!';l'l'I~~''''-.~~~1~.~. ,- .c. Il:Temporar;v,S,e!'}'lce5._Q( ;fev~e~rs"",~,;'diJi "', ':lI,,~&<;'~,""'''' . ' . - ,r, ~,~~.U:~"'Pe.'t~q.f~' " ". ' ,w.' ~,~~bA'~~ " . . . requires you to follow rilles ador.1jpr< h,. th 0 . . , Installation,.AlterallOnCor Relocal1on e regon Utility . "",,,,c;duon . enter. Those rule~ ",p "ef forth 200Ampsior\!es.~1952.001.0010'" . ($ 50:00 ~ . ....~u"''' '~Q52,uUI- 201 Amps(lo<!OO A_II.Y',~lay obtair. ---'.. $f .00 . , . -~r-"'"""'" ;:>r p n llb'~ uy 401 Amps to(600'~~2 Genter.. ("_'_' .., ,$100.00 . _' - -.-. ~..,...lelephollo Over 600 A!JIPW,fYobo'.VOllS'1ee, 9'B'1 a'hoYe., NOtififfiJ' 'nn ..,., """,. F'~'"'''''''''''~' "'~'...,.." ~.,,;ik~! '~~ U.- ;iJl" .'It... '~.,.."'-....-...~ - Et~::t . - ~~ - 't: - ' ?Mi::. . D. I Brancl]' CrrcUlts~=' . ,'~"''';o ..., ".:-'2 i( " =,.,,,,~,,...,,,' .:,;;. ~;o:.r...,.:;ro~'~~~"" -_.~~.-, . .\f'''-:;'I~3r~'' " New Alteration or Extension Per Panel One Circuit Each Additional'Circuit or with Service or Feeder Pennit $ 43.00 /0 3D. $ 3.00 ~~~~~~i'tt~~t:S:,;-~~-..$;~~J',o::.~~~.I:~!r"~'~'~f,'<!il':"t&\~YU~ E. :,' Mlscellilieous (Ser,viCe/fiie'der riotiricluded)'':''Each~Iri:Stal1aiio'ri~ ,"..J"'" ;~t:.~~~.~;iJ':.-:1.illi.i-.,,;,.":'.i&:t1,'V.:1,J,;:;':.Jd~'i.o:..~'w.;;:.~..s;.-.::;;:.::.:.tj;i.::.\tU....~.2;;~o;:l,2.~.u...,"';;::i~ Pump or irrigation $ 50.00 . Sign/Outline Lighting $' 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4 ~sUBToTAt~oP'IDio'VE"ilf~V~~~ 0.2 UlI . kt~>>@~~~i';-'~~;w~:f;1::~4.~:'r\"..~5.i~~~t'. 7 ..;>. 8% State Surcharge 'i - 05 10% Administrative Fee "1.'. ~ 5% Technology Fee C\ . '2,{)_ TOTAL ... ~ I ILl, '3'1 Shared Drive(T:)/Building Fonns/Elet:trical Permit Application 8-06.doc _s.~";. 4'11 Wtc. '. . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00826 ISSUED: 06/07/2007 APPLIED: 06/07/2007 EXPIRES: 12/07/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2815 MANOR DR ASSESSOR'S PARCEL NO.: 1703233201300 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Wire New Garage Owner: LOBDELL ROBIN Address: 1210 WILLAGILLESPIE RD EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745~ Expiration Date 01/18/2009 Phone 541-521-5690 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Secoudary Construction Type: # of Bedrooms: # of Stories:' Height of Structure: Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMAnON I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: 'Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: 'l':II.I:rIPN' Olegon law requires you to Storm SeweATJatlSD " t d b the Oregon Utility Downspouts/Drains: Special Instdfi't'c.MI,ules adop \h y les are set forth Notification Center. ose rUh OAR 952-001- NOTICE: ' Notes: i~o~~\~~2~~:~~t~~nt~~~~s. of.t~:~~~:obY THIS PERMI~ ~H.~~~ ~:.~R~d~~~TEI~~~~ ailing tne cem~l. \'W'~' ,,,- -'--..~. AU I nunlLCU u"u~.. "..- . ~,~ ~lJmber for the, Oregon Utili~Ylt\9~I\1~l\~~ Descrintion I ,COMMENCED OR IS A'BANDONED FOR Center IS 1-800-332,..~. f ANY 180 DAY PERIOD, , ,$ Per Sq Ft Square Footage Description Type of ConstructIOn I ' I' B'd A Value Date Calculated or mu tip lef or I mount Paee 1 of 2 ;; _$ PRINOFlaL" . ~, ~1l I&.. ., . . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00826 ISSUED: 06/07/2007 APPLIED: 06/07/2007 EXPIRES: 1210712007 VALUE: Slat us Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue Total Value of Project F~~s Paid I Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9,30 $4.65 $7,44 $30,00 $63,00 6/7/07 6/7/07 6/7/07 6/7/07 6/7/07 3200700000000000375 3200700000000000375 3200700000000000375 3200700000000000375 3200700000000000375 Total Amount Paid $114,39 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Req,Wr~d r nsn~r.tions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Electric Service: Approval required prior to utility company euergizing service. By signature, I state and agree, that I have carefully examined the completed application aud 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 accordauce 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 compliauce with ORS 701.005 will be used on this project, I further agree to eusure that all required inspections are requested at the proper time, tbat 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 remaiu on the site at all times during construction. On'ner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ ~,~". ~. ~ of Springfield Official Receipt ~Iopment Services Department Public Works Department Job/Journal Number COM2007-00826 COM2007-00826 COM2007-00826 COM2007-00826 COM2007-00826 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 06/07/2007 3200700000000000375 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROBIN LOBDELL Item Total: (;heck Number Authorization Received By Batch Number Number How Received njm 3076 In Person Payment Total: Paee I of I 9:06:56AM Amount Due 63.00 30.00 4.65 7.44 9.30 $114,39 Amount Paid $114.39 $114,39 6/7/2007