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Home My WebLink AboutPermit Electrical 2006-12-15 !-. J~t~l&~ lJr,-P1>~ ' !;,~ rn'~~:.,t'A/ , .: "\::T~;I..l::il"'f l<l-6 Date 1J.//~-h0 ----, I 3. fGt?M!.'LE!~_FEE_~~~~n:-U.!-~~E!--OW "" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTmCAL PERMIT APPLICATION City lob Number Cfi'n1 f),07J~ -0/(,/5 I. LLOC:1:~1~~.<?f!:,,~TAL0T~ ';'::-.:-"] ~tN LEGAL DESCRIPTION n 03 237:>2. ~o 70V A. [New R;'id;~tiai :::S;;;;I~';;; ~t;lIti-F~';;ily;'r-dwe";;~~~it. ',; 1.-..-_ ._.._ __, _--' Service Included lOB DESCRIPTION 1000 sq, ft. or less $106,00 tJ A .Ill) A hI. ,.. I. Each additional 500 sq. ft. or ~ M~ portion t~tV'ftJlENTION:Oregon law reqUlf'$~9'.lW. ~O Permits are non-transferable and expire if work is Each MlnlJlal:{id-H~?o?Opted by the Oregon Utility not started within 180 days of issuance or if work is Modu\lU(DiliiJlmif.se~cptli1r. Those rules are set fort~ Suspended for 180 days. Feede~n OAR 952.001.0010tm^"shf'\A~!l;!lQ!-on1 , ' '" " " ." 1 r-----:::0090"vOumay..obtaifl:~Gpias-O~-!h.E0l,lJe~;:~.____:T'.1 2. I. CONTRACTOR lNSTALLAT1QN ONLY 'j B. I' ServIc~~fll~'lliatt'l~Y:,n%t~!~fl!.t~'!!ltl~~~!'l.artlOn:'. I C h>'1' - rl . n;l~berforthe Oregon Utility Notification Electrical Contractor . Ivl'::> I JL(lSIfYl ell2LOlLl 200 Amps or less C t 's 1.80.') '21" ,,~~,6"JOO en en ~ _._ _.r.... . 201 Amps to 400 Amps $ 75.00 Address .!:>{)D ~. {)h1~a f\vL 401 Amps to 600 Amps $125.00 . 601 Amps to 1000 Amps $163.00 City lflJ.l.rvfl.-- Phone jll ~ -G,JL1 Over 1000 AmpsNolts $375.00 - -- } Reconnect Only / $ 50.00 . c;-n ill . Supervisor License Number L/ Ol q ~ I () 101 r 4r6 l In 7 ""ffi7 . I '---- ,<:k ~ AfiUvl- Address d4-/p ~4 SIAilu. Ie'/ Ci~'on C1Phone Gjq <6-0~b1 Expiration Date Constr. Contr. Number .(/ Owners Name OWNER INSTALLATION The installation is being made on }'IVP"'I ~j I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 c. tl'Tempof~ry,SerVi~~~>~r,Feeders.. ,".;':,,, .:1 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over q<1Q~~s~: lo,OOVolts see "B" above. , , D. ~'Bran, .~c;r~Wlf1ifgR . . "He"; ;~_' . ',:.:>. ,,',', ,I F_ "... . A .. ,." ," New Alteration O,r(Extensio~:ffN'J~,1 IF THE WORK ".'. 'v, "L'LJ UIVUtn THIS pE ' '. , One <fjts'P/.~tNrFfl DI" _ bRM$rl3!OQ~OT Each Additional Circuit~with~BANDONED Fn~ .ServigJVJFe'!tleDP"~€R'OD, $ 3:00 E. ~Misc~lIanei,~s (Se~i~e/fee~~~iiot i~"elu!leil)"Ea~h I~~l:\11alidn i Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permillnspection Fee is $45.00 + Surcharges 4. ~,S~TOTAI;'OF ABOVE' : 1.\". 1.,' '._' . '1' ",'1 . ), .;;:" . ':. ~~ ~ ~'"" :.... c;n. fiT) 4.00 c;.OU fj(.W 8% State Surcharge 10% Administrative Fee t;"of~ RL- TOtAL Shared Drive(T:)lBuilding FormslElectrical Pennit Application 1-06.doc . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01615 ISSUED: 12/15/2006 APPLIED: 12/15/2006 EXPIRES: 06/15/2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541.726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2900 MANOR DR ASSESSOR'S PARCEL NO.: 1703233200700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Replace mast. ATY~1'4 9.t)~!3;'eg&~I?.!lilj reqUIres ydffflJlential follow rules adopted by the Oregon Utility l\lntifi,..~tinn ~ontor Thn"o rlll.o.~ "3ro. ~,.". f"'....l- Owner: NASSET STEVE M & JOANNA D Address: 24664 BUTLER RD JUNCTION CITY OR 97448 in OAR 952.001-0010 through OAR 952.001 0090. You may obtain copies of the rules ~ caning !hecen~er. (Note: the telephone'" ItUIII"'~1 IV' ule _IG~VII VlUILY '''VIlII\.rQUUII I CONTRACTOR INFORMA TloN"lter is 1.800.332.2344). Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/01/2007 Phone 541.688.6121 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: l\InTICE' Sprinkled Buildiiig: . n/a TI-II~ DCPUIT CU^II Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: evoloe Ie Tue IMnol/' Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INRORMl\ifION11INDER THIS PERMIT IS NOT COMMENCED OR IS ABANDG~.~~lf.W~D PARKING Overlay Dist: ANY 180 DAY PERIOD. Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsJDrains: Notes: I Valuation DescriDtionJ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 . . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006.01615 ISSUED: 12115/2006 APPLIED: 12115/2006 EXPIRES: 06/15/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769Inspecti~n Line Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcbarge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 12/15/06 12/15/06 12/15/06 12/15/06 1200600000000001762 1200600000000001762 1200600000000001762 1200600000000001762 Total Amount Paid $61.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. wilt be made the following work day. , R1"111,~nsn."'tjons I Final Electric: When all electrical work is complete. By signature, I state and agree, tbatl bave carefully examined the completed application and do hereby certify that all information herenn is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO,OCCUPANCY will be made of any structure without permission oftbe Community Services Division, Building Safety. I further certify tbat only contractors and employees wbo are in compliance witb 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, tbattbe permit card is located attbe front of tbe property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225. Firth Street Springfield, Oregon 97477 541.726-3759 Phone ~~~.. · w.tr':'-' ..", -. - j t"'" " \ ....".. ._._,....'" ,~,-,,,,..,,/ -- -_~.J Cwf Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006.01615 COM2006-01615 COM2006.01615 COM2006-01615 Payments: Type or Payment CreditCard cReceint 1 RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LARRY CHAPMAN/CHRISTENSEN ELECTRIC 1200600000000001762 Date: 12/15/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 015706 In Person Payment Total: Page I of I 1:33:14PM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 12115/2006