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HomeMy WebLinkAboutPermit Electrical 2006-3-14 The following project as s e ~~!ng d does not reG I SP\l!ifib 1a<I~ $P-=:aINCPll! ~~~.~ onln,tic~:':" n;~GIf~'C: :... ~ ',. . ~"., ~~~~\~f~.;;~:{~~. ~.Ajt, . Date ~~~\~n~tL..UU\o 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (S41)'l2~6ll9 ELECTRIC#- PERMIT APPUCA110N City Job Numbe'l.(;rY\ 7 rm(Q - nn '-;;)q 'S i. "i'{ji:JATl'JON"dItiiNs'i)i.T.i'ATI(JNi;"Y'lt~'('. 3. Itl(JOMPJiifI....'.'iHmJj}SeiiEiJtiIfE1iEi!olvA~,;~:'Ji.i!fi?~~.; .. (oSO~,..~~;)5T~ &k,,-........."'~""""'~.~.,...._~~" Supervisor License Number ~7 Lf.2 5 I () -I -D 7 Installatio!\,.Alteration or Relocation " I~UIU:t' , / 200 AniP!' or.,lffi $ 50.00 . ConSIl. Conll. Number ~ . 20,\ ~~~Hioo~;'LL EXPIRE IF TI:IESflielPl!< 401\~~)~I6&PAlJlllkJER THIS PERMIT ISIPSl:JlP /~ /1.3 )09 o.SY.~H~CED I~JJl~fW~f.OR :;::':r~;ci'"c, D~~~~:~,r~ C-/ _ Each Additional Circuit or with $ fY\ 00 l/l/Y) $h.~(11~erviceorFeed)pennit 3.00;,. eo- E. ~~~uif(seJ:~~'I;~~r.'ffJi:iilfJ:-d1r') ~E;.~11~~';;;';'.l rr\(}.:\f1\ 0 I !t2'=~""''''-'''"'-'''''-''-'''''''''';''''''''b''''""",,,~~~ ,"'~"""'.1 Phonc Pump or irrigation $.50.00 ~.It Sign/Outline Lighting $ 50.00t Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges (,/3 ~ 5 .0_ <-! (g.30 ~/4-. $i LEGAL DESCRIPTION \(0).,34 43 002-ClV JOB DESCRIPTION ~ ~~i:1n:tran~r~0workU not started within 180 days of issuance or if work Is Suspended for 180 days. Electrical Contractor Address a....C{;:J. . City~ Expiration Date Expiration Date. Owners Nam~ Addreslrff)<=) City ~t:f,tt -' OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: luspectiou Request: 726-3769 A. ~~tR~iti~tG[:8Siri~i~f~fMtnti~E;'1riil".:F)f~t~dw~iiit*-f'.rI1 ~1~~. ,J;.;;;.;~~";~,~,....,_.~,<,,,"~..>.~.^,&",,,--,-,-,,.... -- -..,- --,..1Ii!L.~;;;.J.~""''''''~~:;.:;..;;o~ Service Inclnded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $19.00 Each Manufact'd Home or . Modular Dwelling Servi.9, p,r . $50 00 F d .. I ">.V. Orer~- ,- . . ee er ,'. 'rr' . ~"" "...uy Icywres you t I. ,I 0r,,,.....*___I... 0 ~"".,.."'...-;..".." '''-'l:"'.il\..~..,.:h.....,...>>Iit''.h'''. r, ',' ........~..:f~._.-f~rJlRf!l' J.t"~':';;"H:"~"~ B. ,~s~,.= . "-'~""F"'"'''''.''"''''''''TI''''='I'~ti'''''~''''''~''>~=ti'>-<"''' .<,".". ....-... ' p:j ervlce5 or..; ,t;l:Utrs,-! DSuu. a Q '-',' era onStO'~' 0 00:;'5 '" -,,- :,"!'::':'1-:;~rto'f'001""'O"t'h" -, ar~ffi'ni1,""'5iH Il'.' " rough rH n "52 0 200Ampsor.less ,au may obta'- _. . $'63,007 _' 01- ( ". - ... .....~t..,lJC~ t""lf th~r I b 201 Amps to 4OO'A!!'PS e center ", _'. $ 75.W u es Y n- ~ - , . \" ......,'-'. LIfO t""O.....h 40t Amps to 600 AmpSlf the OreM- ,...,. $125.00 one (' ..,-., ......,,,.l,Y,Nntdll...at 601 Amps to 1000 Amp~ter is 1-Rnn_ "".., ..,$163.00' Ion Over 1000 AmpsIVolts ,.. -$315:00 Reconnect Only $ 50.00 - - c ff:' ."~-<t:'~',,,""~i:"";~S- "'t',;I.l'."'~ "",.,...~;~ \F'.... d;,t';h.~~<t~f<t"J~j; ,::'.;;fit\?~5:;):<f ,\11. '.;;:il'Jtt~j . r5...~ITIP-,~!!~!Y\Lr.x~~~1~t,,, ~~~ ..l!r!t~:_/(~:~~~"t~~ ,'~. - \.~~~'sa ~I:;""f"';i ,;.".;~;.u,.. ,..~....t.'~' l', -"~',T1~';;~~~'i;-'~>~:~~t)~~'~i;:F'.:J~1~ 4. ',SUBTOTAL 'OEABOVE~5t-;~:~f," h,~",;:3j2'QF~:.~,t'j . --;h.~,-'ot~.;.'" ,: :~... 1. ~'PJ-- "f '?'f'4;_~{;~~"i:-:~:...i~5rtY~\L+~ 'f9% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Forrns/Electrical PenniE Application 1..Q3.doc _$"'AI~O F..'.IILD.. ~'.." ...... 'Wi:' i ,...~ . .._.. .,...... I . . CITY OF :"lrJHr'iGFIELD Building/Combination Permit PERMIT NO: COM2006-00295 ISSUED: 03/13/2006 APPLIED: 03/13/2006 EXPIRES: 09/13/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6505 MAIN ST ASSESSOR'S PARCEL NO,: 1702344300200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Change Service ATTENTION: Oreqon law requires you to '^'1^'" ",lee adopted by the uregon UlIlIlY GLENN MELVIN SHINDLEDECKER REVUY- t Th se les are set forth 6505 MAIN ST Notification L.;en er. 0 ru SPRINGFIELD OR 97478 in OAR 952-001-0010 through OAR 952-001- _~.....'" ,,_., __.. .....h+.....i... ....."'......ioc nfthp ndp.~ hv Owner: Address: Contractor Type Electrical Contractor MAG ELECTRIC INC ....-~ "':.. . - -.. : _ _"-__ I"I.....~...... +h..." tolonhone I C~,~~~~C~O~'~N~O~MA no~, IJtification Center is 1-80r~332-2344), E . . D -License XplratlOn ate 149834 12/13/2009 Phone 541-461-0387 BUILDING INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rcaryard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport ~;;;n~Qjl~WtlinR~ nla ~~::p~~~e~~ad: THIS PH1MfT C:Hdll I=YDICt: It: TUt: wnnv I DEVELOPMElNmUNRlIlRMlNVLONIWIS PERMIT IS NOT t.ulvf~Vltl~vtJ Uh" I~ AiJANDONED fOR REQUIRED PARKING ove..n~'M~e BAY PERIQO, Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated PaRe 1 of2 _~..P.RI~~I'IGl-Dji. .'.....-. i'. '~-" i - J] . -=' ..,... - : .' , , - ."' ., .... .,...,..,..-.-....,. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00295 ISSUED: 03/13/2006 APPLIED: 03/1312006 EXPIRES: 09/13/2006 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 Fee Description + 100/0 Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $5.04 $63.00 3/13/06 3/13/06 3/13/06 2200600000000000302 2200600000000000302 2200600000000000302 Total Amount Paid $74.34 I Plan Reviews I 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. , Re"uiretl Insnection. . 11..111 Electric Service: Approval required prior to utility company energizing service. 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone J~b/Journal Number C(')M2006-00295 COM2006-00295 COM2006-00295 Payments: Type of Payment CreditCard o ~CJj :r !} :6: :r 'l. 3/13/2006 . RECEIPT #: ",,~.~'_N_~'J:I~___. '.... WI: ..1 I ' ..,: ~_'_","~__.'M , Jiii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200600000000000302 Date: 03/13/2006 Description Perm ServlFdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Paid By LISA D ORA Y Item Total: Check Number Authorization Received By Batch Number Number How Received njm 013609 Phone Payment Total: Page I of I 11:14:02AM Amount Due 63.00 5.04 6.30 $74.34 Amount Paid $74.34 $74.34