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Home My WebLink AboutPermit Electrical 2006-11-20 LD~ 1/-2.0'- z.o-o 0 l:'J f"1,""" ....:: SPA'NJ;'~4 #Jj ~~ ,;;\:~;,~;. ~" , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number ~too y- 0 f37 t Date 2. f"~01VTRA:CfOR [NSTAgX'rION PNI,-y I B. I. 'Services ~i' l'eedefS-:i~s~!iation, Alte'ralio';; ~r ReloCatIon: Electrical Contractor ('rJAlRtaH fi~tt! Lt.-e 200 Amps orless $ 63.00 201 Amps to 400 Amps $ 75.00 40 I Amps to 600 Amps $125.00 60 I Amps to 1000 Amps $163.00 Phone f,07 - 3~{.j7 Over 1000 Amps/V~\\'+- $375.00 Reconnect W'X\\'t. ~Ci' $ 50.00 . . ,,!\"l\~~, ;,,,It''' ~'O ," Supervisor License Number ilf( 7q C~Ct.. :\ S\\P-"!: T~~lWJI''''ifl.WI.m\r .Feeders. " . , \'l \'t.Wol'\ '0,\C,,:iJt.'(o. 1>..~'i)I.I\" /O!.t:ul,'7 ,\\\S "Q\lt.\l Cl\\II'~t~lilltion, Alteration or Relocation I ~\l' \\~ t.~"t.'i) ~~~ps or less Z- Constr. ContI'. Number .;? 0 - '-13~.~~ -!J \l~'( \' 101 Amps to 400 Amps .1 I. ~~'( \ l;j 401 Amps to 600 Amps .' Expiration Date "// t) 1 0 ~ ..,' . - /" Over 600 Amps or I 000 V oIts see'~'B:'. above. Signature of:l 'Sing~le an D. .L !lranch~i~~ii~ts. '. "'. _' < " . . /' "'4/71/ d/). /l'!e~(A1.te~ati.:?ngi'E~~~Si~lf!erP.,an~I~. ~V-.~~ ':,' OneC!rCult',;\. ,("'~..., / $43.00 - .- 4- 1- , \" . EachAdditi6nal,<;:i!cui{ohith.~., " ,'.," '.~ :\ G I r I r,": ServiceorFeedeTPermif)'~ ',~ \,. ,.._",\.$' 3.00 Owners Name "'" a- ~~r......... ~~\\\'\\\. '..;'.' , . n.....I'.":....\("l't3..\>..:\,\t\\.\,.-. Address z.. Z ~ S-+t.....' 'So. + .\" \E..lAli~i:e!la'i1eOlfs(S~nti~f~~~,:,not irlclude<l) ~Eachlnsi:ilialion 1 l" \ \\." ,"' .I .' t':'! '" City 'Sf'~ Phone 7Zb-]7~.3 P~in~.orirrig~tion \. $50.00 .\\" ,.....,1 'Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspectioo Fee is $45.00 + Surcharges I ",""" ..... .' . 4. \ SUBTOTAL OF ABOVE . . I" -'., 1. r.tXJCATiOfrOFlNSiA.ilAT,ION,' b 8 r:5 J11 A-tllf S I LEGAL DESCRIPTION 17023SJ'S -.j o b z,oL( JOB DESCRIPTION ? 1F-wif7 J / r~.rr<A'<' 4- Permits are non-transfe/able and expire If work is not started within 180 days of issuance or if work is Suspended for 180 days. Address ..:/ / <'~ --- - City 1-/ JbCAt c: -- -- C',- t</" ,tJL.r"J.N / I-::: ' ~I Expiration Dale OWNER INST ALLA TlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Cc,..D ~i ,\~'1 IV. (\ \\\'l.\t.-60 ///Zo~b 3. "Cdi\o'!PWEj;i!;~SC~FritlLEBELOW" A. 1:~~iY. ,R.~id~~I\lil:':8!iigi~;~rM!'!ti-FaIDilype': d;'.~liid Service Inclnded 1000 sq. ft. or less $106.00 Each additional 500 sq. ft, or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 $ 50.00 $ 69.00 $100.00 . '.j . , !Pia State Surcharge 10% Administrative Fee $" ~." t ~i:i" TOTAL' ~u 1 100 j l{"J jLJ3 1/ I/L{ fl.{7e> 71.1 l ....B~ ~ II) -- Shared Drive(T:)lBuilding FormslElectrical Permit Application I-03.doc -iF . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01378 ISSUED: 05/10/2006 APPLIED: 10/05/2005 EXPIRES: OS/20/2007 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6853 MAIN ST ASSESSOR'S PARCEL NO.: 1702353306204 Spriugfield TYPE OF WORK: Dryrot TYPE OF USE: Repair Public PROJECT DESCRIPTION: Dryrot repair, mechanical and siding Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Contractor ATEZINC CONRICH ELECTRIC LLC MARSHALLS INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN License 64090 149509 25790 I BUILDING INFORM~'t16~ , ll/foJ r-~HMIT SHAll # of Stories: AUTHORIZED UNO iGtf'sB.f: IF THE WORK "eight ofStruCWMMENG ERs<lfiI:SER\'m'1' IS NOT Type of Heat: ED OR IS ~WlJM~flJ~' Water Type: ANY 180 DAY PERIODSq Ft Basemerl;QR Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Expiration Date 02102/2007 11/02/2007 12123/2009 Phone 541-995-6008 541-607-3447 541-747-7445 I DEVELOPMENT INFORMATION' . : I. \ -,. '" ~ ',:'r '~_ .) .~' REQUIRED PARKING . I 'T ,S ~'..J..., ..., ,Total: ~ I"". Handicapped:1 ~olDpaCt: I:':([J ~' .", , .~ ~l , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: '."1 - Paved Drive Rqd: II 'I';~' 'c" 0/0 of Lot Cov'Jrage:..",r/ j ~': ~"';1 r:e..,. C;~I, ,- r- :." '.... r......... 'r (:\1 ,. , ......._~I ~ ".. I r:' :J: ' . 4rj . - ~ a ] ',' .....'. Street Improvements: Storm Sewer Available: Special Instruction: .., .", "'-, \1hjf1;-t!; I PUBLIC IMPRuv J!.1\'I~r~ 1 SJ'<:lI'tnr~ir'" ..'. ~'ln' . I, .~' J\o;;"i"i':2tion L , " ,., -~~:'-;>14t') Sidewalk Type: ' . DownspoutslDraius: Notes: Paee 1 of3 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01378 ISSUED: 05/10/2006 APPLIED: 10/05/2005 EXPIRES: OS/20/2007 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Estimate Estimate Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,000.00 20,000.00 Value Date Calculated Description Type of Construction Total Value of Project $2,000.00 $20,000.00 $22,000.00 12121/2005 05/10/2006 L.!<pp< PIilU Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit + 100/0 Administrative Fee + 8% State Surcharge Building Permit + 10% Administrative Fee + 5% Technology Fee + 8% State Snrcharge Add, Alter, Extend Circ Temp Power 200 amps or less Amount Paid Date Paid $4.50 $3.15 $45.00 $18.54 $14.83 $185.40 $14.30 $7.15 $11.44 $43.00 $100.00 10/5/05 10/5/05 10/5/05 5/1 0/06 5/10/06 5/10/06 11/20/06 11120/06 11120/06 11/20/06 11120/06 Receipt Number 1200500000000001455 1200500000000001455 1200500000000001455 1200600000000000631 1200600000000000631 1200600000000000631 1200600000000001669 1200600000000001669 1200600000000001669 1200600000000001669 1200600000000001669 Total Amount Paid $447.31 I Plan Reviews I SUB Review 03/2212006 04/10/2006 APP JF needs energy forms from contractor. 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. ~rlln~,nections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pa2e 2 of 3 -~~-;~ 1Iic. . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01378 ISSUED: 05/10/2006 APPLIED: 10/05/2005 EXPIRES: OS/20/2007 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Final: After all required energy inspections have been requested aud approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Special: See Plan Reviewer or Inspectors Notes for specific requirements. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 iu 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1378 COM2005-01378 COM2005-0 1378 COM2005-0 1378 COM2005-0 1378 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: . '~ Wit. Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Add, Alter, Extend Circ Paid By RICHARD SALAHOR C.v.of Springfield Official Receipt ~opment Services Department Public Works Department 1200600000000001669 Date: 11/20/2006 Item Total: L'heck Number Authorization Received By Batch Number Number How Received djb 071368 In Person Payment Total: Pa2e I of I 11 :09:40AM Amount Due 7,15 11.44 14.30 100.00 43,00 $175.89 Amount Paid $175,89 $175.89 11/20/2006