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Home My WebLink AboutPermit Electrical 2006-11-3 . o '/ . t....t. t e . . " ~. .... ' ..' ~ 'r,' . .,":,:,:o,',qrry.i()FSPRINGElEJ,:D, ORpGON..," :: a 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number .en N\ -z..O Ob -"0 \l\- \. \ 1. F~6.9:1::rI.ON;'qt1:&$:t#&AtIQN:'f1.;fJl~ C::> (l L t'AA \ ~ ~ T, -A"?T f.o B. '~!H)l~(~~~~t~~~~~~~~~~~~e~l~!~~~~~?~~~'?~ 'i~i9,C~P9~f~.' 200 Amps orless S?' $ 63.00 b?, .OB 201 Amps to 400 Amps $ 75.00 40 I Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only .><-' \ $ 50.00 ,'~ .n r', ""," <,-." . .-..f.-.",..;.'.~,\-~' .'{"lrO'...-.....,.::'.:.'....",:'.;;:. ".>'_' ':'. -.--.,';.:.,., :~..--,..... ,'"--''' ~~-.:.>~ C. ~!~1!ip_orat'): _S~r::~ce!!~,~~~~~~!'1i~;:i:.:1;f~,:,,<::;:: :;,".~;}~t;~; ..~;;~<},~;itstl~Li;X~ , '.' o' :<: ,J i>""~ o,'0v ~0 n. I II' ",.A\ _. .<~ 'R'" I _v. nsts atioD,/J1,. teratlon or e oeatloD . .....,,,. ...\~ 'A,v'" 0' ~v 'S:-- ~v 2oo,,'Amps o"les~ (y ~ q;.0~.~,c,'lf $ 50.00 ..xc20nl\:~ps<t-:;,46o Affip'sz,-': _,0>::' $ 69.00 ,,-' '~", ...;:," Q' ~' ,- b:\' ",-,0 ,gOI0mp~.to 6QO 1.'!'p~~'\ ~ $100.00 ~ ,g> <>~ ,,\,) ;...s- "",,0 ,", ;1, ,~ ~ Ove,.600,Amps or J.OOONoIIS see "B" above. , *' .c-.~,........",... ':...~_ ......s"f,~,..'-',.,,, . '"t.~" . '?"" ~o ~D.?tBr~!1.~i!,Gl~Fults~~.:. .<.~,,( ,,' ".j:.~ <~b f\, ,CS . c,'lf <$- \" 0- v .v O~".go Niw.Mteration:~ Extension Per Pane' ~ .t". '""'\..... ~.. :e..'" ~,. .~ 0 R><::J' 0~O!Circuit~0 "\)c:5 ciE'~JfAd<!it;;'nal Circuit or with <<- Service or Feeder Permit "~ E. ~~~!i~'~~ij.aFt9_~s:(~j~~eJf;~~~~\~;~,t~:[~~-i-~ii~'~)-~~~cb~'!ri.-~W!f~~~~-~'! LEGAL DESCRIPTION: l\ O"Z... 3l\--?\ C)~ 50"2- JOB DESCRIPTION: 'k p[;/ Cifo '4=6 jW ( I Permits are Don-transferable and expire if work is not started within t80 days ofissuance or if work is Suspended for 180 days. 2. ~~gNT10;ctqI{?1~~f.1ghJl~~\6,~~.Y;,1 Electrical Contractor ~ ~j,.,~ , .~\<::l~~"\ "\~\- ' S ~ Address jJl.1) !11f"f"l!.l:U:re S-r, ~ ,~~ "-R:J~ 'X~v k,'<;-" ~ "- City Cu_ --/ Phone,~i~~( ~ ~~'V ~,. ~v ~. ~ CO ~<:::><<; ~ Supervisor Lic~~~~~t'\) ~~:~'\)S ~ ~ ~~ 'N\-~~k,'<.' ExpirationDate"\~ ~~ c= _0\ .,> \~';o~ ~ ~~~~",'t>"" v ConSlr. contr. Number' .f}.1J '1.110 ~. '=' - I.. '-I.- 6,\ Expiration Date Signature of Supervising Electrician ,ffJ~&~~'., I OwnersName Daft;! I ?~rl5J4L\ Address I () { J 2- \\Aa,11 Y -#-b City <:pCl ("\ Phone 5'-1 ( - n'l' '5057 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. ~tmWA~ Inspection Request: 726-3769 '. , , '_. ., n _n Date ZON~ INITIALS N iv\ DATE \\ \O?,[aa SOURCE~~' ~ \\-z...Oc" 3. rJfQAf~~.ifttJt..'K~(fi:iKp~:Jl~(:iW;;{,'J;;')?~:;f :;~i'" " 'p' " ;;:"'~.~"W"""f"""'''"'' :'!.....,.... "f'.'\ ..'-~ft ~",',,-,=,..,. '?:"'""""("''::~f'''''' """':'.:::-" '-,,,'v''',,::,''!,\':--;.,,.,,,,.v A. ~~e,w{ResJcJe_nti~r~'.~i:ngl.~!:Q'~.'M~J~...;f.~mjJfp.,er!"~.'Y~eIli~glU_'i~~'.1\ Senice Included 1000 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 $ 43.00 $ 3.00 lo.o'S Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Iospection Fee is $45.00 + Surcharges 4. ~t()T.,ti/QkA!!g,yi;;:~l~i;ii~fi:i?,f:.'~ ~ "i .00 8% State Surcharge 5 , 5 "2..- 10% Administrative Fee Q. ~C 5% Technology Fee 3.!\:-5: to <\- fO \. TOTAL Shared Drive(T:)/Building FormsfElectrical Permit Application 8-06.doc ~1tr7~,~q!'l~; { . . ~.. < Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-0141 I ISSUED: 11/0212006 APPLIED: 11/02/2006 EXPIRES: 05/02/2007 VALUE: SITE ADDRESS: 6112 MAIN ST APT 6 ASSESSOR'S PARCEL NO.: 1702343103502 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Add panel and 2 circuits. Owner: Address: MORRIS GEORGE L & CONNIE N PO BOX 667 WALTERVILLE OR 97489 ....a.'+.. _, lY 'I' v.~"\ HOONT.RA:0fOR INFORMATION I \-..i-\'W.' \-..W""I (J\\ Contractor Type ~ontra~tb'r-\.. \'0\'0 \' ~(v '" . Electrical '~t\'\\~kl\fi}EN);;;:,E~"c:r~~diSttRVICE INC , . . \'0\~ \ ~\\\1.\..\J . (J\\ \'::)'~ I BUILDING INFORMATION I ",\\\~ x.~'V\-..rv \,\-..\\\Cl ' # of Units: r::,(J~~ ~ 'i)\>."- Primary Occupancy G\:&!1iJ:\ '0 Secondary Occupancy C~oup: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvl,e of Construction License 90200 Expiration Date 03/t 712007 Phone 541-344-3561 # of Stories: Lot Size: . ~ HeIght of Structure s.} >~'\ Sq Ft 1st Floor: Type of Heat: ,<>'" ~ 0''1;1. \o<Sq Ft 2nd Floor: Water Type: \<)..\V' eQ,o~ ",e\ lJ~q Ft Basement: Range Type: ..,,0..... eO' ",'lf0 '?,~'/: ~<i(FtGarage/Carport Energy Path..:0"~ "Q'\ ~ ,.s-.e O~<(o. e ,-..>~ ~~cl't Otber: Sprinkled.Building:o",e ,>Q,'f:o. nlalS' ;Q~Occupant Load: '" ~0\ - AOY~ "\\'\ .,,0 t:. U. . ^\0 .' ,.'1).'-'- I DEY,ECOP.ME-N:f2INFORMATi()N~I:~~0~. . ~O,. '0" lJl)' ~....v ~v 0\'" 7.-'!Jr>. \0 .~\v7>'I:' ,,<::-7:. .7>'\ 0 ~e" o~ ~'/: ~(.o:~la~ Elst: v0~ 0,0($ r:FJ''5 .,#,Street.Trees(Rqd:> \'~ ". n.\." o.~ (-..... 'S Paveil,D.i'ive,Rqd:,e' ' v' -0.'. ~.\. ....<\.... % of"l.:ot.Goverage: ~-..>\" - REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ 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: COM2006-01411 ISSUED: 11/02/2006 APPLIED: 11/02/2006 EXPIRES: 05/02/2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l..F~~s Paid I Fee Description + 10% 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 $6.90 $3.45 $5.52 $6.00 $63.00 11/2/06 11/2/06 11/2/06 11/2/06 11/2/06 Receipt Numher 2200600000000001535 2200600000000001535 2200600000000001535 2200600000000001535 2200600000000001535 Total Amount Paid $84.87 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. 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 herehy 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 ofthe 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. owd~:'c;!= /(-';l.~tJ6 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 ~1-726-3759 Phone -it.,. C~f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-01411 COM2006-01411 COM2006-01411 COM2006-01411 COM2006-01411 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000001535 Date: 11/02/2006 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 JACK PATRICK Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 105 In Person Payment Total: Page I of I 12:00:08PM Amount Due 63.00 6.00 3.45 5.52 6.90 $84.87 Amount Paid $84.87 $84087 11/2/2006