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Home My WebLink AboutPermit Electrical 2006-3-28 I ne, f, ollowing project c~~~r Ih, "'.', '0 zoning, and does no~~e I;" '000 u"" ,.1 ~ (Cm (Q)lf L~MlID)' (Q)~W eoval 1ng O'u ~ t;J.p. . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54nn~}~c8~,goal ~_ ~ ' , ELECTRIC#!:E~ITAPPUCATION_ / J / . h J (_ City lob NumbeA..()rYf2117l1o - rn3?>o X Date .;'l ~~ { r . ,;se:A 6J~~ 10 'f ,1. L LOCATION OF INSTALLATION I - 3. I COMPLETEFEESCHEDUL;BE~w\i:;df, ,- ~ (t??;--}r) {"0IL~1V\ ~ LEGAL DESCRIPTION A. I New Residential- Single or Multi-Family per dwelling 'unit. I \ (O~ 3l.!- 3 \ V 3{)oO Service Included' ", '~n nnn , " '~-l SI Je)U JOB DESCRIPTION r 1000 sq. ft. orless '" 1"),i21~ ~, e::) $106.00 --\,r.. \ ~ 0 Each additional 500 sq. ft; or,,) "il,''''' >VJ JdqWnu \~ -+Je', 11" Fif? ~ '1. olIY'I rA_ _ ~ _ _ . portion thereof '" I .." l e:J elll 5U$J19.00 -"t-4'-+ - - '. ,oJ "l-1llU III:;'W no . ,.. Permits are non-transferable and expire if work is Each Manufact'd Home or ~ I 0 (00- W _ "" 0000 not started within 180 days ofissuance or If work Is Modular Dwelling Serviceor'l 'J"'u' 0 cC;., tI$'rI5nO 00"' S d d. 180 d F ed' - (' t*,~ d'l' Inl1n~ " uspen e Jor ays. e ~~I'r" L.....,~,--: -.!"q;:":"l(:ooesnJn: .."'~~:~uN 2. I CONTRACTOR INSTALLATION ONLY I B. I Services or Fccders -In'stallation.'<\Jt,'1~tion~'\~ Relocation: ElectricalContractor i1rMeV'I'~al/1 Pt.J(f' E(~?OAmPsorless $63,00 , 201 Amps to 400 Amps $ 75,00 Address 4()(),) Vc=sf- //~ 401 Amps to 600 Amps $125,00 60 I Amps to 1000 Amps $163,00 City b_eup Phone bf]?;-If('l,? Over 1000 AmpsNolts $375.00 ~ p....x~686-;).d.7.5 ReconnectOnly $50,00 ,.-- -' -:---- C V 6 ~~&l Owners Name ~ - ............ - 1" . . . .4:k Address(a3~ P '/11- 1l'tL(f) ZLf. I Miscellaneous (Service/feeder not included) -Each Installation I ~ ., City ,(L; Phone OWNER I STALLATlON L.( 7 f?c:; '5 /n/ (')//';}..c:K?r , . I C; "?;? "?C/ 1)/~/){")"7 Signature of Sup~ing Electrician .// - ' Supervisor License Number Expiration Date Constr. Contr, Number Expiration Date .... The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: fJ!i t Inspection Request: 726-3769 c. I Temporary Services or Feeders Installation, Alteration or Relocation .'....,.\... 200Ampso~I~~ PEflMIT SH $50,00 201 Amps tol~.o.oIAmPS1ED U ALL tXPIRrs"Q9:P,~E "'f')n,/ 'V'oIL NDI:H IHIS .,~.", 401 Amps to'600 Al!'Ps'ED PSIOO;OO /<' ..~_ "'V'Vjl~ICI~l" OR II...; "p -. ""., .... 'lU I Over 600 ADip$'0f/1000,YoltsSee,~BiJ" aba.,\![,!ONED FOR I .. '...."IV D. Branch CirCUits . New Alteration or ExtensIon Per Panel} One Circuit / Each Additional Circuit or with Service or Feeder Pennit $ 43,00 -</3 Cj 13 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges 4.1 SUBTOTALOFABOVE IS::>. 00 ~ ./10 <5.dO ~/.~ 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnsIElectrical Pennit Application 1-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2006-00328 ISSUED: APPLIED: EXPIRES: VALUE: 03/20/2006 09/28/2006 $ 18,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 6330 MAIN ST APT 24 : 'ASSESSOR'S PARCEL NO.: 1702343103000 Springfield TYPE OF WORK: Apartment Building TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Remodel interior, Reverse interior stair Contractor Type General Electrical Mechanical , Plumbing Contractor OWNER AMERICAN EAGLE OWNER BERNARDPETERSENINC 1,,'.n"G<Of"~81H SI JajUa8 Un".,. ,~, ",": UOC,OJO 'aljj JOI Jaqwnu , ' ,.' ,] :8:0~,1l 'JajUaO a4j 6UI/ii?O . " " .'V, U!OIYU ,,"w nOA '0600 ! CONTRACTOR INFORMATlON'I' 0 L,6nOJljj 0 ~OO. ~00-GS61:J\f0 UI I.: ' .. J salnJ a5041 'Jajua8 UOljeOllllON r:i~~ns~5aJCExPirationlnateall'j>boIi.el Vj no^ saJ!nbaJ Mel u06aJO :NOI1616:4'S5-2223 I "....l:.L..I...V 153834 12/30/2008 Owner: Address: V-E DEVELOPMENT 5729 MAIN ST PMB 302 SPRINGFIELD OR 97478 93126 08/23/2007 541-343-9339 - BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R2 # of StcjO,\s' r. F' Lot Size: Heightlo~t Slructure Sq Ft 1st Floor: I fll fJJ.. TypeA'~ eat: RMIT SHALL EXPIRE SlJ Ft 2nd Floor: Water~TYiJr:RIZED UNDER T IFsINfi l\Il]ffi\"nt: Ran~Jr~~rNCED OR IS ABH1S PERSijfl~,~~e1Carport EnetgyPat!i;J DAY PE ANDONL~f~f?tlier: Sprinkled Building: RIOD. nla Occupant Load: VB I DEVELOP1\'1I'." 1 mFORMAT10N I Frontyard Setback: Side 1 Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: Pal!elof2 . . CITY OF ~nuNGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2006-00328 ISSUED: APPLIED: EXPIRES: VALUE: 03/20/2006 09/28/2006 $ 18,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fp.p.~ Pllif'll . Fee Description Plan Review CommllndlPublic + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid $110.37 $5.20 $4.16 $43.00 $9.00 3/20/06 3/28/06 3/28/06 3/28/06 3/28/06 Receipt Number 1200600000000000314 2200600000000000398 2200600000000000398 2200600000000000398 2200600000000000398 Total Amount Paid $171.73 I Plan Reviews I Initial Review Structural Review 03/20/2006 03/20/2006 03/2012006 APP LLH , 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. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover 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 furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from the I _ 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 Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 -, 541-726-3759 Phone Job/Journal Nnmber COM2006-00328 COM2006-00328 COM2006-00328 COM2006-00328 Payments: Type of Payment CreditCard :p 4 :< .,. 'P 4 ,I \ . 'I ..\ 3/28/2006 . RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By AMERCIAN EAGLE/STEVE GREEN _~",._.F1,~_, _, Wi;:' . iii ~h .'. ' aity of Springfield Official Receipt Wevelopment Services Department Public Works Department 2200600000000000398 Date: 03/28/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 058957 Phone Payment Total: Page I of1 3:06:05PM Amount Due 43,00 9.00 4.16 5.20 $61.36 Amount Paid, $61.36 $61.36