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Home My WebLink AboutPermit Electrical 2006-3-22 The following pro{~ct'id"')J~Iill/~!!-"'>tMlQIllJl"ing 7flnlOg. and does not retlUJ~: cif~e [ Iroval f\J .. . . . It .. . nlngQbn.~~vh.':J n A" ~ ~j 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541),~.~I~M~g Slgn~~ ~~\'.1 ELECTRICALJ?.JWMIT APPLICATION .' -'- ".,"iIl' ~ City Job Number (" (" n"'- (Q()-;:;)lt Date :3 -").~ --7~Cp r 1. r iOeATioN,OF iNS1'ALI4n(j'N, '}i\:::l , L)' I ~,C:; I Y\C1 GV\ LEGAL DESCRIPTION ~-1IY'), 3'? 8-:) ~ to I ~~ ~k1uL Permits are non-transferable and expire if work is not started within 180 days of issuance or If work is Suspended for 180 days. 2. f.C<?NrRACi()R0'STJl'i::iA;rLg~:o,vLfl Electrical Contractor ~~L Address f170 ,:) ~'Tl-l:sr, City ':::ft., tJ6, F1 gz.]) Phone 74-7-Z2J3 Supervisor License Number 24~ -3 Expiration Date \ o-l...CJ1 Constr. ContI'. Number 1'(51'7 E Expir~tion Date ~,n-D1 b:~:'" . lawners ame (' ~t5 m II) ~\ Address5);:r:, rm tin 6+- , Cit~Q.6L Phone~--EAi4 OWNER INST~ON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. ~~9M.!4i!i.:F..E#:.scH!,j;J[H.J:AJELbw,. i < ." ':::; t;fi{,~I<~ A. I ,Ne.'Y.~;eS!de~ti~i.,. Singi~orM~lti-l'amlly:pe"<!\.elli~g:unil",~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or. Modular,DWelling Se~iceoor I $5080 F d ' . -.. ......... It::gon 8W rAn"il"O") . ee er follow rules adOPted .bv th" ri'M !~.. ',0 h '" .".''''''''.....'''''''''''r;~'-'O~'~., . ,.v');.. ~...j{..,<> ,', '," '1 B. '. .Ser.ices,or'l'ei:ders",Installation,r~ltecalloJls.cjr1Relocat;'o,,: ",., :'";~:n~f:;~~:;01-lIu luiriroUjh-OAR95~;:0~~" -, '(iU 200 Amps or less' may obtain cork. nf tt$,63.00s 1_ (03- cpllir..... t~..,. ..... ..... I Ult::: ~ 1 . . 201 Amps to 400 Amps,nter. (Note: fh" ,,,$,7,5.00,e liumh"""f:"'l th 0 "....,...'.UI 401 Amps to 60~~mpse regon Uti lit" NGH~?,,%r. 601 Amps to 1000'A~~~s 1-800-332-2344,$163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 c. [:re.mp~r~r.Y S~rvlc"es\)lf:Feetietst:;' , l .~ J' "j Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 . 401 Amps to 600 Amps $100.00 ..'(\T'-- iOver.600;('\,mps or 1000 Volts see "S" above. Dr ~)i'r.~i:~:Giifc@SAI:t'FXPIR~lr:TH{ 'NORk ''>' ;tii.. ~{;/r:::;:j j\N~\.f.jAlg,rl.ftldJ~~~fE~fMi&\SIieEp.an~T IS NOT C9hW,lfJHrED OR IS ABANDO~ED J:OR $ 43.00 ,AE~'c'h l,RddifJ&nailGiRif))[9r with . Service or Feeder Permit $ 3.00 E. f,JMisce'II~-n~oJ'~ '(~~Jjce/fee~e~',-r~C?t in~l~ded) ~'Eac'~"i O's.taJIJ'tlont Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Miulmum Electric PermIt luspection Fee is $45.00 + Surcharges .,:] ~ 3. 5_0~ , &,.~o ~.~<l Shared Drive(T:)lBuilding FonnsIElectricnl Permit Application ~-03.doc I ., ". . 4. SUBTOTAL..QE;ABOVI]: ..i , ,""" .~".... . " ,- .",",.~ '. ,,-,-,...-........., ~ 7% State Surcharge 10% Administrative Fee TOTAL , . . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00271 ISSUED: 0312212006 APPLIED: 03/07/2006 EXPIRES: 09/22/2006 VALUE: SITE ADDRESS: 5125 MAIN ST ASSESSOR'S PARCEL NO.: 1702333206101 Springfield TYPE OF Electrical Work Only PROJECT DESCRIPTION: Add service to existing bldg , . TYPE OF USE: Addition Commercial ,:'. . ~ .; ,J.'... u.~.:,~..,;.':."to I ...:.., .....t,CI~ ,-,-r"'~21. rh,...,.... _..1 . '- ,J.1 Ul,Q1y .. ....-, II I .:JQ~-u:.J1.001- ; .... .." \J ;:'u 'n""r> 0090 Vo IPhone,Number:9541-726-5989 . II U may obt . ~.. -,,,, 0"'-iJUl I/' aln copies 0' th - ca Ing the center. (Not . e rules by nUmber 'or the Ore on e.. the telephone Center is 1-8~0 3U3tlllty Notification - 2-2344). - Owner: JANECEK MOTORS INC Address: PO BOX 330 SPRINGFIELD OR 97477 Owner: DAVIS CHRISTOPHER W & DEBRA S Address: 5125 MAIN ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I : Contractor Type Electrical Contractor ALERT ELECTRIC INC License 12772 Expiration Date Phone OS/22/2007 541-747-2213 . #ofUnlts: Primary Occupancy Group: ~ Secondary Occupancy ,,' Yrimary Construction Type . Secondary Construction # of Bedrooms: I BUILDING INFORMATION' NUT/CE' # of Stories: TH/S P . Lot Size: Height of AU ER^'!17 SHALL E~~ f,t,J~~ Floor: Type ofHeat:,O THOR/ZED UNDER T~~~F~:2nd1f!~orVDRK Water Type:~ MMENCED OR IS~q'jI1tiB~.~f!l1~~t:IJO Range Type: NY 180 DAY PERla ABsifFVNED FOR I T Energy Path: D. Sq Ft Other: Sprinkled n/a Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Sethack: " Rearyard Sethack: Solar Sethacks: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: . IPUBLlC IMPROVEMENTS I Street . Storm Sewer Available: .., Special Instruction: ~ Sidewalk Type: Downspouts/Dralns Notes: 1 of 3 . . CITY VI< syRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00271 ISSUED: 03/22/2006 APPLIED: 03/07/2006 EXPIRES: 09/22/2006 VALUE: I Valuation Descrintion I r Description Type of Construction 5 Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ~~ Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee 58.10 3n106 2200600000000000271 + 8% State Surcharge 56.48 3n106 2200600000000000271 Add, Alter, Extend Circ Ea Add 518.00 3n106 2200600000000000271 Perm ServlFdr 200 amps or less 563.00 3n106 2200600000000000271 + 100/0 Administrative Fee $6.30 3/22/06 2200600000000000367 + 8% State Surcharge 55.04 3/22/06 2200600000000000367 Perm ServlFdr 200 amps or less 563.00 3/22/06 2200600000000000367 ~\, r Total Amount 5169.92 I Plan Reviews I ., To Request an inspection can 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. win be made the following work day. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. e 20fJ . . ~ .L CITY OF SPRINGFu..L1J< Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit' PERMIT NO: COM2006-00271 ISSUED: 03/22/2006 APPLIED: 03/07/2006 EXPIRES: 09/22/2006 VALUE: 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 certity 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 wiD be made ofany structure without permission of the Community Services Division, Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 wlli 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 iocated at the front of the property, and the approved set of pians wiD remain on the site at all times during constructlolL - Owner or Contractors Signature Date - i 3 of 3 ':"225 Fifth Street .Si]ringfield, Oregon 97477 511-726-3759 Phone " . ~.' ~ ,aity of Springfield Official Receipt .evelopment Services Department Public Works Department RECEIPT #: 2200600000000000367 Date: 03/22/2006 9:44:29AM Job/Journal Number COM2006-00271 COM2006-0027I i COM2006-0027I Description Perm ServlFdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment 1. CreditCard Paid By STEVEN J. HADELBERG Item Total: l:beek Number Authorization Reeelved By Batch Number Number How Received njm 022916 In Person Payment Total: Arnou nt Due 63.00 5.04 6.30 $74.34 Amount Paid . i $74.34 .1 $74.34 , . ..; :~ .~ ., .,. - '; , I "I 'It "j " '; f.. , " .. ," !f 1 . 3/22/2006 I of I The following projecf as submit! ~Ia'''''''ing 1 " . ~~ and ~oes not require s~~~~ . , · · t .. I SPRINGPIEj\D~~- , IW~ il~: ,,- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54I)7ID1i8, i" ;" ,;--, .lM. ':;;"'1 ELECTRIC4{.. PERMIT APPUCATIQJV Authorized Slgnatu~ . . "- ~ '-.J _ CityJObNumbe{nrrO.rrf)(o - CP ~tl Date 3/ o\:1J( CJp 5l~~T~A"~ I 'LOOMP'ErET"SCHEDWF.RF.WW,~ LEGAL DESCRIPTION A. I'New'Residential.., Sin'gle or Multi-F.ami,ly'pef'dwelling U;'j~ ~/O-:L 33 'S2. oc.o I 0\ . ddJOB DESCRIPTION 1000 sq. ft. or less .J ~ _ . f_ ().A > V . Each addlhonal500 sq. ft, or ("- XflJ/l u...;..-r-f) .uJl<-1.)1 (/Yl~ _ portion thereof permlt::re n~n-trausferable and expire jfwork ~G4:ach Manufact'd Home or . not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder - " 2. ~<iN!Rf\CiOR,INST~iAiiqM!:iN,L~J Electrical Contractor M..t-fJr ~(.., ~ - Address \Qlo ~ ~ 51. City'5Q?IIJ6B~hone 7+7~Z2C3 Supervisor License Number 24~-S Expiration Date 10-\ -en Constr. Contr. Number \ L if"'[ '2.... Expiration Date !;> 7:l-o 7 Signature of Supervising Electrician -fr .x' Owners a~ '..Q..L~ ~ /~ A/l ~ AddresOlri5 ~, City~ uL Ph~4i)(~.(~ _ ~ 6<1 l5'i OWNER Il\STALLATlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included $106.00 $ 19.00 $50.00 B. tBr:v~~'^gf;f~.~~~~~:;;;.ti~ita!'~~~i~'nj~~i~~~1tti~~s:~~~~Cl~'~a!i.~!; ::[,1'1 .:\ ;ted by the Ore<;on UlJI/lY. (]V 200 Amps orless,~ TI10Se rulp<dire sel$ 63~00 (43. .,', ...r. _." 201 Amps t? 409IA0"J'~J through OAR 95::$(7?00 401 Amps~t,or60\~1mp~in copies of the rul $}.25~bo isOI.Amps i~,IOQQ.AI))pS (Note: the teleph(Slhoo Oy#l~g~'1IT'P~oLtsegon Utility NotlHCc$fi5.oo Reconnect OoIYter is 1_800-332-2344). $ 50.00 vt:;.. c. ~ :r:e'mpor~r)' "S~r,~i~e;'~!F.ccdcrs~" . -" ~ -. ~r . >'; ~ ~. ;" ,~ " " - ......... Installation, Alteration or Relocation 200 Amps or less It 201 Amps to 400 Amps \ 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. \"Briu~R:'t~its ' f :"";.1"'),','";'-:-::,"<,,,,(., ;','",(\J NewiW,~~t~I'..%!>~~AAiBl! !!~fi\~IF THE WORK One ~tc~\ORIZED UNDER THIC;~RMll t~.QQJT Each,Additional Circuil)or with BAN OI~'ED{ml / C/ S 'CI)I~IF~~d~I'pLJ t n 10 " lJ '3 ,DO "", erv'AeNoy 1 SU bAey'fl~RIOD. . . -' E. I MlscellilDeotis (S';rvlC~/feedehlOt iilcl~ded);Ea~hl;;sl~lI:itio,n~I' $ 50.00 $ 69.00 $100.00 iJD 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 $45.00 + Surcharges 4. t,Sl!B!6T~OFAB~~ , ' ;:' "df g I, QD 1Io/fst~i.'su~charge G. Lf< 10% Administrative Fee 8'" ) 0 TOTAL q 5 -5;( Shared Drive(T:YBuilding FonnsIElectrical Pennil Application ~-03.doc ,225 Rifth Street Springfield, Oregon 97477 541-726-3759 Phone . Joh/Journal Numher COM2006-0027I COM2006-0027I COM2006-0027I COM2006-0027I Payments: Type of Payment CreditCard , :j - .~ " "~ 'I " " '... ,f 'i 3/7/2006 RECEIPT #: aj:Q~~~'~ MiL; ....-- ".- --. " :. _.._~ : ___._ ....." i iliitJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200600000000000271 Date: 03/07/2006 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ALERT ELECTRJC/STEVE HATLEBERG Item Total: Check Number Authorization Received By Batch Number Number How Received njm 007107 Phone Payment Total: Page I ofl IO:01:52AM Amount Due 63.00 18.00 6.48 8.10 $95.58 Amount Paid $95.58 $95.58 . . CITY Ul' ~rKll'\(ul'IELD Building/Combination Permit' PERMIT NO: COM2006-00271 ISSUED: 03/07/2006 APPLIED: 03/07/2006 EXPIRES: 09/07/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax , 541-726-3769 Inspection Line PROJECT DESCRIPTlON: Add service to existing bldg ..' ,.vj'-J: UrAnnn b\M rnr.. .;......_ Sprlngfi~d1'TYPE'oF1WORK:\EI~ctfl~al,;,W~r~;0~ly dO[/fiCatlon Center. Those rules are'set'f~':th In OAPi'YPE~OF-USE: thrAd!1iti~n\R 952-001- 0090.. You may obtain copies of the rules b calling the center. (Note: the tF>/F>nhnM y "u. "Ut:I IUI me uregrph~~~'NuWib'~\i:;alS4~726-5989 Center IS 1-800-332-2344). . SITE ADDRESS: 5125 MAIN ST ASSESSOR'S PARCEL NO.: 1702333206101 Owner: JANECEK MOTORS INC Address: PO BOX 330 SPRINGFIELD OR 97477 . Owner: , Address: DAVIS CHRISTOPHER W & DEBRA S 5125 MAIN ST SPRINGFIELD OR 97478 Contractor Type Electrical I CONTRACTOR INFORMA TlON I C NOTlGE'L' E ' 'D Ph ontractor TH' Icense xplratJon ate one ALERT ELECTRIC INC ^'l~~ .~~~!t2Jf2HALL EXP/RQ.5(~~\l,!I7,^,no" 541-747-2213 BUILDING INFPW~i110N~;~U/~N I HI~ PERMIT IS NOT' ANY 180 0 ABANDONED FOR # of Stories: AY PERIOD. 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 Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of UnIts: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPll'll!olu ",,'ORMATlON I Frontyard Setback: . Side 1 Setback: . Side 2 Setback: Rearyard Setback: ; Solar Setbacks: Overlay D1st: # 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: DownspoutsIDralns: Notes: Pa2e 1 of2 .' .' . CITY OF SPRIr\juN~L1T Building/Combination Permit, PERMIT NO: COM2006-0027I ISSUED: 03/07/2006 APPLIED: 03/07/2006 EXPIRES: 09/07/2006 VALUE: ., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project - ~ ~ Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $8.10 $6.48 $18.00 $63.00 3/7/06 3/7/06 3/7/06 3/7/06 Receipt Number 2200600000000000271 2200600000000000271 2200600000000000271 2200600000000000271 Total Amount Paid $95.58 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. 4 L,.,peouired Insn~~tion\l Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, tbat 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 descrlhed 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 nsed 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 aU times during construction. .. Owner or Contractors Signature Date Pal!e 2 of2