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Home My WebLink AboutPermit Electrical 2006-3-10 I i' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5 ELECTRICAL PERMIT APPLICATION City Job Number CO~ 'Z.OO"b - 003/ J Date s- ( It'.s:- )1/f Aut! LEGAL DESCRIPTION 1702 3"'3>"3 z.. JOB DESCRIPTION Sl troject as Sl~~d ha~.~,&'lfl es not re~e..<;~~Iic4aM tfse- N )"1\ , ~fJ(UiY.'1 3. ~~~:::ttS:;:'::::~.m~n~~~~~ ~~1'"M~~~ A .... ''''''''W!!,'l/.W<. . ""l"~ >...,. -~~W'l7>!'U.'1;1i1il~.\:f;:,.I.J . " ~l~UtMnaJ . eo ~ . ~uY.:~R~.nll,.l .e.. IJ.1 '1u.g.L~f,..: 1. WEb-ml~~W~~ .~k,.r,otW.t.il...'...... . .. Db3cc> Service 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 $ea.vlU::;- Ct+...ww-~ $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 City _"tn 2. ~~~~EN'\O~:~~\UUD~~M~~'~; Electrical ComractorORECON ELECTRIC SERVIOf'''W rU\e~;Z~Ml?~:o.r~leSS~~~~ 952-001- / $ 63.00 b '3 PO BOX 2237 NotilicatlOI1 2jl_M'IlP~\tOAO~ ~P.f,e rules by $ 75.00 Address -' . .. . i- ntS'\ 952-0~bbAroPS Uil600sAlripslep\10l1e $125.00 eUGENE, OR 97 4U~ '0090, '{ou m~bl~~pJ.V,cN)6d\1in:~sti\icatiol1 $163.00 . t\1e G""''''~ " Ut)\~lY , - Phone .~H.."'-I ~~ta\\\l1g loqW:J'tlJ)OOJj\,;n~~\2_2Si\4), $375.00 number t,,~CO!:J1~ca(h\IY:; $ 50.00 . Cem"" c._~n-~~~~'fi.il~ !oS cr~') s Supervisor License Number Expiration Date 10 I -In Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Constr. Contr. Number .llo(~{Q' Expiration Date o{ . ~<< - 0 ~ Over 600 Amps or 1000 Volts see "B" above. D. ' Signature of Supervising Electrician "- 7J-oA~J0~ O\\'l1ers Signature: New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with --.. 130 ~- n-r 0 Service or Feeder Permit $ 3.00 Owners Name L-' c::.~ c-il,./'Z.\~.s . r - I ~_;K""'!\lIl~!Z''''''-.1 Address /3' 0 l.>n's.)...~ ~ . c.P-'-r E. . . "". . , ,. jlji~i.~lilltioii~ Cit)' ~d-.....J ~1~Phone ....cl.:.. t'L~~~~i \S:O $ 50.00 , \\0 \ \?~~WI\i S\\~\~t~\ln\O $ 50.00 OWNER INSTALLATION i\\\S \\O?\l'tQ \.l~~~i~'il>Il!,*ergY/ReSidential . $ 25.00 The installation is being made on property I o~~\qll:.l'o\C'tQ ~~'t)j Energy/Commercial $ 45.00 is not intended for sale, lease or rent. f\.~; ...<oll ~imum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ...' ".' , .... 6 '> 5"0'( b'3t!:> 7'-( 31. $ 43.00 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Forms/Electrical Pennii Application I-D3.doc " . . CITY 01< ~rKll'ihl'lELD Building/Combination Permit PERMIT NO: COM2006-00313 ISSUED: 03/15/2006 APPLIED: 03/15/2006 EXPIRES: 09/15/2006 VALUE: : Status Issued 225 Fifth Street, Springfield, OR - 541-726-3753 Phone - 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5195 MAIN ST ASSESSOR'S PARCEL NO,: 1702333206300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change Owner: OBO ENTERPRISES LLC Address: 1390 GROSBEAK CRT REDMOND OR 97756 Contractor Type Electrical I CONTRAC'IORlNFORMATlON I -. -<>_.. .~.. ,cyuires you to C t t follow rules adopt€Ti'''' 'h~ OreE '....t. D t on rac or Notifir. r c ...,)cense I xplI'a Ion a e OREGON ELECTRIC SE)~y~~J~~~ ~;.nt;;:.> J6f518rules are st0912811006 - - - ~~..... ..... -U'~rl vl-\n ~O~-UU1~ I BUIl'JDING,u'~".n..LdA!r,ION'I)ies of the rules by Call1n$ the center. (Note: the teleph"'~~ # O~JSI,!l}e~br the Oregon Utility Notifi~gt ~~e: Height of~!':lu"W;,e1-800_332_2 Sq Ft ISt Floor: Type of Heat: 344), 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: Phone 541-343-1681 :# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN Frontyard Setback: Side 1 Setback: Side 2 Setback: : Rearyard Setback: Solar Setbacks: Nt-D.E.~LOPMENT INFORMATION I --. ~f~~~~XP!.':lE IF THE WORK ~1,Qili;-- J~lJlEVll~f:/8WIJm< ~Uv.~~OOlWIll'Fll8lNOT .. verage' ~u o"~uONEDFOR ANY 180 OAY PERIOD. I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: - Street Improvements: Storm Sewer Available: . Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I . Description Tvpe of Construction S Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 . . CITY OF ~nur\jul'lJ!..LD Building/Combination Permit PERMIT NO: COM2006-00313 ISSUED: 03/15/2006 APPLIED: 03/1512006 EXPIRES: 09/15/2006 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 Ff'f'~ P'IilU Fee Description + 10% Administrative Fee .~ + 8% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6,30 $5.04 $63.00 3/15/06 3/15/06 3/15/06 Receipt Number 2200600000000000329 2200600000000000329 2200600000000000329 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. ~f'r1lnV'f'dio'\LI Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that Ihave carefully examined the completed application and do hereby certify tbat 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 wlll be made of any structure without permission ofthe 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 wlll remain on the site at all . times during construction, Owner or Contracton Signature Date Pa!!e 2 of2 225 Fifth Street i~pdngfield, Oregon 97477 541-726-3759 Phone . 8pRIN~u..~ . .: Ilk' - - . . -. -. . , . , - , ~ ._~- .- Job/Journal Number COM2006-00313 COM2006-00313 COM2006-00313 Payments: Type of Payment Check or 'C o .t it )',. ") ., , , - . 0 ;{ 'i }';. , '~ , '( 3/15/2006 RECEIPT #: ..Jil.ity of Springfield Official Receipt .velopment Services Department Public Works Department 2200600000000000329 Date: 03/15/2006 Deseriptlon + 8% State Surcharge + 10% Administrative Fee Penn ServlFdr 200 amps or less Paid By Received By OREGON ELECTRIC SERVICE djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 19497 In Person Payment Total: 2:31:36PM Amount Due 5.04 6.30 63.00' i $74.34 Amount Paid . $74.34 $74.34