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Home My WebLink AboutPermit Electrical 2006-6-14 {ltJ, SPA.IEU>> ---, ZON \......X-/ l-l- ~ INITIALS N0_ '.~~ ~~ DATE ...{/1-1 \j/7]:flr> ~~~~";~~~ s;;;;; :;';2;;~~;~~3753 . FAX: (541)726.3689 ("'~~ ,~, . SOURCE ~~,~ City Job Number (JJlef 2h!10 -/)07:S -I- Date _b//d to'_ ~ .,_..' ._" ,",' ,', ....~...r..~:I....~, ,,~-""'''''''.;->.! .. ......,..".....-. '{ ,....t.~ I::.;>j.! ", 3.'.COMPLETE FEESCHEDULEBELOW'V,''''''';~'''~ I;,..... :_..-#" ,,'.r,;,;;;_-,...~.:~ .i~y~.;..-!:...~,.... ,'.. t...dr.'~..-...;;::"";"t:., .,o..':'>";,,.Sl".;;','.\....'~~t.~~,,~;,,'~,. 1. . LOCATiON ()F.'INSTAiL'ATjON/~::.:?:~i,;;; .j.'.' "..:;.:" :&,..':..~,;,~.,-.,.,. \....,~I..-.;;;.,.: ~l~"-' ....,f.::,'.;:..~,v,...~':;~.:'.'-x:.. ~.;.:, 53sO M~l ~ <, ;",. L LEGAL DESCRIPTION /7iJ2- ~< ~I /)65"01 JOB DESCRIPTION ~R ;:b#~ .~ 17A'~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . .~ ::'.J ..... ,.fi-.:'... . ',."''''~ . -, ',;'..,... ~.~ "":,~~~..ll...~~;../~.t..;.-. ',;~.).~~' ,. CONTRACTOR INSTALLATION ONLY", 2. ',1.. .~ '<__'t .."I,;,,:,".....t;: .'M~\.:,:;t~i- i.,A:r...ii,f..i..;,-;i.~'.:.'.:>.;';y;;;iS"~.::.:F!.~~~"";;.\ Electrical Contractor ./ A~ . City ~ Phone "n EI~ IIV v'''l;on I reqlJlres you to follow rules a te y the Oregon Utility S Notification ~.n~ ose rules are set forth upervlsor LICel\li~ 10 r In UAH ~::>~- 010 ,;.1 !,ji, U"" """.uu I- E .0090 You y obtain co~,''', ,':' f~ the rules by xp,rat,sn bate , . , )ple~ alITn '-ll;' ,",,,",rUGI. \l'lul~. 1I1~ l~Uflone C nCum r for the Oregon Utility Nolific ion onstr. tr. Numhef I" . ~~~ S~2 2- "'j v"Bnrt:: ..,. v.......... >..J - V"T"". "'" Signature of Supervising Electrician ir-own-'~sNa~e/ j;;, JIII'/JlI.e~ I '- , Address ' .( 5 '?o J'}f "'J;)/ City 5j.~j.~;.J Phone i3tRtJ(,7' OWN~ IN::ALLATlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: \:~~.t,. k/~~ 726-3769 "'--, . ~--;." ,r'.-:'~ :'.i.~:..1.'.'1>,~~"";"7.~.:'.... "~.'t'.l;: "':.:~; ""~'M':'.C.",\~. '.1-""";:, ';";""" ;-;;"~ <~;i~. "'\',,"<.~ ';'J,:;:~:rr~'1'o A. .~ 'Ne)~ Rcsid}n!i'!l:'$inglc or [\'Inlti" Fa niil:;"per&;~eliingun!t:,.;'ii; -,>~..... _'.-' '"','........."_.,, "<;;'"'' ........'_ ,'~ _"-'L ~"\ ,,_,'"~~""'.~.~. .....,,~~,....1,...-.~ ~"_"'-~'-l",l~ 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 S106.00 S 19.00 S50.00 :~~~'''!! '~'"J"~:>'_..~}'.~i:':r ~ "'?:f;'..:,.:'t"o;;.?;'~~:-;-.-I."';''''" -;:-...\. ...,~\ F~' ::"/" t"'~~~1vr!~5.~(~ B. ,'ServIces or Feeders ~:Installahon. AlteralionsorRelocalion:',.,t :';',: . .;~_,....,,";..,~' . ../t..>.3!. ;t~...,~,.;:;,.,;.:.::: ,'..~":...-::, ,,'>.7,~;.'i..r..;., :..:;'t~ ,~, ...:~.L .~~ ,.~,,:~ n,.' :..,!::..;: :i::~. ;.:;,;:.....\~;:">.;;::.~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only S 63.00 S 75.00 S125.00 S163.00 S375.00 S 50.00 ~-:'!;:vr:,"';C'J'f'A'!~~~~"f;:':-.;~'\I:I""~~~=;~~'(;~""\:._J;i;""~~M:Y. '!3 ~ '~~ ~ C. ;t'lemporan" Sen'lces,o'r ,F eederS_'{i1.:!:;-;_!'1fo;'~i;:l-i~'~'~f~i:-<:\1;. A.~,T\t ~;;'L;...;'~,.i.gO;,;~..,~_~~_"f:;;;."~,,,.::t,~"..,d-..~;&."t.o,'''L.;)\.......'l:~~.,~~i'lti<:~~,~...,.-"tj;E~,~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps . 40 I Amps to 600 Amps L--- S 50.00 So _ ~ S 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ., :".~"" ","'"; ~:.~jj\Y>.~l~'9.,c-o.,-::;'"~:.~;_t.:-::'\.~"t;~,',;-'i-:,.,...>~il.d./..;~....~. ',"t'.~l;",.c:...t),o:(~';f~Nt: D ':":Branch "Cii-cuitf:~''''~:~; }." l.-~.-:~},'~'t;.:~\~~..r;)",~:>\!,;:. ,t'\;:,j7~,:;! ~0~~~t:',j':~:'~~ . r:...",. .;,.......: ~.....~,'-...,'!l<i..,.~:\ti~~:1~;::..~A-"1i.1:-:11..\.>J.lbHih\iil:.:;l(;.:'~::Jb.-.("\i"~';@~ifu;)' ;. , New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or feeder Permit S 43.00 $ 3.00 ... ~, .> .~. ~~"I:_.~ 'l':t'., -,' ":"" ,~.~~ .-.t,~,""':"v.i'-l.> ;r{.~ 'i;,;';(~~i;-~>" ,,,:~:l,;.;;,;.~.,"..,,,,;,. "":l"~~ ~"~.~. '~/.:r~... E. :i\lis!;e,Ila."~o';s ~e'r~'ice/feedern<ifincIn?ed) :-Ea~1i. 'In-Si:i.lla!ioil; .....~'~"'~,................~OTICE,:.-..-',,\ '...'"... --*." _:it. ....."""....._.-..'~ ,....J'-.........." -',.r.;.;;..l;4'..~~~ Pump or irrigllillS PERMIT SHAll EXPIRE lro]IiE WORK Sign/Outline Aij1,lOORIZED UNDER THIS AffiMbT IS NOT Limit~d Ener&;(7JMMaUulED OR IS ABANOOi-lmlFOR Limited EnerNllYo~&MlAlf PERIOD. S 45.00 1\'linimum Electric Permit Inspection Fee is $45~OO + Surcharries . . &. ":~ ':""","_ t:~: ',' ,'I';' .,;:" .\,~/","~ ~p;"j"'''' .-, '~~ '-'; i~,~:': ,'.,~.x ':",}:" .:': .",~.,\ 4 'SuBTOTAL'OF ABOVE .-'.:.F',"~C"..,;q'",,)!,"-, , '~.t,.: ":'~,-_\-{i _;~;~~.: .~~':....l..~,.;, ":/~~:;" :-),. ~l~~"~~<'.~-;.;:.Y 8% State Surcharge 10% Administrative fee ~ to .61-<> f07J c:;- dJ 0 c: 7' ()-O TOTAL Shared Oriv~T:)1Building FonnslElectric<l1 Permit Application 1-Q6.doc . . j . :3JJTD ~l IlHQW 3HT ;1 3R1QX3 JJAfie Tlrl:13Cj Z!HT Hm 21 TIMFl3(~ 21HT A3:JV1U 03SiRJHTUl, RO, a3~1Ut:~lASp., 81 /10 mJv~;.",'QJ .001/13Q YAG 08 t Yl::\ ,.. - ""I , \. , , - \'~~ - \ " <So ~ '.J"l... ~ S- t'1 . . .,1 ~ ".. 1 . , ,-, 0" '.- , - . ...... . " ~ \...... ; ,., L, , ' ., PERMIT NO: COM2006-00734 ISSUED: 06/14/2006 APPLIED: 06/14/2006 ~~: 12/14/2006 v~fsup~~'MIT SHALL FXPIRf' If' TI-lf' IAIMi.' AU I HIJ_RI7f'n mineD TL,,~ r~:-:',n I':; l;':;~ Springfield TYPID~'J.1 MiO~(qjiill/8''i\i!J.t\l\l.iJffil'erf~\1R ANY 180 DAY PERIOD TYPE OF USE: Alteration Temporary Power Pole for Fireworks "Stand . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5350 MAIN ST ASSESSOR'S PARCEL NO.: 1702333106501 PROJECT DESCRIPTION: Owner: CHUCKS ROD AND REEL Address: 5350 MAIN ST SPRINGFIELD OR 97478 Owner: HA YNES JOY LEE Address: 5350 MAIN ST SPRINGFIELD OR 97478 Contractor Type CDntractor # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: 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: . CITY OF ~t'Kll'lt.-..IELD Building/Combination Permit Commercial , , ,..!w rm.lulreS you to ,": - , - __. -Iopted by the Oregon Ullllty I CONTRACTOR INFORMA TlON Ilz". Those rules are set fortt- : w....vp-~~;_~n1.J01 C throu!Jh OAR 952-001 In OA I31cense btExPloratJon.Date rulRhone' 0090. You may 0 GI'I," JJ"'" v' .. 'v v_ -, " _ _ __........ II\I.....to.. thp tAIRohone BUILDING INFORM'AT-ION ,;~ th~ Oregon Utility NotifiGation Center is 1-800-332-2344). # of Stories: Lot Size: Height of Structure Sq Ft hI Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMEN. "'rvRMATlON I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Pal!e 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00734 ISSUED: 06/14/2006 APPLIED: 06/14/2006 EXPIRES: 12/14/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriotiDn I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees tiW!.I Fee Description + 10% Administrative Fee + 8% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $4.00 $50.00 6/14/06 6/14/06 6/14/06 '2200600000000000834 2200600000000000834 2200600000000000834 Total Amouot Paid $59.00 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. IReo~ Temporary Electric: Approval required prior to Utility Compaoy energizing pole. 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 io 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, r.jhe permit card is locate e front of the property, and the approved set of plans will remain on the site at all timrurin construction. ,r-- r<//1//n+-. ownerj~c~ntractors Si~ature t Date' I Paee 2 of2 225 Fifth Street Springfie1d, O;egon 97477 541-726-3759 Phone Job/Journal Number COM2006-00734 COM2006-00734 COM2006-00734 Payments: Type of Payment Check cReceinlJ . RECEIPT #: ;~~,.!',~. " ~,.,; ~",,~J",: liE' of Springfield Official Receipt _elopment Services Department Public Works Department 2200600000000000834 Date: 06/14/2006 Description Temp Power 200 amps or less + 8% State Surcharge + 10% Adminislrative Fee raid By CROSSFIRE WORLD OUTREACH MfNISTRIES Item Total: Check Number Authorization Received By Batch Number Number How Received dim 1577 In Person Payment Total: Page I of I 9:23:59AM Amount Due 50.00 4.00 5.00 $59.00 Amount Paid $59.00 $59.00 6/14/2006