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Home My WebLink AboutPermit Electrical 2006-11-20 " SPRONO. ,ZON (1<:.- WI.:::: ~ INITIALS tv M DATE /1 -;) U - fI(., .., SOURCE /i:J./i f'~~.J /1-) ?-Ow 225 FWfH STREET. SPRINGFIELD, OR 97477 . PII:(54I)726-375J . FAX: (54t)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COiN\ 'Z,.OO b - 0 r L{ <?Z- 2. ICOl'ITRACTOR INSTALLATION ONLY I B. r Services or Feeders -Installa~ion, ~~eratio~s_o~ R~oc;tio~;] Electrical Contractor ~,1v'1 c:~ Fr er_+vr-L 200 Amps or less $ 63.00 - 04 201 Amps to 400 Amps $ 75.00 Address ~l...17Dlo Sea.re.v l,f ~I 401 Amps to 600 Amps . _.. ,$125.00 I 6~~ ~~Rst\\~(] 99P,Ar:tps.': rp(1"':~~1~~:;\r~'163.00 Phone <)t{/41<; -.l.f8fi).-pyer 1000 A~ps(Yolt.s,\l <,\:? or .~ __. \~~.75.00 il;;\fR~cpnifect'O';IY'~"-ftl~Scl rule:; '"v _--" (,$.5.0.00 ,,' 'In-'l(;'-,\.'.'-" . o~i10:"':.:'-\ _,,,.J". .." "C1L,\'c-U.:ro..u...,' ;-;:r---r~i~,).~:nr. .-. --r' .,-;---"r:_..y~O:: ,.... C'/-J:Temporary Servi.ces,or;F~eders I '. . _ n. III \ j .~ ~ -cmtell+-''"'"--:;----. :Te1'jT1tfti~.--.. -----.--- "1 'fOlll1'..'J ".., (NG"3: '(\12 te .'. tion ()~ 'loistallation,fAlteration or RelocationtlllCa C~\\l\I~ .:. _.,.'u:- (jr2goH "_."',".-.Il"}A~i \ /"141 2000mps:.or.less 1 ~i)O-232-2..,... ,,' $ 50.00 -x/ OUl" -- t -." ..I' 201 Amj'fS:l6400'Amps $ 69.00 401 Amps to 600 Amps $100.00 I. I LOCATlONOFINSTALLA110N: t/?Of t/II~nn 9v~>::-1- LEGAL DESCRIPTION: /76l. :n4 I D"] ID ( 4:~~CR;;:~ r~~ rr Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended ror 180 days. City /f ))f'/)e' . Supervisor License Number C:f5(.oo5 Expiration Date !/IO///7 '7 Constr. Contr. Number I <'"~<;'~ -/ Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date 3. I COMPLETE FEE SC:!lEDU!!'..BE1:9.lY.- : .~~~ -J A. LNew Residential- Sin~ o.c~1..ul~~Fall1il;~~d~~I;i~~ 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 $ 19.00 $50.00 Over 600 Amps or 1000 Volts see "8" above. D. I 8-ranrh Circu~__ __ __~____ New Alteration or Extension Per Panel ..-1 l~';1~i~~Qlll(,:~\\~t ~iI\PIKt IF 1~ '.I: !~~ sll\lll& lI~e'll~1 ~'IfflER 1HIS p,:QMIT ~".,\V rAUiHOR\2F.D~ ----litfll.tJnpN.ED-FOR ---- -., - -., E. pLu~~~~I:~~~;fJ;~!~_i~~IOJ~~)5~::b Ins~l~ati~n . Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges p --- ------ -~--_. - - -. -- - - 4. ' SUBTOTAL OF ABOVE L.__ .n."" .. h_.. 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 5D 'I > Z'S'o 61iJO Shared Drive(T:)IBuilding Forms/Electrical Permit Applicalion 8-06.doc . .ITY OF SPRIN~1'lJ'..L1J Building/Combination Permit PERMIT NO: COM2006-01482 ISSUED: Il/17/2006 APPLIED: 11/17/2006 EXPIRES: 05/17/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5701 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103101 Springfield TYPE OF WORK: Use Initials TYPE OF USE: New Commercial PROJECT DESCRIPTION: Temp power for xmas tree lot Owner: MCDONALD'S CORP 36-113 Address: 2896 CRESCENT AVE STE 105 EUGENE OR 97408 '141(_ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I CONTRACTOR.INF,ORMATlON I -"Uti I -.... - '-. - . ,dl'Jr . ' c;,/iio .,J,-.rJ;"(}d "r'I')t.r; ~ Contractor Ii i OAp, [)S;Jf) ?,.rLj~ersPY Ih,E~!>i,~~tionlD..:lte SUNSET ELECTRIC INC OeUO. Yn,. --[Jl_I~1l8.~€OSd rlJl,,~ 'Q2I27/20Qll" BUILDING j'NFORMATION'I' ~~~~,) CA,~ ~;~t tom "U'CIrro I """. (N ' "S 01 th -001 r he 0 Ole'th e "II" # ofStories::;'em<>'i regOf) U'.. e ttl!~!'~,ize:S b; Height of Structure S 1-800_3 tfllly N~,~.;,~tj~t'Floor: Type of Heat: 3<-2344~q 'Ft'2iidlFloor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport M'Jlergy Path: Sq Ft Other: ''yP~P8~ Bnilding: nla Occupant Load: hll _ . .'l'.~'.,,* I DEVlEhO~MEN1flIINF.oRMATlON I , I' COM"'IEI/(I::D UND't I::XPIRE I ANyQ~eAry[Qi~'B f ~ THIS PE F THE WOR #So.~\1'~FSR~dIBAN RMIrIS K Paved Drivffi4WJ. DONED [,0 NOT % of Lot Coverage: R Phone 541-915-4883 Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I VaJulltlon Descrintlon I III _ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 _~S'~AI~~~~' ~ ~ .' ~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less Total Amount Paid . Amount Paid $5.00 $2.50 $4.00 $50.00 $61.50 Total Value of Project Fm tIWJ Date Paid I Plan Reviews I .ITY OF ~rluNut< It<..LD Building/Combination Permit PERMIT NO: COM2006-01482 ISSUED: 11/17/2006 APPLIED: 11/1712006 EXPIRES: 05/17/2007 VALUE: Receipt Number 11/17106 11/17/06 11/17/06 11/17/06 1200600000000001665 1200600000000001665 1200600000000001665 1200600000000001665 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. L.Reouired Insnec~ Temporary Electric: Approval required prior to Ulility Company energizing pole, By signature, I state and agree, that I have carefully examined tbe 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 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. Owner or Contractors Signature Page 2 of2 Date 225 Fifth Street Spribgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01482 COM2006-0 1482 COM2006-0 1482 COM2006-0 1482 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: .Wi~. Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By SUNSET ELECTRIC Cwf Springfield Official Receipt IWIopment Services Department Public Works Department 1200600000000001665 Date: 11117/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 083353 In Person Payment Total: Page I of I 2:39:43PM Amount Due 2.50 4.00 5.00 50.00 $61.50 Amount Paid $61.50 $61.50 11117/2006