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Home My WebLink AboutPermit Electrical 2006-10-19 "-~ --- c.~ S?"'N~~7'T-C2b \0 1'1. J..I,,,; ',.,~..-"""~,, "?"p- ~P". . ,', ' \..;.,;:, J c. tj. .'<lFl '~>.fA;. ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION CityJ~blNumberl1 C!)",^~oo6 -D 1"3 l(' " 1. ?JfoCATIONOFJjj.jsi;'''TT'i.ffON't~,-~ ~;:;J".:r..emu;!'~~~~"""---'---7-----~~ 1.1 't7b vvrA'N S:- LEGAL DESCRIPTION 170 Z. "3 ') J l A. ~T~~~tfat~~~~ra:F"~;:;1~~p'=~r-J;~eiri_ . . , ., ,.~...,-~--..:..-,::::;"~~1.~.I.. ' , "" Service Included 1000 sq. ft. or less _1- Each additional 500 sq. ft. or c,....c......q~ portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ..0.. ' ~NTRAcrOR1NST)lEr;~rlOMO~ . (~ .: J~1!'fF:~~1ft~\lIi~~~liffiiif.i'hs~R:UFJll~~~ 2. ~"":""""'1-1't.';!\W':::I.!."fr.'c,~~)t.,<<"':(>CI!l~,!,<,'~'I>"'t1"Iad;:'-":l!'f~M,~;:J.j ~.::;" M' ".'. -,.. "'''~~~limi~~.."!;:m~~!,"r~;:~'f~''J''''i'~'i~;:~~~:;~~l<<t~ .~0 o~,f/i 55 '() . ' b ~ Elecoical Contractot fh ~4r JI"( 'fa' :J \>/( ~ 0~ ~~OQg~00Iess / S 63.00 ~ ~<..-li 0o"0",f/j261 ~s;g~pO-AmPS S 75.00 '71'.' D 'IT ~ .~ a' ,:(<, 0' -~ Address /..?<t ~l'--:\M'i;:,..'" "'': ,"i. <.." 'S:- 401~ps;tl)'600 Amps S125.00 (3f 'Q' 0 ~ ,0 ~ ~ ~Qj 0~ ~oo; ~Ov ~60~fAnips \l!,1000 Amps S163.00 City EJ(;,ekF- 0'6 Phone ~Is\.?l.~:;g," ",'S' voq,9v~fo,Oo'>lAmPsIVolts S375.00 "'~. '11" 1$>'" <5'~~~ .:tF;..~~;%,t Only \- S 50.00 ~ ~I/' 00 " :s:> ~. ,.,0 ?> ~ A A(() <v ~ <Ii' .,0 ~0 ,D."~~-""""'~'",""","'--_'''__''''''S:~'-\.~- "'~ ... ",,!ii'; ..~-~ Supervisor'LiccnseNumber L''''''7''''o\<'" .:..0 ^, nr..-,,..,<:fo Ce. rrenip'~ -9r:.tr:v:aSer;viceSlo~~~~ "'''':!'7;'~~~~ilt~~~:t,.-.erih,.t~~;J./ ~ :-..~~;... ,:li ,~V CJ"'" 0 ".....-"...,. > ~:,Ji,.~ ..c~, ,.- "''''...... 'lJ"o .,,~ Olr . ~':...-,"'~ ?~ ,,~:. ....0- .~Ci ~OJ 0'> ~q, 'S' ~~ ....-: ~'" S:- Expiration Date io - ct- 0, .,is' ^~ . ~ _0; ....0<.. #' Installation, Alteration oT4lel~io'~ , _ ~~. , Qj ~ ~ l~ .~ ~Oj f/;' '!:)0 CJ 200 Amps or less ~'<: <( ~ S 50.00 Constr. Contr. Number I Y (.74<,- I:l Ci ,'>~ 20 I Amps to 400 Am..!-#, ~v S 69.00 401 Amps to 600~~ .:p"f SIOO.OO Expiration Date DJ - IY'- 0 I Over600,Am ~.I:I<W,V.~I~e"B"above. D. m :'" t~r ," ltQ.~~"""~~~.@! , .' .,~~~~~~,,~ N~t# ~ x~sion Per Panel --.. One ~~~ ~ <;::,<<) , S 43.00 EachAd~~~uit.orwith / ServIce or W~1>etlD1t (c:> S 3.00 E. *Mls"'F~!(s~1~~!'i ~1\T~ilf~-;ftil1~;'till'rtiii\r! ~~I"'"I-..:<".1'-_~";-'.- ~"",--"",--"~",,,,,,,,,_'._~"',y..'-J:-'-"'~~~ o q ~~ ( JOB DESCRIPTION I b ?cC>,v/ S~L / , , .. Permits are non-transferable and expire if work is ,. not started within 180 day,s of issuance or if work is Suspended for 180 days. ~- r - V Owners Name ~l>reeJtfj fy~&.1- Address '"$87 c; /Jd.I~"toN 'All ~C-btC Phone City OWNER INST ALLA nON 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 If) r( r;~Ob 3. ~COMPWffFEEsCi:iEfjr;ffEfiiELb"'W; -~... ~_............-....,-, ,....,.~~..:-,~~~._= ~....""'~'J..~,.~ ._ S106.00 S 19.00 S50.00 . /g Pump or irrigation Sign/Outiine Lighting Limited EnergylResidential Limited Energy/Commercial S 50.00 S 50.00 S 25.00 S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~"'~.'~;".,~~~d~;:"Jj\'","_e..~""..':.'.. . 4. !fST;lBTOTA.JJOEABOVP 1:-;:,il.~;:i('"":~{,<G~~~1S ,~. 8/0 State Surcharge 10% Administrative Fee ~ % T~~ Ft."1E TOTAL ~r E.'I8 ~ 9' 61 f!:ro 'lor- Slmred' Drive(T:YBuilding FonnslElettrical Permit Application I-oJ.doc v -lIIEr;;llI~; - ,.........,".. ~ ---' , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01349 ISSUED: 10/19/2006 APPLIED: 10/19/2006 EXPIRES: 04/19/2007 VALUE: SITE ADDRESS: 4976 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204201 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replace 200amp service and add 6 circuits Residential Owner: FLORENCE E BREEDEN LIVING TRUST Address: 3879 LANGTON AVE EUGENE OR 97402 I ,-u" 1 ..ACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC Phone 541-521-5690 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction License 146745 Expiration Date 01118/2007 I BUILDING INFORMATION' # of Stories: Lot Size: R3 Heigbt of Structure Sq Ft 1st Floor: Type of Heat: Sq Fl 2nd Floor: VB Water Type: aU \0 Sq Fl Basement: Range Type: ~e~ui~es 'l U~\X\\'l Sq Ft Garage/Carport Energy P~\0.vJ O~e~o(\ Se\ \at\~ Sq Ft Other: -.-\~,rjiik'i~a Buil!li~~ ~eS 0.~e iiJa~_OO'\ Occupant Load: ~.~t\.\ \ ..l.....o\0V _0 {U _..a 9'=> _ V\, I\DEI\lEidpME!,:T :INF@RMA T.iON"I~:;e \v . 0.\\v' '"VV 0"'- \6IOY . (\ REQUIRED PARKING t-\o~\\\C g;Z'OO.. ,,'0\0.$\ C ~6'. \"e o\~\ca'J.O '-. .~ OP-~'J Overlay Dist:r.l,t-\o . I\\\\'ri ~ ., Total: h' ,au . "'~\U ;(\ U ~""J' Qo90. . #J1r\eef,~~e,,;,,;H-!fd: '3'3Z-Z:r Handicapped: c0.\\\'P~~~gIDffit!\ql!nO' Compact: I\u((\'e;.- 06~~(c!o"erage: I PUBLIC IMPROVEMENTS I Sidewal~l~~\J\\~ . 'C'i-\''P~'''~sJK\\t\I@\'\ilil's: l\01\C~' WI\I S\lt>.\.\. I\I\S \,'C\\ rO\\ I\I\S \''C\\\llIJ \I~IJ'C\\ t>.$t>.~IJO~'C\) t>.\lI\\~~"r.~1J 0\\ \~ " , ," v';j::""'~' "'{ I't"'''' I Valuation-'D~lti\StlOn I S Per Sq Ft or mulliplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . .ITY OF SPRINl.t<lJ'.LD Building/Combination Permit PERMIT NO: COM2006-0I349 ISSUED: 10/19/2006 APPLIED: 10/19/2006 EXPIRES: 04/19/2007 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 Fees P'IilU Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $8.10 $4.05 $6.48 $18.00 $63.00 10/19/06 10/19/06 10/19/06 10/19/06 10/19/06 Receipt Number 1200600000000001543 1200600000000001543 1200600000000001543 1200600000000001543 1200600000000001543 Total Amount Paid $99.63 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. I Reou~ Rougb Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 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 Date Paee 2 of2 225 ,~iftb Street Springfield, Oregon 97477 541-726-3759 Phone . ij:~~:_", .. ~... ~,,-, ~ Cillf Springfield Official Receipt D opment Services Department Public Works Department Job/Journal Number COM2006-0 1349 COM2006-01349 COM2006-01349 COM2006-0 1349 COM2006-0 1349 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200600000000001543 Date: 10/19/2006 Description Perm Serv/Fdt 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ERIC MAHAFFY Item Total: L:heck Number Authorization Received By Batch Number Number How Received djb R23394 In Person Payment Total: Page I of I 10:55:48AM Amount Due 63.00 18.00 4.05 6.48 8.10 $99.63 Amount Paid $99.63 $99.63 10/19/2006