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Home My WebLink AboutPermit Electrical 2006-8-23 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FA-X; (541)726-3689 ELECTRICAL PERMIT APPliCATION CityJobNumbe~l?...... nln'i<Y . , t')23J~. Cc....- S?":N="'~ - =~~'3loCp " ; p ~i "'~_ :h~ .-LI'>::- .. " '~'$'-;:' ... " . ''''''',-' ;,;;..)~:~;.. ~..;. ~,.t ...., _ - . ~ 1(..",I'~,,,~!l;, fi;\ijit'lJ ",,11 '~e.:.~~~~,.tr4':'~ ";;;7 --..., - 1. r!QcATIO@!'mSTPr4TION~~ .~~~__.....,,;..~_._;....__~.:w"'-"" ' ~W1; 5t1hoJ LEGAL DESCR1P".10N tw~ =<3LA..O~61 JOB DESCRlPTION , dtm.-~ r ~.v'J'" (' J..J Permits are non-transferable and expire if work is ,~ not started within 180 days of issuance or if work is . Suspended for 180 days. ~wRAcroR;'LNSTAEffi.TION!'ONiii~~ 2. ~~~"I;~..~.c;:~~~:re--,~~"':~:l~'f''''~- Electrical Contractor rn ,.J.r: Jfc 'fa: ::t N L Address .lXi r, r:l::h1.!l'-:W~"'" City 6Jc-&r..F- O.u. Phone 9 I-<;\,,, D Supervisor License Number ij 77), S Expiration Date .I (J - C I - 0" Constr. Contr. Number f L.j (,71.;,,- Expiration Date 01- 1~- 0 I - Phone 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. ..,~~~~,,____"-..,c.c:"~-": ..... A. m~",~i~~n.!!"~~~~L~~~~~!~t~gb ~ Service Included 1000 sq. ft. or less $106,00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 '=1ii~_"''$\\'&:~t1-=-"""",.".i,'\fiI-='"''''''"'~-'''~"''' B. ~~~k~ef~.~J~J!'~j~Aitt~~~~~~;!~~~ 200 Amps or less / $ 63.00 03 201 Amps to:400Ariijis?r I: Orenr~ ,_ $ 75.00 . , '- ._..,\.;Oldrt:H:'''Out 401 Amps to 600 Ainps' ;: :'C:::ler' h" ,",; r$I,25:00 0 , f:nn ,..... .I --'- Jrcaon UlIlny 601 Amps to 1000 AmPs.c:l1er, Thoe" n ",,$1.63.00 t" .. It, . ::.rJC01 0010 Vole;::>e 'VillI . Over lOOOuAm~"%lts - throunh ~m.9~2 ^~. Reconnect Ori)y, ou may obtain coni,,~ 'l~1?!t~<1I1-:~ . . c,..ll/lg the center, (Notp' th^ '^'~~'_ _~~ ~ 1 c. ff;r~Wii'~stt~~1Sr~rF~11i~#':~""",~ -:"':J _~;~d;W;~' ,..,~~~~~ ~::Ii'l'W ,.~"'__-"4'::;." -.-. . .......... .' ,,-,,,,,,~ "vIII"" IS ' 00-332-2344). . Installation, Alteration or Relocation . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. l:\rariffi1GWct;itS' New Aiieration or Extension Per Panel _ One Circuit $ 43.00 Each Additionalll::irc. uit or with ' . I ' . V Service or F:~der'p'eimit ':I. $ 3.00 .' -L.L.I , hi" Pc t'l11'1 I r SHALL tXr'IKt IF THE WORK E l:;'~lli."""'~ll." 'a'*'(~s:'l"'''-11<lt'''~fiiilf.i't;d.!:1)'1!1;;\E'''''Jj''''''[~f''''t''''''~ . :'....11' ce aneousY er:vic-el:teeuer:no c u eu f"_ -ae _I nSww.3 lOn"tiI ~^~""~">"~""Kflw;"D'trJo Fr?"";,>.~~- .....VIW'I"'CTi'JC-u-vn 10 t\ t"!1 I t H. . Pump or iA~iliclri\O OAY PERIOD, $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy;Residential $ 25.00 c .:. Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges :Il'Il""",,,,,,,,,,,-,,,,,~~'~- C. / 00 4. ~~~~!l"W~ 0 . ~ State Surcharge . 10% Administrative Fee TOTAL Jl -<"1_ 05 v--yi' a 00 .; v -; 7 ~ {-?~ Shared Drive(T:)lBuilding Forms/Ela::trical Permit Application l-D3.doc ,. . CITY OF ~rK11'luNJ'.,LU Status Issued Building/Combination Permit PERMIT NO: COM2006-01088 ISSUED: 08/23/2006 APPLIED: 08/23/2006 EXPIRES: 02/23/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4974 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204201 Owner: Address: FLORENCE E BREEDEN LIVING TRUST 3879 LANGTON AVE EUGENE OR 97402 Springfield TYPE OF WORK: Electrical Work Only , ' ; ~'I.' '.:1 .. "'f TYPE OF USE: New. ::', '" > Commercial '_. -<;:l -nt ...'Ji - . ( ." ~ . . '",-- ,- -- f-'9'2CCn- \.. 1 n;' lrnp~l',l CJ\' ::.J.- . \." .' ", 'n co")ics 01 tne IUI'='", U} . r " C - .al, \ one 0,,"-,, ,~. ' ,,) . (Note: the: telep 1 . C2.:',:o;; the: ce:o,er. n Utility Notilicatlon ~"mhf'r for the OregG _^~ N>AA\ r.enter I~ \-VVv --- I CONTRACTOR INFORMATION I PROJECT DESCRIPTION: 200 AMP Service and six (6) circuits, Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2007 Phone S41-521~5690 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I (' .f # of Stories: Lot Size: Height of Structure. -. Sq Ft Ist1Floor: On \\ . . J\\\.tt.. ,_ -,cr- I\.. I'"\r'_ vy. n Type of Heat., uI \1'\ '-t1A..L f:'tSq Ft 2nd Floor"'01 IS P\:" \ J ^ ^r..-"!I I '" " Water Type: \ h UND'-R 1\SqIFtlBasement: OR'Z\:D '- .r" ,-' '!-l Range Type: ;,U1H I OR IS 1I.t.~q\l!:.t~Garage/Carport Energy Path: COMN\\:NC\:D r D Sq Ft Other: Sprinkled Building:, tlO DP<.'{ .\'/.1'110 'Occupant Load: t\1't. .!t I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # 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: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace 1 of2 -~: 1&. . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01088 ISSUED: 08/23/2006 APPLIED: 08/23/2006 EXPIRES: 02/23/2007 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 l..F~~s P,'IidJ Fee Description + 10% 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 8/23/06 8/23/06 8123/06 8/23/06 8/23/06 Receipt Number 2200600000000001182 2200600000000001182 2200600000000001182 2200600000000001182 2200600000000001182 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 R~nllir~d Tnsn~dion1J Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 eacb address is readable from the street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth, Street Spri~gfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 I 088 COM2006-0 I 088 COM2006-0 I 088 COM2006-0 I 088 COM2006-0 I 088 Payments: Type of Payment CreditCard cReceintl RECEIPT #: .ii~ C& of Springfield Official Receipt ~Iopment Services Department Public Works Department 2200600000000001182 Date: 08/23/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HOLLEY MAHAFFEY Item Total: Check Number Authorization Received By Batch Number Number How Received njm t 14261 In Person Payment Total: Page 1 of I 10:37:01AM Amount Due 63,00 18,00 4.05 6.48 8,10 $99.63 Amount Paid $99,63 $99.63 8/2312006