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Home My WebLink AboutPermit Electrical 2005-10-30 eject as ub .. te las the following s not re U1re speCif11and use 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:{S41)726-3753 . FAX: (541)726-~~:I,g I1J/ 30 105 " ELECTRICAL PERMIT APPliCATION Date p~ Jlh{ , ~.i~I:;~;:;~~~:;;::~~~~~~::re 3. ~~~:l1~~~~;~;;J;;Q1JJ~?i~r:~i'i~j' 3) so MI.l ('n S+Yc'",1- -, C1TY OF ~JR.INGFIELD, OREGON ,'. ' , . Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.~0 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45:00 Minimum ElectrIc Permit Inspection Fee is $45.00 + Surcharges 4. ~s.:Wl,Tnr~~~oVf.l~J;f' .!j.!(,_.~.~I&,~~...,>,f.}' L:'O ~ {:J ~".....~,~."-...,,,.,..,...;q(.~, . -- !3 V' ' g 7% Stare Surcharge 5 () , ou ~~ s:)OlO% Administrative Fee '-~ ' <\() tY~ ~ TOTAL 5.cAJ ~~ f\ Sharod Drivc(]':VBuiIdin. FormslEleclIical Permit AD1llicatio~r.cioc ro LEGAL DESCRIPTION If} 0':2. 3f oD JOB DESCRIPTION {)ot/(Jo kO)tJ(1p , ,<;~)V--'Jj(,:J EliJffrJ.hU', Permits are non-transferable and expire If work is ' not started within 180 days of issuance or if work is Suspended for 180 days. r:i;c6NiiiA(fffjR~:iNSTJWiJi?fl6N(iNffx;.1 2. ~"" ;~.l.t.t ~,*".._.,-,;-t1~'--i..~""~":'~ .';"'.;'L' __!:B.l"'.'~.:.;'':': t.,~~:~,'::./"';' Electrical Contractor II f,r 4 c...J h (J:hr. )(, <:; 7 f3 J-/W0f 91 S /~ V , City r..l tt:;,? /J t' Phone 5 fI- 1 f/.-cvf r Address Expiration Dare L131cf1S /0. / - (J (, Supervisor License Number Constr. Contr. Number ,~Il,- (/fJ< (C, Expiration Date '7- / - 0 c;., Owners Name Ov.-e jI'\1 J)..d- ,k F'<.m~A-(J Address 3/50 tVla.l\n 6'/-. J City ~,t,lU Phone -/.2(. .3~'iY OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 ~ A. EN~~~id~iili~i~SiliJ~:-t5r_\Ml[6;FtD1t"'~~(d~~ln~-~r,iili.~ic~2H~J ~"" ...,.,.'jr,>;-,,,_~, ~""".,"",,"_-. .c. ""._ -,:...gt-,.",..._, ,,'" -". ,_,_;,,-,,_~,_,]y,._~. ,;.."...,-,__._,..-gi.........,...,,.,. ",.1 Service Included I 000 sq. ft. orless $ I 06.00 Eac~ additional 500 sq. ft. or ""_ 1.4\ portion thereof $ 19.00 ~ Eac~aufacfd Home. or If1KE WORK \ ,a't ~~E~t1ff~fI~~~:~E\UIllt IS tiOi$50.00,~ ~ ~_\l~r!~"..E~~~,fAA,..",.~._.:."'....'" ,'''' ""',;H,,,,,;-"'j B. '. lBrlIl"IP~~,,'l!!S(a1Ta _ ou,'W~erations:or)leJo~tio,,:,j.-',j . .. ,~.~-~...~A",,t-,.,,-. ""<','~lj:G:... ..."r"~i"A~'h ...._/f;.i'",k~",;t ;:erl""~_",,, 2llbI~'Po9fess \'~. $ 63.00 20 I Amps to 400 Amps $ 75.00 40 I Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only I $ 50.00 A /) _~ 'c r"~i..*.-'.;' ':+-"-;(~~+"MfVj--..:n;",;-'tl'.......--.:. '~~~",p ~r.)~~"'tj~:,;...-.;t"-':~'-~ --'~~j . ll~ifr~P!P!!!:al1~:,~!!,... .-S~!~!'.:~~~c;J~~~I::~n~tA"Jc' :,~~::.~~'t:~f~*'~,~~~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" aho~e. ~li'<-'W,-C."'..,~""",p~~~lll~JOli>i """"'tC'll!.N"'" D;\~r;!!!\~~}~f, ,~ ~'&'~,r~dfftH ,.n- 'i~i'$:~~J~;I,~~~~ . ,. , .ll"l.c ^rl0ote OV I e I~~ ~ "New/Alteration or Extension, Poer.PaneH 10rth ~\' f;....-....:nn.r:;enter. Inu~~ '....l....w loA._ -" _ , one eu;~lt 1\1 f'ln10 throuQh OAR 952.00$ 43.00 Ir' EliCh1A'dditi6ri8l C.ircuit or,,!,,ith 01 the rules b~ ~'S~"" ."-.. IFeeda.r:p':::!.IfI! ,Ut'"lv... 300 ,emce'or enmt., .___l.........t;l . , "' ",,, C3nter. \I\iole, the '~'~r:"-,- ',""I" '.',' "' ',,--, '''',^ '~, ~. ii . "1-" _'J:\"~' "~,'r,,,_~:,~t'w.- "-,)0.' '~"" __."",'''',~., -""-',~-J--~~' E ,"'~c, n""~{S'~i.~fl'~di'>^,. ?-ml''''d'b)",.,,~t~r.'"''t-fll'r,''i'''', .\" lJ$Ceuaneons: er>-,ce teeO no ,me u "" :-"""Cu'lUS a at on 'J-_ ." ,ii:i1'N:~'; "''',' ,,0:0 .';;- , ...., ~,,'" ~..' ~'>4>r"<'_~' ~ v' /\1:;1 1.J . ...-- - . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 FaI 541-726-3769 Inspection Line PERMIT NO: COM2005-01665 ISSUED: 11/30/2005 APPLIED: 11/30/2005 EXPIRES: 05/30/2006 VALUE: SITE ADDRESS: 3150 MAIN ST ASSESSOR'S PARCEL NO.: 1702310000400 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace Service Entrance - EI'\'Rff'llnlhly T\..lt~ P~RMIT !;HAll EXPIRE IF THE WORK Owner: OREGON STATE OF BOARD OF FORESTR~THORIZED UNDER THIS PERMIT IS NU I Address: 2600 STATE Sf COMMENCED OR IS ABANDONED FOR SALEM OR 97310 ANY 180 DAY PERIOD. Owner: STATE BOARD OF FORESTRY 'Address: 2600 STATE ST SALEM OR 97310 Commercial " Contractor Type Electrical Contractor ARC ELECTRIC I CONTRACTOR INFORMATION I License 115113 Expiration Date Phone 07/29/2006 541-741-0494 # of Uni": Primary Occupancy Group: Secondary Occupancy JFrimary Construction Type Secondary Construction . # of Bedrooms: I BUILDING INFORMA T10NI Ii I 'eN liON' 0 I . " ' regon aw rE'n"ir.~~ "ou t # of Stories:ow rules adopted by th pot Size: " .a Height ofJtification Center Th e IS~!{F1Cist"FI~1i;-: . . ose ru"""'<..; - w!'":.... I' , Type ofrH~am 952-001-0010 th Sq Ft-2nil Floot: ':I:' rough' It '"' -'cr. ^",... Water ..yp~; You may obt ' ,Sq Ft Basement: Range Tyj>j;:;ng the cent aln(~opres SqtFt'GarageJ~arport Energy f~tb: er, , ote: thsq'Ft Other: S . kIed' ,'"uer for the Orero'Cn UtJ'Ir't10' :, t"~ d pnn , ,n,a _ ccupan,,,,,,a : Centefls l-Ano.""" n~.., ." I DEVELOPMENT INFORMATION I " REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: IPUBLlC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I of 2 . . CITYOFSPKll~hl'lELD' Building/Combination Permit PERMIT NO: COM2005-01665 ISSUED: 11/30/2005 APPLIED: 11/30/2005 EXPIRES: 05/30/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion , Description Type of Construction $PerSqFt or muItip6er Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 11/30/05 11/30/05 11/30/05 1200500000000001765 1200500000000001765 1200500000000001765 Total Amount $58.50 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. Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that ouly 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street .,springfieId, Oregon 97477 541-726-3759 Phone . Jill/Journal Number COM2005-0 I 665 COM2005-0 1665 COM2005-0 1665 , Payments: T~lle of Payment creditCard ." I;l " , ,~! :, ';., \1 ::; " 11/30/2005 '\ RECEIPT #: Description Service Reconnect + 7% State Surcharge + 10% Administrative Fee Paid By TERESA HESS ARC ELECTRIC J~Ii.~~;"."'~'~' '. WiL' , , . --." I . i - f I '-"""'---' Jij,j.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001765 Date: 11/30/2005 Item Total: Check Number AuUtorization Received By Batch Number Number How Received ddk 027862 In Person Payment Total: 1 of 1 1l:03:54AM Amou nt Due 50.00 3.50 5.00 $58.50 ' Amount Paid $58,50 $58.50