HomeMy WebLinkAboutPermit Electrical 2006-7-14
c.~
~/
Mt'f~
,
~ I
I CITY OF s.. JJNGFIELD. OREGON
. , ,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C1J IA'l z.,oof, - csC> 8' 70 Date
I. ti]]Q@i1'iJilOffJiJ..FjINS1WH&llir(iJ._
liIiH~., 'M'....,. ,;"."..1..\ tJ LIiiIi
Z I L{ Co Wi Allf/ ST
Each Manufact'd Home or
N1odUllir'DweIIitig.Ser\jice.ru: req . $5000
.. ~ ....~..... I ich" lJlres v,')" tn .
Feeder rules adopted by th 0 .. .
N ,-,' . e renn I,
..,.......,.11", ~'".~",,( 'J'~u.:1 !.~,.I.I"., ,101,;.,.1.'0;"'.11' c';::;1. ilml'.lll 111,j!ltlh~;;'. '.I'Jo;Il ,J...I III
2. l!;t:lln.C4G'li@RmvSrIi; I 1i1ll(!)~.&-.~ B; ,'Services~o""F~~ei1~!I '!J,.tliIlatioll. ~1teratiolls 01; Relocation:
._.1 l,,".....v.r. .r. ,I I I'" w.~r. _ ~.!.,.c._ I ,1111,1., I J I l
.G .( . ~""O " --'- '''U'''~''UAN 02-001-
" . . rOU ma" o' .
Electrical Contractor (? 5 fA''' d n/ C-.c) J;1c . 200 Amps or lessblaln copies of Ihe rulhs t~, 63 .00 {, J
.LL1 .....~l'" n' .ne CPnter (N t '
.101. ~psto 400.Ainps 0 e: the telephone $ 75.00
Mire.. Po l3vX' J If ~ d- 40 i"A;;'P.~i~~630UA,'~;,~n Utility Notification $125.00
. . ." "" '0 -ouU-332-2344
C/J' r. II 7L1 6 601 Amps to 1000 Amps ): $163.00
Ci~......-iY11 ()~17e/o Phone /Y - d~3 Over 1000 AmpsNolls $375.00
. J Reconnect Only $ 50.00
Y~9y'S
/0-0/-;)007
:SRY1
Cj - J - ;)o.J c;(
LEGAL DESCRIPTION
17D33b4l
JOIl DESCRIPTION
07...-700
.fu~ z.x,~llo-~\ I t./ cvc....-;k,
Permits are non-transferable and expire 'if work is
not started within 180 days of issuance or' if work is
Suspended for 180 days.
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
1;;ze;g~.
~
Ov.nersName ~rA"",-"..._+ Ce...hv
:Pi) J:5"'r 261 z.S-
City e;uc.--<=/t/e:- Phone
Address
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signatu,e:
Inspection Request: 726-3769
A.
Sin Ie oCr ~1~~ti.,Fn~iI~' Her. un-cUing um
$106.00
Service Included
1000 sq. ft. or less
Each additional 5.00 sq. ft, or
portion thereof
$ 19.00
c.
-""',~' ..
'; " . .I~';"... :~l..::., '.
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 .lIB"U'I. .II'.~"'~~
. 11 l~~~~) ~IIlCU1tS
~. . . .:' ".', , .. . .
. ';...: : ., '., ;..:.. .
New'A1teration or Extension Per Panel
One Circuit $ 43.00
\IOE'Uh!;Additional Circuit or with '-I
LT~llsef\iice'rirFeederlPennitJIRE IF T"r "" _::,$ 3.00
Lc..:. . . - -..... ... .....", .1L. "VIU\
.\UII.nnt.,r 11~1l"'\"'f"'\ ......... .........-.
'E,.. Miscellanellus'
,,--"., Il, ..1, .1.
. cq ,~':Y.PF,qIO[) $ 50.00
Pump or tmgal10n .
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspectiou Fee is $45.00 + Surcharges
12
4.
1 ,,' , '~l" . 11. .. 7"
'~@Jt.. . ,;. .-'" . .
.'. ,"' ~ ._:.. ,". ~ " . ,....
7~
b
{so
~g-~
8'10 Sta~e Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)!Building FonnsIElectrical Permit Application 1-03.doc
.
. CITY OF ~rKml>..IELD .
Building/Combination Permit
PERMIT NO: COM2006-00870
ISSUED: 07/14/2006
APPLIED: 07/12/2006
EXPIRES: 01114/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2146 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Electrical Work Only
Owner:
Address:
PARAMOUNT CENTER LLC
PO BOX 26125
EUGENE OR 97402
TYPETOOFNUSE:egoAddition'uires yOLCiommercial
ATTEN I : VI ",,,.. '~'1 ..
follow rules adopted by the Oregon Utility
. ~._.__ ThMO "oI,,~ ~rp, set forth
;~cOA~~';~5~.001-001 0 through OAR 952-001-
C1'10. You may obtain copies of the rules by
c~::l[1the center. (Note: the telephone
, ..0. ., .. _ _........
n'l'-,~-I ~r lor llld Vlt;;'~UII ...."',., ..-....--
I CONTRACTOR INFORMATIONllltar is 1-800-332.2344).
PROJECT DESCRIPTION: 200amp feeder and 4 circuits
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/0112008
Phone
541-741-2236
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildiug:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd:'l OTI GE' Handicapped:
Paved Drive Rqd: THIS'P'ER'~' T SHALL EXpCompact:E 'YORK
% of Lot Coverage: 1,,1 ltit Ir I H v
AUTHORIZED UNDER THIS PERMIT IS NOT
....f"\~H.H:,.t('\r:n nD Ie.' ^O^~ln(HICn eno
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'11 q~' IV PERIOO.
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descrintion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00870
ISSUED: 07/14/2006
APPLIED: 07/1212006
EXPIRES: 01114/2007
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
Fee~ tiWU
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.50
$6.00
$12.00
$63.00
7/14/06
7/14/06
7/14/06
7/14/06
Receipt Number
2200600000000000979
2200600000000000979
2200600000000000979
2200600000000000979
Total Amount Paid
$88.50
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.
~uirerlln~n~
Rough 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
Pa!!e 2 of 2
225 Fiftb Street
Sp~ngfield, Oregon 97477
541-726-3759 Phone
.
.fI:~:_ ";
1ItiL" .
"
- ".
<& of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00870
COM2006-00870
COM2006-00870
COM2006-00870
Payments:
Type of Payment
C,editCard
cReceiotl
RECEIPT #:
2200600000000000979
Date: 07/14/2006
Description
Pe,m Se,v/Fdr 200 amps 0' less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
C & SELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 191420 In Person
Payment Total:
Page I of I
2:49:45PM
Amount Due
63.00
12.00
6.00
7.50
$88.50
Amount Paid
$88.50
$88.50
7/1412006