The URL can be used to link to this page

Home My WebLink AboutPermit 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