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Home My WebLink AboutPermit Electrical 2006-1-17 (2) "W~ ,o~9 0 \'(\0 0- vS '(\'lJ.tf:J \'0(\ ~ (\~~~~~\C , .~ . c..\~ ..~o:. ."~ _,' ,. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~~~ ~o\f;t~,~' " ELEcrRICALPE~Tt?f)tQ:A~bN, " ,e'O\\0";~660 'i;!:i':,: , ~"~Qr, ~' City Job Number" . Da!e-;\",o..,j~' ...of:..,f\. I.~LO'&'TION'bFINsiALiATjofl ":"i~<;;ii 3. tcoMPiETEFiisciiEDf;i;n;;[~., ',:'" \'^''''~'r"\X?r''''''~~per'' "., ".~.^...<,.,.,,,,,,-.,y.\e:\:~1-.'!'<j-,. -.'0.. rt> 1.l.O. "}~i~,'_~'-':.;" ~-~-"..,..!, :l~"'~r.~' ;.'" .:;~. .,....-\t~;._...!..,..;""';.~, ,>-'-~.. '''~.!:'~, L\G~D~~S04 , Tl ~ A. ~e~~:: ~:~::~::;'t-:,,~l'l.g~e,~r ~lu}t!:f~~~I,~~~r JOB DESCRIPTION 1000 sq. ft. or less $106.00 -hl,^ (\ I' () ^l ).,u:- r_""('(]~e Each additional 500 sq. ft. or ~ '\ J .ij)\ 11 portIon thereof Permits are non-transferable and e\pire if~ork is ~ch Manuf~ct'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder , ,- $ 19.00 $50.00 !..,~.,r.>P., .,,' ,_ ':V." <t,.;.~ ,<,~"':"~':>.1.\y(':rr :;h-iV,?t"'1:''''.:.'' :.;r'~r"':",;.~t.:. 2. . J&~l!!lM:IS1l!lJlli~l;'dX!1Z!R~l3Ei.~1i:~ ~~'q';~~.~!1?~' .~.'t't:.iY'~"~-:-.:<c.~~.::;.. ~cr.~~~~-~1;.:~:,~~~"',):?:,:~J<.;r.~~"..:q~: B. :. Sen'lces,or Feeders- Installation, Alterations or Relocation:". ~? ;:;~~:.ti,.'.;:Mk~rt;~!;:<,.:t:::;fcii'il:"......",;.;;::;~"''''!,~~~'" ~.;'0,,,:~ ...,t'h'~:~~.:-A~.U~:~.~:{$.Ii:~~,':.~l:;:; :z.,~ . Electrical Contractor "7\P( 1 ) u.}z 'l fl.R,(' l/U..-v 200 Amps or less. . /J '1 20 I Amps to 400 Amps Address r () ..;::1yl7f.. ,;L/ ('jO -3 40 [ Amps to 600 Amps I ~ ) 601 Amps to 1000 Amps City J .1.1€ >U ~ Phone St.lti,!?/a-;;,J.36.5 Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375,00 $ 50.00 :J2 ~:;; 0 l't\5!-V:\'~.~.i'i\.cr,~1;!f'!'1':-~;'ri;,;'E~~~~~'~:~$~a;,,I:,'~~r~~~.::?1.'7;::?~ Supervisor License Number.. < " C. ',.Tempo.ran' SCrY!ces,or,; F_~e~crs,.;~,;:~Pt1~':{~t~~1~:'j'-'l,",ri,,~~.~(~.j,~$.t;: - "kl if:" "uN: Oregdh'raw1~jfe's"Yfrtrto'~ ,~".~~~"""., .."~..'; ""'''''''_~,'''O-.' /0 -0 1-0 -pllow rules adoptelh~t"i1ili'tlo';;\,rAlierali~Hi:;~ Relocation NOlITICallOn venter '2Q6lji.P" IIAo[ ~re set forth ~ . ft') ,,<i)j,o.'R 952-001,00'1" thr"~~hoh~s~ !1S2,OOl- ~ 50.00 Constr. Contr, Number ~ J I L/ /\'" () " 201 ~mps to'400 A:mps $ 69.00 UU':ju. TUU may obta:ior\\\lj~?tgf6'Oo~A"Mp~S by $100.00 Expiration Date Ot, ,- d 7 -() palling the center. (Note: the telephone , ~erv~EI~ iiumoer tor the Orb~'(l'&~at.4';&S~m~~~~~=;;:~~:tt;;1};;:w"~'!'~~1'!.\1.,'!\." ~lgnat e;J uk Center iSq'~:~:~;::;::~:~:~~;:;~~'1~:"~:0:~4;~~ .., ~' . ] . (' ~~~i~d::~~:~;;~:titor with , \. $ 3.00 - ~.o) OwnersNa e. ~. y 'r'1","'''';)<;;l'fTI''\~'''''''f;''';'''''-~:J'i-~;;:''f.'''''''''''';'<''''''''~'''"', ,,-,-,,;.!i; Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER NST ALLA TION Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Expiration Date The installation is being made on property [ own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4La pO '3.lof> 1.I,gO ..J~.1}b ~ ~ ..' \'f4'-"~'.jil . ~~-:i-'"';:J;>:' '~""~''':'';:~,t~~{;~.}',,:~:?~.:;~::i;. ::%; 4. ,SUBTOTAL!?! AB.~WE~ili:,::,,;jft,,;:;.:'t,;,,:~ " '!'R : ,';-::::;..Mr......;;:>t<n4 '.?,a~......,~,...:. \'.i'J.:;;w...~...It.:(:'.:.::)jt~,~.,<t~':., ......~.-:4.-S; . .; ~ ~ State Surcharge ' 10% Administrative Fee NOTI~ignature: THIS PERMIT SHAll EXPIRE IF THE WORK t\u I nUlilLtu UNUtH I HI:; PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ~ IIilsli~!!0IlAAeq'lem8U,6-3769 TOTAL ~ ~~lP '2.-"l\~ Shared Drive(T:)/Building Fonns/Electrlcal Permit Application I-03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00069 ISSUED: 01117/2006 APPLIED: 01117/2006 EXPIRES: 07/17/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1001 MAIN ST ASSESSOR'S PARCEL NO.: 1703354105300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition _ PROJECT DESCRIPTION: Add two electrical circuits for Garage Door Commercial "":'Owner: - Address: SPRINGFIELD UTILITY BOARD PO BOX 300 SPRINGFIELD OR 97477 Phone Number: 541-746-8451 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/27/2007 Phone . 541-686-2365 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type _ Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ATTENTION: Oregon law re~Bfig~~Mf~lding: IUIIUW rUles aoopleC -" "., .. . ....., Notification Cenler. T,I 1.I"-V"-LUrlvIENTINFORMATlON I in OAR 952,001,0010 thr;;ugh -OAR- 9-5-2'OO;'~ Front yard Setback: 0090. You may obtain copies gr~~laYLI?J~tbv Side 1 Setback: calling the center, (Note: t1!/,~g!',~h!r,~~s Rqd: Side 2 Setback: number for the Oregon Utilit"'~r,~~iR~~5~qd: Rearyard Setback: Center is 1-800-332,;:"1",!!Lot Coverage: Solar Setbacks: ). Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ....:. n/a REQUIRED PARKING Total: Handicapped: Compact: . I PUDLl'- mIPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Description NOTICE: THIS PERMlrSHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~~,~~ENCED 9R IS ABANDONED FDA ' " , r.:a E..\\ n;r,'" .,' I ';;;Iuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount DownspoutsIDralns: - Notes: Type of Construction Value Date Calculated Paee 1 of2 . . CITY OF :.').rKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-00069 ISSUED: 01117/2006 APPLIED: 01117/2006 EXPIRES: 07/1712006 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 Fp.p.~ Paid I Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.68 $43.00 $3.00 1/17/06 1/17/06 1/17/06 1/17/06 Reccipt Number 2200600000000000071 2200600000000000071 2200600000000000071 2200600000000000071 Total Amount Paid $54.28 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 OC:CUP ANCY 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 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-00069 COM2006-00069 COM2006-00069 COM2006-00069 Payments: Tfpe of Payment CreditCard u ;' :l " - " 'Y! :, o , :l . " II 'I , 1/17/2006 RECEIPT #: 8p~, ~ ~ . lIIIIiity of Springfield Official Receipt .veIopment Services Department Public Works Department 2200600000000000071 Date: 01/17/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By NEW WAY ELECTRIC , Item Total: Cbeck Number Autborizatlon Received By Batch Number Number How Received lIh 417191 Phone Payment Total: Page 1 of I 12:16:26PM Amount Due 43.00 3.00 3.68 4.60 $54.28 Amount Paid $54.28 $54.28