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Home My WebLink AboutPermit Electrical 2006-12-4 . 09/11/06 MON 10:50 FAX 54~3689 CiTY OF SPRINGFIELD. 1aJ004 SPAINO.tcLD .:' ;'." ZON ~ lNITIALS -----IY./JLI ;. DATE ~b4JO~ ~~~~:~S;;=;:;:;;';;~;~;:'53 .FAX:(54I)7%6-J6S,iL .'.....,.. SOURCE ~(\.('''rlliJj City Job Numbe(.ool71'5lf fJ -() \ ~ Date .Lf - ,..lq - ex:, I.y)cATifJN,;qiil1yst,41,i,tiTjOI(i; ..... 3, :C#N!t!?tE..~"8:d.1ir.#ljLIA~~iJ.!/)Xt.-.?;, ...... . . ~r -1~"F""~:'-';~~51'_-'~"~':':"-~ ,....;~ '",3.. .--- ~,~':' '. ?-~I.:,,o:e,,,~''''~~-Yi~~''4~-,,-\,''-.''i~i r.$.n,~~.:j~~e;':,ji'~"'llf~ ' c:o.l-' \ J ~..-....." ,.... rO . ., -' . . .. .': ,,-.":t:~~1'" d~. ......' . .~: ' LEGAL DESCRIPTION:. '" ,. ,. A. 'i'~g)llif~~!j'~M:~\fi~I(~M~I'itf~~I~~F~~i!I~~~onlt;< \, 0'3 ~c:, 41 n Ljqm) ~ DESCRIPTION: _ /" l \'11110, r){( 11~ ~,,~r~,: <;@I'I' ~i:0F-tSPltIN G'J: I B ISD""'O RF(;@NIi' ~r:- '": ',[r~(i":- ~.~;- _ ::e~, '"\:.".. ...."'.' ~- ~ ~ _ - 'k -1-<,.'.- ,~.,4 .,~~(;..'_--, . : _; ~>_J: ~.< _:_ ~~[.J._ --,,;-~ ." . , , . ". .. .',' ."... -~. . CONTRAcToR INS1Md;ATIONONLY Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof Each ManufacI'd Home or Modular Dwelling Service or Feeder, ." ~-~.. ....,.J.... .....-:...._.._..:',~ ....'.. '~."._+'_~~'.' r.,,::'_'.. .~:,( :.".' ..'....:;.::. :':, ".'.";. B. . Servi.iti$ or;i1eedi;i-i -'! jliSialllltlCiD;'AileriitloiiS or Relociiiion; , .... ,",'-' ";"..'." .,.,-.". '. ,".' . ...... " .,. .. ." .." $106.00 $ 19,00 Permits are Don.transferable and expire irwor:k'" not started within 180 days of Issuance or If work iJ Suspended for 180 days. $50,00 2. Electrical ContraclorO!EG<<N REamC. smVI[E Address \;){)~Q'\{ ~~..., city~Dc Phon~~ '/Io5L ~l{~ 200 Amps or less 201 Amps to 400 Amps 401 Amps 10 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63,00 S 75,00 ,$125,00 '$ I 63".00 'S375 ,00 $ 50.00 Expiration Date In-I-Di , to IS I cj - ; , c. ~::~~P~~~.~~Mi.~~if~~fj'~_~f.~}~~.J6t.L:~~lL~:::}g~~~::.,-, -'~;~~: .i:,~..< ':.~f:~. .... ! Installation, Alteration or Relocation , 200 Amps or less ~ 50,00 201 Amps to 400 Amps ~ 69,00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B~~ above. :. .. D. ;::;~~~gifr~~~.t.;~~/::!.~~i;m~::1:~{~!:''');~~~:~?1~~~J''.~~:f.i:~i :.'~~1"~: : 1~; ~.; . :.. ~.~:;.~,:: Supervisor License Number I~~q,;), '\' Constr. Contr. Number Expiration Date q - 4 S< - 0-; S.i_gn~re of Supervising Electrician ~ I7t () () New Alteration or Extension Per Panel _/1 ~;1~..~l \}Y~J~~_~, One Circuit I ( ~ ~L Each Additional Circuit or with _.. m ot:... Service or Feeder Penni! c:.o. S 3.00 Owners N.&n~ - " /Y)" ; ::i2~:,~~~~~;~~~]~~~'~~~' Th ' be' "edE C /\111 f/,P1t. S' 4500 e installation IS Ing made on property I own which Limit nergyl ommerc18 . . liflnPl:!~erf.5l~U~I... lease or renl, Minimum~~e.tri~ pe~itfi~Sp~tl~~, 1',.eU~,~~5.0~\t Surcha~es ~o~~~~~, .'~~~~J!~~~~~ir~~: callino the ~tr.o 1Ir~::? es of the rules h' TOTAL I ~o.;)....... nuln~ear6/i R~qu"'l:r.7""""t6') the te/eph ;;0 L" -, In er tor the Oregon Ut'llty N " one Shared Drivc(T:)lBuilding FormslElectrical Pennit Application 8..06.doc Center is 1-800_33~_2~t'cat;on $ 43,00 "-<:> L/<~ f..&, c5lo ,225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . WiL~~:~a",,.j -- i _.;....... . 1 " ~ ~ , , , ...' ", -j ... ..-'__ _---.r '- Job/Journal Number COM2006-01543 COM2006-0 1543 COM2006-01543 COM2006-0 1543 COM2006-0 1543 Payments: Type of Payment Check cReceinl1 RECEIPT #: 2200600000000001648 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Received By OREGON ELECTRIC SERVICE njm Page I of I C.&. of Springfield Official Receipt .Iopment Services Department Public Works Department Date: 12/04/2006 Item Total: Check Number Authorization Batch Number Number How Received 20272 By Mail Payment Total: 9:14:50AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60,27 Amount Paid $60.27 $60,27 12/4/2006 . . CITY OF SPRIrli\..I1u..LD' Building/Combination Permit PERMIT NO: COM2006-01543 ISSUED: 12/04/2006 APPLIED: 12/04/2006 EXPIRES: 06/04/2007 VALUE: Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1124 MAIN ST 2 ASSESSOR'S PARCEL NO.: 1703354104400 Spripgfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Three ciruits Owner: KRYL MIRKA Y Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 161518 Expiration Date 09/28/2008 Phone 541-343-1681 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: Sprinkled Building: 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Seweri\iAvailable: DownspoutslDra\'ns: . S ou to , I I,IIIl:' A'rr"'NfI(jN:ureilUIII<111V ",qUire y " Special Instruction:' . ~ " 0 Ut I ty THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the regon. II Notes: AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. ~:se r~~e~:~9~~.~~1 ,."UU....I('\rn nn 1C' ^O^~lnn~lcn r:no in OAR 952..()()1-001 ~ .. ",' . _..1.._...... --....,.-..---- _. -, - vv;;J.:'(oumayoD\l'III"U~'O~~''''-'-'--.? ANY 180 DAY PERIOD, I Valuation DescriDtion,llng the center. (Note: the tel~pho~e number for the Oregon Utility NotificatiOn , , . $ Per Sq Ft Square Foota"enter "5 1-8nn--332-2344). DeSCription Type of ConstructIOn I . I' B'd A "" Value Date Calculated . or mu tip lef or I mount Pa2e I of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01543 ISSUED: 12/04/2006 APPLIED: 12/04/2006 EXPIRES: 06/04/2007 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 Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.90 12/4/06 2200600000000001648 $2.45 12/4/06 2200600000000001648 $3,92 12/4/06 2200600000000001648 $43.00 12/4/06 2200600000000001648 $6,00 12/4/06 2200600000000001648 Total Amount Paid $60,27 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. IRenlli~ Rough Electric: Prior to Cover 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 Paee 2 of2