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Home My WebLink AboutPermit Electrical 2005-5-13 . . .. . .. . ;, SPAINaFIEU>~ ) 225 FIFTH STREET. SPRJNGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: ~.)726-~689 ~;~. ~.~ ELECTRICAL PERMIT APPLICATJ,.ON __ / I. __ "1&/10. ~01)/;'.9 '&~. '.,;, . City Job Number Ct>""'i:oor-c.)o5b~a(e ,:>/,l/O\ '>0.>&0'. .90~&.'il&0' ~ . ~ ~% m .". - - ~"._-... . \.... q' ''>1'''':or",tl ~e(jll,jiiiiETE'EEErS(li1#J' j ~ ,d, ,o~., 'c' 1. ,Jf.g.@!!'QJy;;,9.ff~!iY~r~r:LQNl?'1~_ 3. ... . .' .'. .,. , "". /44 8 iIY1~{N <; I b -/0 &,,~""'..o LEGAL DESCRIPTION. A. -N~~R~~iltilii;~rsii!Cl~lrflM~iii~3.@I&)psr.~'" :W~~ , 70 3 "3 b:5 2- 0 Z "l DO Service Included you\O ~ " JOB DESCRIPTION I ~~~:~n~~~~.. $106.00* looAvl'SIAl? t I C.1.e(.U....,-~'.~. 'thOselU\es~~I).OO" $19.00 __ _ , toI\..~ ~Bf. ""g\\ 0" l s bY Permits are non-transferable and expire if work is Noti~ 1f~J\lofor: 01 \nB IU e not started within 180 days of Issuance or If work is ~lj2 't!lh~n \BIBpnol\B $5000 . Suspended for 180 days. In ~e'\'l5U rna'l 0 . It-\O\B:~. e "'Ol\\I...~t:':''l . 00 U. t'llO\B.. ~ U1i,a\l \' B..\t]~~~.~Cl"~~;'iili.1Itin~>.l~i:!!'I'11l!"Ilis"~~':::I"";l'"''''~!_~R'''I"""'"t'-l!<~&\o 2 . . eue1'S?-' lQ:WJ1l;inaterations onl e ()cation:'.., ..\ .... . .-~ ""'~, '_ 'tn.,. (\\ei~'~r.'9 ~;.l""'"l~ t:.,,'.,.....~\~l...$<(""'ri...."'" . ~'ll< Electrical Contractor \)hlA~ \ c..\MP_V'Zle'-~L 200Amp~r1ess $63.00 201 Amps to 400 Amps $ 75.00 Addressl3L\ z.. L.~,rtl fNe.. 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City ~ el'le- Phone 4:f-\-Sooo Over 1000 Amps/Volts $375.00 ReconneclOnly S 50.00 Supervisor License Number 'L \ ~ "L S ID/' /'1-001 C\Dl 'L~ Expiration Date \ ~ \ LoDln / "e~tri~ Signature ofS ervi 'ng ~/ . Owners Name i~J- Address --:s 2- ~ C - ~fL" City I::V.G-e/t'r Phone c. "iffirip~ry:SfeiYi(~~~~~'fde1S"'r"-,.. Expiration Date Installation, Alt~ration or Relocation 7:,^ vc.... +.N\r-;~k A-v' 200 Amps or less -dfO:OOJ\'.\<' 201 AmRs"tO.[<iO',Amps"U^ll t:~Plf\\', If $\69,OO~$Y\ l'iV' '1td\\T \In''''' ,\- ~II I \0.} !~- 401 Amp.~\1B ~()'AmpS ""OER 1\1IS \ist\. $100;00 \ r ~,,(\P.\7.~$ ul' ~~, I':If)U\~t\J n!!l . Over 69~mp, or ~~ee\:tB'!.above:- D. ~WK~!t~. ,~~: .l~~_Rlr~~~l'Ai] New Alteration or Extension Per Panel . One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 Constr. Contr. Number f $ 3.00 fr'~'<~'II.{",.~;".~f.I~J;1"l "'1J:'~,-J-:t1,! ~;.,:w.r~~;;'~~~O.k1i-Jlf~..N'-~""_~~I~~':':i"'~' E. ;t~~,~~~~a!"~~~;(~~I]:'!~S.f!"e~i,[9J~~~~~tI)M~a~2'iln~~!IaJj~n.; OWNER INSTALLATION Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimnm Electric Permit Inspection Fee Is $45.00 + Surcharges ":;'~""'<i:'''i'W;;W'~~'''/i'll~'l~~,,,..us1':'~:<k~.fm.\:;_~'~'~~'-f&:II'''''~~ fo 4. 'SlJ.lH':llA1jjOFJABOVEt~.'J ~, . .#' :'r,," t.. 'a;I!(;;.1;~~"l;W:,~.':!'k.gI9'~~'f~,:".~ijtt .I".::.m:,;1~ ...., l{ be. t,bD 77 Z};. 7% State Surcharge 10% Administrative Fee The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding FormslElectrical Permit Application 1-Q3.doc . . \...11 i: OF ~rKll'1uJ<lJ!,LJJ . Building/Combination Permit PERMIT NO: COM2005-00569 ISSUED: 05/12/2005 APPLIED: 05/12/2005 EXPIRES: 1111212005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1448 MAIN ST APT 6 ASSESSOR'S PARCEL NO.: 1703363202900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 100amp sub panel and 1 circuit Owner: HECHT INVESTMENTS LLC Address: 329 E 8TH AVE EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License Expiration Date DOUG PALMER CORP 90725 __ft,,\~all~_ BUILDING INIlORl'f\~lp~~ ~;t~e Olegon ~';~rth cO' a"U"r.a \es ale s . \ Vllules U r ihose l\l ?Z..OI).- # of Stor\~? \\on centel. hrOUg~;.tlgS 0'1 Height bltSi\!~~~~..001-001? t opie~Q\Rl'IfSt'FTooJ: Type ofiH{,l~ 'IoU may obtaIn ~ote: fuIlRe~8l.\: Water T:fP\\lO. _ \he center. ~ ut~91Ilt.sll~nt: Range Type:>al\lng tOI the Olegon -33~!I?tittC9prage/Carport Energy PatlWmOel otel is 1-aOO ~q Ft Other: Sprinkled Building;Ce nla Occupant Load: Phone 541-434-5600 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN 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: Street Improvements: Storm Sewer Available: Special Instruction: -l~"'\l'~' ",mIQ~ IF ,\-IE. 'N?~~ I PUBLIC IMPROVEMENTSt~\SPE.R\'JI\1 ';:i~~R;\-I\S pE.RMI \.a~'~' '\.l\\1si~~~9k~ Ii: 1\.\3P<.NOONEO ,... E.NGtU J.Jl.0 CO\'JI~ . ~r.m~I(\\\ ownspouts raIDs: I\N'{ ou L " Notes: I Valuation Descriotion I Description Type of Construction S Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . l..U r OF ~rKJNul'lI'..LD. Building/Combination Permit PERMIT NO: COM2005-00569 ISSUED: 05/12/2005 APPLIED: 05/12/2005 EXPIRES: 11/12/2005 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 F..... P3W Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.60 $4.62 $3.00 $63.00 5/12/05 5/12/05 5/l2/O5 5/12105 Receipt Numher 1200500000000000616 1200500000000000616 1200500000000000616 1200500000000000616 Total Amount Paid $77.22 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. I R..lIuir..d TIW'..~tion\J 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 Paee 2 of2 . 225 Fifth Street . Springfield, Oregon 97477 541~?26-3759 Phone Job/Journal Number COM2005-00569 COM2005-00569 COM2005-00569 COM2005-00569 Payments: Type of Payment CreditCard .1 S/12/200S . RECEIPT #: _~..!"or,r....., ' ~'.'..- -.''''''..'.=....-'-......-.. ~ ,.._~~, \.' , ___..1 ~ J City of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000616 Date: 05/12/2005 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DOUG PALMER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 010630 In Person Payment Total: Page 10f1 2:27:29PM Amount Due 63.00 3.00 4.62 6.60 S77.22 Amount Paid $77.22 S77.ZZ