The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-5-23 . . . . - . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-36~ ~ ELECTRICAL PERMIT APPLICATION '. \ City Job Num>4' A_'" ''''''--'=''-m..sll Dale 3/ I { /;;;, (J'()S' ~<Jl. ~\l J-.J ;Q 1. '1Itd -C.TiOMOEiiNst<F:w~~.\Y~';:~ 3. 'meMHLETEiEEEisCiiEiiUfEri3l..o i"~aJ 'A.,,,~.f( ... . . .- . , ." t"~".","l..w'""",,",,,,,,, .......,..""",..._,o/f\ . "~'%o- \ ~- ' I'f' 1?.';'I!~\t''''''~'''' 'P''''Ii\l';'''''''~"' -'~"~~"'''''j,\j ,'rI1'1 ,~'''''''4.'~ij~~ LEGAL DESCRIPTION A. ~.B-,~ji!~i!.ti!tU',~!!gl~~Q!.. ulti-~ami!X'jJ,~.', 1l.i!g:~~~rcil \., O'~ 3(P 3 d n1.. q trO Service Included ~ '1,o-"~ JOB DESCRIPTION 1000 sq. ft. or less t\ <a.~ Each additional SOO sq, ft. or it> portion ther,eof n,OI')YUL~ f- Permits are non-transferable and expire if work Is Each Manufact'd Home or not started within 180 days ofissnance or ifwnrk is Modular Dwelling Service or Suspended for 180 days. Feeder ~...."~"~"""""~. ' .,~.. . .~ ~-,...,,.,,, '''''.''~'1>1''/~';''_':''~'''''%.'''~',I.;;.>...\ ~'L~?j',}~~~.. ." ,Nt.>><l. '%.' ~~t~~.'IO(i;r-J:f.<l;\r.;. ". ~,~:~;~rt~.. '''il)~{,~a~~~.i':-1;l.~~\~'~ 2. rfi.f~l~~:~~~~~~,,-~~~'~J ~~~1V;,(~1V!.-~! B. ~Ser;yI~~JI!r.'''\eeaer~r'I~~t~lJ~tIOD1\~.Jj~~!!&!!S''or, ~t;.locati,Q;I!;~:"?- :U, ..'. Electrical Contractor l:;nu.~ \ a.\MP.v' Zle'---ML 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address "134 Z-, L~(,cI 'fN~, 401 Amps to 600 Amps $12S,OO 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $37S.00 Reconnect Only $ SO.OO $50.00 City b~~~ Phone 45t--0.0DO Supervisor License Number 'L \ ~ '1- S I D /, /'2-0\:)1 C\Dl1.~ .""".'"'-""""~."'ii"""'=.'!H'~'''''.''''''~l<'''''i,~. M~".'~''IS.''.'~W1l. C. ;1'emp'ora:-:y.~S~lWlce~1.~r~~e:el:le~' *,~Ar... t ,~~~: ,illJ ..' .>;! Expiration Date Installation, Alte:ration or Relocation Expiration Date .....-;l)\ ?"\LoDLD ""'''~ ,; "~* C/ ~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above. D Ii;.B''''~'''Ii'~-ts.~r",l,Jl:_!1;_~t''''''~Il,':"!l'll~~>!;r"",~~.. . ~...r~!lLt~!r~l!t.~~:(lJ'tw~~~~~~~tt~ New Alteration or ~xtension Per Pan,el / /3 6"D One CIrCUIt I $ 43.00 -, . Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 69.00 $100.00 Constr. Contr. Number Owners Name g i' ~ .l\!'\ \{ji5 -kvI ;J ~ Addre,s';:s)_qe f(~(i I J t.J . CitY~Jt'I p/\J./ Phone D. 91 '10 I OWNER INST ALLA TlON ' $ 3.00 ~';i"'":.f!t",:,,~*,:~,~-:'\~tr'f'.waff~t'''''''-':''8f~1f;JV..i.}~~,,;.:~<''t:\'''h'~~\Q.f';!.''t~ r"':$"f~c.f1fo'-'~ E. mM,.~s~J!.!m'.'!!!!,,(~~.S~>o;~~r,1!.'!!.!!'.!'l!!,i!~!9.);;,~!~~j'Rs,.tall.a!lon~ The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation $ 50.00 Sign/Outline Lighting $ SO.OO Limiled Energy/Residential $ 2S.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee Is $45.00 + SUrCbarg~ 2 .- CfO ~'W'4~""''''''''.oi''''~'''''_''''''~'''''.JiJ.i1'.' ~ tiBI.. CD 4. SlJBTOTA'L'''OF?A:BOYE'~f:i1r''~ "" C" <~,., ./ I 5 "'-~'tl:;!dli1!~}t'n,f..~;):'1.~!u.l1;,.."~*~ _~ Jl:itr <~:\~,I.l!.,. "'--......I . '3.15 Lj.,SO JtS:;I : ~ 7% State Surcharge 10% Administrative Fee Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:)fBuilding FormslElectrical Pennit Application 1..Q3.doc 225 Fifth Street ~;pringfieliI: Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-00311 COM2005-00311 COM2005-0031l COM2005-0031 t Payments: Type of Payment CreditCard :. 3/17/200S . RECEIPT #: .~ Wic.: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000309 Date: 03/1712005 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By DOUGLAS PALMER Item Total: Check Number Authorization Received By Batch Numher Number How Received njm 0992212 Phone . Payment Total: Page I of I 2:38:26PM Amount Due 43.00 2.00 3.15 4.S0 $52.65 Amount Paid $52.65 $52.65 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00311 ISSUED: 03/17/2005 APPLIED: 03/17/2005 EXPIRES: 09/17/2005 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 5 ASSESSOR'S PARCEL NO.: 1703363202900 Springfield TYPE OF WORK: Apartment Building Contractor Type Electrical Contractor DOUG PALMER CORP TYPE OF USE: Addition I Commercial on law requires you .0 ATTENT~ON~~:':'~rl bv the Oregon Uti~it~~ lOIlU'4V I....'.....~ - . Those rUles dlt;; ,;JV~ .--- Notitication cent~~10 through OAR 952-001- in OAR 952-001- btain copies olthe rules by MQO. '(au may 0 .., .._. tho Ip.leohone r"ilina toe G'" ,,~,. ,... .lit NatilicatlOn I CONTRACTOR 1NFORMAii~l\l' lIe. oregon_~~_~344). camer IS 1-800 License Expiration Date 90725 05/0312006 Phone 54 I -434-5600 PROJECT DESCRIPTION: One Circuit Owner: Address: HECHT INVESTMENTS LLC 329 E 8TH AVE EUGENE OR 97401 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: ... .. Sq Ft Basement: Range Type: ' 'L',-- .r SU'LL E"PI'S'I Ft Garage/Cawort -.J, 11.\11 11t'\ ^ r.':" It- I......... III/OHK Energy Path:" 'Ir "'J' U. "-Fr, TL ,S'I Ft Other: S . kl dB 'ici" "LL IvU /' r1IS0"i-I"IITtIE "1fT prm e ':'1~\oI\lrl~~CED OR ~'ia AR>l~lnA~rt~'::,,~a : I DEVELOPMENT 1;~;';~>1\\.:rION.lID. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlsl: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descriotion I Description Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated. Pa2e 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00311 ISSUED: 03/1712005 APPLIED: 03/17/2005 EXPIRES: 09/18/2005 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..... PaW Fee Description + 100(0 Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $3.15 $43.00 $2.00 3/17/05 3117/05 3/17/05 3/17/05 Receipt Number 2200500000000000309 2200500000000000309 2200500000000000309 2200500000000000309 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection caU the 24 hour recording at 726-3769. AU 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 foUowing work day. I Rellllir..d I~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 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 Pal!e 2 of2 I .~-:"""' . . . I .. . ....RINQPIEl.o 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 '1 *. ,,'. ~~ " ~ ~ I, ~ ELECTRlf:AL PERMIT APPLiCATION ,...,. . %o:"<a, '0 . . . . City Job NU~7Jl'05 -(:0310 Date \) J I 7/ ~ rr-oS 6",/. 0,.",; "',,;1>.0' . - ~ c<;) q:.. ....0. 1. "Toea.TioN'OE; - Sp;rr;t::(TI(:)N)lV"~'''',J5 3. 'ilreQMifiJETE' -kF'u"On'lif i(jW',~'~):j~"i"'~lffi'~ /,(.. .. ."~"~"~""".''!lY,.o.. '.'".._.." .__,,," "..ri~ili:1l ~_"._1_~"_ ~,",..~~..._. !!l.I).., . , ",,~'%l.1$~.;..!ii.. _ "- ..~. J.)'~~~'., t~ if ib ~ ''0. \ ""va L . .,....1.l~1'\""~lfIN..."'V:"(:";i.f,i':?.'rtJSrc':'t{i!':'~~P('~~~\\"" ,~~...;.~~~,..~<;.: ~~ LEGAL DESCRIPTION A. aNew' e~liIenttiii'-,:;Smgle,q~ ~U!W~ ,!Y)..~' e ~ \ I O?:' ::s L, '~2- 02..,q cr-n Service lucluded " <).~~ "'~" ~ /. JOB DESCRIPTION 1000 sq. ft. or less "0'090. Each additional 500 sq. ft. or v"'" '~ Mr\. 0pJI ,(' A Y f'.1 I, }- portion thereof Permits are non-transferable and expire if work Is not started within 180 days of issuance or If work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder ~co~croii!'''''''~:4~T1T~4,ffoN';ONbi~ B. s~~~~~f~::R;td~~r~. ili~.,.ti~i~ri"3~~ti-rR~Ii;~Wtit~~~ 2. '((.'....~tAV~.".J.H;.W.~.iP;;,-J,;~~::<r.:'-';~AVS'..i"<:..{,u'z.J..<N~.[...'"'n.i:t--ai "'..< .' . '<" .....,""".<....,~~.......,~,_.._~"!~'~l:.n7'SPt'll;l,p~JJ<!'iA-..;r.""''''\j',~;IU...flf1 Electrical Contractor ~Ll~Va. \m.o_v" zl e" -tv\C 200 Amps orless $ 63.00 201 Amps to 400 Amps $ 75.00 Address '134 Z. _ L~ al ft-,J ~ . 401 Amps to 600 Amps $12S.00 601 Amps to 1000 Amps $163.00 City ~ ~vte- Phone ~::ioO() Over 1000 AmpsIVolts $37S.00 Reconnect Only $ 50.00 Supervisor License Number 'L \ ~ L S I D / , /'LODI L\D1.'1.S c. ~Teii'f"~<.;:'\S~WiC'w:!i~"~liri$"l3'_~~~Mti)l.I.~~ ".__P~Il'iY,~".." ,__ . _,~.\",...".,."... ..... .'lII.. 'l! Expiration Date $ SO.OO $ 69.00 ~100.00 Constr. Contr. Number Expiration Date /1)\ ~ \ LoDLD S. .oylu'p; I,ing ~ Igna:re J2mftr an ..... II Owners Nam~h+illl ~I"MM213 Address :3 2..q <z <t'tLd JJ.JL '^.~ City~ I('Q~ Phone . 0 ()I?_ q, '-/e) I OWNER INSTALLATION New A1teratlon or Extension Per Panel . One Circuit / Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 L./3 au ~~~"~.'''''''~'''_,i.~.",;..,...~;......u \:\,..,"'i......l~""'....", ','1'~i '~~rrn:!"""~:1I..('I'\"", ..~ '. ';ij E. lt~~~i!~l~Mil~t~it~m!;'~l~i\C}~;~re}~~~i~~~~J.!t~I~~~ The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 2S.00 Limited Energy/Commercial _~ $ 45.00 Minimum Electri~ Permit ~nspeCtl~e.Is;5,~chargeS d . ()D ~~''';'~""''''''!l;1'''''''.;.''''''''!I''I\I~'I''!l-,''''~1~h'~I.. . ~ 4. SUBTOTA'lJt()E'A:BOVE~":;"slil:!~'I?~"'.!/1;i" / 15 u ~ ~1\'''1mJWciH};'iVdt;;;,t'\'.w'~~'J..'''~'''.'l~~~1t.v"l~~1t;ll',:)-.~ .,c~ ~ . I ,3.jC:; df .5J ...~~ 7% State Surcharge 10% Administrative Fee Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FormslElectrical Pcnnit Application I-03.doc . . CITY OF SPRIr~\J1<lJ!,LD Building/Combination Permit PERMIT NO: COM2005-00310 ISSUED: 03/17/2005 APPLIED: 03/17/2005 EXPIRES: 09/17/2005 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 3 ASSESSOR'S PARCEL NO.: 1703363202900 Springfield TYPE OF WORK: Apartment Building PROJECT DESCRIPTION: One Circuit TYPE OF USE: Addition ATTENTION: O'egon law requires you to follo\"! ruks adopted bv the OreQon Utility Not,(ication Center. "I hose rules are set forth in OAR 952.001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by _~ll:~~ u.."" ..."............. ft.-I............. .h..... ......I.........h............ Commercial Owner: HECHT INVESTMENTS LLC Address: 329 E 8TH AVE EUGENE OR 97401 Contractor Type Electrical Contractor DOUG PALMER CORP ~ , . I CONTRAITOR:iNFORMA"U'ON=-.Utility Notification . . -~32-2344). License Expiration Date 90725 05/03/2006 Phone 541-434-5600 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedmoms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: . Sq Ft Basement: Range.Type:' Sq Ft Garage/Carport Energy,f,~lh!": / SII;'~L E" 'I' Sq Ft Other: Sprinkled BiJildlrilHJE:R r4liJaE IF TfOccupant Load: ~'Vjj~ltJ\Jl'Lfl r. ' ":1<" /'"I, "_ It I!!/()fl" I DEVELOPMENT<INFORMATIONJ,IONEO,IIIIS NOr' -v. FOR REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC Il\u KU v J'.,J,lENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsIDrains: Notes: I Valuation Descriotion I Description Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 . . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00310 ISSUED: 03/17/2005 APPLIED: 03/17/2005 EXPIRES: 09/1712005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Une Total Value of Project Ff'f'~ P'I\IU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid 54.50 $3.15 543.00 $2.09 Date Paid . 3/17/05 3117/05 3117/05 3/17/05 Receipt Number 2200500000000000308 2200500000000000308 2200500000000000308 2200500000000000308 Total Amount Paid $52.65 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. ~II Tn~nf'rtionsJ 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 eorrect, and 1 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 he 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. ?>,'uf/'J/J- ~ a~6L owm~)r Contractors Signature 2J 17 /06 N J----- Date Palle 2 of2 2W'Fiftli Street S~ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-0031O COM200S-00310 COM200S-00310 . COM2005-0031O Payments: Type or Payment CreditCard 3117/200S . RECEIPT #: a_"~AJN___Q.!!.I~_.. __._'__ )..... WiL' i .~ : . 'tf!Q , ._., .,_.....c_. } ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000308 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By DOUGLAS PALMER Received By njm Page I of I Date: 03/17/2005 2:32:08PM lIem Total: Check Number Authorization Batch Number Number How Received Amount Due 43.00 2.00 3.IS 4.S0 $52.65 Amount Paid 043184 043184 In Person Payment Total: $52.6S $52.65