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Home My WebLink AboutPermit Electrical 2006-5-17 '[. " ,',. '" ". !<',> _ ' C': i<'V~;kt1'~~i;; -~. '.'. -. ,t~ .. - ._,''':~ '-Y-":.~','r'~: .- ,..,,", '~;;:'" ..:..,:; - ,'<;u. ":;;~'~~jA;:~_'}'-'i;-~;di.t~,~,:,~: '.. ,'"'. """",,,.1,', .;@l, ,~ Ill. {), O'"",!l:.'('\'" ,'.,>;,"v'; '.\v;' ',.,.,.t'...:::~;;;~..,_._,._....,.>:. ..,....._...., __.-...._.,,~....,. ... .... _ ...."._..~i~...-,_._,1'......<".-_5.__'.,r,~._ ", .,.,;",,,,..~V'~~~""";,"~~'''~'i,,,.,;,l 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Numbe(avl J.tm4' - n055<'-::J.... Owners Nam~('.O (' ~00 t-- l1.~ AddressDO f!:()y ....., LfL7 E, Miscell:meons (Service/feeder not inclnded) -Each Installatioo City 91 II'^~ n(l/ PhoneB.fI-(o~/8tJTr'D Pump or irrigation $ 50.00 ~ ((/'2.. ,. Sign/Outline Lighting $ 50,00 OWNER INST ALL')rlI()N Limited EnergylResidentiai $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4, SUBTOTAL OF ABOVE ():{ . <JU ii ' 1(0 5.~u -t-cn I . 3(" I. LOCATION OF INSTALLATION :: OlOI~ OL~ri'~, 51 LEGAL DESCRIPTION \ 103 ~5 '+2.0 l' l)O JOB DESCRIPTION (hm orL Jl, Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2, CONI'RACrOn INSTALlATION ONU' Electrical Contractor SCOFIELD ELECTRTC CO. Address PO BOX 2765 City EllGE1I11i' nil ' Phone 97402 6R6-R/\I? Supervisor License Number 4218S Expiration Date 10/01/2007 Constr,C ontr. Number 38702 Expiration Date 12/21/09 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: IIIspection Request: 726-3769 me G s- ) ,-O(,P \..lM SPRING Y\(4J5ptZ-J?-5 Date Qi7, 5 -/7 - at;, 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single 0" Multi.Family per dwclllng unit. Service Inclnded 1000 sq, ft, oi'less~~' :r~.n"'q- ~ S! Jf'lll1<l:) $IR600 Each. additional 500 sq: ft. 'or-~~;'''O dq~ ,n '} At ,~\lUl L( porti~n thereof'~ r;n:J 31:1 "'1'$"19.00 -,' ," I 'I','no ,h'llJ nCA T:r':'O Each Manufact'd Home or - " , ,,~, UI Modular Dweiling Service' oil ,],(10'P~O ,,~,.lIlO . Feed~' , ~"r" I .,,.,,,,..v-, 11n:,;;$_50!OO~ er j t'" ~. ~ . ,.." II ' . t. ' , -. 1 ,'IC' '~"'::,""r''] ~o;nl Mo.',O} 8. Sei.;vkt's or Fee{lel's ~ installutio~l~ ...\herations'orrnelocntion: C. ", :;i: j!. L)dJ Mo.::l Li\.:~""O"v 'I~V;.LI'O...j~" 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 C. Tempors'1' Services or Feeders rl Installation, Alteration or Relocation 200 Amps or less $ 50,00" '[1 r"' ! ~'v 201 Amps to 400 Amps 'OO\'tP,.\ k\ !,~?~qo 'J 401 Amps to 600 Amps n" 51 ur'I n-=\:\N$lOo.o'6 ... \ n::l~\nnN'Jnv - - _ ""~\BO\-\t(Yv Over 60OtAmpsor 1000 cY\oits see t.~l\ a~ove. \' " _ r,.;. \ 1If.\~jd " 1''I.l, u~ r J \"'B~c\ 5 n 1 D. B'1'~I~!I~II"Cnlts \lldX'311'J\-\" "..,,, ('I" \,,\'f\M -=\\-\.L:\I '3 .-..\1 . New.Alteration or Extension Per panel/ . One Circuit $ 43,00 Each Additional Circuit or with Service or Feeder Permit \. ::;:> $ 3.00 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive{T:}lBuilding Forms/Electrical Permit Appliclltion }.06,doc . . CITY OF SPRI]'\;\.d<l~LD' Building/Combination Permit PERMIT NO: COM2006-00582 ISSUED: 05/17/2006 APPLIED: 05/17/2006 EXPIRES: I III 7/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2073 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201100 f Spring!i~ld TYPE OF WORK: Bank I ", to I , TYPE OF USE: Remodel ..:\, 11<:~mmercial PROJECT DESCRIPTION: Remodel c. '....... .."... J- SELCO COMMUNITY CREDIT UNION PO BOX 7487 EUGENE OR 97401 C :1\... " . ~-: . III Owner: Address: " .. ,'- ' ' :~ ,1.:lQ - '-, 1.....,,:'1',,'. l" '1' (;L.,....., l$ 1- - '), :..... ...." ,l.,..~ lun vuu~"'.;"'-"v~4). I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SCOFIELD ELECTRIC License 38702 Expiration Date 12/21/2007 Phone 541-686-8612 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Heighl of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: , , . Sq Ft Basement: Range Type: .d t'u,:\11/ ~IJSq FtGarage/Carport U Ii H ,,~, ~ """,' IF Energy Path:' , 11 ,Z/:D UN S!IIff'Other.: THE WORK Sprinkled Building: C0Mil1EI~{!ED ORIO~cuWNt bQji~.:.1IT IS NO fI,'/I/... l."IUJI\~I"".... T I DEVELOP]\I''''j'' '."rORMATION 'l'iY PERIOD, n._v"cu rUR REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Selback: Rearyard Setback: Solar Setbacks: Overlay Dist: # 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: Downspoutsmrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of 2 . . CITY OF Sn(H~GFIELD Building/Combination Permit PERMIT NO: COM2006-00582 ISSUED: 05/17/2006 APPLIED: 05/17/2006 EXPIRES: ll/17/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Tolal Value of Project Fep.s P.'lirl I Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.20 $4.16 $43.00 $9.00 Sit 7/06 5/17/06 5/17/06 5/17/06 Receipt Number 2200600000000000614 2200600000000000614 2200600000000000614 2200600000000000614 Total Amount Paid $61.36 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 :~JnL':: Rp'olJirp.rI Jnsntftii)Ji~lilv1lf SHALL f:XPIHE IF THE WORK MU Illur"ZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 80 OAY PERIOD. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined Ihe completed application and do hereby certify Ihat all information hereon is true and correct, and 1 furlher certify Ihat any and all work performed shall be done in accordance with the Ordinances of Ihe 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projcct. 1 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 Ihe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield,. Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-00582 COM2006-00582 COM2006-00582 COM2006-00582 Payments: Type of Payment CreditCard cReceint I RECEIPT #: ~ WiL- ' fiiiM' of Springfield Official Receipt _elopment Services Department Public Works Department 2200600000000000614 Date: 05/17/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By SCOFIELD ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 517101 In Person Payment Total: Page I of 1 1:IO:S9PM Amount Due 43.00 9.00 4.16 5.20 $61.36 Amount Paid $61.36 $61.36 5/17/2006