The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-6-27 I. LI:9cATION OF1NS'J:ALLA1'ld,~ 23'2 S- Of yIM Pl~ LEGAL DESCRIPTION 1703'2 51.{ I bh1~b / / 3.leoMPLE1FFEESCWEDULEBELO<<' cu (el;n/~ NI\A . tvUrS~ ,...... " 'I , CITY OF 5. HNGFlELD. OREGON \ I ~- . _,1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number c.oMZOOt-0077f Date "'~ o ({ 00 A. I N~'" Rcsidcntialt,L SiJ\~lc orMulti-~'amily per dwelling unit. Service Included JOIl DESCRIPTION '200 A Seau',c....E[ 1000 sq. ft. or less Each additional 5.00 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 Permits are non-transferable and expire :if work is not started within 180 days of issuance 0)' if work is Suspended for 180 days. $50.00 2. I' COJYTRACrOR 1,N~T ~Tlq(v O!YLX; I B. I Services or .F<led~rs.-[lnstaU"tiOJ\. AlteV'dtiolls or Relocation: Electrical Contractor (~(? S 0.~cJo,.c..--:I;7c;.200AmPsorless I $63.00 bJ ~) .. "!"lIl,rH ;} (2 _ 201 Amps to 400 Amps"':J _.:. ~ $ 75.00 Address V'(J uvX' J Y rt d- 401 Amps to 600 AmPS"'i':O ilP'::~~~ul;~:J$125.00 .' h I "1;60IAmP~t~'](iob'9\mpS'(OO.(OO.,,;~~..u~g,163.00 C./J"'-'{)~ '/911 7Lf'_Jl:?6" VJ{Ci~Qd-?_~ClnJ'"'''''',",,1 ---.........u'Jl ci~11 ,--10 Phone -1/ c7 cT,;) ilP.~ff b'lJI9EJ~)i'gsNblls'1 ~aluaJ "n~"'~';:;oP75.00 , ojl.ffio~ect On1y 41 ilq pajdOpe ,p'n. .. ~. $Jso.oo VI SSJ!'1bSJ Met uo6 . . ._,,~J eJf) ""1""'\.. ..__ c. I, T~lDpor.ary '&er~ces'~r Feed~rs'L 'I -: -.l..i. -l V Expiration Date l.j~qVS JO-oJ-;;?c,tJ7 -=)r,Y1 1 - J - d{]O f( 6 Supervisor License Number Expiration Date . Installation, Alteration or Relocation 200 Amps or less - 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volls see "B" above. D. I Branc-hCircuits!l ~ $ 50.00 $ 69.00 $ I 00.00 Constr. Centro Number ~~::;3;gl:aa New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Dr 't:'" ) _ _ I j) I. _ Service or Feeder Permit $ 3.00 O",nersName .'Y~f'C ~T'f~'T 'l~f~~S. ..:", '.. '. . Address j:) C) f? d,1C -z-61 Z S- EN[, MlJ.i&faneoJls,(Servi~,~fc~~~r,nofffl-cl,,~l'ach IJlstallatioJl I TH\::' t'ttWlIl v, ..At:b~,~ Ir T City eu.(-t:#t: Phone 7'26 - )7S-1 A!l'1'AsHiiiillltibllJDER THIS PERMIT IS N~50.00 @~\W.!\WlmglinngS ABANDONtU FGR $ 50.00 l\itrit~&gytR'&\liblttlal $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ 43.00 OWNER INSTALLATION The installation is being made on property J: OWJI which is not intended for sale, lease or rent. Owners Signature: 4.1 SUB:r()TALOF~OVE . 7% State Surcharge 10% Administrative Fee b:l So,< b"ilD '7t./ JIf Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Pennit Application l-03.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 06/23/2006 APPLIED: 06/23/2006 EXPIRES: 12/23/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2325 Olympic St ASSESSOR'S PARCEL NO.: 1703254101100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install 200amp service Owner: OLYMPIC STREET PROPERTIES Address: PO BOX 26125 EUGENE OR 97402 Phone Numher: 541-726-1751 Contractor Type Electrical Contractor C & SELECTRIC I CONTRACTOR INFORMATION ir;:,'::U~U " 'f. '. .():) umL'r:n ,1P.Ul nO^E'!')f';r.n t' D t . . Icense xplra Ion a e .: c~ ~~:)t;..: ~_l~n_o~~:, 0 ~~?~??-~~~~~~?_~~/01l2008 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: o - ,. BUluDIlNG:INFORMkTlON Ie S81nJ MOIIOI 01 noA S8J!rtb8J Mel UOb8JO :NOI1N3.LlV # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Ba~ement: Range Type: - , Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side I Setback: Side 2 Set hack: Rearyard Sethack: Solar Sethacks: Overlay Dist: Total: # Streelh:1-l'~r,Rqd: Handicapped: Paved DrI~ Rii~:\o1IT SHALL EXPIRE IF THE 't!MR~ct: % ofL~\,~qY&i~~D UNDER 1HIS PERMIT IS NUl COMMENCED OR IS ABANDONED FOR .1'" ..... ....~ HcnIUl'. I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00778 ISSUED: 06/23/2006 APPLIED: 06/23/2006 EXPIRES: 12/23/2006 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 L.Fppo Pa~ Fee Description + 10% Administrative Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.30 $5.04 $63.00 6/23/06 6/23/06 6123/06 Receipt Number 1200600000000000949 1200600000000000949 1200600000000000949 Total Amount Paid $74.34 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. L..JleouiredJnsoections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 COM2006-00778 COM2006-00778 COM2006-00778 Payments: Type of Payment cred itCard cReceintl RECEIPT #: . ~~...+~.......... Wit.. . I . _.. ...."'- <;;Aof Springfield Official Receipt _Iopment Services Department Public Works Department 1200600000000000949 Date: 06/23/2006 Description + 8% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Paid By C AND SELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 236726 In Person Payment Total: Page] of] 11:11:3IAM Amount Due 5.04 6.30 63.00 $74.34 Amount Paid $74.34 $74.34 612312006