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Home My WebLink AboutPermit Electrical 2006-3-1 1. LOCATION OF INSTALLATION 27g7 D~;(' #.s LEGA.k DESCRIPTION 17U3ZSt..(( JOB DESCRIPTION :-PRINGFIELD :i ,j\~1 225 fIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ,<,~~ ELECTRICAL PERMIT APPLICATION '~'~0 City Job Number U:>M ZOO b - ex::> z. z. .., Date -2 - Z-z.rt;>4!. , ~p>.{..,,", ./ 3. : COMPLETE 'FEE SCHEDU!JP1feiii -, -. ...-;-~ , ..- --- - - -~6\00~:~'06,'" - - (' \/o~ .-.' -- -. --~--- - -- .-;;;>~ ~'a --- ,- -.. - -. .. A. : ~.!.'" Resi~enti~l,.'i'i.s..~~ or Mul '_. a~" ,/welling unit. _ Service Inclute't~\~~~~. 1.-0~\{\~ /' 1000 sq. ft. or less>"" .,,,<0 $106.00 Each additional 500 sq. ft. " <;,,<t" portion thereof Q'b-\0 <,(1-0 ,,,0 Each Manufact'd Home'O~ Modular Dwelling Service or Feeder OO~~D .,' Add ..(/,\ n'R . . <t /Aa, Tel/' $ 19.00 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. r coNiRAciORINSiALiA.TlONONiy~ Ele;trical Co~tracto~ . Ge vtl,...({ Cte:r Address 395</ ;/-alfd~ g" J<.ci City .)0 P I d ~hone ,<II -2$96 , $50.00 B. : Sen'ices or Feeders - Installation, Alterations or Relocation: Supervisor License Number 36 54 S JD ~J -07 g 7/45 /I~IO-Db I 200 Amps or less" -' . y ~,,- . , w, $ 63.00 '.l..., '-t..4"....,J l..8rllt-'! These rU'f" - , In t201,Amps toAOo'Amps I.', are, 'cl IC$175.00 v,'" ~~",'uiJ '-VV I U lIlrough . 0 - OOl401-Amps.to 600.Amps , UKI1 ~o~- ($125.00 ........ 'VI...: IllaY uutdld copIes of lfle rUles h'I (6.Q.I.rJ,\m,p~J'CL9R9:fom\PJ'ote' the t . $163.00 ., . CICfJIIUlle m0y.eJEI.oQ9r-1mp~gIlbn Utility" .., . $375.00 R ani ~ I''fVllIu...allUn$ 50 00 econ~Eh,." ~s 1.800.332.23~../. . r-=-- --------------.. c. I Tempora'1' Services or Feeders L........._____.___.,________~.~ _______ . -- --.----' Expiration Date Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Constr. Contr. Number Expiration Date Over 600 Amps or 1000 Volts see "B" above. Signature of Supervising Electrician D.l!;;~~h-Circnil;-P- ._..-_=--=~=_-=_____. ._~ =.: " New Alteration or Extension Per Panel " ") A~ A ~ One Circuit / $ 43.00 "I <:J Each Additional Circuit or with Owners Name w-esTe....w ~ves7ii".S Service or Feeder Permit / $ 3.00 J Address :2-787 C>(l(J>, /?/t' ;11:/.3 _....,,\1;' E. : MiS&Clj;.,,"lh!f(S~~~~r not included) -Ea~hl~lIatio~ ' ,---, ~U\1V'"" S\-\l\t\;-t:"iCU}E?-lJ\\'H;):~W -- -' ---- J City ~ PI d.. Phone -r\.\IS p~~tJ,~~ \)~Q)IiJPo1~~~!'fliI~\) fQ~ $ 50.00 1\\)1\,\0 II to e~.tIllAl'f.'ghiing $ 50.00 OWNER INST ALLA nON CQtJ,tJ,t~C 1\'/ ptti\~nergylResidentiaI $ 25.00 The installation is being made on property I own~lh'\80 \) Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. ['SUBTOTAL oi ABOVE L/ b :;1,8 YbO $'1 Z ~ 8% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FonnslElectrical Pennit Application 1-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00229 ISSUED: 02/27/2006 APPLIED: 02/2712006 EXPIRES: 08/27/2006 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2787 OLYMPIC ST 5 ASSESSOR'S PARCEL NO.: 1703254100500 Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add lights and heater Owner: BRIAN WHITLOW Address: 541 SPYGLASS DR EUGENE OR 97401 Phone Number: 541- AI rFi\I '-1(" t. ,.~ Contractor Type Electrical ICONTRACTOR,INFORMATION" 'J' ..,. """co I~otl/'~Jtlon C~ Ut~ 'c; uy to:~ U., '1' L'. ' Contractor in OAR 952- ~~~nseloseExPk.~!.i~~;~ate G MILLER ENTERPRISES INOJ090. Yru, ~~(811~51 0 throuoh rWI01.2,,06,rth I BUILDING INF(,)RMJ\TioN.'''(~oi'.es of the rUI~s-b~- . .-. ..ut:I lor the 0 0 e. the telepho . C regon Uti/it /. ne # or Stones: enter is 1-800 YI!ot'S.~'lition Height of -332-2:Sitlft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled nla Occupant Load: Phone 541-741-2596 #orUnits: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: NItN~ :Trees T~f.!~!v%WA1.l EXPIRE IF THE WORK AajrtcMl~t~'6FJ'OrR THIS PERMIT IS NOT r.nMM~Nr.m no II: ^Q^~Jn':'''rr ~~r. IPUBfiKJ IMllROIVE~l'@)lJ) I REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns Notes: I Valuation Descrintion I Description Type of Construction $ perSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 ", Status: Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ". Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount . Total Value of Project Fr.es Paid I Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00229 ISSUED: 02/27/2006 APPLIED: 02/27/2006 EXPIRES: 08/27/2006 VALUE: Receipt Number 1200600000000000209 1200600000000000209 1200600000000000209 1200600000000000209 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. $4.60 $3.68 $43.00 $3.00 2/27/06 2127/06 2/27/06 2/27/06 $54.28 I Plan Reviews I 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 wID 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 properly, and the approved set of plans wID remain on the site at all times during constructiolL Owner or Contractors Signature 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 5'!,1-726-3759 Phone . Job/Joornal Number COM2006-00229 COM2006-00229 COM2006-00229 COM2006-00229 Payments: Tjpe of Pa)1llent CreditCard " .\ - " , , ::. .~ ., 2/2712006 RECEIPT #: a~ 111:. . .JIlty of Springfield Official Receipt. .velopment Services Department Public Works Department 1200600000000000209 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By G MILLER ENT Reeel ved By djb I of I Date: 02/2712006 Item Total: LneCK Numoer Auth.ortzaUon Batch Number Number How Received 085287 In Person Payment Total: 11:53:51AM Amoo nt Due 43,00 3.00 3.68 4.60 $54.28 Amount Paid $54.28 . , $54.28 .'