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Home My WebLink AboutPermit Electrical 2006-11-8 If-.c /;-0,5'--0(; '.JJ rv.' r~,1}Jj ~ ~'", 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Numbe(Qv ?fibt. -O/-'I2J5ate _jj/o-7!OC-:, I. I LOCATION OF INSTALLATION .1 3. I COMPLETE FEE SCHEDULE BELOW <. !:?-r;J<' f}(A.-t:a:JOLr. 0/ 1~~~L1(/(;;o~~ ~ Y DESCRIPTION ---.)t0o 6.rfLlik <k) ~ Permits are non-transferablll.nd expire if work is not started within 180 days b/issuance or if work is Suspended for 180 days. ~. 2. I CONTRACTOR INSTALLATION ONLY I Electrical Contractor .c::: ~ ~'" v-d City C:/.ec.'\ r?9S<./ ;-Id4r1~ 13,. Rei )t>.p \d Address Phone 7'/1 -2S'1( Supervisor License Number J b S1 5 Expiration Date /0 -/- 07 Constr. Contr. Number g 71 <IS Expiration Date // -I 0 - 0 E, Signature of Supervising Electrician A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Peeder $50.00 B. I Services or Feeders -Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 Al It:NjIUJ":.Ujt..C.)!II(~W',~.." 0' __ ...... C.[ T.lltpcirary'SerVicesor,:Feeders.' . '; ;,,', , !~Olll.ICa[lOn G:mter. Those rules are set fo;'1I liistaUallon;. ~Iteratiolj' o!'J~e''!.Cl'tJ1\nJAR 952-001 foO~1n~~q,r'less1Y obtain copies of th<) M,Q,\!,ob, 2019\lJJjlsThf.jOOW-mpslr. (Note: thA t"""'~~I~;~O . 40rtA7iipfiof600~\\fuPsregon Utilitv Nnlili~LQ9.:,q9 O 600 ACentAr.IO;~OO' V\:WIf)-~~:''B~'JliiA' ver mps or 0 15 see - -'Q ove. D. ~ Branch Circuits Jr ~ "\/I A New Alteration or Extension Per Panel ./ \ 0-4 ~n.-...Jt/" One Circuit / $ 43.00 Cl-:J -- Each Additional Circuit or with r;pp J J _ /Yl.l l/ ~ SenME>>ffl'@~r Permit $ 3.00 OwnersNam I-"()I"(~ TI;I~- Address3776 -a, fYnDr;'./ :s~. I . 'lI.rle~tse~Mfeeahi;-lj~qp'1~'?)~Iijw.)nstallation I . .r- l/ .' /I ,ltu UNUER THIS P . ,\ Ci~/~~ r!IVPhOne~l- (nQSCp PutGpw.lrtrglj~D OR IS ABAf./. ERMITsI5o.licfJT (9V SiM>Pt~~V')8ERlgD UUl'ltU r$li6.00 OWNER INSTALLATION Limited EnergylResidenlta . $ 25.00 Limited Energy/Commercial $ 45.00 The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 45 3 MInimum Electric Permit Inspection Fee is $45.00 + Surcharges * . (}V ~.3o 3.0g' "i,~O TOTAL Share<! -Iii . .CITY OF SPRINlJt<l.t-LJJ Building/Combination Permit PERMIT NO: COM2006-01428 ISSUED: 11108/2006 APPLIED: 11/07/2006 EXPIRES: 05/08/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3478 OL YMPIC ST ASSESSOR'S PARCEL NO.: 1702300001926 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Two Circuits Owner: JEFF HOMOLKA Address: 3478 OLYMPIC STREET SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOP1\"",,, I "'fORMATION' \If) nlll H.I\/ 'OOIHldQUI'RED Pl\RKING '''''' SI \.1n nj~N3VH'lO~ Overlay Dist: HO:l 03NOON v 0 v "1'61111: # Street Trees RqdiON SI11I"IH3d SIHl H30"QnraiY~Q.I~ln'V Paved Drive Rqd: \IHOM 3Hl :II 3tJldX3 11'Vl:JWrl.Jlll'CH3d SIHl % of Lot Coverage:' :3::11101\1 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction Sidewalk Type: DownspoutslDrains: . '~'008' ~ sIJ8lU88 '(vltSZ'C:C;<. 6 '84PoP8QUJnU UO!\lI:J\l\\ON ^\\II~n UO) ~:~ue:> 84\ BUlliS:> ()U(l\1dll\,~\ 011\'O:o!'l. .._.M ~PIII no). '0600 -- 01111" ''''1~~- -. . . ""'6\:1"'0 UI I 4 ~Ul' "1 ." 00' ~OO."" v . Valuation Descrintion~ i lIVO \\,moJI.\\ 0 ~'J8\Ue8 uons:>!lnON -I \~S ,']11 t~;)\n! OS?41._,~~np <>-<l\nJ MOllol $ Per Sq Ft Square.Footage,-, "c',1 ,,' iCv I'" D' "C' I I d . . .I\~,. ,"....... - . aue' ,..", ate neuate or multlpher or Bid Amount.'.-' , ~ ", . Notes: Paee I of 2 '. .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01428 ISSUED: 11108/2006 APPLIED: 11107/2006 EXPIRES: 05/08/2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.Fees P"irl I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $2.30 $3.68 $43.00 $3.00 11/8/06 II/8/06 II/8/06 I 118/06 II 18/06 Receipt Number 1200600000000001624 1200600000000001624 1200600000000001624 1200600000000001624 1200600000000001624 Total Amount Paid $56.58 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 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 ~ifth Street Springfield, Oregon 97477 541-726-3759 Phone . L;~~.~ ~.,' ~ Ci_ Springfield Official Receipt D.pment Services Department Public Works Department Job/Journal Number COM2006-01428 COM2006-01428 COM2006-01428 COM2006-0 1428 COM2006-01428 Payments: Type of Payment CreditCard I. cReceiotl RECEIPT #: 1200600000000001624 Date: 11/08/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GARY G. MILLER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 011177 Phone Payment Total: Page I of I 9:21:49AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 11/8/2006