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Home My WebLink AboutPermit Electrical 2010-5-4 '. Electrical Permit Application 225 Fifth' Street. Springfield, OR 97477 . PH(541)726-3753+ FAX(541 )726-3689 (pY' Date: 5 -0'-1 ..:~Olo This penn it is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. E-mail: . This installation is being made on residential or farm property owned by me or a member afmy immediate family_ This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: Business name: Beacon E Address: 2585 Roosevelt City: Eu ene ZIP: Phone: 54~ -461 -0291 5-41 ~461 E-mail: Beaconelectric@att.net 97402 2340 CCB license no.: 38497 Signing supervi.sor's license no.: Print name of signing supervisor: Signature of signing supervisor: BCD.licenseno.: 20 53C nsen .. .'~ ..,~... . . . --~~: . :f\j \~f/\Q'~ . '( .' ~-^y Q ''b~~ .~~ 440-2584.J (9108/COM) Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32.00 $ $ 63.00 $ Services or (eeden: installation, alteration, relocation 200 arrips or less (2) $ 81.00 $'8'; 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (~) $469.00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ g Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new; alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit b. Fec for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (1) $ 63.00 $ 63.00 $ (A) Entersubtotal.ofabove fees. :0'linimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD (C) Techoology Fee (5% of [AD TOTAL fees and surcharges (A through C): $ $ $ $ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00566 ISSUED: 05/05/2010 APPLIED: 05/04/2010 EXPIRES: 11/05/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1484 S B ST ASSESSOR'S PARCEL NO.: 1703363207202 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add 60A - 6 space panel and I circuit Owner: J M DAVEY LLC Address: 1484 S B ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License BEACON ELECTRIC 38497 B1jiiDII~G'iNFORMATioN ~ Expiration Date 01/10/2012 Phone 541-461-0291 # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Coustruction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA TlO~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: ",.':;l.. \ '; DowuspoutslDraiust' :C '.' quireS 'Iou 0 . 'AtTENTION: Oregon ~a~:: Oregon Utility follow rules adopted Y e rules are set fortI) Notification Center. ThhOS ugh OAR 952-001- _ -0010t ro u obtain c . e telephone '!OTICE: . . Valuation I9P ., i enter. (Note..th Notification fHIS PERMIT SHALL EXPIRE IF THE WORK nu er for e.oregon U~~~~344); ~LDesE\fi'pi'iOlil UNDEFhkliJp&~!M4}~.\S NOT $ Per Sq Ft ~q~ltl~800-3 Value COMMENCED OR IS ABANDONED rB~ or multlpher or B,d Amount ANY 180 DAY PERIOD. Storm Sewer Available: Special Instruction: Notes: ./ Date Calculated ." . Paee 1 01'2 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line <,j:. d,,~' " Total Value of Project Fees Paid . Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid $10.44 $4.35 $6.00 $81.00, ' Total Amount Paid $101.79 Plan Reviews ~ 'Date Paid 5/5/10 5/5/10 5/5/10 5/5/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00566 ISSUED: 05/05/2010 APPLIED: 05/04/2010 EXPIRES: 1110512010 VALUE: Receipt Number 2201000000000000461 2201000000000000461 2201000000000000461 2201000000000000461 To Request an inspection call the 24 hour r,,~,\!rdipg~at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, iris\?ectio-ns i:equested after 7:00 a.m. will be made the following workday. - .,..,,,. .' ReQuired InsDections ~ Electric Service: Approval required prior to utility company energizing service. 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 fnrther 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 structnre 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 ..-~ '.J '-;^:":~ ,<l'.~' _ J, ~ . ,,~(~ j ::' "',1:.,.7:. Pace 2 of 2 Date 225 Fifth Street , Spril}gfield, Oregon 97477 541-726-3759 Phone sr1:q~:tij; Mr.... . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: .' .;~_~., _,: -, ,_, . I 2201000000000000461 Date: 05/05/2010 8:21:46AM Paid By GARY E JOHNSON Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 6.00 10.44 4.35 $101.79 Job/Journal Number COM20 I 0-00566 COM20 I 0-00566 COM20 I 0-00566 COM2010-00566 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid nJm 0387d Phone Payment Total: $ I 0 1.79 $101.79 .;-.", {~ ';'1: ~ ..._~ ".~; .... ,.I"r, '. . --~ . J..;, . """; ., ". , .~I " -!' .'; '. ~~.. ,..". -, '" " ..1 ~ . cReceinll Page I of I 5/5/20 I 0