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HomeMy WebLinkAboutPermit Electrical 2006-9-7 22~ Fu< Id STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 e FAX: (541,<t~6-36 ELEl.a1<lCALPERMITAPPLlCATION ... ~ / CityJobNumberCd~'Z..oOr-O' Z I (Date ~ 7/or I 3. 1. , I A. LEGAL DESCRIPTION '70"] 2 S 2-'-( JOB DESCRIPTION f/;-1-/)J iJ h {Jas <2- I Permits are non-transferable and expire if work is . not started within 180 days of issuance or if work is Suspended for 180 days. o Z:'2.00 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 2. B. It rl i Or: } k_ ,~W requireS you ~o Electrical Contractor -J:[ r c r-/ e ct:l:J ~NTIO~OCi)'-~~~:se Oregon Utility J ) 1ollow ruleSJlIQ~, tbY4 ~~lllre set iorth Address _~,~1.i3 N-tULJ 1 r S ~0tiiication QO{l~f&1~~ agWw~R 952-001- - U i OAR 952-~Q1-ggRM<CWl~s\Oi~e rules by City BfA lJ..p h ~ Phone '/ Y /6 Y'~9f{ '{ou ~e~\g90 ~~WJstelepho~e U 'calling thft.~~c~g8WUtility NotiiicatllJ1l LJ number ior the r _ 44. Supervisor License Number '/3 G, ~ S . f2~ I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 b.5: Expiration Date ffi-- I /" 0 (0 Installation, Alteration or Relocation 200 Amps or less ~. $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. ~D --tJ6.~ C Expiration Date -; / J ~ 0 {c:; Si~-aUVI:~ / {r//flll v(!, 1//1 v Owners Name ~/ f!) () 0 r r ___ Address /10, (j J7-M Sff.e.et: E. City -.Sflrl ~~ {d' Phone /lj~, c:zs ce " '-:: Pump or irrigation _ _, I I $ 50.00 . (, "~r~,-,-Si,",/€>utline(bigr1fMgr IHt\]\IO!i,\ $50.0,0 T'H"c:. lJ - --,1\"\ I E>t'\,-,'_L- ,-", .- . - OWNER INSTALLATION Ii...,: ~1'~~rL.'-' 'tedE --,',r/.Rl-"'ck'tiTI1S,I\;l)1 $25,00 (IU-' t-\OKiL\:u'8H"..:,.n~~1W}'eSJ , n a , The installation is being made on property I own w~<(,h:'.;'l'.' t l~ (; ':Bumt~4~J,letgy/ttcrriili.1eicfa~ R $ 45;00 is not intended for sale, lease or rent. Pi \\l '{ i ~liit:Elect~ic Permit Inspection Fee is $45.00 + S'urcharges Constr. contr. Number New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 3 $ 3.00 7 Owners Signature: 4. 72 Inspection Request: 726-3769 7% State Surcharge ~O'" ~ ~ 10% Administrative Fee 72c:::, ~# TOTAL 8Y~ ~ ~ f\ ~o...1;jp """" Dri"""_. F"""""'_ """"' Am>!koWm 1,<)'''''' -Wi=, PJ.."I;N..,~~Jl~,_~, ",,;.".,.'. h ,." ,: . . . 'I . .' ,., :.j ,. .. '.' CITY OF SPRlNGf11ELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01219 ISSUED: 09/07/2005 APPLIED: 09/07/2005 EXPIRES: 03/07/2006 VALUE: SITE ADDRESS: 1955 16TH ST ASSESSOR'S PARCEL NO.: 1703252402200 Springfield TYPE OF Electrical Work Only PROJECT DESCRIPTION: Feeder and 3 circuits for pump house TYPE OF USE: Addition Residential . ,t'_ \N\)'\~ IPUBLIC IMPROVE~JN~t'\\~\~ \S ;\J . ~\t'f;:. :\ S\\~\..\.-n\\\\S \' \)~'t.\Sfd~walk Type: ~~ \ '-\\~\ ~'0't.'" 1\~'0 \\\S?\:: 1't.'0 '0 \S ~~ Downspouts/Drains \~\)\\\~~~(j't.'0 ~,\\\\)'0. (j \)\'1\\" , \J '0 \\'i \\~'{ '\ ~ I Valuation Description I Owner: NEAL MOORE Address: 1964 17TH ST SPRINGFIELD OR 97477 I CONTRACTO~}NFORMATION I requireS 'ju""'li\\J Contractor Type ~on t,' CUregon 'a.~ne oregol"l \J~\or\\l License Electrical 1\ lJJ.~(J'iAW b'J _ "lIeS are s~^ "II"" 115113 \ \\OWI",sr \\Iu...e Dii.......u~ N~ti\iCa.\iOI"l ~~~~~~~ 0 \~: ul'~.\i.ll~FHlOOA TIONI - . O"R 952- \ il"l coP' ~ ,olP.p\lone , # of Units: \0 ,.... VO'I ma'J ob a {"lo\e#tij,f.JStbiies:cl'~;""(\ . .rl'\OaQ 1 ... \ r ,''I ""0,\\\\\,L ' ' Primary Occupancy u.reu~~. tne cel"l e. 01"1 Ul.J!eight Of ' Secondary Occupancy ca\ I~g f \Of tne.ore9 oo_~~P'e~'~Heat: Yrimary Construction T~ e ce~ ,s ~-B Water Type: Secondary Construction Range Type: # of Bedrooms: Energy Path: Sprinkled n/a I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street Storm Sewer Available: Special Instruction: Notes: Description $ PerSq Ft or multiplier Square Footage or Bid Amount Type of Construction 1 of 2 Phone Number: 541-741-2508 Expiration Date 07/29/2006 Phone 541-741-0494 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated CITY OF SPRINGJ11ELD - Building/Combination Permit PERMIT NO: COM2005-01219 ISSUED: 09/07/2005 APPLIED: 09/07/2005 EXPIRES: 03/07/2006 VALUE: Total V alueof Project Fees Paid I : Fee Description , + 10% Administrative Fee .. + 7% State Surcharge ,. Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.20 $5.04 $9.00 , $63.00 9/7/05 9/7/05 9/7/05 9/7/05 Receipt Number 1200500000000001311 1200500000000001311 1200500000000001311 1200500000000001311 Total Amount $84.24 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.ID. will be made the following work day. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 property, and the approved set of plans wiD remain on the site at all times during constructiolL Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-01219 COM2005-01219 cOM2005-01219 c:OM2005-01219 Payments: TyPe of Payment creditcard '. ~ \ - ':\ '~ " .~~ 9/7/2005 RECEIPT #: Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Cite Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ARC ELECTRIC ~~J~,..'~;'=ii'~,~~~,'".' ',,".,,' 1IIr. -' ' i , "il " . '", ---." '. "l( t,'.' """ \' '} '. ~ ..-. ...'+ "--.[ ?ty of Springfield Official Receipt 1~'~evelopment Services Department Public Works Department 1200500000000001311 Date: 09/07/2005 Item Total: Cbeck Number Authorization Received By Batch Number Number How Received djb 000296 In Person Payment Total: 1 of 1 10:55:11AM Amount Due 63.00 9.00 . 5.04 '. , 7.20 $84.24 Amount Paid $84.24 $84.24 \