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
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LEGAL DESCRIPTION
'70"] 2 S 2-'-(
JOB DESCRIPTION
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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.
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Expiration Date -; / J ~ 0 {c:;
Si~-aUVI:~
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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~
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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
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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
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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
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?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
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