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HomeMy WebLinkAboutPermit Electrical 2005-11-3 :' 04/12/04 MON 15:37 FAX 5417263689 CITY OF SPRINGFIELD , ..;, ,~: v,:, ",'"1:.",,, :"':'::,i~' ..," ''''''~~ Bl. ,()n;;rt;<rht:"ni:n;bi:\./~~n::C:';;'...Pi\;ri;.;r ,i,: ,,:'....>:1 : ,'..". ,..:" :.; ..,T., '\'~'I 'J,,~~.' .B"i"'J~'. ",~ '/ ~ ~:aB:J.::;:i ~Yi.:,;/:ur;,:IXll.t:~;\:J::.E.l:'LJEWi, . ~:N:I:.i\:2J:~:1~:~;'''''f.'y:''i~'.' ,"':", J"';~'r" "':h~ "./ ~~' ':~~ 1" ',:,~,: t':'/r':,:,: ;li;. .!.r'-:'}J'(; ': ;'.'y~,\ ~I 1,11"w:,', '(1 ~;~ ~;.. .:1_' '.~ i'.,:. I"~, ,ii(:A",;r"" I.! ','~ ..{:'~I\~',:~~ ~'.."i\:'O :. .'';;;'' 01';' :; !.f.: ,~r.Jj ,'\. :,~::., ;I\,,~t'l;' ;1: "~~'<:' ;/:\~':~ ,~t::.' . "" 'f~~'~, $"~I:'.:I I!~ o;o\J f~,,\ ,22S,FuUJi STREET. SPRINGF,IELD, OR 97477 . J.>H:(S41)7:16-37SJ .; FAX: (541)726-368~,:;~)l:;: ELE~.udCAL PERMIT APPLICATION .<:",,, L' t\" City JobNumberCo"",~'S' - O/Sb( Date ] 1- "3- 0 ')- 3. i;r.~~~f~;*~::tW~~~:i~~~@9~t~;i!l;~m?i~:i~~:, 1. ::lrf"q~r~~;p~~~~~tlqN 'J /30 C>(LlCt.e ~ r .. ~_.,.... ... '" .._.....".._~_._..~..... ".~, ,~.. ._...." M'" ... "'" ...~"".._" ,,,,,_..,, ,.... _ ..~. ,.. .. , , , A, :j~ff~!i;~~!:a~h~t~~~jii?&~ijl#{~~~~rR~~#i!~Mi,~,~~gj~;~;: LEGAL DESCRJPTION 1703'22 ("3 \ 2 ~OO Service Included w 1000 sq- ft, or less , Each additional 500 sq. ft. or portion thereof Each Manufact 'd Home or Modular Dwellini Service or Feeder -J ;,,,,, th" fol/owinl -J Use ' $100.00 JOB DES~RIPTION ~;4W'f 'Seytl/LLC c.64-~ $ 19.00 Permits are non-tr:ansferable and expire if ,",ork is not started within 180 days of issuance or If work is Suspended for Illl) days. -~ $50.00 'lj~J~;..r[~~li' ,'I.,~~".,,;jll..,. -;':'..,;.1:1\,;\1. j' €ONTRA.CTQD':lNS!J?'",'''''C; A'TTQl\:T ONLY" . B. :,(,:_:,:,':~;;.S,-,"'::,',:,~,'",',:,r,.,',..',~,',',',.::,":','~,'"',:'":',,',,s,,(;"',',},'o,;-,',,,~,1"",:,',:,F.":,,',,:I,:,,:,e,i1ii.,',.~, :;,,a,:,':,~\f,,!;~,I..~,C,..,~,l,,',:~,.,',~,C;<",,!1."-:::~,l::.t,:,,:,':'~,:!,~.:,U,'-,~,.~"';,':t.",l,',:,'~,,'!:,'~,~,':"~"'~',:,.'.~,',.,;"::l,,t,";,',',';","", ': 1ijl;;~~~:;:~::~~;:~~':':~~;~i::J.:;':~~~;:~~:::~:,:rt ... . ':. -~'. ~~~;: ,. .-. ~ ..~~..,~ '; Electrical Contractor lA1.E..1 LA kl 0 ~LF-(JI~114d~~~Pe~~~ IRW reC1uires 'e.~":'. 19- $ 63.00 , 'fe::ow rfO~~~~~t~9J>~m2 ()rccor. '..:~:~:~']' $ 75.00 Address, X?D-D tAJ. ill A VFNO~ f JotifcatltOrf cwmJ? 69~1~tules ~-ie ::~ 'J!"~;q $125.00 , 'In 0' ^.'R 990l_Amp_s-reO.~~OOl,AmP.gS', '1/',i ~ih') nrH $163.00 I 1-\. 0L U1]"~1 lJO l U t II ULL II v. \; . "- ...... City F:-ll~EtJ E: ,~hone -E.s:tc:'..- '~Q90 y~v R~~~08&RO,~R~8t~es ,cf til,2. i'..,i--:r \~y ~3S70500'OO , Hconn:ect+~1!1Y(~ I ' .' '. +.""",' .JI. c2i:1ng .ne cenlt::l. ,\Ol8. 1118 ,'_IGt.." ,,J, ".: , Supe"',.;.or L1' ..........0 N..-ber .J r.::. I" 0 /"I. . n U !TI ~ r , .',' ":,W,'ti(,;_t',~~,?',i"',,r.,fls~f:~~~~,~;Rl\\~~~~~l~:;~:~~E~f&;f~nr:-;.1~f~w~! I. TW ~.a,&.;I..u.u. ~,. J 'i-' :-l iI r rs' _ ,~I,(~l~i~~~i~~~U~~.~~~~.:~i.;i~~l.~I'..,:~i~~.;r,;~~~::ilir~lo b] :. , Expimtion ~Ilm , () J J / (), ConstI'. Conti'. Number 5" 15 ~? {)n !liI'll.,"!I~~.l'i,l!j.'r, ":':j)':',"'li,1JU.I,'IIII1..lIi~" , ,'i',: : ~. ' '.'pt\ Date I' ftJ1i:rj': ~ r7 }. T~I' ,II~"':'''' i' '. - ',':: \" ~ ,"! "'i I ',' I ','" I " " ISi", of Sopervis , ."rid /J , ~.,~ / ~:~_ A'i,~r C~l. :Urr; Ad&~~; 3'2-1 L AI ~iAJ M 'M fL ~/L City )4ftl4-wtt 'sw.ir(,~,! :~'Pbone -'o#f O~INST~TION ~""LL, ,I:! ".:, ' Installation, Alteration or Reloc,ation 200 Amps or less $ 50:00 201 Amps to 400 Amps ,$ 6!;l.QO 401 Amps to 600 Amps , $l~f~ Over,6~O..~~,(\r lOO~ Y'?lts_see ''B'' above. ' d D. t1r~f~~~~1.rl~gU;~lli[lj;ir~i~hg@fi New Alterlltion or Extension Per Panel One Circuit Each Additional Circuit or with Service ot' FeederPennit ,,-,1,' -:' ;J.~. ~ $ 43.00 $ 3.00 E. :lt~Pi~~:,~ :,,'~~&1~!~t~[ft~~*~~~~ri~~~:~$~~~~Mm~~~ The installation is being made on property I own wh.ich i.~ not intended for sale; lease or rent. Pwnp or irrigation $ 50.00 . Sign/Outline Lighting $ 50,00 Limited Eno['gylResidential $ 2$,OQ, Limited Energy/Commercial $ 45.00 ' Minimum Electric Permit Inspection Fee is $45.00 + SW;cbarges ,1\,1 i,,:i"; ~N."" ,~~\7,"".#, 'I ~~ ~ i ~(l~" \;~,f1"':::'\~ -~... ~~I~~~{' f{~tr\~1 (~i"~, ~ 4. !,~,(j~rQ;(~ OliJ~P~': '~!~~jiU~~r ~~~ 4: \.6,1 ~"~~~r,\,.\i'1iZ'~l~~N(":; \::I:~~~\ 63 lfi/I 6'30 73 *'7/ Owners S~gnature: I..: ;, ~ t.t;. !' ~ i" , , . I . :::' \ -' ' . " ...:!,' ~l .'.. ' NOTICE: 7% State su~c=~'RF 'IF THE WORK, THIS PERMbllo~A.l4" ~Y~~RMIT IS NOT AUTHORIZED UNDER I t11~ COMMENCffl'~, IS ABANDONED FOR , , ANY 180 DAY PiIR~V(,~;';)lBuiJding FortniJElectrical Pennit Applicatiolll.o3.dOl; ,';i:,Nt,,;, .",,1' Inspection Request: 726-3769 ", , , :i:...I,h,)' If" , " .', ....ii i '-1',';-' ,': '{ ~:l , ,,'~' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01561 ISSUED: 11/04/2005 APPLIED: 11/03/2005 EXPIRES: 05/04/2006 VALUE: , SITE ADDRESS: 3130 ORIOLE ST ASSESSOR'S PARCEL NO.: 1703221312500 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp panel change Owner: Address: NATIONAL CITY MORTGAGE INC 3232 NEWMARK DR TION' 0 gon law requires you to MIAMISBURG OH 45342\TTEN 'd ret d by 'he Oregon Utilil;' f"((,,,^, n lip!,: a 00 e l , Notifi('~tinn r.pnter. Those rules a;; ~el IU~ ',I' , OAr,l.c..o~l'M61\0~tlNJI@.RMA\U.QN l I~090, You may obtain copies OT1~: r~lu~' Contractor allino the center. (Note: ttle tEI(~enSe WEILAND ELt<;,lR!c;:{r\~/'qlP Oreoon Utility ~58600&lic., , __.__ ",,"".r\ nr"l/l /i\ I BUIIJDlNGIINFORMATIONI Expiration Date 01/23/2007 Phone 541-485-3639 Contractor Type Electrical , # of Units: , Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 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: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I , Street Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: NOTICE: Downspouts/Drains THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I" - ..." rCnlOn .'dpl\l' t _. Valuation Descri tion Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 Status: Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01561 ISSUED: 11/04/2005 APPLIED: 11/0312005 EXPIRES: 05/04/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I - Fee Description + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 11/4/05 11/4/05 11/4/05 Receipt Number 1200500000000001677 1200500000000001677 1200500000000001677 Total Amount $73.71 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. Electric Service: Approval required prior to utility company energizing service. 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 certity 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 certity 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 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C'ity of Springfield Official Receipt ,velopment Services Department Public Works Department Job/Journal Number COM2005-01561 COM2005-01561 COM2005-0 1561 Payments: Type of Payment CreditCard s [) ~! , - 'f '1 ~. '- 'I 11/4/2005 RECEIPT #: 1200500000000001677 Date: 11/04/2005 Description + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Paid By WEILAND ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 004137 In Person Payment Total: 1 of 1 9:12:28AM Amount Due 4.41 6.30 63,00 $73.71 Amount Paid $73.71 $73.71