HomeMy WebLinkAboutPermit Electrical 2005-11-3
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04/12/04 MON 15:37 FAX 5417263689
CITY OF SPRINGFIELD
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,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 ')-
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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.
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$50.00
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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
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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
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ConstI'. Conti'. Number 5" 15 ~? {)n
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O~INST~TION
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Installation, Alteration or Reloc,ation
200 Amps or less $ 50:00
201 Amps to 400 Amps ,$ 6!;l.QO
401 Amps to 600 Amps , $l~f~
Over,6~O..~~,(\r lOO~ Y'?lts_see ''B'' above. ' d
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New Alterlltion or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service ot' FeederPennit
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$ 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
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Owners S~gnature:
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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;
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Inspection Request: 726-3769
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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., ,
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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
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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