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Home My WebLink AboutPermit Electrical 2006-5-9 SPR'"O".~~ 1i!l),.~.' l~~'~"' -:.- "'.l!r,:lj 225 FIFTH STREET. SPRINGFIELD,OR 97477 . PH:(541)726-3753 e FAX: (541)726-3689 ELECTRICAL PERZliIT APPLICATION City Job Number CO""",, ZJ:>o b - 00 S Z ~ Date 5'.~.O~ 1. LOCATION OF INSTALLATION 0<2- IZb eB vt1f> ~.f::,l 3. COMPLETE FEE SCHEDULE BELOW LEGAL DESCRIPTION \2ow - ,(lA. I:: S llr JOB DESCRIPTION ~~~l S&',,;ur ~ J-h,.,v A1t1a~ A. New Residential- Single or lVlulti-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Permits are non-transferable and expire if work is S & ~ "'- not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact: d ~ome. or,,:~ ' ':: '_'~O Modular Dwellmg Service 'or J , Feeder " -. ~ . '~" , ; ',' _c'; .-J:,h 2. CONTRACTOR INSTALLATION ONLY B. ~ervices of fe~dys::: Ip$tiJIHu-idn;\Alterations or Relocation: · "', - s o~ +il8 rL:!3S by I 67 Electrical Contractor 1= C ~m(l(j..rry / hP~~2~~'Al!l~r.6r~\~~~j:.~2:~~:13~~\8phO~e $ 63.00 /) ',', " ,?,~I~i\fr.$(~oQ~~ 6mR~ :~otiiicatlOn $ 75.00 Address ,0 (3<:J')C 9;;".5 I.~ ..",~1~016mps. t~~OQr~Pl344). $125.00 - C,'I:L01151-uuv J~~ 6'01 Amps to 1000 Amps $163.00 City !!!J...b0lr\y 1012. Phone SI{I-t:f~-l.(;J.6(' Over 1000 AmpsNolts $375.00 973 p.., Reconnect Only $ 50.00 Supervisor License Number :3 ~$ 'l-S" IO,LLJ-o ? ~9--ISC lof1/0( $50.00 C. Temporary Services or Feeders Expiration Date Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Constr. Contr. Number Expiration Date o~c>r Address S S S- Ci-.f2, tlrL- Sr- ~E' City S~.. 0 (L Phone sn:r- 7Zb - ZSSz.. &,~ Ol~1 ,...~ ?ver 600 Amps or 1000 Volts see "B" above. b J . ~r "6:' Branch Circuits THIS PERMIT SHALk EXPlli.~ IF THf wmw JUTHORI~~!j t!f~tY~~"rffi~~t~}W, f~~~tl SO M M E ~1fJit1t~8n€,~l1!&1P~ ~1fO K ANY 180 WrJic~~RWQQer Permit 'Z $ 43.00 $ 3.00 t- ~rwo;~ -- Owners Name ~ E. Miscellaneous (Service/feeder not included) -Each Installation OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25,00 $ 45.00 The installation is being made on property I own which is not intended for sale, lease or rent. ./ Own,,, s;gna'''''(t&. Uf13 . /c$ - d ;,,\<7 ~. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 8% State Surcharge 10% Administrative Fee 67 ~S2.. t)C 81 ,,~ 4. SUBTOT.flL OFABOVE Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application I-06,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00529 ISSUED: 05/0912006 APPLIED: 05105/2006 EXPIRES: 11/09/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: EB OR126 at MP 6.62 ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install service for advisory sign at EB OR126 at MP6.62 Public Owner: ODOT Address: 355 CAPITOL ST NE SALEM OR 97301 Phone Number: 503-726-2552 Contractor Type Electrical I CONTRACTORINEQRMA nON I " '" ,"" ~u yuU to , v,- '\I LnlO (" Contractor ' . ~",' :cr. ~ h;'se r'''; tit~nse'Jtilit}Expiration Date I, ulac: Olr.n S . f E C COMPAN~'. " ,.' .. j 0010 ih.-nllr<h ~~13J'_ ,er orth 01/15/2008 "... ,. ,,)' ",'-," . ~ -....v~Jc-UUI_ ccl~::BUILDING'IN'FORMIA'1ftON11' rules b number for t~: ';:;:~ \/\u(e:, the telephone Y eft, o!St~nes:gon UtilIty Notific t' Hn.p.r.J'>-,;1s~^'~'~'" a Ion elgUf'UI' '~Ulc-w!:-2344) Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Phone 503-224-3511 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: NOTICE: # Street Trees Rqd: THIS PERMIT sHPayed Drive Rqd: AUTHORIZED U /J!o-b!e'Jtla~vlfrargdE WORK NDER THIS PERMIT IS NOT COMMENr.r::n nQ 1<:' ^~!\.''''''''.'-n r-, ANY 18.0 DI1P.UBJR~i~~RoVE~EN!T~ I Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00529 ISSUED: 05/09/2006 APPLIED: 05/0512006 EXPIRES: 11/09/2006 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 + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 $5.52 $6.00 $63.00 5/9/06 5/9/06 5/9/06 5/9/06 1200600000000000622 1200600000000000622 1200600000000000622 1200600000000000622 Total Amount Paid $81.42 I Plan Reviews, 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. I Reouired Insnections , Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover 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 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 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00529 COM2006-00529 COM2006-00529 COM2006-00529 Payments: Type of Payment CreditCard cReceint I RECEIPT #: ~'y of Springfield Official Receipt ~"1~elopment Services Department Public Works Department 1200600000000000622 Date: 05/09/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By EC COMPANY PERMITS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 009904 In Person Payment Total: Page I of 1 11 :42:25AM Amount Due 63.00 6.00 5.52 6.90 $81.42 Amount Paid $81.42 $81.42 5/9/2006