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Home My WebLink AboutPermit Electrical 2006-6-6 Ll)2- Co{6tlCXO SPFlINGl:>I~'''''''''''''' 2is FIFTH STREET · SPRlNGFlELD"OR 97477 · PH,{S4I)7U-3753 · "AX' (S4I)~ k~~"~ ~;::Oc;::,:~C~=oAf.:~~~o;" , Dote ~lii(" - " 1. LOCATION OF INSTALLATION 3. C01l'IPL.eLt!. FEE SCHEDULE BELOlV' ' JI 20 .:h ~t- LEGAL DESCRIPTION II0'33S/Lf 08'300 . .' " ,. . A. New Resid~ntial,;;"Si~gleor,~lulti;'Family per dwelling unit. Service Included JOB DESCRIPTION 1000 sq. ft. or less A.,.,..p "/./ Each additional 500 sq. ft. or ZOO ~6t.VLt.t: ~ it- ~f\l~E.:'" ,~1 ~ rc....\.~rrporti:o~}h.~eH6)~ law requires YOl', :() Permits are non-transferable and expire if work is Eac~ M8!l~J~ctjg Hom@ofJgon Utility not started within 180 days of issuance or If work is, I "o/I~.~H-\lffiP\\l~I,li.Itg;,S,eJ1YJ.cYiQre set forth Suspended for 180 days. .' . r ~~:Fee!ier_u~010 through OAR 95L-UU I- I : ..... ,H ;;:.~'L-U\J I 2. coNiRAi;J1~' , . r~ciH~N, Qzv,,~lC030, YeBJ n~~tvifis?b1'~~f~WU~n~m1..1bilter~tiotis or Relocation: ", ", ~ calling the 'center. "(Note:' thetel~~ho~t: ' Electrical Contractor 05<Z.. (' f)rOOca.tGJri)ber l00~~ffi[Jes~ Utility Notification / $ 63.00 b 3 ".... . \, C2Q1tAfups~~344). $ 75.00 Address R~ 'l\Q \_ ~ L Q....\A.....L. 401 Amps to 600 Amps $125.00 o I '- 601 Amps to 1000 Amps $163.00 City r" y.. D ~ Phone l~l\\ ) lt~ "OQ05 Over 1000 AmpsNolts $375.00 - T, ' Reconnect Only $ 50.00 $106.00 $ 19.00 $50.00 Supervisor License Number \ ~ lA..e s , Expiration Date \ bl ~ ~O,., Constr. Conte. Number ~O.. ~6 O~ Expiration Date ., \ \ \ ~0tQ Signature of Supervising Electrician C!"j~~ c. Tempo~aryS~rW~~sotFe~der~ ,.' " Owners Name LyI1V1 t!" kc!L~ l"'^"",,, Address 1>0 ~O)( 'IOOzb City l::::U-v.e.?/C Phone 9/S" - 775' Z. Installation, Alteration or Relocation 200 Amps or less $ 50.00 20J Amps to 400 Amps $ 69.00 401 Amps to 600 Amps _' I[ \tJ~WA.OO t~~\005.^,~ ~'\-tRCLft tdiE~~&~~~,\~ ~O\ D~~~~ ~6UUNDER ~~~~60~ED fOR JNe:W xrter~tWt)E~t~SiMi Per Panel OJQ~%~it ~~'1 PER\OD. $ 43.00 E~,,^dd1Honal Circuit or with I Service or Feeder Permit $ 3.00 :3 -1,' E. MiscelJaneous (Service/feeder nor included) -Each Installation OWNER INSTALLATION Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges The installation is being made on property I own which is not intended for sale, lease or rent. 8% State Surcharge 10% Administrative Fee bra, S'Z-B b~. 77~ Owners Signature: 4. SUBTOTAL OF ABOVE Inspection ReqUeS~ 726-3769 leh'~ S~\ d{ ~\ C\\~\ TOTAL Shared Drive(T:)/Building FonnslElectrical Permit Application I-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00684 ISSUED: 06/06/2006 APPLIED: 06/06/2006 EXPIRES: 12/06/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1120 D ST ASSESSOR'S PARCEL NO.: 1703351408300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service change and 1 circuit Owner: LYNNE LEDINGHAM Address: PO BOX 10026 EUGENE OR 97440 Phone Number: 541-915-7782 ; I';' 'i .'~S ~'8U to Contractor Type Electrical : <.c' ~'. <1,)11 LLiIlY I CONTRACTOR INFORMATlON: 1,-8 S3~ :O"th . -j; -G~;': C ttlrcll9h :r\;1 S5?-OOi- Contractor ,: c, _:'. I ..' :. ~~.~~' OOl2,i~ cI3~~~!l~~ t:~8 tExP'it~tion Date Phone ROSE CORPORATION 1'': "::'" ~'-,li'~r. (f.:~4~Hil8 t8:ei')110nQ9/3012006 541-686-0905 BUliLDINGlNFOR-M*FI0N;I;~Y i\oiifica~ion c.emer I::; ,-ouu-vv.o:-2344). # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: ,Pay,ed P~lve Rqd: \1 \F lHE \NQ\\~Compact: %"ofUotCoverage:\ll b ,tJ IRE tR\\!\\I \S NOi 1\-\\S PEr\N\\ \ v' "DER 1\-\\S tJ- O~ .' ''T\J(\D.\7ED UN ,.-. id\lrI!l\\\EO r '-\' J I , . - _.-.. " I ~ \ '"" r\ !,.II ~. . I PUBLIG IJ.M\~U.{0MEME;:~r\~il.). N:N .\ ~jlJ U.-\I , ~' Sidewalk Type: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGf11ELO - Building/Combination Permit PERMIT NO: COM2006-00684 ISSUED: 06/06/2006 APPLIED: 06/06/2006 EXPIRES: 1210612006 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. 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 $6.60 $5.28 $3.00 $63.00 6/6/06 6/6/06 6/6/06 6/6/06 1200600000000000809 1200600000000000809 1200600000000000809 1200600000000000809 Total Amount Paid $77.88 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. ~ Reouired InsDections . 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 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-1759 Ilhone C. f Springfield Official Receipt i opment Services Department Public Works Department Job/Journal Number COM2006-00684 COM2006-00684 COM2006-00684 COM2006-00684 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200600000000000809 Date: 06/06/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + ] 0% Administrative Fee Paid By PHIL ROSE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 006426 In Person Payment Total: Page ] of] 1 :51 :04PM Amount Due 63.00 3.00 5.28 6.60 $77.88 Amount Paid $77.88 $77.88 6/6/2006