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HomeMy WebLinkAboutPermit Electrical 2006-5-25 ,,~ .. '" "y , , ,~ . ""~~',' 'I" .;"" '1 ~, .' ~_,m' ~') ..~ .~. '''", ^~ '~7;' -:;"''.S,.,,O 'C[ftZOF ~L,_H:NfdFlliLD;.tnrn.GbN (:" ~".""~; ,..~'",.I..-'" > ~', '.,.". "'" <<_. '. ,<<*' ~ .",,,,..,,,..;...;"" 'l"" ~..lJjt~~ LDZ- t) r;; 1 J5;gJ2-f}f:t!n:'J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO'^^- Zt:x:><'=> - OOb L.. 7 Date 1. LEGAL DESCRIPTION 1701.. J L{l{l( JOB DESCRIPTION Nt~v ()A-V\.f:!"( t Z c.(I"(.,^:~ I 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 of,(t.{ 2. 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 _ 'l"U "r) Each Manufact'cl H~m~ ~r::,"\\j Modular Dwelling:S~r;,ic~orJ"('I.\\ d ' ,\r;r::e-""" 0'\- Fee e~ ' _ (\..\,.. ,"", ~t;2-0 '.J' - r"\ -',..J'- $50.00 . -B. ( I ,,' '.c." V Ir',nl(1 , \!:> V v, . . C /:' _ L ' ,"':';";:- " '10';'0. '~e' \:i\v ." a\\On EleGtrical Contractor _ ._' a ,_.J 'CiJ~C::1't:Y-J~~~~2~~d~~p~\QP1~M\\) NO\I'IC \jIJ r"\'"I::" \.0-J201rA1tip~ro~OQr.Aur~A). Address i'J 0 BDX } Y ~ "d- ~~~\'O~"( 'O~~~~i\'mpJ3t~068gAmps r l \ . ce\\\ C'/).I r./,/ 70J.- I '?6 601 Amps to 1000 Amps CitY-7j/tl fJqpe/o Phone / I d d~ over, 1000 AmpsNolts If J Reconnect Only LJ<t9 V s / 0 - oJ - d c'tJ 7 Installation, Alteration or Relocation 200 Amps or less Constr. Contr. Number~ 6 Y C; 20 I Amps to 400 Amps . . a) 401 Amps to 600 A~ \\t. '-Nat\~ EXpl1<ltlOn Date I - - ;;)00 g>" Over 600 A . ~&r \10 1~~s~g~"B" above. S(~nature of Supervising Electrician \'t\f\\\S:.~~~,\' , ' /"; ~ D /J /: \\\\'0 ~~\\\lt.~ \S'~~r Extension Per Panel ~~ ~ ~'0~\\ ~t.~c,~e '"W1\). . fI ~ <60 @a'Jh~ kdditional Circuit or with 2 ^ r <:" ~~"{ '\ Service or Feeder Permit O",ners Name . I-+" ./{JJ t.?:/A l=:'-J /.J7r C(61{tAI~ LN S +> F ~ Phone "7 f.( 7 - l{ rJ 0 Supervisor License Number Expiration Date Address City OWNER INST ALLA nON The installation is being made on property J: own which is not intended for sale, lease or rent. Owners Signature: Inspection ReqUl~st: 726-3769 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 6 E. Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. b7 S ~'2. b'O 81C(z - 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T: )/Builc1ing Forms/Electrical Permit Application 1-03 .doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00629 ISSUED: OS/25/2006 APPLIED: OS/24/2006 EXPIRES: 11/25/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6835 Aster St ASSESSOR'S PARCEL NO.: 1702344400614 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service upgrade and 2 circuits Owner: HAROLD SWEENEY Address: 1518 CLEARWATER LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION', Expiration Date 09/0112008 Phone 541-741-2236 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # .street Trees Rqd: \_1 f !Paved Drive Rqd: h:~) o/J:~-flnbt Coverage:' I' -: '.it we '-\U-;-r1C}r-('(izr~[) ut~[)[~:~ THi }~ch[","1T i~'~' REQUIRED PARKING Total: Handicapped: Compact: ( 1(\ .\!:.! t' \ i'l ~~ r\ l: (, -.J'._)(Vfl"IL-.'l\../.._~' V" ......... "~ I fiMlJLIC Il\1PR(;WlJ1\\1j~,NTS . 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 Paj!e 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00629 ISSUED: OS/25/2006 APPLIED: OS/24/2006 EXPIRES: 11/25/2006 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 J $6.90 $5.52 $6.00 $63.00 5/25/06 5/25/06 5/25/06 5/25/06 Receipt Number 2200600000000000654 2200600000000000654 2200600000000000654 2200600000000000654 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 Total Amount Paid $81.42 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 I 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 Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C:L_, of Springfield Official Receipt l dopment Services Department Public Works Department Job/Journal Number COM2006-00629 COM2006-00629 COM2006-00629 COM2006-00629 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000000654 Date: OS/25/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By C&S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 242290 In Person Payment Total: Page 1 of 1 8:00:32AM Amount Due 63.00 6.00 5.52 6.90 $81.42 Amount Paid $81.42 $81.42 5/25/2006