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Home My WebLink AboutPermit Electrical 2006-12-27 ZON t.::b2. INITIALS N rv\.... DATE \6 rz.n J LCO<p SOURCE ~.Jl"--:J Date I ~/:J.- 7 / ~ , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX; (541)726-3689 ELECTRICALPERMIT APPLICATION City Job Number G())-n 6l.o0(P-Q I to / q .("," .:_;' 'F'::>'-?: ",':"-::"':'_ ;:s-" :,::\::'-:::: ::.'Y:;::\':-:'_":-:i:'-2\:i.:-<>}<ci'>:::':'~~;:'::::,:,,/":;;.~:,:.( "~,/ . ",- -', :,::'T::-'o-,-",':; <:" .~~:.; ',:'.-:' ..::.!,;>~, f ;"/ ,,::-.,;:t-;~ ":':': ; L::,( ..:::'-.,:\~ A.' Ne,vResidential-Singleoi-Multi-Familyperdwellillg unif., ..... ,. ".,.; ',.~:~.::',.,:'_;_,.,;.:_:.., <<. ,:... ::._ .;..;,._::,:<., c. '_'. :';>::'<.:: ':;:.:. '_.;:'"-_._:.' A::::: :,'.,:':ii;,:h'::':"'~;'" :,' ''''-';':, ':;>.:~."..',:,.':"::~./::7,. '"::<<.,-i.,..,-,,,: ..'\":- :,::__,',,'.J.~:..;. :.:.,..i".t' ServiCe Included 1 00 IF!&\~Pi~~I".UI tJ::)dl. 'a'" l C'-jUII 0:':' YO$lJ 06,00 Eac io~JiamJYJ[3s:ot)q~.rft~6t by tll~ CileguffUtility ,~ c>>tt~ fDy Whrv V rY\ ~ pol)!&:lhfifri&M9r Center. Those rules are S(;$ q<9r&b in OAR 95~-001-001 0 througn UAH ~t>2-001 EOO~nytffitfl\lWl(Jpffiin copies of the rules' b' ~~~tNiF.n'1fffiW2enH~r. ~Note: .t~e tel~~h~~.6o ;,~)Hrr,I~~,~~~~~~,~r~~,gn0~~~t':!~,N8!!;t,'B~ti2\~ ""'T;!?,'c,,'., c,,; ','. c'.,;> B.;.'. 'Services,' ofJ~g~tf~~~JiRfi~1~a(1ii~a44rla ti oris'or' Rel(; ca t ii) n':'(': i~/.--.;.:i ::.:_(d};,&':;~,:;;Y::::::-{L\::.:__.".::'_:<':':,t~:,L,):LC,:\>;&..~:~:::,.:::: :,)';:-s'::L:;::':~;;/~i;~,;i) ',;'::,,:/r;L~i::':;;;~~::;A~::;?:-'-!:5;:,f' ). - \:- ..5,-,'(; ~:_~;,-.~~,~::~;, ': :<_~ :.( :~.,~''";~:::~ :.',,;'i:"\ 1. \tC?f~1-TIO}\f,~llpVS!1!:0,T~rlN;i: 3totb PJLa(.,KS~ LEGAL DESCRIPTION: , \1 03 ~ 6~ t:r1~cr-O JOB DESCRIPTION: Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. 3. ~:ceq~rPLETE~#!lZscHlfDsi:E Electrical Contractor idJiiif;1 RLtu.t:7f 1(1 AfC., 200 Amps or less II ' I 201 Amps to 400 Amps Address ,/'O (3ox J /70 f?? 401 Amps to 600 Amps . 'q 601 Amps to 1000 Amps City IUfJttli- Phone '311( -l(fJ 0 Over 1000 Amps/Volts Reconnect Only L ~..,7 0''1.-5 Supervisor License Number J <./ t :? Expiration Date /{J"- I ~O ~7 Conste Conte Number ., {, fd, '7 7 Expiration Date ,5--1 & - 0 3 S;gmtw< OfSUPe>vhfi/f~ Own'" N"", t~ ~{VI k Address ~ B~- City ~ir:j1'dAf)~. Phone L~ -711 ~ OWNER INST ALLA TION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: , Inspection Request: 726-3769 $ 63,00 $ 75.00 $125,06 $163.00 $375,00 $ 50.00 c. InJl1@:1ffmt.;\lteration or Relocation 20~vrsfcri jess $ 50,00 2AU~lJFlf;/41d(f kMWLL E . $ 69.00 1JtIJMfWE'rJ~g6bU.ftJ1FfR T~PIRE IF THE wdoo.oo ~~,fcefQ,~Wdt&O 1 ISefliEM9.bPY.~ RK D."Branchrcil c&i ,... " .......w->-,L',.;',..;,;; x,',:t,:;]);~~,.,.......::"" New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with ') Service or Feeder Permit 0< $ 43,00 43.00 (p.Oo $ 3.00 _:~;/>::" .," ".::::':__ :";_:\"':',"',:, :,.:\/h:;,n:,: :~ "';I:.j:..f'I:':,'--\':\::'~;'::::}:':-::~: "',(S";~:;!-"::';.,,_:, "-:-.:-':": ',.::\"....\\\t:. '.::::' =";i\'" --:::-- i';:<:,:.'"... ,~::!, '.:' .:. c." :: c", <.,','j:$'>:~;i \> E. \.~1i~ce.!I~Il~ous(SeI-yi~,=~E~eger, ~~~fincl uded)-Each Ins tapadon,: Pump or irrigation $ 5Q.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 4. 4.t:J.oO 8% State Surcharge ("5.1;) 10% Administrative Fee ~ . q[) 5% Teclmology Fee ~. 'f~ TOTAL (//0.2-7 Shared Dlive(T:)/Building FOlllls/Electlical Pellllit Application 8-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01619 ISSUED: 12/18/2006 APPLIED: 12/18/2006 EXPIRES: 06/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 366 BLACKSTONE ST ASSESSOR'S PARCEL NO.: 1703233407900 Springfield TYPE OF WORK: Bathroom Owner: Address: BARRY BOGART 366 BLACKSTONE SPRINGFIELD OR 97477 TYPE O,F USE:, AItpr.!\tioil;"u\ll::l~ YK~f8ential ATIEN IUI".Vlv::J"'''''''~ the Oregon Utility follow ~.~I~~~~~~;e~h%e rules are set fo~r I\lOlHII.IGlUV.' - - ~.h UA~ ~;:),,-Jv I . OAR 952-001-<WlMi'e\W'lfiltger: f 41-746eSI~6 In bt . copies 0 t e rul1 ,.J 0090. You may 0 am Note: the telephone- callinQ the cen~er. ( ___ L..'4j':+'j Mntification nllmbertonnt: VI\7~""" - . 4) I CONTRACTOR INFORMATioN (,enter is 1_800-332-234 . PROJECT DESCRIPTION: 3 fixtures and 3 circuits. Contractor Type Electrical Plumbing Contractor LIVEWIRE ELECTRIC INC KEVIN LEE KIKER License 56697 159330 Expiration Date 05/16/2008 03/3012008 Phone 541-344-4928 541-221-3212 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Height of Structure Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: flOnGe I DEVELOPMENT INFORMATI~ PERMIT SHAt I r;yn I")r I I I RE\ltJl~'&DFP AJR~K . AUTHORIZED UNDER THIS PERMIT IS NOT ~;~;~:r ~::~~ Rqd: COMMENCED OR 1~~~~Pl!dED FOR Paved Drive Rqd: ANY 180 DAY PERIfi~pact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01619 ISSUED: 12/18/2006 APPLIED: 12/18/2006 EXPIRES: 06/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.50 12/18/06 1200600000000001767 $2.25 12/18/06 1200600000000001767 $3.60 12/18/06 1200600000000001767 $42.00 12/18/06 1200600000000001767 $3.00 12/18/06 1200600000000001767 $4.90 12127/06 2200600000000001753 $2.45 12/27/06 2200600000000001753 $3.92 12/27/06 2200600000000001753 $43.00 12/27/06 2200600000000001753 $6.00 12/27/06 2200600000000001753 Total Amount Paid $115.62 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. ~eouiredJnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!:e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-01619 ISSUED: 12/18/2006 APPLIED: 12/18/2006 EXPIRES: 06/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Pal!:e 3 of 3 225 Fifth Street Springf.ield, Oregon 97477 541-,726-3759 Phone Job/Journal Number COM2006-0 1619 COM2006-0 1619 COM2006-Q 1619 CO M2006-0 1619 CO M2006-0 1619 Payments: Type of Payment CreditCard c Receint 1 RECEIPT #: cit" of Springfield Official Receipt L lOpment Services Department Public Works Department 2200600000000001753 Date: 12/27/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEFF LOZAR; LIVE WIRE ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 805937 Phone Payment Total: Page 1 of 1 8:37:16AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Amount Paid $60.27 $60.27 12/27/2006