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Home My WebLink AboutPermit Electrical 2007-9-13 ZON L yyt... ~ INITIALS N-tv\. ,6!. DATE C\ - w-en ;;h];RCE"\'~r- I I . COMPLEl"EFEE SCHEDULEBELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ('oUA ~o 7 - C I { ~ b I,LO(JAl"lONOFl})lSl"i!LLA,l"ION:. Lj. 0(,0 mOlln,C;}, ,C; V 1)1 / () 0 LEGAL DESCRIPTION: t7DZ 72c.(Z CDZOC JOB DESCRIPTION: /"\ tV ). ( { (. f "- hCJl tiS - . - 0\ 11 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, CONTRACTORINSl".ALLA,l"IONONLF 2. 13vrr-t}J 'BroS. bo~ [,Q7 C;ty lU t?l brv;l1:L Phone l1J - ')7), f 4-7") }S Expiration Date / 0 or 10 / D / 3~4- L}-~ Expiration Date / () -- ').() 0 q Electrical Contractor Address P 0 Supervisor License Number Constr. Contr. Number s>atV5\7in?~~;M.L Own 'Namelvl'<C\ g:)(~5 Address '""Pcl IZox 7 F 6 7 City ~(-6t~ Phone OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Date 3. A. New Reside.lltia[.... Single ofMlllti-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Ov::600AI11E~or ..~OOO yolts see "B" above. D. Branch Circuits ATTENTION: Oregon fawrequlres you to NWlIda>>~df>1~tiyIt~Qe~E1Jl Utility CNemioation Center. Those rules arE(set f<!~.oo an:Ii>A~OO1itQQ1(Mh.<<~~gh OAR &52-001- .P /" seooo: M(RUrl~in copies of the rule$ byoo VIa\- \2.~1Ii~~ th~...center. . (f\Jote:. t,h~ tel~pho~e E..mtt.~~fn->>C~j\m>>1~fmtlap-Each Installation fump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50,00 + Surcharges 50 q ~ ?,~ &"!:-O C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Owners SignatureNOTICE: 4. .S~1JT()rAL()FABOVE THIS PERMIT SHALL EXPIRE IF THE WOS<< State Surcharge AUTHORIZED UNDER THIS PERMIT IS N(j)iJI>lo Administrative Fee COMMENCED OR IS ABANDONED FOR 5% Technology Fee Inspection RequJtl}J~1Jl97~Y PERIOD. TOT AL $117.00 $ 21.00 $55.00 L/1 Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc CITY OF SPRINGFIELD - Status Issued . . Building/Combination Permit PERMIT NO: cOM2007-01186 ISSUED: 09/07/2007 APPLIED: 08/13/2007 EXPIRES: 03/13/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4660 Main St Ste 100 ASSESSOR'S PARCEL NO.: 1702324200200 Springfield TYPE OF WORK: Mechanical Only tYPE OF USE: New Commercial PROJECT DESCRIPTION: Install exhaust fan in server room Owner: HYLAND BUSINESS PARK LLC Address: PO BOX 7867 EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor BURRELL BROS ENTERPRISES INC COMFORT FLOW License 136446 460 Expiration Date 08/20/2009 06/2712009 Phone 541-747-2724 541-726-0100 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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 GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: :.'77Ei ~T1v,., vregon law I I DEVELOPMENT INFORMA THlij'Ht rules ~doPtecLQyn.th~;~ you. ~o Notl Ication Center. mc5~INM1t~J are. Overlay Dist: ~~~~R 952-001-001~1IMra~9h OAR 952-001- # Street Trees Rqd: cali. Yotuhmay obtal~iPlftflte rules by Paved Drive Rqd: 109 e center. ~~ telephone % of Lot Coverage: number for the. OregonTltility Notification Center IS 1-800-332-2344). Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Availab'~OTICE: Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: Pal!:e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Exhaust Hoods MinimumlAdjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Amount Paid Date Paid $20.00 $5.00 $2.50 $4.00 $10.00 $40.00 $5.00 $2.50 $4.00 $48.00 $2.00 9/7/07 9/7/07 9/7/07 9/7/07 9/7/07 9/7/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 Total Amount Paid $143.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01186 ISSUED: 09/07/2007 APPLIED: 08/13/2007 EXPIRES: 03/13/2008 VALUE: Value Date Calculated Receipt Number 2200700000000001411 2200700000000001411 2200700000000001411 2200700000000001411 2200700000000001411 2200700000000001411 1200700000000001191 1200700000000001191 1200700000000001191 1200700000000001191 1200700000000001191 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouiredJnSDections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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: cOM2007-01186 ISSUED: 09/07/2007 APPLIED: 08/13/2007 EXPIRES: 03/13/2008 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 Sprin.gfield; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01186 COM2007-01186 COM2007-01186 COM2007-01186 COM2007-01186 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200700000000001191 Date: 09/13/2007 Description Add, Alter, Extend Circ Minimuml Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 04569B In Person Payment Total: Page I of I 9:47:36AM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61,50 9/13/2007