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Home My WebLink AboutPermit Electrical 2007-9-24 ZON CG, INITIALS N yv'l ~ DATE ~ ..- 'J.", "..1-0-' 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(54I)726-3753 · FAX: (541)726-3689 i/~~'IV y;:SO,URCE m fS fl?.-.. ELECTRICAL PERMIT APPLICATION City Job Number, CO ~ 'Z C> C> {- C> ( I.{ '3 ( Date - ,.~. ","'~-''''-'_'''''''''''''' .._ ".." ,.,. '>i'.:,,'/>".::~:l t':.,- .:.':- /.""T', <:'\,7.: --rr_' ... , , .. <" '>'-,.-,,-.(--.-'.::",</.: :C1::::'".:n'; I,.. -.-." ... ^ ~-.. ... 1. LOCATION OF INSTALLATION: " 3. ,. COMPLETEFEESCHEDULEBELOW ,__',_ ',.:', _.... .._.,_....;. ',..:_ . '",';.J Ah'5 MA-l"-.) ST- - ' LEGAL DESCRIPTION: /707J $'1 Z. ~r\oA2r~~!~ Db'>ClC) JOB DESCRlPTION: Low VD[+ - VOl4=- /^;4-iA Permits are non-transferable and exte if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INST.ALLATIONDNLY; Electrical Contractor N. ~ _ <;:" . 0 -\ . Address ~CYl S"'~ \\.e~ S-\- _ ~to City ~'lf\C\.-\;~ \d Phonel'L6 - Cf Z 09 o Supervisor License Number '?-,5'1 \' L E f::> Expiration Date { 0 / 0 I / 0 Cb I Constr. Contr. Number'S L{ "3 no Expiration Date "2- / I 0 / 0 '1 . ' Signature of Supervising Electrician 00--- ~ l\ _ (I o='~ame rl\.l ,,~:\- ~?f4.-+- Address Bf::. :J rlf~t~1/' >T1 E. :s:Y~ City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. A. : New Residential"'; Single or Multi-Family per dwelling unit. _ _.~".c..._ _ __,..;......-... _.~c~.c.,...,. h 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 - $117.00 $ 21.00 $55.00 . ..'"' "- '.. ,-, : . .... . .... '.' '" .., ..... ',>: .::.' > ..... ". . >-.' ~ B.Services or Feeders -Installation, 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 $ I 80.00 $413,00 $ 55.00 c. . nmpor~ry Seryices or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000yolts see "8" ~bove. D. ~ranch Circuits, $ 55.00 $ 76.00 $110.00 New AlteratiAm~km!'e~ffonarA'i requires u to One Circuit follow rules adopted by tha 01e'gb~tiUty Each Addit~lf~tMin<eeviter. Those rule..&{",~et forth Service or I1Bt6Af!ll9$2~01-o010thr-Ough aAA'952-eG1- ~Q90., Yo", mllY obtai", copie~ of the rules. by JV[iscellaneGDgtOG&b~~r~l)lot&1.tb~brfestallation '.numberforthe Oregon Utility NotificatiOn Pump or irrigation Center 181.aoD-332.~).00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial / $ 50.00 .>~ r Minimum Electric Permit Inspection Fee is $50,00 + Surcharges , .' Owners Signature: 4. ' SUBTOTAf: OFABOVE S-..:::> 8% State Surcharge t{_ NOT . 10% Administrative Fee ~ ICE: 5% Technology Fee Z ~ 0 THIS PERMIT SHALL EXPIRE JF TH -0 Inspection ~~JdSeR'llaJ7ftNDER THIS P E WORK TOTAL , , , ",bl ~ COMMENCED OR IS ABAND ERMIT IS NOT Shared Dnve(T:)/BUlldmg Forms/Electncal Permit ApplIcation 7-07,doc ANY 180 DAY PERIOD. ONED fOR I CONTRACTOR INFORMATION I Contractor License NA TIONAL NETWORK SERVICES OF ORE(154300 BUILDING INFORMATION I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, SITE ADDRESS: 863 Main ST ASSESSOR'S PARCEL NO.: 1703354206500 Springfield PROJECT DESCRIPTION: Low voltage voice and data Owner: HUTCHINS IMPORTED MOTORS INC Address: 863 MAIN ST SPRINGFIELD OR 97477 Contractor Type Low Voltage Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01439 ISSUED: 09/24/2007 APPLIED: 09/24/2007 EXPIRES: 03/24/2008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial Expiration Date 02/1012009 Phone 541- 726-9209 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer A vailaiJ,(rrENTlON: Oregon law requires you to Special Instruction:follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (N~t!; t:-:Helep~9N I number for the Orego urrli1~ficM6riPtion Center Is 1-800~~- 't't}. $ Per Sq Ft Square Footage or multiplier or Bid Amount Description Type of Construction Page 1 of2 REQUIRED PARKING Total: Handicapped: ,Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Guivllvlt:"GC[; an 10 .~."!:',)~I~[' s:(\~ ANY 180 DAY PERIOD. Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007~01439 ISSUED: 09/24/2007 APPLIED: 09/24/2007 EXPIRES: 03/24/2008 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 + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 9/24/07 9/24/07 9/24/07 9/24/07 2200700000000001487 2200700000000001487 2200700000000001487 2200700000000001487 Total Amount Paid $61.50 I Plan Reviews I 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. L Reouired Insoections . Low Voltage: Prior to cover. 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 eacb 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 Springfieid;Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1439 COM2007-01439 COM2007-0 1439 COM2007-0]439 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000001487 Date: 09/24/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received NATIONAL NETWORK SRVCS djb 026939 In Person Payment Total: Page ] of 1 8:35:04AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $6] .50 $61.50 9/24/2007