The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-10-23 ZON N\llu INITIALS ~ 'Y'V'- DATE\O -&,-\ -Cy, SOURll;Bf\ r~f2-) Date ..LtJ - ,2.~ -0 '?- 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ z.o~ 7-0/ 5 7 ( 1. --1.f3I) 7 (;)Jfmf/(,) ~7<f.~7 LEGAL DESCRIPTION: 1703Z~31 ()7/00 JOB DESCRIPTION: 17c1t1i/)<:'L 1/ Netf;) ~O/} C"Ie.Cu/~ mostt'l,n'-!!)l.. CcJ)d-lt,~ ft.e.f/N/rtJ J.ishf f'/~(~ "t:.J?~~~r&JAS 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. Electrical Contractor s: L o7r':j.<.. FI ~c .r/,;l.- Address Po gl')~ lib} City A l-/V i~ 0 P-- '117iJ ! Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date o 7 - 0 '1 - z. 0 09 upervising Electrician ~ y / (~I~hJ.iY1v-l DeveLope fYlertf Co . ~ers Name 2. ;'C l...A-/A j l...,.-v.dA g <tce./' Address ~()O !AJf?5f /If/., l'9l/e~ E. City g'1t)B-ile ()L- Phone -"z.?J -1l7,'? I I 17Lfol.. I OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 3. A. 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. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Over 600 Amps or 1000 Volts see "B" above. D. $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 10 $ 48.00 $ 4.00 L..(s.n:. ~C~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps ATTENTJO,qp~t8 WOO rur~s Phone 5l(I-Lf 19- f9Jf$V' rUle8~W~~RM!). s you, ~o NOtification ~K ' 'lM~ '~on UtIlity In OAR 952-001-~ 0 t :fu/es are set forth Ur -..., 0090. You ~a I:") ~ ~ <; ~211ing the' . number for the Drago e... e tel~~ho~e / D - 0 (- Z 0 , D Cent4P18"1~aj~'3~rbiablcation 200 Amps or fess ). ~ IS6 D6 L 201 Amps to 400 Amps 401 Amps to 600 Amps NOTICE: THiS PERMI~ AUTHORIZED UN~~ti*lmnf€fiiRMIT IS NOT COMMENCED OR~SOA9~Nee '00 ANY 180 DAY PEF110l1.chnology Fee Pump 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 ?5~ /0'( ~80 C( 'If.:> log Z..1 Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 04/24/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1807 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107100 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Misc plumbing in existing restaurant TYPE OF USE: Repair Commercial Owner: LANGAN ROSE MARIE Address: PO BOX 1600 ATTN RASH #125-27-136 ROWLETT TX 75030 I CONTRACTOR INFORMATION. Contractor Type Electrical Plumbing Contractor License SCOTTY'S ELECTRIC INC 156062 ~1riX'+'~VrYMllWGn" tn 49561 follow rules adopted by the G' tJll9llLB~N(i; INFORMATION I Notification Center. Those rule~ QI '" "C:1l IUI LlI # of U~its: In OAR 952-001-001 0 thro~gh OAR i~Jries: Primary occuggOO"'1 ~I~Y obtain caples of the &\P~f Structure: Secondary occia'<<n".Qg ~gllrmnter. (Note:. ~he tel~ 61JEbf Heat: . mOBt or me Oregon Utility Notl lOlL Primary Const UCffO? ~er is 1-800-332-2344). a el'Type: Secondary ConstructIOn ype: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: 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 Available: Special Instructio~~~JnCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pa!!:e 1 of 3 Expiration Date 07/09/2009 12/16/2008 Phone 541-382-6142 541-484-3787 n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutsillrains: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Miscellaneous Plumbing + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 04/24/2008 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $8.20 10/22/07 1200700000000001329 $4.10 10/22/07 1200700000000001329 $6.56 10/22/07 1200700000000001329 $32.00 10/22/07 1200700000000001329 $50.00 10/22/07 1200700000000001329 $8.80 10/24/07 3200700000000000706 $4.40 10/24/07 3200700000000000706 $7.04 10/24/07 3200700000000000706 $48.00 10/24/07 3200700000000000706 $40.00 10/24/07 3200700000000000706 $209.10 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. ~eouire~nsnections 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. Pa!!:e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 04/24/2008 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 Pa!!:e 3 of 3 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01579 COM2007-01579 COM2007-01579 COM2007-01579 COM2007-01579 Payments: Type of Payment Check cReceint I RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RlCHLlND DEVELOPMENT CO City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000706 Date: 10/24/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 5329 In Person Payment Total: Page I of 1 2:39:27PM Amount Due 48.00 40,00 4.40 7,04 8,80 $108.24 Amount Paid $108.24 $108.24 10/24/2007