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Home My WebLink AboutPermit Electrical 2007-10-18 ZON rn C-c...--- INITIALS t-J l'V\... DA TE \ \J ~?- ~ - l:J', SOURCE Cy\~ ./ SPRINGPUU.D ,. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~.. (J 01 - 0 l ~ ~ lo \O\L~\D( Date 1. 3. \"10~~S Li~O\dDL LEGAL DESCRIPTION: J \C1i nL\.../ rY'\ P'\ L K)B DESCRIPTION: I 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 \-1LL-\- W.l re Co \'( CQ $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $55.00 B. 2. I ^ ,"0 $ 70.00 ( ) $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Electrical Contractor f. ( . (" nfY\.~(,\~ Address '? n. bux. q ;),. S \ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Phone 5:.Y.I- ~ll~lo tgver 1000 AmpsNolts Reconnect Only City A \ hAn ~ Supervisor License Number ~ ~C; I C; C. Expiration Date l (:) I ~ (") l 0 Constr. Contr. Number 4C\"1.~ I Expiration Date \ I ' ~ I D ~ Signature of Supervising Electrician 1J1:gLfL ~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 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 $ 48.00 $ 4.00 Owners NamJlli~ Cu(\N.Ch.A:J^ Address~ \~I () \~0~ c.... :Jt' Cit~--y(\O- O-~ ~one ~ E. 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 4. 1 0:.0 0 8% State Surcharge S_(LJ() 10% AdminisrrativeFee i,OO NOT1Clfechnology Fee ~ S-o THIS!~~IT SHAll EXPIRE IF THE WORK ~(/"l. I D AUT :~aIJM~JHISigEaMtTeJScN&llit Application 7-07.doc COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. AtrENnOnNAtQregon law requires you to foUow";urei'aabl;ted by the Oregon Utility Notification Center. Those rules ere set fortb In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by CilVin9tb~nt~[~ W.e.tIl;J",e telepho~e numoer't'Or1fl%"6f&gdtrtJtMy Notification Center is 1-800-332-2344). 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -01246 COM2007 -01246 COM2007-01246 COM2007-01246 Payments: Type of Payment Check cReceint 1 RECEIPT #: 3200700000000000693 Date: 10/22/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By EC ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received 3669 By Mail Payment Total: nJrn Page 1 of 1 2:27:36PM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.10 $86.10 10/22/2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2197 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201202 Springfield CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: cOM2007-01246 ISSUED: 09/06/2007 APPLIED: 08/22/2007 EXPIRES: 04/22/2008 VALUE: $ 3,000.00 TYPE OF WORK: Interior TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add coffee counter inside Cash Connection Owner: Address: CASH CONNECTION INC 2197 OLYMPIC STREET SPRINGFIELD OR 97477 Phone Number: 541-746-6965 I CONTRACTOR INFORMATION' Contractor Type General Electrical Plumbing Contractor ORDELL CONSTRUCTION COMPANY ECCOMPANY BARON PLUMBING INC License 63030 49737 147744 Expiration Date 01/02/2010 01/15/2008 05/14/2009 Phone 541-747-8734 503-224-3511 541-935-1081 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' A1TENT!(sideWaIl3C)lypeW requires you to follow wles adopted bv th.e Oregon Utility f" t'f" t' .no:wnspouts/.D,r-ams:. f h '/0 I Ica IOllUe" 'c.. 1" f IV"Ci fufe:S are set ort in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Sp~~ial In~,truction: : ' ~';~, ' :~~ : No~e's; PERMIT SHALL EXPIRE IF THE WORK \UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 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 Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Review Structural Review CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-01246 ISSUED: 09/06/2007 APPLIED: 08/22/2007 EXPIRES: 04122/2008 VALUE: $ 3,000.00 I Valuation Descriution , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,000.00 Value Date Calculated Total Value of Project $3,000.00 $3,000.00 08/22/2007 ~ Amount Paid Date Paid Receipt Number $38.08 8/22/07 2200700000000001333 $10.86 9/6/07 2200700000000001403 $5.43 9/6/07 2200700000000001403 $8.69 9/6/07 2200700000000001403 $58.58 9/6/07 2200700000000001403 $16.00 9/6/07 2200700000000001403 $34.00 9/6/07 2200700000000001403 $7.00 10/22/07 3200700000000000693 $3.50 10/22/07 3200700000000000693 $5.60 10/22/07 3200700000000000693 $70.00 10/22/07 3200700000000000693 $257.74 I Plan Reviews' 08/23/2007 08/24/2007 08/24/2007 08/31/2007 APP LLH APP DJP 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. UleouirecUns~ections , Final Building: After all required inspections have been requested and approved and the building is complete. Final Plumbing: When all plumbing work is complete. Electric Service: Approval required prior to utility company energizing service. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-01246 ISSUED: 09/06/2007 APPLIED: 08/22/2007 EXPIRES: 04122/2008 VALUE: $ 3,000.00 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 Pa!!e 3 of 3 Date