The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-5-25 ~/~C{p t-.J $PR~NGFIE~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 '~~~~~:~~~~~:~~~l:3 7 Date ~/Z;~zj~.@", I 1. S""Lf --, W. Ce-""kV\-.; A- LEGAL DESCRIPTION J70] 27l.fJ JOB DESCRIPTION ,4cLL Z- c> s- gaS- C-trLCA, k 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. C] J 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 $106.00 $ 19.00 $50,00 B. e7t.c.~ \ 200 Amps or less 20 I Amps to 400 Amps '~ ~"~:- 40 I Amps to 600 Amps' , . '..' ",." r ,1'"5 bv . , _ 601 Amps to 1000 A.mps~'v J Phone (P W . f.t? I ;}-/'. ~,Over {OOdAmp~?Vdlf$?,cne 1',u't1.._' ,'.)1 t: .:-RecbrineCt Ghly} :\!ClltlCa'UOn (;dlllur 1-8GU-332-2344). New Alteration or Extension Per Panel / One Circuit L\, ~'i ~ ;~., \.:. _ ,,' 1 \ E~cl1;Ag~tWn-~I:~r~J~ 6~)vith / /'. -{ {:r.-~'~.._ .FPF.R..lV\I.\?4L)f-'s.erv,...,lce.op[Feedl:jT\P~E1?ltJ'. Owners Name \.-C'^' ~"""~ ~~~~~ o~OtflJHI~ tKWI". B "? -A~I r-mr.l/}-; . Address 7 .J I SE 5, 1~~I~\\\~Th ORF;S ~ +r vv""..- 010 ~ i' i~\f Pt:n . City eX'- ~ Phone ANY \ 88 .-' \ I Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Electrical Contractor Address r{;tJ() ~ City tu..~ J Dh/le/t?()~ Supervisor License Number Expiration Date Constr. Contr, Number OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. $ 63,00 $ 75.00 $125.00 $163,00 $375,00 $ 50,00 -J ~.-i C. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 D. $ 43,00 $ 3,00 'Is J $ 50.00 $ 50.00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges jfni:iiiVfV:Ji'WiiiDiiA "SlJBT'@ I.. _ ". 8~~~::ureh,,"' _ ,..'iJ ~ 10% Administrative Fee V ,~ TOTAL ~' Owners Signature: Inspection Request: 726-3769 '16 :sbB 960 5'1 ztB Shared Drive(T:)/Building FonnslElectrical Permit Application I-06.doc , Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00637 ISSUED: OS/25/2006 APPLIED: OS/25/2006 EXPIRES: 11/25/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 547 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 2 circuits Owner: CENTENNIAL SHOPPING CNTR LLC Address: 7831 SE STARK ST STE 103 PORTLAND OR 97215 I CONTRACTOR INFORMATION" Contractor Type Electrical Contractor CHRISTENSON ELECTRIC'INC: ,': License . '458" Expiration Date 05/01/2007 Phone 541-688-6121 ';1 BUILDINGfNFORMA/TION I # 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , i, ;'11 \: \ " . .O.v.erlay' ,Qi~. t. ~ '. r "n~r: Hrr!" V I'" , (,"" \ t\..~. .. ,\-- ci;lL.-- V\ '\ Hi:, PtJ\\\'I,! i u,#Stt-e6..!'~.r!er~,!~JlfvilT ',~ :,'ii I' 11'(Ji,'7lJ, IJ~!iJ{eo Jj)~lVe Rqit... rr ~" U , I., . _\ : r' ,: 'Cfl,o ~f, If.:ot ,OO\1irll~e~ ~ \ · t- COi,,',!\'it \i,~ '. v r" ^I\IV ",' I'\-R\OL! I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00637 ISSUED: OS/25/2006 APPLIED: OS/25/2006 EXPIRES: 11/25/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paidlll Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.68 $43.00 $3.00 5/25/06 5/25/06 5/25/06 5/25/06 Receipt Number 2200600000000000662 2200600000000000662 2200600000000000662 2200600000000000662 Total Amount Paid $54.28 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. Reouired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3-759 Phone ("'-' of Springfield Official Receipt .... elopment Services Department Public Works Department Job/Journal Number COM2006-00637 COM2006-00637 CO M2006-0063 7 COM2006-00637 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000000662 Date: OS/25/2006 Description Add, A]ter, Extend Circ Add, A]ter, Extend Circ Ea Add + 8% State Surcharge + ] 0% Administrative Fee Paid By CHRISTENSON ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02537] ]n Person Payment Total: Page ] of I 2:40: 10PM Amount Due 43,00 3.00 3,68 4,60 $54.28 Amount Paid $54.28 $54.28 5/25/2006