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Home My WebLink AboutPermit Electrical 2007-11-28 \ ~/ u~ fJ\~\u '(2) \\\V Q0~ f('-1 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01735 ISSUED: 11/27/2007 APPLIED: 11/27/2007 EXPIRES: OS/27/2008 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 600 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703233412600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Circuit alteration Owner: INTERNA TIONAL CHURCH OF THE FOURSQU Address: 600 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LADCO ELECTRIC INC License 80250 Expiration Date 04/10/2009 Phone 541-726-9847 BUILDING INFORMATION 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMmrJrJ)::I~~MA TION . lVI/OW rUle . vregOn I REQUIRED PARKING Not~. . s adopt aw requ' Ovltl~ Mon Center. ed by the 0 'res You ffiotal: # SOlYSb. . ~ijtJ7-001Jhose rUle::~on Utiliijandicapped: pavet!~rJibPIRf(ltty Obta' through OAR e Set fotflpmpact: % C1fUFRbg.oth.$~ter. tnCNcOPies of th 952-001_ r for the O' ote: the e rUles b CentA.. .lr !_~gon (Itill.). ,{~lePhnn^ Y I I PUBLIC IMPROVEMENTS .UU-332-2344/tTlcation Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruct.ion'f U:U' fiR!;;. \: "" f~t;'li Notes: iJHts PBRMIT SHA ' AUrF-lOmJt:n 1ft.. ;L EXPIRE IF THE WORK COMM~NCtf - .\DL.Fi fnt~ t'tl HVIIT 15 f\i" IANY 180 DA$ ~E~:~~BAND~PMn Wescription I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01735 ISSUED: 11/27/2007 APPLIED: 11/27/2007 EXPIRES: OS/27/2008 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.20 $2.60 $4.16 $48.00 $4.00 11/27/07 11/27/07 11/27/07 11/27/07 11/27/07 Receipt Number 2200700000000001737 2200700000000001737 2200700000000001737 2200700000000001737 2200700000000001737 Total Amount Paid $63.96 I Plan Reviews ~ 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. 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 Pal!:e 2 of2 ZON L 5) il- INITIALS ~) tjA DATE l\ \7"..;~ I 0 l SOURCE tf\ M'tY /1/d//o7 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL.fERMIT APPLICATION City Job Number / ,'/J(Yl t (Jl) 7 - c:J 115 c:- Date 200 Amps CW~If~I:. $ 55.00 201 Amps +~b ~s $ 76.00 401 Amps ffi}f'bWiRrM1T SHALL EXPI $110.00 Over 600 't9.8/f6ij~IJ&llSftR' ~E IF THE WORK D. New Alteration or Extension !QpPanel One Circuit - t. . . . Each Additional Circuit or with ~.. ... (. () __ ?-r-rf .. Service or Feeder Permit Owner Name --.:5.Prz f. . ? V r ~ L1il Cltf v f) Address 4z-/~() l:i.Lft-~j}~'1I/ f3 LU.f!(i E. City '72.'-. - ~i-4 CJ Phone 7 :z.."'- f3 Lf ~ t Pump or irrigation $ 55.00 SfR.lJ\l~ (>(efcY Sign/Outline Lighting $ 55.00 OWNER INSTALLATION Limited Energy/Residential $ 28.00 The installation is being made 9.ll.JlW}.IG'.j 1 own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. 5Q (J0 ~) &" () L...f ' / ~ 5. ":) 0 .//&3.9& 1. _(;/-0 fJ) H A L-t 6pa tB r LEGAL DE-SCRIPTIO~: \\G~ ~~ 2>4 14\~Com) JOB DESCRIPTION: /I2-I!lY A. ( (: ~ C t:-<J --y-. A- (lci;> A- /'0 f/L 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 '. l>-cLe.r) C(~1 Address ?3g 900 Ifl Pc q( C-o,4 ,;:j , City 5p R 1M c:; -r,.f dPhone 7 ;)-" - r&-L( 7 c;;oJ Supervisor License Number 3<h('--:5 Expiration Date / D .- 6 (- ::z.o (0 Constr. Contr. Number ..Y-f) - 2. .,-0 Expiration Date <f. - (0 ~ t:>~ Signature of Supervising Electrician ;/ ..../0. ~A /o...-V//( n" /) Owners Signature: Inspection Request: 726-3769 3. 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. 200 ~tPrfff0f\1: OreGon law requires y&1p&>o 201 'lffips\~or1~eiNRm!)t'?d by thp. OreQ.Qrl ~ftat90 401 ~p~ctQ60Q 6mP~3r. Those rules are s$1fl8t6m 601 .iuripS'tb:.t.oWAin~~1? throu.gh OAR 9ir~~lro o AOOO I&t J~it~btaln COPlc':' ulllu. "~ fro R ve .~iOi11 1e center. (Note:-tlTs t:lap ffl . 0 eco numBerior the Oregon Utility Noliti ~ II c. Installation, Alteration or Relocation j $ 48.00 ( $ 4.00 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building FormslElectrical Pennit Application 7-07.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01735 COM2007-01735 COM2007-01735 COM2007-01735 COM2007-01735 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001737 Date: 11/27/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LADCO ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received 2171 In Person Payment Total: nJm Page I of I 11:41:37AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 11/27/2007