HomeMy WebLinkAboutPermit Electrical 2007-11-29
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225 nr In STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689
ELECTRICAL PER2UlT APPLICATI01V B
City Job Number COM z.o~ 7 - 0 ) 7l(
~(I'o;;llINCpac:a.Jl)
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INITIALS N ""'-
DATE \\ .....1,0.... c:r \
SOURCE\'N{J-:;~
Date ~\ ,,~ '1 / 0'1
1. LDCr1TIONOF lNSTALLA nON:
'S-S'5 .r,^--k-r",A-{,~~l Vly
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LEGAL DESCRIPTION:
'7031 SliD D0700
JOB DESC~ION: ~~~ey \-0 ~v
clox'(Y) S\ \. ~ l, C\.'I(('U.',.\--S
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
3.
, ' ~" ~-
COllfPLbll:. FEE SCHEDULEBELDW .
A. Nc\.... Rcsidenthif - Single or MuHi-f.amilypcr dwcmn~ unit
Service Included
1000 sq. fl 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
2. COl\"TR..1CTOR INSTA.1.LA noN 01\'"LY R ServlCt'S Of" Feeders ~ Jnst.dlation, Alkratil'ms or RelocHtion:
Electrical Contractor C ~'{ M O:'J~ f\ 1 (itn cJ 200 Amps or less $ 70.00
. ) _ 201 Amps to 400 Amps $ 83.00
Address lSCt.LQ rO..J rc\ ~t <1t 401 Amps to 600 Amps $138.00
601 Amps to l~OO AmB\o $180.00
Phone SCJ~-9 d.~_St~CQ'GI~~JQ~@0WP~~~ti\ity $4]3.00
r.,-nEt-! ' , ~,,! ~eJttnp~g~ set lorto $ 55.00
to'\OW r " ," t ' Those rules arR 951')-001.
VI ~' . .n,.~I. _..nh nA &.
Supervisor License Number N I \ :N;)'l\1'~ l' ~:lJ~ (f(:'tll~:~~ru~e5 f5Yeilers
- - - "',' \ . pies ol1nt:
I. in UAf" II 'may obtain co. te\ephO~e
Expiration Date _10/ D I f(O 0090.. 'I:; ~\,e centbtSb\b\Q~~'I~titij~...~location
I t liC1\hr.~r to the.2lJ6l~se~4).
Constr. Contr, Number "3,- ( 61) Q.. .I f'!5\~r tl ~ter I~O'-~; to 400 Amps
401 Amps to 600 Amps
Expiration Date61 J () rl
. . "l Over 600 Amps or 1000 Volts see "B" above,
D.Brrmc.h Circuit;;
City ~\ fJ(\{\
$ 55.00
$ 76.00
$110,00
~~:alL
New Alteration or Extension Per Panel
One Circuit 1 $ 48.00 4 <h Ii) 0
Each Additional Circuit or with 1~O~" Q4 00
Owners Name )U\ V'0~^^ +e0. _ Nm~~M~1~~~tWP~~~~M\1 \b ~d~'OO . I
Address ~, j, ;-1.3 \"IWrY\o:t,()YbO t~~ l\:\~~I[~O'{~~~Y?\'iW~W;'Q\')~oar\.(i\filcd)-Eadl Installation
", \)., iJ ~U CED OR \5 IX
City ~rVi (\Of\. ~Q n Phone ~1-.??f)-50 0 CroJh~&l1Wl\~VJER\OD. $ 55,00
~ ~ ~h'lLighting $ 55,00
OWNER INSTALLATION Limited EnergylResidential $ 28,00
The installation is being made on property I own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
8% State Surcharge
10010 Administrative Fee
5% Technology Fee
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Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc
Owners Signature:
4. SfJBTOT,,1L OF .ilBOllE.
Inspection Request: 726-3769
TOTAL
/-
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01748
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 555 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154000700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Add/alter 7 circuits
Owner: SYMANTEC CORPORATION
Address: 20300 STEVENS CREEK BLVD
CUPERTINO CA 95014
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MORROW MEADOWS CORP
License
91668
Expiration Date
07/01/2008
Phone
503-399-7609
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: U\tes 'IOU ~~ Sq Ft Basement:
Range !I~. On \a'" te~legon U\\\\~hsq Ft Garage/Carport
~~ ft:'a1 . d 0'1 \he leS ale set \0 M~q Ft Other:
f~\~\iiIk~~ ll.i,,~e (~" O,,"fbgf)2-0 O,Qccupant Load:
.0 liGl'~..\\e..y
~.~... \"'!i\OR -~ pho~e
__ \\\Ca\\On
0090. centet. U\\\\\'I REQUIRED PARKING
ca~~~l:_p~elg~.332.2$44). Total:
nUf~tr~nWe\'Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NO"'CE~ . \.. EX"\RE \f ,HE WO~~
"7\ \\~ O~R~~' S~A~\\ 1\\\<: o~RM\1 \5 N
ValuatiJWJDHOK\Lt:.p UI ~S ABANDONED rUt\
nA.V pfR\OD.
$ Per Sq Ft AN'i 18(kqulll-e J{ootage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01748
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
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
$7.20
$3.60
$5.76
$48.00
$24.00
11/29/07
11/29/07
11/29/07
11/29/07
11/29/07
Receipt Number
2200700000000001752
2200700000000001752
2200700000000001752
2200700000000001752
2200700000000001752
Total Amount Paid
$88.56
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.
ReQuired Insoections .
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
Pa!!e 2 of 2
225 Fifth Street
. .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01748
COM2007-01748
COM2007-01748
COM2007-01748
COM2007-01748
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200700000000001752
Date: 11/29/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MORROW MEADOWS CORP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
20869
In Person
Payment Total:
Page I of 1
9:58:51AM
Amount Due
48,00
24.00
3,60
5.76
7.20
$88.56
Amount Paid
$88,56
$88.56
11/29/2007