Loading...
HomeMy WebLinkAboutPermit Electrical 2007-10-9 (oyqq~ 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH'(54I)726-3753 . FAX' (541)726-3689 ELECTRICAL PERMIT A!'PLICATION 0 CIty Job Number CO VV\ -zo 0 7 - I 5'S< Date :e,p 07 . ~ ?OOi I~ 3001 I rl.llC;4PPIv'O.f.qN$t@!!{rffQ~1 3 Mo.r/',., L....~ Ki'n1 Jr P..rb."j rrd.."", LEGAL DESCRIPTION /20v./ -, a,1> Fe. - s 16- I ~."", 1-I....Jt.. ~fi.J., ~ f....,.'uPr ~""cJ\ ~ ...; , JOB DESCRIPTION ~ 1l~<;1- 0'" "c.~.",:~,,))(lZ.s O..J Co.nJ ",,+ PermIts are non-transferable and expire If work IS not started WIthin 180 days ohssuance or If work Is Su~peN!ed fer 180 days I COMPLEfE1FE!3~S9iJjjfriJtit"i!iiI,9W ~.J i",<;:,. " - ,!>"'>it . A, L~,,-\\ Rer.d~i1tllll~SIgi!e;ort'Mulh3Fail1lly'per dwelImg uiilt Service Included j . 1000 sq ft or less Each additIonal 500 sq ft or portIon thereof Each Manufact' d Home or Modular Owelhng ServIce or Feeder SI0600 $1900 S50 00 I ~~}""""",~~'-'>-~;tr-'>.,_"'''''''''.'~'-LIfl.''''''..Jbl'--1:"...>'-~;;;._~~' .I~ 2 ,l;:9~gtQ,~IIJ~:r.AJfl2f!J.g!tJ;,9l'1P.JJ' B ~ ~~~rVl~~t.-o~LF;i~~,,~t~l~~I~tio~~{~t~f;fio~s~ or ~clo"c~~?n ,"l~ I Electncal Contractor E eGo rr, p 0. '^ '1 200 Amps or less $ 63 00 "D J 201 Amps to 400 Amps $7500 Address TO \SOX '1'2..5 A-AO~ Amps to 600 Amps $12500 1\ fo"~V)%rl-NoGooq~ r _ SI63 00 City HI '00"',-\ Phone(S'"'i\) q 2..'=>-4 'Z.b~ot'.Q,{li~d,q~~~ thee6ulres you tn $37500 .J In O~~9>J!!'ffifllJhW Those ruf regon Utrftiy $ 50 00 0090 Vi '" Of-DOlO thr es are Set forth ,0um~.~~..!t.'J]:lugh-~. '0"'2-- ~--~---_.~ C~[lIilf' ... e~"" -001. '.. , J nu b'~!mJ' r-""~~- rut~rb -. ~ m er for the 0 l"ote the tele S y InUlIllW,olh t!H1ofl{h&Hlb~bWGg,!e 200 Amps or less 0.332-2344). Ion 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above SIgnature ofSu ervlsmg Electnclan 0 t}!.~.~h"elrcUltsf ~l! '.;-.'\,~ . ~ ~ ~I ~1_ _ __ _ ~~ ~ ~ New AlteratIon or ExtenSIOn Per Panel. 9'& tf j l~ OneClfcult 1- J...431m ~ ~'J!8 \ NO Each Additional ClTcmt or With - \ (-f .r c . (',' TlCE.5ervlce or Feeder Penrut $ 300 Owners Name ..d'''\ <>It' .;J.(){'(\q",",~ '" T/..IIS . ~ddr~ J..J-.S :5~~' Sr -._:tz;%'fI:b~~~t~~~f~edcrnot'I~"c1uded):'hchlnst.ill;'i(;;;] Glty ::>pr; r'\Q(:;'Q..\O\ Phone ]()/o - 3 "t~}NCEJ&TJltI'rfl1jM~ PERM HE WOBV S 50 00 I V .. 180 DA~pt'#r~Il{'tI1.4N'tJrJN IT IS NO:;' S 50 00 ?WNER INSTALLATION Llmlte~Q!J.,rgylReSlde€llafOR S 25 00 The mSlallatlon IS bemg made on property I own which limited Energy/Commerclal _ $ 45 00 .\; not mtended for sale, lease or rent Mm,mum ElectrIC Permit InspectIon Fee IS ~O + Surcharges I ' '.. 'M"" .. -J:;'O_"I /:J> S--O Owners SIgnature 4 l $il'BTOT..u. OFABOVIL' '..... ' " 'It'J,.fJ -=-=-- I 8% State Surcharge - ~ -'--- it:; 'I" If I /7 ~/,.so > ~hon Request 726-3769 Jf 5 Q -y'/ Z S"" Supervisor License Number -:32S7-S ExplTatlOn Date /0-/-10 Constr Contr Number ~ - \ S C. 1/' {of? $ 50 00 S 69 00 $10000 ExplTatlOn Date -Wi"~ Status Issued 225 Fifth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO ISSUED APPLIED EXPIRES: VALUE SITE ADDRESS 3001 MartlO Luther KlOg Jr Pk"y ASSESSOR'S PARCEL NO ROW-TRAFC-SIG COM2007-01550 12/1312007 10/15/2007 06/13/2008 SprIngfield TYPE OF WORK ElectrIcal Work Only TYPE OF USE AlteratIOn Commercldl PROJECT DESCRIPTION Traffic sIgnal adJust JunctIOn boxes and condUit - between Hayden Br and RIVer Bend Owner CITY OF SPRINGFIELD Address 201 SOUTH 18TH STREET SPRINGFIELD OR Contractor Type ElectrIcal I CONTRACTOR INFORMATION I Contractor E C COMPANY # of UDltS Pllmary Occupancy Group Secondary Occupancy Group PrImary Construction Type Secondary Construction Type # of Bedrooms Froutyard Setback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available Special Instruction Notes DescrIJltlOn License 49737 BUILDING INFORMATION I # of StorIes Height of Structure Type of Heat waler e ATTENTION 'fit; requires you to follow rules ad Il a Oregon Utility Notification ce:fR! JiR. o;jlJl~~.l!re set forth I l'1. OAR 952-001 ~jUl 1b1l~"'01\fl952-001J1 a OO;~',nl'11ml~O~~ number for the Oragon Uttlity Notlllcalion Center~~.2344). # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Phone Nnmber 541-726-3761 EXpiratIOn Date 01/15/2008 Phone 503-224-3511 Lot Size Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact SIdewalk Type DownspoutslDralOs ~~II;i~M1T SHALL EXPIRE If lHE WO~1( AUTHORIZED UNDER THIS PERMIT IS NOT r:....I:Mf"!:n nR I!; fBANDONED FOR I maWo~~Jsr~~W~ri I S Per Sq Ft or multlpher Square Footage or Bid Amount TVJle of ConstructIOn Pa~e I of2 Value Date Calculated CITY OF SPRINGFIELD C Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED EXPIRES: VALUE: COM2007-01550 12/1312007 10/15/2007 06/13/2008 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees PaId I Fee DescrIptIon + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Mmlmum/AdJustment ElectrIcal Amount PaId Date PaId Receipt Number $500 $250 S400 $48 00 $200 12/13/07 12113107 12/13/07 12113/07 12/13107 1200700000000001499 1200700000000001499 1200700000000001499 1200700000000001499 1200700000000001499 Total Amount PaId S6150 I Plan ReViews , To Request an mspectton call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00 a.m Will be made the same workmg day, mspectlOns requested after 7:00 a m Will be made the followmg work day, I Remllred I nsnections I Rough Electnc Pnor to Cover Fmal ElectrIC When all electrIcal work IS complete By signature, I state and agree, that I have cJrefully exammed the completed apphcatlOn and do hereby certify that all IDfO! matIon hereon IS true and correct, and I further certlty that any dud all work performed shall be done IU accordance With the Ordmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY will be made of any structul e WIthout permissIOn of the Commumty Services DIVISIOn, Bmldmg Safety I further certify that only contractors and employees who are m comphance With ORS 701 005,,,11 be used on thiS proJect I further agree to ensure that JII reqUIred mspectlOns are requested at the propel time, that each address IS readJble h om the street, that the permit card IS located at the fl ont ot the property, and the approved set of plans Will remam on the Site at all tImes durmg constructIOn Owner 01 Contractors Signature Date Pa~e 2 of 2 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone 8P~ "IIL_J _ City of Sprmgfield Official Receipt Development Services Department Public Works Depdrtment Job/Journal Number COM2007-01550 COM2007-01550 COM2007-0 1550 COM2007-0 1550 COM2007-01550 Payments Type of Payment Check Check Job/Journal Number COM2007-0 1550 COM2007-01550 COM2007-0J 550 COM2007-0 1550 COM2007-01550 Payments Type of Payment Check Check LRu,elnl] RECEIPT #, 1200700000000001499 Date, 12/13/2007 Description Add, Alter, Extend C1rc Mlnlmum/AdJustment Electrical + 5% Technology Fee + 8% Stale Surcharge + 10% AdminIStrative Fee Paid By EC COMPANY ALBANY EC COMPANY ALBANY Item Total CheCk Number AuthOrizatIOn Received By Batch Number Number How Received dJb dJb 3664 3706 In Person In Person Paymenl Totdl Description Add, Alter, Extend Clrc Mlnlmum/AdJustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% AdminIStratIve Fee Paid By EC COMPANY ALBANY EC COMPANY ALBANY Item Total (;heck Number AuthorlLatlOn Received By Batch Number Number How Received dJb dJb 3664 3706 In Person In Person Payment Total I Page 1 of 1 9 11 47AM Amount Due 4800 200 250 400 500 $6150 Amount Paid $50 74 $1076 $6150 Amount Due 4800 200 250 400 500 S6150 Amount Paid $5074 $1076 S6150 12/1312007