HomeMy WebLinkAboutPermit Electrical 2007-10-9
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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