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Home My WebLink AboutPermit Electrical 2007-12-13 SPRINOFIELD ZON YY\t I ("" .I ~ INITIALs ...JJY"--- ~ ~~Z~C~) /'Z/t3/~ 7 ( - - - - _ - \~"_.CITWQF SRRINGFIELD, OREGGN ' /,,', "'~. .f!~_"'~'#'~"""f "'., 1,/'" ~ ~- 1:# '~ ,- l25 F1Ff1I STRJo.l'.T . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (54])726.3689 ELECTRICAL PERMIT APPLICATION City Job Number (C.- Zc c> 7 - 0 ( l? La I LOCATION 01' INSTALLATION: / III rt.1."L Ie 6 (,),Q, LEGAL DESCRIPTION S' f)J..Q C~ 170:1 2~"3 3 JOB DESCRIPTION Date 3 COMPLETE FEE SCHEDULE BEWW A New Resldentlal- Smgle or Multi-Family per d,..lhng UDlt I 700 C> ServIce Included 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Phone t;'Y/- ~ -~~ 5>7 Over 1000 AmpsNolts AI II: 0: oregon l~lllllM!(.tl~RU to follow rules adopted by the Oregondtlllty ~~atlon Center. Th,ose rp,les are sej.,forth ~ ,952 gg1-0010tlrrouga~i'-W't5es or Feeders 0090. You may obtain copies of the rules by /ID ~n .119 qIlnter. (NotMlftill'tMll!pt\bm:l'tlOn or Relocation , number for the Oregonj(jbh"'n~~IIIiAA~on 7"" <( 3. <-. Center 18 1-800~~M~~ 400 Amps 40 I Amps 10 600 Amps Over 600 Amps or 1000 Volts see "B" above D Branch CIrcUIts ie1-J? C-~ oJ-~c.;.L, PermIts are non-transferable and expire .fwork IS not started wlthm 180 days of Issuance or If work .s Suspended for 180 days 2 CONTRACTOR INSTALLATION ONLY Eleclncal Contractor ~J).I_ lZ R,,, ~, Address 9'0 / .uil"i l """"'" T /2- cltyc.rJ"P~ " [)" Supervisor License Number Expiration Dale /0/' , Conslr Conlr Number ExpIration Date 9/ zjD ~ , SIgnature of Supervlsmg Eleclnclan P~;1/~~ Owners Name ,f.iAy(~, ~tI_-t_,- + Address :P ... (? 0/ 70 ) b 7 CIty ev.. (-f::7l!€: Phone OWNER INST ALLA TION The IDSlallatlOn IS bemg made on property I own which IS not mtended fOT sale, lease or rent 1000 sq It or less Each additIOnal 500 sq It or portIOn thereof Each Manufact'd Home or Modular DwellIng Service or Feeder $11700 $ 2100 $5500 B Services or Feeders - InsWllatlOn, Alterations or Relocation $ 70 00 $ 83 00 SI3800 SI8000 $413 00 $ 55 00 $ 55 00 $ 76 00 SIlO 00 New Alteration or ExtenSIOn Per Panel One CirCUIt Each AdditIOnal CirCUIt or WIth Servlce or Feeder Permit $ 48 00 $ 400 )' 2C> E MIScellaneous (Servlce/reeder not mcluded) -Each InstallatIOn Pump or Irngallon $ 55 00 SlgnlOuthne Llghtmg $ 55 00 LimIted Energy/Resldentlal $ 28 00 Lumted Energy/Commerclal $ 50 00 Mmlmum ElectriC PermIt InspectIOn Fee IS $50 00 + Surcharges NOTICE: 4 SUB1'OTAL ~'W~RVE ~I II" PERMIT SHAll S<.!llB~ If.J~tll!' NOT AUTHORIZED UNDER ltHiS\Ii'~lM!\.tltf~'Fee COMMENCED OR IS A~ ANY 180 DAY PERIOq.OTAL Owners SIgnature InspectIOn Request 726-3769 e:O {&O Z I Z </ (.0 Shared Dnve(T )/BUlldmg FonnslElectncal Penn.t ApplicatIOn 7-07 doc -ii..~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2007-01820 ISSUED, 12/12/2007 APPLIED, 12/12/2007 EXPIRES. 06/12/2008 VALUE 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme SITE ADDRESS 1111 MOHAWK BLVD ASSESSOR'S PARCEL NO 1703253317000 SprIngfield TYPE OF WORK Electncal Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION Extend CirCUIt on canopy Owner Address THABET INVESTMENTS-I111 MOHAWK LLC PO BOX 70567 EUGENE OR 97401 Contractor Type ElectrIcal , C(MTlIIfOO(fQ1rm..lNO(JR1lm.1'I~ 'W' you to (JIM. I rr.Jl.lJU~,c u Jlj \I, J ! I ~ ,,'Un Utility Contractor Notification Center. Thosel\\ure set,frIm-atlOn Date ~.pAR 952-001-0010 thrQIJ :O'AR 95:f-ul1l- DOUBLE R PRODU_19llQ. Y:-:. :-:~,._"'_I_ M~ ^fth" rl,l,,~ 1ilP/02l2009 I B~mllN:eOOiM,~@N'Ile telephone lI~lH~'ll1 \&llflJ'~,,,\JU,1 v.I,/ly Notllicatlon # of s~r 18 1-aOO-332-2344). Lot SIze Height of Structure Sq Ft 1st Floor Type of Heat Sq Ft 2nd Floor Water Type Sq Ft Basement Range Type Sq Ft GaragelCarport Energy Path Sq Ft Other Spllnkled BUlldmg nla Occupant Load Phone 541-476-1387 #ofUmts PrImary Occupancy Group Secondary Occupaucy Group PrImary ConstructIOn Type Secondary CoustructlOn Type # of Bedrooms I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay DlSt Total # Street Trees Rqd HandIcapped Paved DrIve Rqd Compact % of Lot Covf{Ql'ICE: THIS PERMIT SHALL EXPIRE IF THE WORK imt~l'~Li:Lt u"f:,;::r; 71 XE r::F:1.1IT :.€ W'T I PUBLIC IMPROV . ,CEO OR IS ABANDONED FOR ANY 180 DAYifll!tlliG.Type Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable Special InstructIOn Downspouts/Drams Notes 'Valuation Descrtohon I DescriptIOn Tvpe of ConstructIOn $ Per Sq Ft or mulhpher Square Footage or Bid Amount Value Date Calculated P.~e I of2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01820 ISSUED' 12/12/2007 APPLIED: 12/12/2007 EXPIRES: 06/12/2008 VALUE 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees P'lId I Fee Description + 10% AdmlDlStrahve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend CIrC MID.mum/AdJustment ElectrIcal + 10% AdmlDlstratlve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Exteud CII c Ea Add Amount PaId Date Paid $500 $250 $400 S48 00 $200 $200 SIOO $160 $20 00 12112107 12112107 12112107 12112/07 12112107 12/13/07 12/13/07 12/13/07 12113/07 Rece.pt Number 2200700000000001818 2200700000000001818 2200700000000001818 2200700000000001818 2200700000000001818 1200700000000001500 1200700000000001500 1200700000000001500 1200700000000001500 Total Amount Paid $8610 I Plan ReViews , To Request an Inspection call the 24 hour recordmg at 726-3769 All mspecttons requested before 7 00 a.m will be made the same workmg day, inspectIOns requested after 7 00 a m Will be made the followmg work day. I Reolllred InsnectlOnsJ Rough Electnc PrIor to Cover Fmal ElectrIC When all electrIcal work IS complete By SIgnature, I state and agree, thJt I have carefully examlDed the completed apphcatlOn and do herehy cerhfy thaI all mformatlOn hereon IS tl ue and COI reet, and I further certify tlldt ,my dud all WOI k performed shall be done III aceol dance with the OrdmJnces of the City of Sprmgfield and the Laws 01 the State 01 Oregon pertalDlDg to the work descrIbed herem, Jnd that NO OCCUPANCY Will be made of any structure without permiSSIon of the Commumty ServIce. DIVISIon, BuJldmg Safety I further cerhfy that only contractors and employees who are ID compliance wIth ORS 701005 Will be used on thIS ploJect I further ag.ee to ensure that all reqUired IDspectlOns are requested .It the proper tIme, that eJch Jddress IS .eadable from the street, that the permit card IS located at the front ot the property, and the app' oved set of plans Will remalD on the site at all times durmg constructIOn Owner or Contractors Signature Date Pa~e 2 of2 225 Fifth Street Sprmgfield', Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007 -01820 COM2007-01820 COM2007-0 1820 COM2007-0 1820 Payments Type of Payment Check cReLelOtl RECEIPT #, ~~I~IN~I'!L"~ ' i ...... -, IiiL ' City of Sprmgfield Official Receipt Development Services Department Public Works Department 1200700000000001500 Date' 12/13/2007 DeSCription Add, Alter, Extend Orc Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee PaId By DOUBLE,R PRODUCTS Item Total <":heck Number AuthOrizatIOn Received By Batch Number Number How Received dJb 5005 In Person Payment Total Page I of I I 15 lOPM Amount Due 2000 ] 00 ] 60 200 S24 60 Amount Paid $24 60 $24 60 12/13/2007