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Home My WebLink AboutPermit Electrical 2007-12-17 Date ZON L \Y2.- INITIALS hJ "-^. DATE \'8>-\ --;{-(II SOURCEIV\A\=,~ /'.> ,.2.-17-0' 225 FIFTH STREET' SPRINGFIELD, OR 97477 , PH (54])726-3753 'FAX (54])726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number LOvV\ z..o 0 7 - 0 I '6 s- g r-~--- - 2 CONTRACTOR INSTALLATION ONLY B c!e~Ylces or Feeders;- InstallatIon, AlteratIons or RelocatIOn ElecIncal Contractor i!.0c+\&I\CA.\ ~~rv"((5200 Amps or less $ 70 00 20 I Amps to 400 Amps $ 83 00 Address .?'D"2.. :)k.el), y ~+r 401 Amps to 600 Amps $13800 60 I Amps to 1000 Amps $180 00 CIty ~J~., ,-,leA Phone 72b- 97.09 Over 1000 AmpsNolts $41300 ...J Ar-E Reconnect Only $ 55 00 I NT/ON 0 fO;19~U(e regon Jaw ra ,I t/ Z Ij / 'l.lrKf/C"iI, s 8t'!oPtf~;.,::~,cwer!~\WSlUtttieeders ~'(" . Ion Center ihlUJ"l11llJOregon lJt r - -- In OAR 952-001 0 ose rules are Illy J () - ? ()/) <j( 0090 You may ~15R1.qJhMl'Dyh<tlW~~.lU Wi&locatIon "''''lIng th >fiiln C~""~ ~< '5'~-o01. n b e cente\OO(~ ~'OT ",Slhe rUles b urn er for the <ml~~ J!J~c1111__ y e"..ter IS ~~~~~~mjU: Over ..600 Amps or 1000 Volts see "B" above D ' Branch CIrcUIts k~ ~_ _rOT/ Pump or lITIgatIOn $ 55 00 :"ff/S CE: SIgn/Outline LIghtmg $ 55 00 OWNER INST ALLA TION AUT: 6~RMIT SHA:I!l;I~~? ../ResidentIal $ 28 00 The lIIstallatlOn IS belllg made on property I ~&%lED UNDEl'flIIpPi&'Pf f;crJi!UJNelRK I $ 5000 \- <:> IS not lIItended for sale, lease or rent ANY CElNIilaqlSl'AElook!';~JMlT.tlS.~ljllOn Fee IS $50 00 + Surcharges 180 DAY P.ER - -VLlIVUVroff'l t:nD -- - Owners Signature 4 /$IDpTOTAL VP' ABOVE '\ => l( ") 2p:;> I LOCATIONOFINSTALLATION: *~~ ~ ~ - - - ~- ~ IY35 l-J ~+ree..+- -,1'70.3 '362-2 0(0(00 Dc--\-<-- Cxblf' JOB DESCRIPTION 'b;4-4 C.A LEGAL DESCRIPTION I (\~+('~\\ ..1-14-') ~l( Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days Supervisor License Number ExprratlOn Date Constr Contr Number 1.53Gb 2 - 10 - O~ ExprratlOn Date Signature of SUP~Slllg ElecInclan A>iX J LHJL~ _____ Owners Name vIA (.ILc", '&vrhiZ--i-L-rG-vo.J. '--- /4 -;)" b '> +- CIty S.fr:::''y Address Phone InspectIOn Request 726-3769 f- - - ~~ -- - 3 ,COMPLETE FEE SCHEDULE BEWW , ~ A : New Reslden!tal - Smgle'or Mul!t:FamIly per d"elhng unit ServIce Included 1000 sq ft or less Each addllIonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DwellIng ServICe or Feeder $11700 $2100 $55 00 $ 55 00 $ 76 00 $110 00 New Altera!ton or ExtenSIOn Per Panel One Crrcmt Each AddItIOnal Clrcmt or wIth ServIce or Feeder Permit $ 48 00 $ 400 E MIscellaneous (Servlce/feeder not ,"cluded) -Each InstallatIOn 8% State Surcharge 10% Admmlstratlve Fee 5% Technology Fee TOTAL 61 .)0 Shared Dnve(T )fBUlldmg FormslElectncal Pcrmtt Application 7-07 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01858 ISSUED 12/1712007 APPLIED: 12/1712007 EXPIRES: 06/1712008 VALUE -~~ Status Issued 225 FIfth Street, Sprlllgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlIIe SITE ADDRESS 1435 G ST ASSESSOR'S PARCEL NO 1703362206100 SPRINGFIETYPE OF WORK Electllcal WOI k Only PROJECT DESCRIPTION Low Voltage - Data Cabling TYPE OF USE' AdditIOn CommercIal Owner MCKENZIE ORTHOPEDIC P C Address 1435 G ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TION I Contractor Type Contractor LIcense Low Voltage Electncal NA TIONAL NETWORK SERVICES OF ORE(J54300 ATTENTION Oregnlll\ij'll!~!I:I~r~ooRM~TION I follow rules adopted oy (lIt! JI'-~"\setiorih # 01 UllltS Notlhcatlon Center Tho~lltW'Qf;2-OO1. Pnmary Occupancy GrouPn OAR 952-001-00tOthlJllt!~Rf;~ft~t'/;'DY Secondary Occupancy Gr"6\fuO. You may obtatn ccrmiJ3~hone Pnmary ConstructIOn Type calling the center. (N~~ IT, 8ff1ication Secondary ConstructIOn TYIlfumber for the OregolRVA' _ Il~, # of Bedrooms Center IS HIO~ gy alii Sprlllkled BUlldlllg nla I. DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solal Setbacks Overlay Dlst # Street Trees Rqd' Paved Dnve Rqd % 01 Lot Coverage ExpIratIOn Date 02/10/2009 Phone 541-726-9209 Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Gdr dgelCarport Sq Ft Other Occupdnt Load REQUIRED PARKING Total Handicapped' Compact NU II{,~ ~i<rt'f:~I'~e" 1HI5 PE UN!.I\:T... In'''; ~~ NO" AUTHORIZED U BANDONEO fOR Sidewalk Typc COMMENCED OERRI~~ Downspouts/DI allls ANY 180 DAY P . Street Improvements Storm Sewer Available SpecIal InstructIOn Notes I ValuatIOn Descriotion I DescnptlOn $ Pel Sq Ft or multIplier Sqnare Footage or Bid Amount Type ot ConstructIOn Paee I of2 Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED: EXPIRES VALUE' COM2007-01858 12/17/2007 12/17/2007 06/17/2008 225 F,fth Street. Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Totdl Value of ProJect Fee~ ~.~lcI I Fee DescrIptIOn + 10% AdmmlStratlVe Fee + 5% Technology Fee + 8% State Surcharge Low Voltdge - Commercial Indus Amount PaId Date PaId ReceIpt Numhe. $500 $250 $400 $50 00 12/] 7/07 12/17/07 ]2/17/07 ]2/17/07 2200700000000001847 220070000000000]847 2200700000000001847 220070000000000]847 Total Amount PaId $6150 I Plan Reviews I To Request an mspectIon can the 24 hour recordmg at 726-3769. An mspections requested before 7'00 a.m. Win be made the same workmg day, inspections requested after 7'00 a m Win be made the fonowmg work day I. RenlJlrecI Tnsnectinns I Low V oUdge PrIor to cover By sIgnature, I state and agree, that I have carefully exammed the completed applicatIOn and do herehy cerlIfy that all mformatlOn hereon IS t. ue and COI rect, and I further cerlIfy that any and dll work performed shall be done III accorddnce wIth the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertdlmng to the WOI k descllbed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn 01 the Commumty ServIces DlVlslOn, Bmldmg Safety I further certIfy that only contractors and employees who are 10 comphdnce wIth ORS 701 005 will he used on th,; project I furthel agree to ensure that all requlI ed IIlspectlOns are reqnested dt the proper lIme, that each address IS readdble fl om the street, that the permIt card IS locdted at the front of the property, and the dpproved set of plans WIll remam on the sIte dt dll times durmg constructIOn Owner or Contractors Slgndture Date Paee 2 01 2 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone CIty of SprmgfieId OfficIal ReceIpt Development ServIces Department Public Works Department Job/Journal Number COM2007-01858 COM2007-0l858 COM2007-0 1858 COM2007-01858 Payments Type of Payment CredltCard cRLcemtl RECEIPT #. 2200700000000001847 Date. 12/17/2007 Description Low Voltage - CommercIal Indus + 5% Technology Fee + 8% State Surcharge + 10% AdmlUlstratlve Fee Item Total Check Number AuthOrlutlOn Paid By Received By Batch Number Number How Received NATIONAL NETWORK SRVC dJb 097628 In Person Payment Total Page I of I 854 ]4AM Amount Due 5000 250 400 500 $6150 Amount Paid $61 50 $6] 50 12117/2007