HomeMy WebLinkAboutPermit Electrical 2007-12-13
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COMPLETE FEE SCHEDULE BELOW
SPRINGFIELD
225 HFfH STRFFT . "iPRINGFIELD, OR 97477 . PH (541)726.3753 ."AX (541)726-3689
ELECFRICAL PERMIT APPLICATION
City Job Number ('/")fAA -ZOOt - 0/ 'ItS
Date
1 I LOCATION OF INSTALLATION. 3
1'i?/7 ,:\o....~ ~ ?~Wy FA~I
LEGAL DESCRIPTION
/70] 2bZ3 D Z.~lO (
JOB DESCRJPTlON il2FC- ~c..v.4L- 1000 'q ft or less
I I E'Jfh additIOnal 500 sq ft or
<;;i: c.r",e;-,,- t:...W-<l. r'to.-.y PlAzA C!o'>>".~7' thereof
Permits are non-transferable and expire .fwork IS Each Manufact'd Home or
not started wlthm 180 days of Issuance or If work IS Modular Dwellmg Service or
Suspended for 180 days Feeder
2 CONTRACTORINSTA11LA.TIONONLY I
ElectrIcal Contractor E C COffinanv
Address PO Box 925
City Spnngheld Phone (541)
Supervisor LIcense Number 32573
Expiration Date
10/1/2010
Constr Contr Number
22-15C
EXplratlOn Date
7/1/2008
nQj~
OwuersName t:>K- ~A-l..€" LLL
Address VO 'B ~j( 1"31071
City G\ /L \!ob..LJ . cJ. Phone
OWNER INSTALLATION
The Installation IS bemg made on y,vp"-'Hf I own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIOn Request 726-3769
SerVIce Included
New Resldentlal- S;n~le or MullI-Fa"!I1~ per dwelhng Unit.
A
$11700
$ 2100
$55 00
B Semces or FeCders - InstallatIon, Alter_lIons Qr RelocalIon:
, ~ - ~ 1 '^
Over 600 Amps or 1000 Volts see "B" above
D , Br~nch CIrcuIts . C - -~ ~ -~-
New Alterahon or ExtenSIOn Per Panel
One CIrCUIt
Each Addltlonal CircUIt or With
Service or Feeder Permit 3
(
70
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
200 Amps or less OU \0
201 Am~ol!I(lt)QI,I\!6~ U\\\\\'I
]o(t\Otl: Go:I~81~l[((lIlItPA~~ set lortl\
~rn:: \ell e416\l~'t'AElIlll~3~:e5Z.001'
9~~trfol\ cel)~101\1lI~~~6V~e (Ules b'l
NOOM\ 95z.oORe&\'jt!\1It;?,;~t ,he \ele?hO~~lI
\n 90 ~OU (tIa'1 tet. l~o\ \M'I ~O,\\\~a:v
00 -i\ll\g\~ ~~~~).F,eede~s
~(tItlet tot tel 1$1.60
CelJnstallatlOn, AUeralIon or RelocatIOn
200 Amp' or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 55 00
$ 76 00
$110 00
$ 48 00
$ 400 I 2
- - - -~- -r ~ ~ '" ~
E Miscellaneous (Se'1"ce/feect~~ not mcludeg) -;Eacli' InstalialIon
"- ~_~_~ _____-''*~...t~_~~ ~"'" ,
Pump or lrngal10n ~ $ 55 00
Slgn/Outlme Llghtmg ~~ ~\l~,\ $ 55 00
Llmlted EnergY/Resldelf\~~ ~~. ,c;, $ 28 00
LimIted Energy/C~Wc~~ frf\:)"(\ $ 50 00
MIUI~1I1 EleC~~rf\'U\ ~e IS $50 00 + Surcbarges
...\~'\~ Q:jn'A~'?l.. "
\;\\\%t~~j;~~f\:)\): '
\I-\\'<i'@1M~~str2~Fee
c,~*"t~~~bgy Fee
It~'\ AL 100 8"
Shared Dnve{T )/BUlldmg Fonns/ElectTlcal Penmt ApphcatlOTI 7..()7 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO
ISSUED'
APPLIED'
EXPIRES.
VALUE:
cOM2007-01818
12/13/2007
12/11/2007
06/13/2008
SITE ADDRESS 1817 PIONEER PARKWAY EAST SprIngfield TYPE OF WORK ElectrtCal Work Only
ASSESSOR'S PARCEL NO 1703262302401
TYPE OF USE New CommercIal
PROJECT DESCRIPTION Traffic sIgnal servIce at SE corner of PIOneer Pkwy and Plaza d.,veway . Walgreens
entr,mce
Owner PK SALE LLC
Address PO BOX 13]071
CARLSBAD CA 92013
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcal
Contractor
E C COMPANY
License
49737
BUILDING INFORMATION I
# ofUmts # ofStoncs
PrImary Occupancy Group HeIght of Structm e
Secondary Occupancy Group Type of He,'!t t
PrImary Constrnchon Type ATTENTION OregOIW!n1!,r~~",s y~~ 10
Secondary ConstructIOn Type!ollow rules adoptedl,m ~gon t; I~h
# 01 Bedrooms Notification Center T )\~~J~~re~s5e2 gOl
In OAR 95~-001-0010 ~qlqj -. n/a
MQI) Ynu mal{ obtain Opl ~ res by
calling the Fnf,y,,~~J'';}'.."ri',IT~TION I
number lor . ~
Center IS 1-800-332.2344).
Overlay Dlst
# Strcet TI ee~ Rqd
Paved DrIve Rqd
% of Lot Cnvc. dge
Frontyard Setback
SIde 1 Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbacks
ExpiratIOn Date
01115/2008
Phone
503-224-3511
Lot SIZe
Sq Ft 1 st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cal port
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
NO"\C~~ B{?IRE If ilIrwoo~pe
IS PERMIT 5\-1"-U. \-lIS PERM\q~&fMl,1S/DraIUS
~1HOR\2EO U~~~: ~BANDONED fOR
~~~~i~~~~ PERIOD.
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
Notes
I ValuatIOn DescriotlOn I
DescnptlOn
$ Per Sq Ft
or lUultlpher
Square Footage
01 B,d Amount
Tvpe of ConstructIOn
Paee] of2
Value
Date Calculatcd
-~~
Status
Issued
U I Y OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' cOM2007-01818
ISSUED: 12/13/2007
APPLIED: 12/11/2007
EXPIRES: 06/13/2008
VALUE:
225 FIfth Street, SprIngfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspecllon Lme
Total Value of ProJect
Fees PaId.
Fee DescnptlOn
+ 10% AdmlDlstrallve Fee
+ 5% Technology Fee
+ 8% Statc Surcharge
Add, Alter, Extend CIrc Ea Add
Perm Serv/Fdr 200 dmps or less
Amount PaId
Ddte PaId
ReceIpt Nnmbel
$820
$4 ]0
$656
$1200
$70 00
12/13/07
12/13/07
] 2/13/07
12/13/07
12/13/07
220070000000000]835
2200700000000001835
220070000000000]835
220070000000000]835
220070000000000]835
Total Amount PaId
$ J 00 86
I Plan Reviews I
To Request an mspectIon call the 24 hour recording at 726-3769. All mspections 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 ReolllrecI Insnechon~ I
Rough ElectrIC PrIor to Cover
ElectrIC ServIce Approval reqUIred prIor to ullht) company energIZIng servIce
Fmdl Electnc' When all electrIcal work IS complete
By sIgnature, I state dnd agree, that I have carefully examIDed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 dccordance WIth
the Ordmdnces of the CIty of Sprlllgfield and the Ldws 01 the State of Oregnn pcrtamlllg to the work dc,crIbed herem, and
that NO OCCUPANCY will be made of any structure w.thout permISSIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees" ho are m complIance WIth ORS 70] 005 WIll be used on thIS proJect
I further agree to ensure that all reqmrcd mspectlOns are requested at the proper lime, that edch address IS redddble flom the
street, that the permIt card IS located at the f. ont of the property, and the approved set of pldns WillI emam on the sIte at all
times dunng constructIOn
Owner or Contractors Slgnatnre
Date
Paee 2 01 2
225 FIfth Street
Springfield; Gregon 97477
541-726-3759 Phone
Wi~ji
CIty of SprmgfieId OfficIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2007-0l818
COM2007-01818
COM2007-01818
COM2007-01818
COM2007-0 1818
Payments
Type of Payment
Cred,tCard
cRecemtl
RECEIPT #:
2200700000000001835
Date: 12/13/2007
DescriptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmlUlstratlve Fee
PaId By
EC COMPANY
Item Total
<..:heck Number AuthonzatlOn
Received By Batch Number Number How Received
djb 013668 In Person
Payment Total
Page 1 of I
8 ]5 49AM
Amount Due
7000
1200
410
656
820
$10086
Amount Paid
$100 86
$100 86
12113/2007