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HomeMy WebLinkAboutPermit Electrical 2007-12-13 ZON ee.- I IN ITIALS k ,"-' ~ DATE \d-\\ 'K I rn ~ SOURCE\,^ r~~ _~007 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