The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-1-7 r ) ZON \ \ D INlTlALS \.::) \t---- DATE \-K-Oj(' SOURCE~ '\' 5t',.,. ) 225 FIFITT STREET - SPRINGFIELD, OR 97477 _ PlI (54')726-3753 - FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number ~.......z...<:>ci~coCz.'Z.... Date !-7-0j? I I LOCATION OF INSTALLATION: 3 t COMPLETh FEE SCHEDULE BEWW _ _ __ 2..50 S. 3? ,," ~, LEGAL DESCRIPTION I/l> L 3.1 ~ C:> Electncat Contractor N A 200 Amps or less ~ 20 I Amps to 400 Amps Address -----..A~tIIDON= pNlt!t!n taw reQuires you to 401 Amps to 600 Amps follow rulea adopted by the Oregon Ulllrty 60 I Amps to 1000 Amps N~ca~~n GIlmllr. iIIose rules are set forthover 1000 AmpsIVolts IlIvA;1";;2-Ola-:tl'offi-.I"vu,,,11 OAR 952-o01-Reconnect Onl 0090. YOII may obtain copIes of the rules by Y c~lhng the ~nter. .(Note the telephone , SupervIsor LIcc"'l'llffllDlllefor fl'tI3a)~n lliiIlt)[ Notlhcatlofi: LTe_~po':'!.ry Services or Fc."de~ _ __ Center 18 1-800-332-2344). Explratloll Date (() - Dl - ';' . ZO (D Pump or IITlgatJon $ 55 00 SlgnlOUtllOC LlgbtlOg $ 55 00 LlIDlted EnergylResldentJal $ 28 00 Lllmted Energy/Commerclal $ 50 00 Mmlmum ElectriC PermIt Inspection Fee IS $50 00 + Surcbarges NOTICE: 4 I S:mroTALOFABOVE 56- 00 T-..~ FERu=.t>HALl EXPIREillIarge b "L- nil) IVIII 0 0 llW bve Fee S' t:, D AUTHORIZED UNDER THIS P c dill Fee z.: 6 0 COMMENCED OR IS ABANDONED FOR InspectJonReqllest 726-376~NY 180 DAY PERIOD. TOTAL .,f'1 (. (2. OO)c"Z... JOB DESCRlPTION NPL, i3,lt_4"-Y'.1.. u R.r I" IT<: -%....v-/PIt. J:,6U) PermIts are non-transferable and expire If work IS not started w,tbm 180 days nf ISsuance or If work IS Suspended for 180 days. 2 I CONTRACTOR INSTALLATION ONLY: CIty Constr Contr Number rv..4. Expllll!Jon Date SIgnature of Supet"V1SlOg ElectnclllI1 ~ b ~..AtrL Owners Name ""';U ..d""-.4L/".>.lt ~A"'\::. D~-r' Address ZSO S. ~2 ~ <:rt-' Clty-Sl"~1 ~~/1lU'I Phone 73,.<;-4544 OWNER INSTALLATION The mstallatlOn IS belOg made on property I own wblch IS not mtended for sale, lease or rent Owners SIgnature A I New Resldenbal- Smgle or MUlb-Fa~~~~~ d~e!;;ng umt. -- Service Included 1000 sq It or less Each additional 500 sq It or portIOn thereof Each Manufact'd Home or Modular DweIlmg ServIce or Feeder $11700 $2100 $5500 B l Serv:ces or F~ers - InstallatlOlI, AJte~atl~;; ~; Relocabon. $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 InstallatJon, AlteratJon or RelocatJon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D I~BH.~~1f~il'l:l'!!mf.iJ~~1~");~ ' $ 55 00 $ 76 00 $110 00 New Alterabon or ExtenSIOn Per Panel One CrrclIlt I Eacb AddJtlOnal CrrclIlt or WIth ServIce or Feeder Pemllt '2.. $ 48 00 4,8,0"", $ 400 B ' 00 E I M;S~~flane;;~;;(Se~Celfeeder not fucluded) ~acb !."stal!atlOn_ Shared Dnve(T )/BUlldmg Forms/Electncal Pemut ApplicatIOn 1-08 doc -:-"".Q. ~ ~ . .. CITY OF SPRINGFIELD' Building/Combination Permit Status Iss u ed PERMIT NO ISSUED' APPLIED. EXPIRES VALUE' cOM2008-00022 01/0712008 01/07/2008 07/07/2008 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlIIe SITE ADDRESS 250 S 32nd St ASSESSOR'S PARCEL NO 1702310000502 Sprlllgfield TYPE OF WORK ElectJ Ical Work Only TYPE OF USE New CommercJJI PROJECT DESCRIPTION Add branch CIrCUIts for soccer field Owner WILLAMALANE PARK & RECREATION Address 250 SOUTH 32ND STREET SPRINGFIELD OR 97477 Phone Number 541-736-4044 I CONTRACTOR INFORMATION I Contractor Type Electllcal Contractor OWNER License ExpiratIOn Date Phone BUILDING INFORMATION I # ofUlllts Primary Occupancy Group Secondary Occupancy Group Pllmary ConstructIOn Type Secondary COllstructlOn Type # of Bedrooms # of Stories HeIght of Structure Type of Heat Watel Type Range Type Energy Path Sprmkled Buddlllg Lot SIZe Sq Ft 1 st FloOl Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gal agelCarport Sq Ft Other Occupant Load ilia ATTENTION: oregon l~m':~T INFORMATION' follow rules adopted by~1l. Notification Center. Those rules are set forth Front yard Setba<t\l1 OAR 952-001-001 0 through O~~l?i~~'st SIde 1 Setback 0090. You may obtain copies of \!l!!m~Yes Rqd S,de 2 Setback calling the center. (Note the t~l'\ve Rqd Rearyard Setback number for the Oregon Utility N9.~tJYPeYPl':overage Solar Setbacks Center is 1-ao~-2344" REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS' Street Improvements Storm Sewer AvaIlable SpeclallnstructlOlI SIdewalk Type Notes Downspouts/DI aIDs NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT lJulVllvi'::;~G'::C Ef. IE .\B,\lI~€IIH: ~~" I, ValuatIOn DescrmtlOn I ANY 180 DAY PERIOD. DescnptlOn Type of ConstructIOn $ Per Sq Ft or multJpher Square Footage 01 BId Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00022 ISSUED. 01/0712008 APPLIED 01/0712008 EXPIRES: 07/07/2008 VALUE 225 FIfth Street, Spnngfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees Paldj Fee DescriptIOn + 10% AdmmlStratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend CIrC Ea Add Amoullt PaId Date PaId ReceIpt Number $560 $672 $280 $48 00 $800 117108 1/7/08 1/7/08 1/7/08 1/7/08 1200800000000000012 1200800000000000012 1200800000000000012 1200800000000000012 1200800000000000012 Total Amount PaId $71 12 I Plan Reviews I To Request an Inspection call the 24 hour recordIng at 726-3769. All InspectIOns requested before 7,00 a.m. Will be made the same workIng day, inspectIOns requested after 7 00 a,m will be made the folloWIng work day. I RellUlred I nsnections , Rough ElectriC Prior to Cover Fmal ElectriC When all electrical WOI k IS complete By SIgnature, I state alld agree, tbat I bave carefully exammed the completed apphcatlOn and do bereby certlty that all IOformahon hereon IS true and correct, and I fUl ther certify that any and all work pCI formed shall be done In accordance with the Ordmances of the CIty of Springfield and the Laws 01 the State ot Oregon pertammg to the "ork desCribed herem, and that NO OCCUPANCY WIll be made of any stJ ucture "Ithout permISsIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety I fUl ther certJfy that only contractors and employees who al em comphance wIth ORS 701 005 Will be used on thIS I" oJect I further agree to ensure that all required mspectlons .11 e I equested at the proper lime, that each address IS readable from the street, that the permIt card IS located at the frollt of the property, and the approved set of ptans willI emam on the SIte at all times dUI mg construction Owner or Contractors SIgnature Date Paee 2 of2 225 Fifth Street Sprmgficld, Oregon 97477 541.-726-3759 Phone ~~ C'ty of Spnngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00022 COM2008-00022 COM2008-00022 COM2008-00022 COM2008-00022 Paymellts Type of Paymeot Check cRccLlntl RECEIPT #. 1200800000000000012 Date' 01107/2008 DescriptIOn Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add o 5% Technology Fee + ] 2% State Surcharge o 10% Administrative Fee PaId By WILLAMALANE Item Total Check Number Authorization Received By Batch Number Number How Received dJb 70744 In Person Payment Total Page 1 of 1 1 48 47PM Amount Due 4800 800 280 672 560 $7] 12 Amount Paid $71 12 $7] 12 11712008