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Home My WebLink AboutPermit Electrical 2008-1-16 . ZON mU1!) . lNlllALS '~I"\ r( DATE 1- llrO SOURCE ('I\Q~d/ !~/&~Or SP~:GP:LD ~ , . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number Co/A/! ZC907 - of S 7 c; Lf S 5""<- 5> c 'Temporary ServIces or Feeders ATTENTION Oregon law 'requIres you to - , 10 -z::4-folowrUles adopted by tMaftiQ\lg1e~~~f\tlOn or RelocatIon Notification vemel, Those?r~\.l!e~~ s ieOO1- $ 55 00 I ~ (, I~ 952-001-001 0 throll i\\ URl'l'G5 Constr Contr Number aeOO, ~ell may obtain coli1 S ~j:\9tPJUllll1l.ynps $ 76 00 ml 'l}:e center, (NotElot~Amps $]]000 E t D t D 7- 0'1- ~ h 0 onl1lll~54~t.licat'on xplra IOn a ed r I A reg Yi' mps or ]000 Volts see "B" above Center Is 1-800 ",. . Slgnaturzo/l/'ffS ,evrvlsm;/tgE~lectnClan D ' ~rancb CIrcUIts .~_ _____ _ New AlteratIon or ExtensIOn Per Panel One CircUIt I - / Each Add,tlOna] CIrcUIt or wIth Owners Name ~~ [, ii1ttu<:::: ~5 w Service or Feeder Permit J l $ 400 LfL/ Address ?= {{..:> r f ~O E MIscellaneous (ServIce/feeder not included) -Each InstallatIOn CIty 20w I ~4 . T,,< Phone Pump orlITIgatlOn $ 55 00 SIgn/Oulhne Llghtmg I $ 55 00 Lllmted Energy/ResIdential $ 28 00 LimIted Energy/Commercial I $ 50 00 Mmrmllm Electrrc PermIt InspectIOn Fee IS $50 00 + Surcharges 4 : SUBTOTAL OF ABOVE -- / (../ i NOTICE: E1RR'i{charge . 17 t:I;:> THIS PERMIT SHALL EXPIR 0 stratlve Fee I'( ,/0 AUTHORIZED UNDER THIS PER c 0 ogy Fee 7'fJ cnMMENCED OR IS ABANDONED FOR I C?C} Z> InspectIOn Request" 726-3'169 AY PERIOD. TOTAL D I - ANY 180 0 Shared Dnve(T )/BUlldmg FormslElectncal PermIt Application 7-07 doc ~ ~~~ '"'" ~ I LOCATION OF INSTALLATION: ~- ~~ --"-- " -- -- ~& /807 O[Vrf/( ;:JtL- t LEGAL DESCRIPTION 1703253 ( 07/00 JOB DESCRIPTION A'0TL W,(LNq ~ ~de' ( Permits are non.transferable and expire If work IS oot started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONiRACTOR INSTALLATION ONLY E]ectnca] Contractor Sc..c;71::1 .s e l- <-Tru Address Pof3a,t I/r':,7 CIty &~ 01- q.77q,%ooe tt /1- gS-'11 SupervIsor LIcense Number ExpiratIOn Date OWNER INST ALLA nON The mstallatlOo IS bemg made on property I own whICh IS not mtended for sale, lease or rent Owners Signature Date 3 - ~ COMPLETE FEE SCHEDULE BEWW S,T A 'Ne~ ltesldential - Siogle or MultI:FlI.m.il)'1'e~,!well.'ng omt. ServIce Included 1000 sq ft or less Each addItlona] 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $] 17 00 $2] 00 $5500 : - B ServIces or Feeders - InstallatIOn, AlteratIOns or RelocatIOn' 200 Amps or less 20] Amps to 400 Amps 40] Amps to 600 Amps 60] Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $13800 $]8000 $4]300 $ 55 00 $ 48 00 $j- '\0 .~ -ii..~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO, COM2007-01579 ISSUED 10/22/2007 APPLIED 10/22/2007 EXPIRES, 07/16/2008 VALUE: 225 F,fth Street, Springfield, OR 541-726-3751 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1807 OLYMPIC ST ASSESSOR'S PARCEL NO 1703253107100 Splmgfield TYPE OF WORK Interior TYPE OF USE Repair PROJECT DESCRIPTION Mlsc plumbmg and electrlcdlm eXlstmg restaurant Commercial Owner LANGAN ROSE MARIE Address PO BOX 1600 A TTN RASH #125-27-136 ROWLETT TX 75030 I CONTRACTOR INFORMATION I Contractor Type Electrlcdl Plumbmg Contractor SCOTTY'S ELECTRIC INC RIGHT WAY PLUMBING License 156062 49561 ExpiratIOn Date 07/09/2009 12/16/2008 Phone 541-382-6142 541-484-3787 BUILDING INFORMATION I # ofUmts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories HeIght of Structure Type of Hedt Water Type Range Type Energy Path Sprinkled BuIldmg Lot SIze Sq Ft 1st Flool Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total HandIcapped Compdct Frontyard Setback OJ,erlay D,st SIde I SetbacA'tTEN110~ OregOn laW requlrtlS ~fi1~et Trees Rqd SIde 2 SethaWilow rules adopted by the OlegO~lJ v Drive Rqd Rearyard sNbll\W;l!t1on Center. Those rules ale s ~8 . ot Coverage Solar SethaQ40AR 952..QOHlO10through OAR 95 Ie by iX8. ':ell AI~Y nhtAln eoples of the ru s calling the center. (Note: th~htPROVEMENTS I IImher for the Oregon Utlhty~"" Street ImproJtT.\'e"iifSCenter 181-800-332-2344). Storm Sewer AvaIlable Special InstructIOn SIdewalk Type Downspouts/Drams Notes NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e I of 3 Status Issued 225 Fifth Street, Sprmgtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescllPtIon Tvpe of ConstructIOn Fee DescriptIOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Fixture MIscellaneous Plumbmg + 10% AdmmlstratIve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend CIrC Add, Altel, Extend Clrc Ea Add + 10% AdmmlStratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Cll c Ea Add Low Voltage - CommercIal Indus SIgn - Outline Llghtmg Each Total Amount PaId CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO ISSUED APPLIED EXPIRES, VALUE, COM2007-01579 10/22/2007 10/22/2007 07/16/2008 I ValuatIOn Oescnp,tlOn I $ Per Sq Ft or multIplier Square Footage or BId Amount Value Ddte Calculated Total Value of ProJect "flfI<' P~'rIJ Amount PaId Date PaId ReceIpt Number $820 $410 $656 $32 00 $50 00 $880 $440 $704 $48 00 $40 00 $1490 $1788 $745 $44 00 $50 00 $55 00 10/22/07 10/22/07 10/22/07 10/22/07 10/22/07 10/24/07 10/24/07 10/24/07 10124/07 10124/07 1116/08 1/16/08 1116/08 1116/08 1/16/08 1/ 16/08 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 $39833 I Plan Reviews I To Request an mspectJon call the 24 hour recording at 726-3769 All inspections requested before 7,00 a,m will be made the same workmg day, mspectJons requested after 7'00 a m will be made the followmg work day I~p~ Rough Plumbmg Prior to cover and mcludmg reqUired te,tmg Fmal Plumbmg When all plumbmg work IS complete Rough Electllc Pllor to Cover Fmal ElectriC When all electrical work IS complete Pa2e 2 of 3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO, COM2007-01579 ISSUED' 10/22/2007 APPLIED, 10/22/2007 EXPIRES: 07/16/2008 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Low V oltage Prior to cover SIgn Electllcal After connectIOn IS made but prior to energIZIng By sIgnature, I state and dgree, that I have carefully exammed the completed applicatIon and do hereby certIfy that all mformatlOn hel eon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth the Ordmances of the City of Splmglield and the Laws of the State of Oregon pertammg to the work descllhed herem, and that NO OCCUPANCY wIll be made of any structure wIthout permISSIOn of the Commnlllty ServIces DIvISIOn, BuIldmg Safety I fnrther certIfy that only contrdctors and employees who are m compliance wIth OR~ 701 005 wIll be used on thIS proJect I lurthel agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS readdble Irom the street, that the permIt card IS located at the front of the propel ty, and the approved set 01 pldns WIll remam on the site at all times dunng consh DetIOn Owner or Conti actors Signature Date Pa2e 3 of 3 225 FIfth Street Spn>lgfield, Oregon 97477 541-726-3759 Phone ~.~ ,.~ IlL .~ CIty of Sprmgfield OffiCial Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-01579 COM2007-01579 COM2007-01579 COM2007-01579 COM2007-0 1579 COM2007-0 1579 Payments fype of Payment Cred ItCard cRecemtl RECEIPT #, 2200800000000000049 Date, 01116/2008 DescnptlOn Add, Alter, Extend Orc Ea Add Sign - Outlme Llghtmg Each ~ow Voltage - Commercial Indus + 5% Technology Fee + J 2% State Surcharge + 10% Admmlstratlve Fee Paid By HOLE IN THE WALL Item Total t.:hClk Number AuthorlLatlOn Received By Batch Number Number How Received dJb 016109 In Person Payment Total Page I of I 917 17AM Amount Due 4400 5500 5000 745 1788 1490 $18923 Amount Paid $189 23 $18923 lI16/2008