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Home My WebLink AboutPermit Electrical 2005-5-5 ... '. . Penn" ere norHmnslereblB and expie II WIlli< Is nolstarted within 160 days olissuan", orWWllI1< Is SUspende<llor 1 eo days, CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET, SPRINGFIELD, OR 97471' PH:(541)726.3753' F~J541)726-3689 t i ELECTRICAL PERMIT APPLICATION ";O'1I{o/jo,,, 5 ~ ~~,,~ "'ill'l}C/ .or.. ~ Data: 04/27/05 I) . O'o~_%", ~r& ~ - 'l. ~$ 1! .. 01')/ 0,_ .$f'1 3. 1~0M~:;j~:i:e~~J.~;q~~~~~ ~~ . 0 Service Included :9'1", 'I,>~ I. ~" "1'&' ~ ql'J(10/,lo"". U ".s: "I'}: 1000 sq. fI. or less, 106.00 ~ :9 Each additional 500 sq. fl. or portion !hereof. 1 2 ICONJ1RACleRIlN51:1iUlC'A"leNro:JNLW{'\~~ Each Manufacfd Home or Modular Dwelling Service or Feeder $50.00 8. ISef;Ylcesl(jriF.ee(jerSf$!lnstiillatlon'UA1tijratlonstofll~ijlocallonm"if!~tl;~ City: Portland OR Phone: (503) 220-5312 200 Amps or less. 201 Amps to 400 Amps, 401 Amps to 600 Amps. 601 Amps to 1 000 Amps, Over 1 000 AmpsIVolts. Reconnect Only. ~ $63.00 -:ro $75.00 ---:& $125.00 7 $163,00 2 $375.00 =$50.00 ~.vu ~vu.vu $?5B.6el ~ $1,141.00 $750,00 Electrical Contractor EC Company Address: 2121 N.W. Thuman P.O. Box 10286 " Expiration Date 1/ ttlo ,<:::) D-o/-67 C. ~TeffiooiiiLVJsei'Vjcesror'JF.eetllfiS1l(~~~!~~~ '. SUDervlsor LIcense Number Installation, Alteration or Relocation ~ J> 200 Amps or less. $50.00 J~oQ~ 201 Amps to 400 Amps. _$69.00 "\ \"'~ 401 Amps to 600 Amps. ~ $100.00 lQOO Expiretlon Date \ J 1 S / c> ~ Over 600 Amps or 1000 Volts see '8' above.' '~~~tn\- o. Ei=-=-- Addr~ess~D~. \l\ 1cq - E. 1::I~a::;:::::~erJnomnQ[de~~achllns:~:on~~~ City ete Phone . Pump or Irrigation. $50.00 Sign/Outline L1ghtlng. $50.00 OWNER IN lJSMONlN: OregOn law requires you to Umited EnergylResidentlal. $25.00 The InstallaOOllf8ltJeIAll<M8~1ly,1 ~ Oreg~ Utility Umited Energy/Commercial. $45.00 which Is ~eiilleti~QonWearlb!ltte rules are set forth In OAR 952.()01.()01 0 through OAR 9'/Il1l~(lJlIoElectric Permit Inspection Fee Is $45.00 + Surcharges OWners SlgtlalUreVou may obtain copies of the rules by calling the center. (Note: the telephone fPI!J8i1\0!1'~flt(!>F,r~l3;, numl:>"" In' th", n,~nn I itHifJ. "'otifiP:lltlon 7% State Surcharge , Center is 1-80D-332.2344),~U II"E:lO\(,~Adminlstrativelre,~\E \~ 1\1E WOR~ 0 ~.ID Inspection Request 726-3769 TOTAL 1\1IS PErTOTALS~~~~ ;\1IS PEf~I4c\~9~rliCbl iT.15 $10 1ll<65 AU1\10R\Z~D UOR IS ABANDONeD fUr - And. oi ,~ COMMENCED 00 \\"""iFt. II SheredDrl\9(T:)lBufidIrGF~rmslEIecblcaIPermIApPIIca1ilnI.o3.ddt Ai'll' IBO Dl>ll' PERI . ~'QsU:~'~ \\tt:, ~lM)~ Ln'-\k. ~\\~~ of ~ O\J ~\\UMux 'l.i~.\~ ~\lrl. . . Constr.Contr.Number ..."-..:>. /;;H'V,Sc.. / . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 05/02/2005. APPLIED: 04/2812005 EXPIRES: 11/0212005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: Construction Trailer Site Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Electrical Contractor ECCOMPANY I CONTRACTOR INFORMATION I License 49737 BUILDING INFORMATION I Expiration Date 01/15/2008 Phone 503-224-3511 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I ~TTENTION: Oregon law requIres you. ~ . F~ontyard SetbaY~rlow rules adopted by the Ore~Yl'tJotlill}lst: S~de I Setback:Notification Center. Those rules a~e'l~ll1Ies Rqd: SIde 2 Setback:! OAR 952-001-0010 through OA~s~~ve Rqd: Rearyard Setblitk:. btain copies of t~ \l6i1:!%tlSfverage: Solar Setbacks: 0090. You may 0 ('~lIinn the center. (Note: the telephone number for the Oregon L:jpi.fJj'~iFi~I\liibvEMENTS I Center is 1-800-3, . Street Improvements: Sidewalk Type: [I!(, TICE: . . DownspoutslDrams: THIS PERMIT SHALL tXI-'IHt If I HE WORK AUTHORiZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps Total Amount Paid Initial Review . Total Value of Project Fee. Paid I Amount Paid Date Paid . CITY OF ;srJ:Ul~GFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 05/02/2005 APPLIED: 04/28/2005 EXPIRES: 11/0212005 VALUE: Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 Temporary Electrical Plan Review approved by Clair. See attached documents for information. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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, $803.10 $562.17 $750.00 $1,141.00 $2,007.75 $1,400.00 $4,140.00 $600.00 5/2/05 5/2/05 5/2105 5/2/05 5/2/05 5/2/05 5/2/05 5/2105 Temporary Electric: Approval required prior to Utility Company energizing pole. $1l,404.02 I Plan Reviews I 04/28/2005 04/28/2005 APP LLH By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature ~ Relluired In.~ Pa2e 2 of2 Date 225 ~ifth Street Springfield, Oregon 97477 541-726-3759 Phone . 1IIt-'..~"~'~..""'.' j _..~. -- i.. ~ . . t -.;-.... I 'J', 1 ~, '.' ......,.....",...,._. _.~.. '. ...Ji,!ty of Springfield Official Receipt .velopment Services Department Public Works Department .' Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment Check 5/2/2005 RECEIPT #: 1200500000000000554 Date: 05/02/2005 Description Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps Penn ServlFdr 601 to 999 amps Penn ServlFdr 1000 amps/volts Plan Review Electrical (25%) + 7% State Surcharge + 10% Administrative Fee Paid By EC COMPANY Item Total: l:heck Number Authorization Received By Batch Number Number How Received llh 178362 In Person Payment Total: Page 1 of1 1:21:S9PM Amount Due 1,400.00 4,140.00 600.00 1,141.00 750.00 2,007.75 562.17 803.10 $11,404.02 Amount Paid $11,404.02 $11,404.02