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Home My WebLink AboutPermit Electrical 2008-1-23 _.t'?!':~B~~~~~.~;.!}J*LtM1Mi> ~. CITY OF SPRINGFIELD' Status Iss u ed , Building/Combination Permit PERMIT NO: COM2008-00099 . . ISSUED: 01/23/2008 APPLIED: 0l/23/2008 EXPIRES: 07/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 555 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Industrial PROJECT DESCRIPTION: Install receptacles for towel dispensers Owner: SYMANTEC CORPORATION Address: 20300 STEVENS CREEK BLVD CUPERTINO CA 95014 I CONTRACTOR INFORMA TION I Contractor Type Electrical Contractor MORROW MEADOWS CORP License 91668 Expiration Date 07/01/2008 Phone 503-399-7609 BUILDING INFORMATION I # of Units: Primary Occupancy Group:. Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Slories: Height of Structnre 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 GaragelCarporl Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Selback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Slreet Trees Rqd: Paved Drive Rqd:'. % of Lot Coverage: Total: Handicapped: Compact: laW requires you to -.1-'1"'\~" nrAOon - -.-.... Iltiht)t . I PUBLIC IMPROVEMENTS I ;"'I~~' r~les adopte~hO~S~ ~~\;~ -;;~ set forth 'InTH'E' , .a." t\oncenter. hOAR952-001- Street Improvi;menfs:' 'MIT SHALL EXPIRE IF THE WORI\ NO'Sjil~a~C/J'P~')1 0 throug \ t\ e rules by THIS PER MIT IS NOT In OAK 'dO ~tain COpies 0 \ Storm Sewer A'~I~llahl.A\ZED UNDER THIS PER Oo~",",\ldTlW6'WI?S(Note: the tele~hOne Special Instrud~od,M~ENCED OR IS ABANDONED FOR calling the cen ~r'egon Utility NotificatiOn . ,OIV\~'1 RIOD number for the. 1 800-332-2344). \'\11 ~(! DAY PE . center IS . . Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00099 ISSUED: 01/23/2008 APPLIED: 01/23/2008 EXPIRES: 07/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paicl I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add Amonnt Paid Date Paid Receipt Number $ 1 0.40 $12.48 $5.20 $48.00 $56.00 1/23/08 1/23/08 1/23108 1/23/08 1/23/08 2200800000000000095 2200800000000000095 2200800000000000095 2200800000000000095 2200800000000000095 Total Amount Paid $132.08 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 Reouirecl rnsnections I Rough Electric: Prior to Cover Final Electric: When.all electrical work is complete. . By signature, I state and agree, that I have carefully examined the compleled 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 ofthe Community Services Division, Building Safety. I further certi(y that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree 10 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 \ 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000095 Date: 01123/2008 3:19:14PM Job/Journal Number COM2008-00099 COM2008-00099 COM2008-00099 COM2008-00099 COM2008-00099 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 48.00 56.00 5.20 l2A8 10AO $132.08 Payments: Type of Payment Check Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received MORROW-MEADOWS CORP nJID 21031 By Mail Paymenl Total: Amount Paid $13208 $132.08 cReceinll Page 1 of 1 1/23/2008 f~jfMf~ii1t~~1~~1~:i:~:If~i~t~_'1~1~m~~J~1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PB~54I)n6-J75J . FAX, (541)716-3689 .' ELECTRICAL f,ER1IfIT APfPCATION City lob Nwnber (.I1rn;)!JlJK - (1(){/;7 "_~NGptELO ~ ZON ~0 ~^^-------/ -.......J INITIALS "-11V1 ~i-.. DATE 1'1..--;' _r);<' ~ '-. SOURCE -fYV0S ~:o___ Date / -;:)3 - () 'X' -,"'~"'.-:-~'~'"-~~"~".--'.~~''''~,.,. .-, _.',- "..~...~.......-.-_..,-,.,..~., ...-~- "-- ~ ...,....- -.--- ----.------ - - ~--,.---~-- ----_.~-"" 1. 'f.,OCATi,Q!V:oFINS.FAIMTiOIy", ., ,. 3. COlliPUITj:;FE~S.CI:lEDI}LEBi:Lon7 ,'" .", .':', .', .,._ '. .."':.' ~ .... .' _ w_. ._..;...,.......3...__. .._._.._,....._.:1._ _ '~"" _. .... ~. _!o.., _~. .._ _~.~' ~_ ___ ~.' __ ____,._ ~___ _~ ~ _ ._.-_ _~..:::>J ~LAKY'n v\~(l1555 :tN-\o..,C1t\)~o.e.._....~__"'_ ." ='-.""-:o:-:=,c:=-.r,,--'---., LEGAl DESCRIPTION: A. 1 ",e"~es;dc~tial:C Singkof MuIti-fi.mil)'.iX'.nI"el1in~ unit. ii f13 JS l; ()O() 7 ()() ~~;:-~-~.:;~; .- -- - - - . ------- .-.'. ---~" .... . ... .. JOB DESCRIPTION: 1000 sq. fl or less $117.00 , ~ \ \ J () \ . J . Each additional 500 sq. fl. or .\..'l...J:W1 \ Y pflo :tr:lr \ rk.w .hm 1f (11~p'~rtion thereof $ 21.00 Permits are non-transferable and expire irwork is Each Manufact'd Home or not started within 180 days of issuance or irwork is Modular Dwelling Service or Suspended for 180 days. Feeder ,... ... ." , . ,~.","" $55.00 ,-;;.~:;-i7'-'-": ";"_~:'-:.' -'\-~, -:;:""";:-_-}':7'''!"7'7\~:-:-:'; ~-: 2. :(;pI""T~'\.CTqRmrSTrY.L7TI()1JONLY; ..... :,--','.... _ ',_'>' ,'". ~ .'.... 0,-, . ,~;,,_._.,.,_._,. >...".~_ co>. __>>C..__. ._', _ _",.~. ',"" Electrical Contractor (' \r\ 0 N'I/l~G.~ i F 1 \r+n0 200 Amps or less . . 201 Mllll!Jl'1'H:!5l1r.-1!lII@)gon taw requires vdl.6ll:00 c)D.tY\ f ~ 40 If~ WS9~ .AliJWted by the Oregon ~@~\()o ...... 6OI'lfj" uqllOOeAli\\\'s Those rules are S~I PhoneR'?,-- hlolo- Sol)) oJ& 1;Wl,lQ,010throuylo OAR SS . ,--. ' R &9, ;JT1ay ootaln copies of tAc r e ca lhg ie center. (Note: tAe talap n-'1Q \ C 7"numberfQ,rthe.Ore9.9n.Utility.,Notification---CC-7'-;~""""::'- . Supervisor License Number ~ C. ,.1:<mpflT}''CalWei'is'1>J80CF3G2,231l4);~ ':.. .:',:',_, {.:'.i Expiration Date \ D I 'l> Installation, Alteration or Relocation .'- ,~,~~-~,:"~,,-,"'--',, .', ,,";:, ,..,-, ~~:-~~-- ~':-: ~--~. -":-~---,, -:",-:;....., -..--, B. ~ "seni~s:~.~F<<d~rs":.;irii.~AUa.ti6ri;AltcnitiotiS'()I"~Clo~::di~n: : ~ ,,:',~,'-:..,.:i:.'''-_.....: ."" . ~:.__.- .-:-';:.'::" ~__ _:;'-_,:._'''::;.~:,_L_..o.'_>;: -;';""':"\"_.~ $ 70.00 Address ~l 0 City ~'(\(\ ~:tgijl~_R Signature of Supervising Electrician aJP?~. ~~~~~L EXPIRcir";\\::: f~ 4Il\-l--\'Sn~J:S7lli_ER 1\115 ~I:R\~~1 \W~oo ~l!iW~ ~1~~~~\1~vtO_.. D.0Q;~~~~!I\O'r,<;'!it.. 'PERIOP.;.' >i::'. "ll.MV18 Ul\l. .--.-. .-~' - ___.h .-.. NeW'Alteration or Extension Per Panel One Circuit \ . $ 48.00 Each Additional Circuit or with \' I Service or Feeder Permit .., $ 4.00 :--.--' ::-.< Constr. Contr. Number ~ \ I GloC), '11. I){)\ oq Expiration Date .,.,'-.",.. Owners Name(~ to \~./ (' F'O \' Address;:::)O'3 ::S~.r-:<l-J<::' CO 0~ I~ L' City... .!> 1 ()7if'.A'1 fY') () Phonc LJP. <1 ~ OWNERlNStALLATION \ Lj- w't, f5l9 i~ -:-,'-:'" ~'-i::-:::7,~'--~ ,~;';:':,7,:,~'~--'~~~"'--:.:-;:- ,,'.'-'"'~~~.~ ,,::-,_::- ,-" ~-~.;,-::7-=,~ ."..--:- --.'J E. ~,1\~i~L~H_~~~us f~I';\'ici!/fecdrr nf!t;!ncJu!lcd) :"'Eaclt.lnStanatinno: <4...._"..__...._ "..._...._...._.._ .__._._..,_...,_-'-. _ _"J..o. _ __._. _'> . .-_ > The installation is being made on y~v..--~~j I own which is not intended for sale, lease or rent. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergyIResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit In.< ....:. Fee is $50.00 + Surcharges -,. ----,.._-t;~--.-_.:-----":... .,....~-,..,...-.---._."' -.. -..- .----. 4. ;.sPBiOi;1LPI','{1.l:lO,y'E,:'.' "" .".-:..o.~~_.~ .;.. ...j'.... '-_ .,.__ ~.~ " State Surcharge 10% Administrative Fee 5% T eclmology fee \ 04 \ ~., '\~ J,C\!,\a f) ,;)0 Owners Signature: . SQd33i-bloV TOTAL \~:J,eil Shared Drive(f:)fBuilding Forms/Electrical Permit Application 7-07.doc Inspection Request: 726-3769