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Home My WebLink AboutPermit Electrical 2008-2-5 ,,;:., "_ ".,,' <' .' ..1:1", ~'~, ',,'" -,,'" _1 -,,'<.!-',;:.,,~ :~_ ~..<.~ ,r~ ~j, ~..::' "::~'>f;:'~ :;:;"~J&TE:Y\;@:F'~;$<BJ~,lN@FI:~EfuIDr';,'@RFBG1[H~!~~'~,'".;: ,',' '~:' 'f ~l' ':,. ,', '.r~ fl -~ ~"'::':.:..:' '~' \t' .. :i.; r,,~: ;,~., 1 '_. ,.,,1!I~fK/J'~:_: '.~ ,:~~ ~ .~. ~~:.I<: _; ~~ ~, }' (.~ ,'_ .:1.., ,'~ 't~. '~, : -; ~ i ~ :s j -"\] ZON L,U INITIALS AI &/I DATE ;v,/()S/or SOURCE ~<../ 225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEt;lK1CALAE~I'{-1!PLICATI.ON / CityJobNumber GL)/Y{ fqr?/r.- 1xJ/U16 . , . 1. LOCATIOMF INSTALLATION: 3. COMPL1.H~ FEE SCHEDULE BELOW " :]3 Lf-I ua-iu..ll21! ~ LEGAL DESCRIPTION: /7tJ3 ;;)~ 9IJrJ /9(J[) Date A. New Residential- Single or Multi-Family per dwelling unit. Service Included JOB DESCRIPTION W &dh,fw. (;J)2far!l~ Permits aQ:ransfe.rDJJe and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,- 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 $ 21 00 Each Manufact'd Home or Modular DwellIng Service or $55 00 Feeder ATTENTION' Oregon law reqUIres you to CONI'RACTOR INSTALLATION ONLY B. . Services or F~/1.Q~ f_~tAqt~iiM\i(oo!WroWt",: 2. oMrcatlon Center. Those rules are set forth Electrical Contractor 7)u ny~ Cfit 200 Amps or less~~~~\.~5u2-001-~Ol1 ~ thro'$9lO~6\R 952-001- - - I. . may bu QIII VUP,l.~nfJhe rUles by /J~ () 201 Amps to 400 AmIlAng the center (Note:ti rn:OYE I I Address U) fOlJj _ 10l/-I.f 8; 11'1D J 401 Amps to 600 ~er for the. or~goQ.~ilit'tIJbti~o~j~r. ~ 601 Amps to 1000 Amps Center IS 1-800-33a~). CIty Phone 1'-1/- gfJ~S Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 Supervisor License Number 5 Dtp{) ,<: 10 , oIJ Constr Contr. Number ~ -D-'B C. Temporary Services or Feeders ExpIration Date Installation, Alteration or Relocation 200 Amps or less $ 55.00 201 AmIf~l91)etptps $ 76.00 401 Amrprfftf~~RJVfr $110.00 Over 6.0A~Nm~lgBbJ'<1~J3)Wy~ne'THE WO D. Bra~~~MtED O~~~R ~HIS PERMIT IS N: New A~k't)(ti~ihf)~~PPiffb~r~NED FOR ~ j One Circuit .) $ 48.00 / g-""' Each Additional Circuit or with n $ 4.00 cf G..a-/ei;JCLvd U c!Ylce or Feeder Permit 0\ .. ) . - "- .' ~-i!=t} (bE.. Miscellaneous (Service/feeder not included) -Each Installation 'I (" ~ Owners Name 2 3 ~ Address lf1D & ~_f!tN.. / Cl~~'JldJ Phone i4&....giftlt./ -, ~ I OWNER ST ALLA TION The installation is being made on property I own which is not mtended for sale, lease or rent Pump or irngation $ 55.00 SIgn/Outline Llghtmg $ 55 00 Limited Energy/Residential $ 28.00 LImited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges /'T'-o..../) 4. SUB'TOTALOFABOVE <..5~ . u - 8% State Surcharge ;;; . J?rJ 10% Administrative Fee W . 'I '.l- 5% Technology Fee ~ . C::J 0 TOTAL :!t7/. / ~ Shared Dnve(T )/BUlJdmg FormslElectncal Permit Apphcalton 7-07 doc Owners Signature. Inspection Request: 726-3769 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 168 COM2008-00168 COM2008-00 168 COM2008-00 168 COM2008-00168 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000157 Date: 02/05/2008 Description Add, Alter, Extend Orc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee Paid By SUNSET ELECTRIC Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received nJm 095152 Phone Payment Total: Page 1 of 1 2:29:23PM Amount Due 4800 800 280 672 560 $71.12 Amount Paid $71 12 $71.12 2/5/2008 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3344 Gateway St ASSESSOR'S PARCEL NO.: 1703222001900 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00168 ISSUED: 02/05/2008 APPLIED: 02/05/2008 EXPIRES: 08/05/2008 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Cabo Grille Owner: 3346 GA TEW A Y LLC Address: 840 BEL TLINE RD STE 202 SPRINGFIELD OR 97477 TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SUNSET ELECTRIC INC License 158859 Expiration Date 02/2 7/2008 Phone 541-915-4883 BUILDING INFORMATION I # 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 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm ~lt1~~;ilable: Specian-lj&rlil.Etfo~!T SHALL EXPIRE IF THE WORK , AUTHORIZED UNDER THIS PERMIT IS NOT Notes:COMMENCED OR IS ABANDONED FOR ~I\'V 1 Qf) nAV Dr:DII)~ I PUBLIC IMPROVEMENTS fTTENTION Oregon law requires you to D'.OW SlUes ~~~teg by the Oregon Utility tJotl1 ccdoFl'eenterPThose rules are set forth In OARDhwnsphWfsmri3in:s~gh OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Tvpe of Construction Pa2e 1 of 2 Value Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00168 ISSUED: 02/05/2008 APPLIED: 02/05/2008 EXPIRES: 08/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line J Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.60 $6.72 $2.80 $48.00 $8.00 2/5/08 2/5/08 2/5/08 2/5108 2/5/08 2200800000000000157 2200800000000000157 2200800000000000157 2200800000000000157 2200800000000000157 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. Reauired InsDections 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 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 Date Pal!e 2 of 2