The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-2-19 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRIC#- PERMIT APPLICATION City Job Numb~ 67J7 -0/577 Date ;J /; 9/(J K' I I - $~~!~~C"'~_.ifn't~V. ~ w- I. CATIONOF'INS'E" .\",..,'\-o.n.~ "f'rt.'<\;-J1i..."," ....r"'.,."'"'~t""'V ki <' ;e-f)? ()L~f'1 (/ LEGAL DESCRIPTI~ /703 ;;)S 3) 07 j{J7) JOB DESCRIETION c<S~ ~'^~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~~~~~JL~~:?,,!4(~':"'''1''' J ~:;J-';''jf-- "Wft ">;wl%;Wiwrv~~",~rt'~~ ~CONTRA€TJj)R!INST.1fLFiA.H...::iNONLY,~:l 2. t~~'\.>1h _L'\,V;~"J..!j" , ",: ~! ~.l~",,~~_,': ~",~U>>i~' ",~,,",~>&1<<k\..~if, S?~~~ 81 Electncal Contractor 5 (0 rr ~"$ E (e. e-r r) C Address po !6c;c 7/b7 City g.e./VJ 17iof1Phone 3'8'1..- biLf?. Supemsor License Number if ') 5- )... 5 EXpiratIOn Date lo-{ - C;;> ..., r..-constr. Contr. Number q - Z b 0 <::.. EXpiratIOn Date "/ - 6S- Signature of Supemsmg ElectncIan /#-///~ Owners Na" !CU'n cy~ Address r 0 is 0 X- (J &? tJ7J CIty f}JtN ~: '!;( Phone I OWNER INST ALLA nON The mstallatIon IS bemg made on property I own whIch IS not mtended for sale, lease or rent. Owners Signature: 0(0 '7/ ~ S: { ;;, (51) (1 ft r>: ,l . o Inspection Request: 726-3769 3. ;''t-~Vl -:r,,"-~":""$~ -....~"if';rN'i .. v'%o.,."t';ti\-,>.W"~~ p. i 'E,FEEtSCHEDUE:EcBELtJ >~'1j, J",~~4-&:-__",,,,.<it'k ::.~[+ ~$ ~.AK?" A. '%iNe"W:, ;f>""'''' h'~~.'{<o< ~t1::A'-'%fri:~7';tif""t~. '~'$ ~;;t.;t~,$ft, f\~:_iM~(P~ ~g!~4~~~~!!~~E~iit~'pitl~felli Service Included 1000 sq. ft. or less Each addltlona1500 sq. ft. or portIon thereof Each Manufact'd Home or Modular Dwelhng Semce or Feeder $106.00 $ 19.00 $50.00 B. , , ; ~<~~\;~1!~i~~~ftis';i~~h"rUt~i~ 1ji",1h,{%v"~' ~"'-c:E[ y~,$ti,<~...A'I'-;0; ,..~ /->= '~~. "' $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN 0115 Reconnect Only ~7..;t'[~4?1t';;;~ ')~W't c. ~~2ra ' I "' - -ooe- f Sf J9lUaO InstaUaQdnPj 'Xl~e)!~Hirl~tRln JOI Jaqwnu eUOL delSl 8ljl aloN) 'JalUao 941 FUull.Dn. 200 MnP~loflless' d t "$"'jU:utI '1 'UlH fO sel 00 U!t31qo la!w 1101 '1l~!\O 201 ~~ps,o~,1~9 ~mp'Sr}OJLH 0 LOO ~OO Z9a'tJ'Y-W I 401 t.N.~ps to,6~?:AII1psr 8s041 'l8.lL,ae "9!J~?1fiB~ A"I}..! (""Id.... ~'l' {n.ru:llrl . Over PQ\J AmpsJor 1000 V'ons-see-'~f@.lllJ MOllO. %l:t!~~.!<'I'CU D "B"" '. +. "ij ra New Alteration or Extension Per Panel -I\IOTH"E" O1\e '(tIFGUlt " $ 43 00 EachjroI4f~~KritS1l1itL\:lrlLvtta(PIRE IF Hit WORK SeA'l:Fft9(;~ftt:t!fflWER THIS r[nMIT fu3~8T E. ~t~~;ll'J1,:w."t'"illb""~",,'A 1~~J~~,~.".:::-~$~!~tj,I!;rU~~J Pump or ImgatIOn $ 50 00 SIgn/Outhne Lightlng $ 50.00 LImIted Energy/Resldentlal $ 25.00 LImIted Energy/CommercIal $ 45 00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~7f.~<><"r.~'l>'"..w~~.tlli-'~"'r,'1 4. 'rff:sfiB-EdfrAi oEJiB1JWj," " , ~~~'Frl{, Jii:~:{;~j-'_!~,*~{E~k::-h.~y<~ > ~,"~~!f! ..4 7o.~ .5'. s; 0 tf,c.;U 7. JU 7% State Surcharge 10% AdmmIstratIve Fee ~J't ~" TOTAL Shared Dnve(T )/BUlldmg FonnsIElectncal PermIt Apphcal10n 1-03 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 08/19/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1807 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107100 Springfield TYPE OF WORK: Interior TYPE OF USE: Repair PROJECT DESCRIPTION: Misc plumbing and electrical in existing restaurant Commercial Owner: LANGAN ROSE MARIE Address: PO BOX 1600 ATTN RASH #125-27-136 ROWLETT TX 75030 I CONTRACTOR INFORMATION. Contractor Tvpe Electrical Plumbing 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 INFORMA nON 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' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: you to ION' Oregon law requires A~TE~~,__ ~r1Mt.Prl bv th8 Oregon U'llllty. I PUBLIC IMPRO~~i~, -~~~~~16 ~~~;ur~~e~~~e ;;2-001 ~ In AM '::Iot.:.- ~w.~ill.k)\fiypepf the rules by 0090. You may .. (Note' the telephone calling the CeM;nsg?l~6Th?tQ~tlflcatlon number for the. r1eag 00-332-2344). Center IS - Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: PIRE IF THE WORK NotesTHIS PERMII SHALL EX S PERMIT IS NOT AUTHORIZED UONRDE\; :~~NDONED FOR COMMENCED ANY 180 DAY PERIOD Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Miscellaneous Plumbing + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Sign - Outline Lighting Each + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount Paid CITY OF SPRI~ljl"lELD Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 08/19/2008 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $8.20 $4.10 $6.56 $32.00 $50.00 $8.80 $4.40 $7.04 $48.00 $40.00 $14.90 $17.88 $7.45 $44.00 $50.00 $55.00 $7.00 $8.40 $3.50 $70.00 10/22/07 10/22/07 10/22/07 10/22/07 10/22/07 10/24/07 10/24/07 10/24/07 10/24/07 10/24/07 1/16/08 1/16/08 1/16/08 1/16/08 1/16/08 1/16/08 2/19/08 2/19/08 2/19/08 2/19/08 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000216 2200800000000000216 2200800000000000216 2200800000000000216 $487.23 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. l,JeouiredJnsnections . Rough Plumbing: Prior to cover and including required testing. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01579 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 08/19/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low V oItage: Prior to cover. Sign Electrical: After connection is made but prior to energizing Electric Service: Approval required prior to utility company energizing service. 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01579 COM2007-01579 COM2007-01579 COM2007-01579 Payments: Type of Payment CredltCard cRecemlJ RECEIPT #: Date: 02/19/2008 2200800000000000216 DescnptlOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdmlD1strattve Fee PaId By SCOTTY'S ELECTRIC Item Total: Check Number Authonzatlon Received By Batch Number Number How ReceIved nJm 019002 In Person Payment Total: Page 1 of 1 11:21:42AM Amount Due 7000 350 840 700 $88.90 Amount Paid $88 90 $88.90 2/19/2008