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HomeMy WebLinkAboutPermit Electrical 2008-2-21 ZON CJ:: ~ INITIALS N rv-- DATE ~-I JTJ 0 Y SOURCE t'<\~~~ Date :2/ :;L/ / 0 ~ , ~ CITY OF SPRINGFIELD, OREGON 2251'11' I n STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELE-.;l1<lCAL PERMIT APPLICATION City Job Number ({)yyl J.OV3 p 00 z::::,~ Pump or irrigation $ 55.00 Sign/Outline Lighting_ _n $ 55.00 OWNER INST~~: Oregon taw requires you t,o Limited EnerR/Residential $ 28.00 The installationfCllbein~uffa8e36lPP/tJQthf lto~Wmeti Utility LimIted Ener~~t~cial $ 50.00 ___ is not intendedtf<ntsa1e1,tl6al;~~~t. Those rules are set ~.h. EI t' WWnRij Ut~~~t-it:~d!"tt~ .\Fsl~l~~1\ in OAR 952-001-0010 through OAR 952-vtf10Imum ec r1C . I T Owners Signa1OO90. You may obtain copIes of the rules J;y ,00 calling the center. (Note: t.he tel~pho~e zs- g numoeriul i.Il\"J ~~~ lJtlh~y NotifIcation 12% State.S~m-~RO DAY PERIOD. . f', 2344) 10% Administrative Fee 2-0 ) 0 Center is 1-800--332- . . 5% Technology Fee /0 .I-t..~- Us., 4-3 1. 3. 2-5oCi t'Y\A\~ CSt. /i2..o~loc.(Z.b Luwt.bee.. I LEGAL DESCRIPTION: Ius\p.- \ \ 1-J"D A 4fuu t:-c<<J..eil.. + JOB DESCRIPTION: LOOA I,<,l~l^,( Pf,,~d W 1/4 c. '~("H-\s ),J ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor lv\L~lJ'~ll'f. r u~~IS Address BSSl'f H~" q'l'S . - City ~e~-e.. Phone ,'2k-lb 11 Supervisor License Number Z 8 a:::> ..s Expiration Date 10 J I 110 ( I' Constr. Contr. Number .~ ",- \~"1 <'- 1 70'2-3 Expiration Date lO/z.. J, I t:J B Signature of Supervising Electrician i2A'~')n~ / / Owners Name r.2o~lo{JYO Address -f 0 fzfDI- 20 City ~'do/ Phone Inspection Request: 726-3769 A. Service Included 1000 sq. ft. or less Each additIonal 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55 00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only I I $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55 00 7().OO g3, Ol) c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Am s or 1000 Volts see "B" above. $ 55.00 $ 76.00 $110 00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Perrmt $ 48.00 $ 4.00 50,0[) iJ./ . E. TOTAL Shared Dnve(T )/BUlldmg Fonns/Electncal Penmt ApplIcatton 1-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00255 ISSUED: 02/21/2008 APPLIED: 02/21/2008 EXPIRES: 08/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2509 MAIN ST ASSESSOR'S PARCEL NO.: 1703364102300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: 200 amp lighting panel and feeder with 14 circuits. Industrial Owner: ROSBORO LUMBER CO Address: PO BOX 20 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MCDIARMID CONTROLS INC License 77023 Expiration Date 10/24/2008 Phone 541-726-1677 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 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 I Frontyard 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: Notes: I PUBLIC IMPROVEMENTS I Street Impro).\~~ION: Oregon law requires you to Storm sewe191IP.mIM\.e.s adopted by the Oregon Utility . "'ntjtl('~tion Center Those rules are set forth Special InstntCf mr. . AR 952 001 in OAR 952-001-0010 through 0 -- 0090. You may obtain caples of the rules by calling the center. (Note: the telephone ..~;:::': S1 f=~ ~RO Orognn Iltihty N~tificatlon Center is 1-800-332-2 4"t). Valuation Descri Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PFRMIT I~ ~,nT . .... IVflVltNGED OR IS ABANDONED FOR .- tlOtA Y 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00255 ISSUED: 02/21/2008 APPLIED: 02/21/2008 EXPIRES: 08/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid J Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Amount Paid Date Paid Receipt Number $20.90 $25.08 $10.45 $56.00 $70.00 $83.00 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2200800000000000232 2200800000000000232 2200800000000000232 2200800000000000232 2200800000000000232 2200800000000000232 Total Amount Paid $265.43 I Plan Reviews ~ 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 Reouired Insnections . Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When aU 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 aU work performed shaU be done in accordance with the Ordmances 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 Pae:e 2 of 2 225 Fiftk Street SpJ;.ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00255 COM2008-00255 COM2008-00255 COM2008-00255 COM2008-00255 COM2008-00255 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000232 Date: 02/21/2008 DescnptlOn Perm ServIFdr 200 amps or less Add, Alter, Extend Clrc Ea Add Perm ServIFdr 201 to 400 amps + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JEFF BROOKS Item Total: Check Number AuthorizatIon Received By Batch Number Number How Received ddk 615193 In Person Payment Total: Page 1 of 1 1:19:16PM Amount Due 7000 5600 8300 1045 2508 2090 $265.43 Amount PaId $265 43 $265.43 2/21/2008