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HomeMy WebLinkAboutPermit Electrical 2008-2-27 ~dz)~1.7 tl'l5/ SQ!>il'lIINcC'ac:n...o ZON~:r;' ~-o'} \__________~ INITIALS fJ M , -~-~ '--- DATE 0/ \1.-'1 10 ( ~ ~ I?rZJY '--..J SOURCE~S ~'Z,/ Date :) r /)! ()~ CO.;VlP1J: lb FEE SCHEDGLE BELOU" : - ,":, ,,: -t:r7~F{~;f' ~r7"~~,,j~F:~j:~;itJ~:-;)~\~\~)~~: -- - _ --1 ~....... _: _.-.... ~ .; _:= ... =-:J.~.::.';;_':"~~..._ ...:..r_ --::..~ . _"" _ -:; ~, -:" ... _ ~ .. 1 225 FIFTH STREET . ~.. IUJ.GFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PER1~'UT APPLICATION CIty Job Nwnber d..on R' - FD 2 'KV \ 1. LOC,.1.TIONOFINST/iLLATIOjY: "lJ0~ \ \f\ ~ V\C~ ~ai) LEGAL DESCRIPTION '3l '\ f(P if\ k~ JOB'oESCRIPTION :L"'sk41 foWV' <\ De;Nj 3. \0-J.0. J A. :'{c\> Rcsidcntial- Single or )'fulti-famu.," PC1" 41" dlin~ unit. Service Included ~,... SQ.e;IIoJ,l" L.6 n;.((..r 1000 sq. ft or less Each addItional 500 sq ft or portIon thereof $11700 Server- $ 21 00 Permits are non-transferable and expire if work is Each Manufaet'd Home or not started within 180 days ofissuance or if work is Modular Dwellmg SefVlce or $55 0 Suspended for 180 days. Feeder ATTENTION: Oregon law requires you.~o 2 COl\TRACl'OREVST.4LLATIONO.VLY B. Senicf9i18'Ylf;.!lIMC~~8lwJt~!~~&~~fUlitY clltian: . NotificatIon emer."tnosl:t rlU8S'iife's" '10M (' \ _ (\ .' (1- 10 Q~R 952-001-0010 through OAR 952.Q01- Electncal Contractor \...)\ \~}{,{\I\ \... ~ r.liJJ~mu 200 Am1f)O'gct~~ou may obtain oopies oftfle~s bl' \-J _ 201 Amps ~1tffi~@Scenter. (Note. the t"i~ftt)n8 Address \ sq U !J:1f\fA ~+- ~ 401 AmIJSrla~he Oregon Utility ~on 601 Amps to 1000~jr is 1-800-332-~80 00 CIty ':Y..ll Q.XY'l Phone Sb'3v~o1o~lID Over 1000 AmpsNolts $41300 Reconnect Only $ 55 00 Supervisor License Nwnber ~ -rx \ S \(\/10 Constr Contr Number q \ (oLoSS Exprrabon Date ,I;J D / (-f'/ . I - t j SIgnature of SupervIsmg ElectrIcIan %~ -R- oJI1A-- ExprratIon Date c. T'N'G)T~en-icei- Qr Fetners It!lS P~~MIT SHALL EXPIRE tF THE WORK InstAUI'ffl)~fm<<rtNtfEff'Tm~PERMIT IS NOT 200 m~fvfl~i! OR IS ABAOOQNED f0-WO 201 tQ.; ~ $ 76 00 401 kmps M' ;rsERIOD. $110 00 Over 600 Amps or 1000 Volts see "B" above D. Br.mcJ, Circuit,> OwnersNam~...-' " - Addrest)u3CSV .:)'\~~\-S CI~ ~/) \ (' k Phone C~(L", (' t?. ~v ~ E. MR~enam,"{tus (Sen iee/fecdei'twt incJudt.'d) -Ead. ImtaHation New Alteration or Extension Per Panel One Circmt I Each AdditIonal Cirewt or WIth do. I SefVlce or Feeder Penrut $ 48 00 L{l) ~L{ $ 400 OWNER INSTALLATION Pump or Imgabon $ 55 00 SIgnlOuthne LIghtmg $ 55 00 Llllllted EnergylResIdential $ 28 00 Llllllted Energy/CommercIal \ $ 50 00 So c- Minimum EI.....t.:c r c'. ",.it Inspection Fee is $50.00 + Surcharges The mstallatIon IS bemg made on pr~t";"~Y I own which IS not mtended for sale, lease or rent Inspection Request: 726-3769 TOTAL \15~,6D DJ r~ Wi \~, 20 ~, ID QO\' \1..\ Owners SIgnature 4. SL~BTOT.4.L OF ABOl'E \2.% State Surcharge 10% Admrmstrabve Fee 5% Technology Fee Shared Dnve(f )/Bulldmg FonnslElectncal Perrml Appltcalton 7-07 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 Payments: Type of Payment Check cRecemtl RECEIPT #: 3200800000000000131 Date: 02/27/2008 DescriptIOn Low Voltage - CommerCial Indus Add, Alter, Extend CITC Add, Alter, Extend CITC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By CHERRY CITY ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received 038510 In Person Payment Total: nJm Page I of I 1O:42:58AM Amount Due 50.00 4800 8400 9 10 21 84 1820 $231.14 Amount Paid $231 14 $231.14 2/27 /2008 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00284 ISSUED: 02/27/2008 APPLIED: 02/27/2008 EXPIRES: 08/27/2008 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 power and data for server racks, Owner: SYMANTEC CORPORATION Address: 20300 STEVENS CREEK BLVD CUPERTINO CA 95014 I CONTRACTOR INFORMATION 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 Stories: Lot Size: Height of Structure Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: ATTENTION' 0 ~~t G:!r.~e/Carport E P th' ' regon ~ te,qm~~ you YO S ne,r~1 da B . 'I J.ollow rules ac opted olt e Urr~6nJ:Jtility pnn e UI ~mrfication cill- rer. Thos~crW~g ar3~et forth I DEVELOPMENT IN*~liU~~Ynr~~p~~~ ~uh;~~~~~ calling the center. (Note: the~ep~IYPARKING Overlay Dist: number for the Oregon Utility fli6'ijpation # Street Trees Rqd: Center IS 1-800-332-23~dicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: NOTlc~tUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THE WOR~idewalk Type: AUTHORIZED UNDER THIS PERMIT IS NOpownspouts/Drains: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multIplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00284 ISSUED: 02/27/2008 APPLIED: 02/27/2008 EXPIRES: 08/27/2008 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 I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $18.20 $21.84 $9.10 $48.00 $84.00 $50.00 2/27/08 2/27/08 2/27/08 2/27/08 2/27/08 2/27/08 3200800000000000131 3200800000000000131 3200800000000000131 3200800000000000131 3200800000000000131 3200800000000000131 Total Amount Paid $231.14 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. Reouired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 COM2008-00284 Payments: Type of Payment Check cRecemtl RECEIPT #: 3200800000000000131 Date: 02/27/2008 DescriptIOn Low Voltage - Commercial Indus Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By CHERRY CITY ELECTRIC Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received 038510 In Person Payment Total: nJrn Page I of 1 lO:47:11AM Amount Due 5000 4800 8400 910 21 84 1820 $231.14 Amount PaId $231 14 $231.14 2/27 /2008