HomeMy WebLinkAboutPermit Electrical 2008-2-27
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~-o'} \__________~ INITIALS fJ M
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CO.;VlP1J: lb FEE SCHEDGLE BELOU"
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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
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1. LOC,.1.TIONOFINST/iLLATIOjY:
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LEGAL DESCRIPTION
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JOB'oESCRIPTION :L"'sk41 foWV' <\ De;Nj
3.
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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