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HomeMy WebLinkAboutPermit Electrical 2008-3-4 -" '< CITYOF SPRINGFIELD, OREGON }25 I'll' In STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEl.,lKlCAL PERlhl'.l'APPLICATION City Job Number (OlA/f~og-oO>og Date l. 3. Z50~lkJ ~+ f~C(lo '~Mh..~ (0. -.:EGALDESCRIPTION:,7D33bl.{ I 0 Z30C A. ~~~l,\ 1l..S~ ,hv,+t-L h'\A.4.~ 6iJ Service Included JOB DESCRIPTION: 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 PolL A-+ 2 fs"Ih. sf- 'E'A,) -t~~c. $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder $55,00 B. 2. Electrical Contractor VV\,L (\ iAam'd... ~N~11 70 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70,00 $ 83.00 $138.00 $180,00 $413,00 $ 55,00 Address BS~~ tfw~ q~. 5 City Et)~G.J~! Phone /1...1:, - '~17 Supervisor License Number 2. 8 COc:!? .S:. Expiration Date ,/0 1/ 1/ t1J Constr, Contr. N~be~' 71 0 1. ~ c. A TTEt1:liWi}hla~oft9~ft~il~hHfiC1,\~rR~1 V2~t!O follow ~Io~ ~g.op-1ed-15y tTie U"regoW UTI'~ Notifica 'R~~MF.1ffrbse rules are set forth ' in OAR 52~rot91W~~Q$1 OAR 952-001. 0090. vHU ~~b:tt6~~ of the rules by callint;)~~ s(~P' t leph9n~ bove. nur1]9. $ 55,00 $ 76.00 $110.00 10/1...'-1 loB Expiration Date Signature of Supervising Electrician O~m~ 'j / / - - ---- ----; Owners Name ~I.JS (! &<1..0 ~~-L.~l Address '2 ~-o, JIJ1 A-(I'/ SJ City c;;=PF;j Phone New Alteration or Extension Per Panel One Circuit. ' Each Additional Circuit or with Semc;-or' F~ed~; Permit $ 48.00 $ 4.00 /2 3 E. Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55.00 LimN:aiiAGiY/Residential $ 28.00 , Limiltd1ltiltFgyMiTn&iAh!t EXPIRE IF THE~@.W< MinimumfltjlJ~cRt?~Q.i~~~tIMlpJ'~.bBSr ~QJharges ~ ,gZ <t !Ie.; If;'ZO if/V jO(/It..{ OWNER INSTALLA nON ,The installation is being made on property I own which is not intended for sale, lease or rent. ' Owners Signature: Inspection Request: '726-3769 TOTAL ' Shared Drive(T:)/Building Fonns/ElectricaI Pennit Application I.08.doc , " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00308 ISSUED: 03/04/2008 APPLIED: 03/04/2008 EXPIRES: 09/04/2008 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: Repair PROJECT DESCRIPTION: Install 125 amp meter main and 3 circuits - pole at 28th st entrance Commercial Owner: ROSBORO LUMBER CO Address: PO BOX 20 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor MCDIARMID CONTROLS INC License 77023 Expiration Date 10/24/2008 Phone 541-726-1677 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING IN ATTENTI. b the Oregon I Y follow rules a~~. ~II 1ij rules are set forth Notification Celft . U"~t\t~R 952-001- in OAR 952-001r9 fa~ 8fJ'es of the rules by 0090.. You maw: er ~8fe: the tel~~hone calhng the cftq~~'~fll\:Jtility Notlf,cation number for ti\ir~~~t.6a2-2344). centESp'nn"kled 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 .1 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: Street Improvements: . Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I . Sidewa.lk~~O~~ . . ~\~t. '':.~~~~;~O, "O~~~RlA\1 S~'t\\ il\\~"~;Uf~S: . '~'n\OR\lt\) U OR \S ~'3~~\) ~OlJ\\'J\t~Ct~ ptR\O\). Wi \ p{J fI I V aluaiion ~escription I Notes: Description Type 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: COM2008-00308 ISSUED: 03/04/2008 APPLIED: 03/0412008 EXPIRES: 09/0412008 VALUE: 225 Fifth Street, Springfield, QR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 Fee Description + 10% Administrative Fee + 12 % State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $8.20 $9.84 $4.10 $12.00 $70.00 3/4/08 3/4/08 3/4/08 3/4/08 3/4/08 1200800000000000197 1200800000000000197 1200800000000000197 1200800000000000197 1200800000000000197 Total Amount Paid $104.14 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 1 Rough Electric: Prior. to Cover Electric Service: Approval required prior to utility company energizing service. 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 shallbe 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 2 225 Fifth.Street Springfield, Oregon 97477 . ,. 541-726-3759 Phone Job/Journal Number COM2008-00308 COM20Q8-00308 COM2008-00308 COM2008-00308 COM2008-00308 RECEIPT #: Description Perm ServIFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000197 Date: 03/04/2008 10:13:53AM Amount Due 70.00 12.00 4.10 9.84 8.20 $104.14 Payments: Type of Payment CreditCard Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received MCDIARMID CONTROLS INC djb 612141 In Person' Payment Total: cReceintl Amount Paid $104.14 $104.14 Page 1 of I 3/4/2008