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Home My WebLink AboutPermit Electrical 2008-3-4 ,- 225 FlF:TH STREET. SPRINGFIELD, o'R 97477 . PH:(541)7~6-375 . FAX: (541)726..3689 ELECTRICAL PERMIT APPliCATION .. / . ,.- City Job Number C 7.- 0/ S' 7' Date' 3/lf 67 ' . I . . 1. 3. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps City &t~d. 177~'l Phone j81. - b I t::r.T~Nrlr9:f.er 1000 AmpsNolts N ~'~'JW rLlle1~c~bOnly i otlficatio adopt f7 law re _ If 5"""7 Z. ~~~AA 95~? C I- CalJin;~Llh tna!, Ofi,v ~.~OlJQ~L~e s ~.. nUtnbQ e cetMTl1f1m~~ S~tH~MI'fWIOn ~ g r fOrth e1i~(AlDh. es Of th 02:001. ~ "!~ Ce e~rSi o,:;/;'}~e t e rUles b ~-- ~ flter OOV~ J!:!~'PfhOf)e Y'- $ 69.00 401 Amp~ .".~~YUcatio" $100.00 E~pirationDate 7 -D9-- a'j . i . Over 600 Amps or 1000 Y olts see "B" above. ) Signature of Sup .'sing Electrician D. ~' /~p / / New Alteration or Extension Per Panel /7 ~~ One Circuit . Each Additional Circuit or with' 'J {~! I A-.//' .A.-.( ,Service or Feeder Permit Owners Name IGCS..."C!' U uV U-,I/'-. Address :po a6~ /600 E/ City {20~ {cd: rX' Phone -u~_.-... ' Pump or inigation $ 50.00 { nu II lit: . Sign/Outline Lighting. $ 50.00 OWNER INSTALLATION THIS PERMIT SHAll ~~lf~Gl~al $ 25.00 !he in.stallation is being made on pro=~~1%hUNDER T1I:f~tMM~/fB>tfroVcial $ 45.00 . . IS not mtended for sale, lease or rent. OR ~J\iAA1~taro~t Inspection Fee is $45.00 + Surcharges . . ANY 180 DAY PERIO .... Owners Signature: .. 4. 7D 840 7. :Ire::> LEGAL DESCRIPTION /7t>$ 2-531 JOB DESCRIPTION A-JJ' /OO~ 07/00 ~IW e' ( . 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 54>7(" '5..E {'c-T Address Po bo;o 7/67 Supervisor License Number Expiration Date /0-/-D9 Constr. Contr. Number '1- 7- 60 L 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 $106.00 $ 19.00 $50.00 B. I 7D ~ $ 75.00 $125.00 $163.00 $375.00 $ 50.00 70 o . $ 43.00 $ 3.00 I '!Yo State Surcharge 10%A~inistrative Fee TO'?.uv Te-a4- I B8ft> Shared Drive(T:)/Building.FormslElectrical Pennit Application 1-03.doc Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2007-01579 ISSUED: 10/i2/2007 APPLIED: 10/22/2007 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: 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 1 . Contractor Type 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 I BUILDING INFORMATION I . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: )j t.. Height of Structure fo//o~f:NrION: Type of Heat: . lVotifi rUles' ~a!fr Type: if} 0 ICE/tiOf} C adO,&:~~'F~p.te 0090'At95<_oo~fJteE'~~ rP/a~(Jjres..Vi. OlJ c '. Tau rn -OOSf)llm ~"'Rnif~mlJ7 I, . to n/a h..allJf}Q 11..._ ay Ohl~., llJrOII~ ar(:J ^. utility -"'~e~fo;ijm~~~'lt&~ON 1 en/a . ~et I~ 'f 18 1-8an n Utili~~ele/Jho s by . u'vi<<%t~ fJ.tificat.~e # Street iJs. Rqd~O/J Paved Drive R'qd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm sewer.Av}fl~I(CE: . Special Instructi'JJ1 S PERMIT. SHAlLF)(PIR AUTHQRIZED 'UNO ErF'THe-WORK Notes: COMMENCED OR . ER THIS PERMIT IS NOT ANY 180 DAY PER.:~:BANDONED' FOR . Sidewalk Type: Downspouts/Drains: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier 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 + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid $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 $7.00 $8.40 $3.50 $70.00 Total Amount Paid $576.13 Square Footage or Bid Amount Total Value of Project ~ Date Paid 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 3/4/08 3/4/08 3/4/08 3/4/08 I Plan Reviews I CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2007-01579 .ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 09/04/2008 VALUE: Value Date Calculated Receipt Number 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 1200700000000001329 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 3200700000000000706 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000049 2200800000000000216 2200800000000000216 2200800000000000216 2200800000000000216 2200800000000000277 2200800000000000277 2200800000000000277 2200800000000000277 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. Pal!e 2 of 3 CITY OF SPRINGFIELD i Status Issued Building/Combination Permit PERMIT NO: COM2007-01579 . ISSUED: . 10122/2007 APPLIED: 10/22/2007 EXPIRES: 09/0412008 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I Rough Plumbing: Prior to cover and including'required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete: Low Voltage: 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. . J Owner or Contractors Signature Date " Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 5~1-726-3759 Phone Job/Journal Number COM2007-0) 579 CQM2007-01579 COM2007-01579 COM2007-01579 Payments: Type of Payment CreditCard cReceintl . RECEIPT #: Description Perm ServIFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fye Paid By HOLE IN THE WALL BBQ City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000277 Date: 03/04/2008 8:28:40AM Ite'm Total: Check Number Authorization Received By Batch Number Number How Received djb 004824 In Person Payment Total: Amount Due 70.00 3.50 8.40 7.00 $88.90 Amount Paid $88.90 $88.90 -.., Page 1 of 1 3/4/2008