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Home My WebLink AboutPermit Electrical 2008-3-11 ,.~ SPRINGFIELD' ZON Q. (; ~ INITIALS I'll'-< . ~~ ~~J:CE~\~~~ ~!lll 02 3. IcCQMlFLETE FEE SCHlEPULEBELOW 10). <<>>~:~:~o , ~",_.;,;. '.d -,'c:. ,', ;;" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELEll.:J1KlCAL PERMIT APPUCATION City Job Number tDh1~rOO?l31-' 1. l'LOC~TION OFIli$T~lfJiA:1'I()N:: 1 5755 ' s~ fY7CilYJ '6-1-' LEGAL DESCRIPTION: Cu1~~ it?! ~~ ~~~. . .l/o~a3 \{1€(5t)l\(})J Permits are non-transferable and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. Date A. f:N~w~R~~id'entilll~$ingle,QrMUlii~i!'amiIYP~r dwelling unit. Service Inchided 1000 sq. ft. or less - Each additional 500 sq. ft. or p'ortion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 2. I:(X)NfRAq0l3'11JV;$tAir.1:~1J91Y,.f!Nt~,1 B.I',$,eryi~es orFeed~tS"-),ri~ta.n~ti~ri,Alter~Wo~s.~r,~elocation: ,\ Electrical Contractor, . fJ ~ t: E/ ~ CivIC ,:J:11C 200 Amps or less $ 70.00 , /),7),421-,\7 II_C/- 201 Amps to 400 Amps $83.00 Address r, (/, OVA {::71J (,?/ 401 Amps to 600 Amps $138.00 /J I' 601 Amps to 1000 Amps $180.00 City Whtlfl.L/ Phone !Lt.fj.-.1jf/1--:-f~l7 Overl000Amps/Volts $413.00 I ' Reconnect Orily $ 55.00 - Supervisor License Number 2 q gO S Expiration Date )D-/'" O(j' ,Constr. Contr. N~ber .d).t/.-':2-/.5 e- Expiration Date /0..- J.- of Owners Name Ai ~ Address 1tJ W,( ,ZO City ~lk" Phone OWNER INSTALLATION The installation is being made on property I own which' is not intended for sale, lease or rent.' oNtOX1&f.i.tuU.:SHALL EXPIRE IF THE WORK THIS P~RM_ll. c Dt:QMiT IS NOT AU1HUKlLtD m1lD[f1 THIv r -' . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 . "'"",'-J -. .-i:-:"',,;'~':~'~", C. V:T~n!PQrary Services ~'rF~eders ] , Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. tBrancb':Circuits .' , , New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with I Service or Feeder Permit --1 $ 55.00 $ 76.00 $110.00 $ 48.00 $ 4.00 1 3i~ LfcD E.. F~i;~e,lIa n~ous(S~hrit~/re~d~.fiJ:ot~inh;~iid;~J ~~~~hI ~~t~ii~~!o;'" " Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 , Limite<Aft!~N~~n law fAlll JireS~~ Minimum ~6iif ftmmi~ptgti~~~ilktqbarges 4. ~iid1l~:iM!ti9~~Th0,se'rules are setlfor~~ I'"Y'""\ L':3'--nOAR-952-00-1-Q010-tl1r0ugh-OAR952~' l."A-/ 12% . 7e~uwWtway obtain copies of the rules bv& .ol4- 10% A<IeMlliHgatif~ bfR1ter. (Note: the telephone I:=) .~ 5%Te_~ 'ef the Oregon Utility Notificatio~ . (p tJ , ,Cenfer is 1-800-332-2344). 1,,'/_ ()"J / TOTAL (P(t7 . Lf S~ed Drive(T:)/Building FormslElectrical Permit Application I-OS.doc . "~,-. -, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5755 MAIN ST ASSESSOR'S PARCEL NO.: 1702334400800 Springfield TYPE OF WORK: Electrical Work Only I TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Circuits for espresso machine Owner: MCKENZIE CROSSING PARTNERSHIP LTD Address: 2811 E ST STE B EUREKA CA 95501 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor G & E ELECTRIC INC License 54468 . Expiration Date 09/15/2009 Phone 541-967-7045 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: SqFt 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 Coyerage: REQUIRED PARKING Total: Handicapped: Compact: . I PUBLIC IMPROVEMENTS' . Street Improvements: Storm Sewer Available: Special Instruction: . '^'""".,-...,~....... ~;O~_...- . Sidewalk Type: ATTENT~N: Oreqqr;Waw r~quires you to' , follow ruM%~W8~ffity'6~:Vr'?~.Oregon Utility Notification Center. Those, rules are set forth im OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by ~~Ilinn the:> ~e:>ntpr 1f\lnte:>. the:> tple:>nhnn,e II' ber for the Oregon Utility Notification tion Center is 1-800-332-2344). Notes: NOTlCE~ THIS PERMIT SHALL EX AUTHORIZED UNDER PIRE IF THE W ~aluation Descri COM 'THIS PERMIT IS N A~ ~CED Oa.lS 1~~JJiJ~~fioR $ Per Sq Ft Square Footage Il.uu-f)AY PE~1BtJ or multiplier or Bid Amount . . Value. Date _CltJculated Pae;e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00332 ISSUED: 03/11/2008 APPLIED: 03/11/2008 EXPIRES: 09/11/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees paidJ Fee Description + 10% Administrative Fee + 12% State Surcharge' + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.20 $6.24 $2.60 $48.00 ,$4.00 3/11/08 3/11/08 3/11/08 3/11/08 3/11/08 Receipt Number 2200800000000000307 2200800000000000307 2200800000000000307 2200800000000000307 2200800000000000307 Total Amount Paid $66.04 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. .1 .1 Reouired Insoections , Rough Electric: Prior to Cover 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 istrue 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 furthe'r 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 Pa2e 2 of2 . 225 Fif{h Street. Springfield, Oregon 97477 ~ 541-726-3759 Phone Job/Journal Number COM2008-00332 COM2008-00332 COM2008-00332 COM2008-00332 COM2008-00332 , . Payments: Type of Payment Check cReceintl RECEIPT#: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee ' + 12% State Surcharge + 10% Administrative Fee Paid By G & E ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000307 Date: 03/11/2008 9:29:53AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 48.00 4.00 2.60 6.24 5.20 $66.04 Amount Paid ddk $66.04 $66.04 14523 In Person Payment Total: , \ Page 1 of 1 , 3/11/2008