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HomeMy WebLinkAboutPermit Electrical 2008-3-6 ,.. ,,_ft. SPRINGFIELD' - ZON (2,.<2./ ~ INITIALS t-..\)J\ ~ ~'~ DATE ,3-\\-OK ~ SOURC~ . ~ 3!lg/o8 Date i!nrt(6)IF~iF~({]#liiSiLIr>>. CO)Mool~r ,.,. , ". ~; . "'. '( .' .,~. ,. " ;": '. , ':". @ ., ' '",,' 225 I'll'.If STREET. SPRINGFIELD, OR 97477 . PH:(S41)726~3753 '!' FAX: (541)726-3689 ELECTIlUCAL PERMIT APPliCATION . City Job Number Cl)YYI~OO~ ,. D0330 1 1. [),OCATIONOF INSll'AJLjAll'I01Y:; 2W 0 {l1a!L(l AJ(fL ' 1<0 LEGAL DESCRIPTION: ' ('~ 2.~ jl~ JOB DESCRIPTION: ~?I .. - 7 /J/1~ ~ 3., f,:COM18LjE'jtJE FJEJE SCHiElqT[J~JEjJl!;!-OW . -, .t, A. k~e~~esi~entiaf-,Sirigle}rit,Muii:i:J{a~i!ype~ dwelling unit. Service Included 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. rc9bN1l'~C1l'01i;iNSTAl:1,~T1"91V9m.yj Electrical Contractor G E' E r; lecfrl 'G -::J:i1C. Address P O. ~O X J ~8& City A-lbCtr1J.jPhone5LfI-Q&7- giP).1 . I 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B.l)~Ri~es ot~e~~ef~:~l'n~t;ll~iion,'Alterations or Relocation: J 200 Amps or less . 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Recoimect Only $ 70.00 $83.00 $138.00 $180.00 $413.00 $ 55.00 ,~ . Expiration Date Supervisor License Number J. q RD S /0-- j- OF Constr. Contr. Number !2 4.-' :2/.5 c.- /D-- J-- of . c. r:'q:~~PQr;ary$~~ic~~:o~lB):etl~~ .' .j, InstaUation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Expiration Date Over 600 Amps or 1000 Volts see "B" above. r~en~g E1D: Q, D. ~~~~;~~:::E'reDS;.. Per pa.,' ..>' . , ..... Each Additional Circuit or with J //)""'4 -L-' ( , Service or Feeder Permit $ 4.00 Owners Name . """"I--'f'/{A::::>t.rn)' Address ~'U. OO'/.. zn E. !(~is~~~!i~~~,(m~(~eiiic~/f~~9~r:~otin~i.J'~~~r"7~a~hB~stan~tiori'1 ~ City ~'~ENTlON. Ohone . ' Pump or irrigation $ 55.00 follow rules ad;;tg~n~aw ,reqUIres you to Sign/Outline Lighting $ 55.00 OWNER dWti~'jIj'~ter eyh/ the, Oregon Utility Limited Energy/Residential $ 28.00 . ~~~2.M . se ru es are.set forth .. . The m.stallri lfmgdeQQ.~d"ij:~~/lt~~_OO. LImIted Ener"&i1~'~Ial $ 50.00 IS not mten C rW lQt'l.m~ebt_ caples of the rules )Ji:nimum Electric-l?~J{llt'1lisPection Fee is $50.00 + Surcharges , a /Og tne center. (Note; the fele LJ)}' I' f,ql' i'j-p -~. -S . i Owners Sig~er for the Oregon Urrt N' .~ho~e 4. f,SUBll'Oll'ATA _ HAll EXPIRE'I'"' . Ct. " Y otIfJcatlon - - - '-EDtJNDE - - r- en sr IS 1-aOO-332-~). 12% State StG~MENC R THIS PE 10% Admin~ifNi1lfrt1.. ED OR IS ABANDON 5% Technology Fee V uAY PERIOD. ED PO . td c;j lOTAL ..... -W' DL{ . ',_, . ' S~red Drive(T:)lBuilding FormslElectrical Permit Application l-OS,doc $ 48.00 4-~ .00 '4vw Inspection Request: 726-3769 CITY OF SPRINGFIELD. Building/Combination Permit Status Iss u ed ". PERMIT NO:. COM2008-00330j 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 SITE ADDRESS: 2000 MARCOLA RD ASSESSOR'S PARCEL NO.: 1703251301501 Springfield TYPE OF WORK: Electrical Work Only' TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Circuits for espresso machine area Owner: ' NEW ALBERTSONS INC Address: PO BOX 20 BOISE ID .83726 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: Sq Ft 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 Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS,' Street Improvements: . .' .' Sidewalk Type: Storm Sew~mWJbQ~: Oregonlaw"reqJires you to. Downspouts/Drains: Special In~fPnPtt"(j~~les adopted by theOreqon Utility . Notillcation Center. Those rules are set forth Notes: in OAR 952-001-001 Othrough OAR 952-001- NOTICE: 0090. You may obtain copies of the rules by !~!~ ~ERMIT SHALL EXPIRE IF THE WORK :::.IIi.~g t~: ::r~:r. :~I.:~::: :1..,: :':' :~,\.~ :::;; . number for the Oregon Utility NbtlDcation . . ~'I 'nUtHLtU UIIJUtK I HI::> I-'tKIVlI1 IS NOT Center is1-80Q-332-234k ValuatIon Descn hon') , lMENCED OR IS ABANDONED FOR . 1\1 180 DAY PERIOD. Description , Type of Construction $ Per Sq Ft Square Footage. V I Date Calculated or multiplier or Bid Amount a ue Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00330 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 . .1 Fees Paid I 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 Receipt Number $5.20 3/11/08 2200800000000000306 $6.24 3/11/08 2200800000000000306 $2.60 3/11/08 2200800000000000306 $48.00 3/11/08 2200800000000000306 $4.00 3/11/08 2200800000000000306 . Total Amount Paid $66.04 I Plan Reviews I ; To Requesfan inspection call the 24 hour recording at 726-3769. AU 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. ReQuired Insoections I 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 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 7.01.005 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 constr'uction. Owner or Contractors Signature Date Pae:e 2 of 2 225 Fif.th Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00330 COM2008-00330 COM2008-00330 COM2008-00330 COM2008-00330 Payments: Type of Payment Check cReceint I 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 2200800000000000306 Date: 03/11/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 14523 In Person Payment Total: , Page 1 of 1 9:08:24AM Amount Due 48.00 4.00 2.60 6,24 5.20 $66.04 Amount Paid $66.04 $66.04 3/11/2008