The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-4-3 _, " v ~, ,,~, . ' " _ ,'h .,{ , ' J ,~. - } :'.., ~- , , ;;. :" :',,'.' ., CITY OF ~ KINGEIELD OREGON'" . '.~~"_,:,?,~. _",.' _",~ ....L.:, ~ '~_, _:~ ".~,~_ : :;! .~' _,,' -.: roja as n 't r 225 FIFtH STREET ~ SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (s"Jl.~f{2"l~3689 ' ELEcTIuCAL PERMIT APPLICATION ' . . J /.,6J' . ZOnlng_ City Job Number [01>''''(7-"",06 ":-00 "3".Date Y; :;<::"~Q" ;:;...~:_._~. , 3. !{€OMP.~'1iFE:S;;~d"-'; "':BEt;(ij~ ~'f".....Jr~_" . ::J.:..~.......""_"..,""".,,,~,~,,,,,,,,.,-,,~. . LEGAL DESCRIPTION 17032-200 JOB DESCRIPTION ? ...FLryt ,^,=-z...+ t1 V A-c , A. ~~iib~r~?uffi'fJi_~~,I't.u~~~GI V1 "1"_. -- ." _ ~"'".,.,-_""",JlIIlllOI:"'1 ~::;: ...~-- 7"- Service Included 10QO sq. ft. or less S I 06.00 Each additional 500 sq. ft.,or portion thereof" S 19.00 ~.h Each MllIiufact'd Home or Modular Dwelling Service or Feeder ' , ~;"'7"~""""~I"-'-'.im'JMriNID"~ tl1~:~I~~~if1f,~:m'"~, ..~~""~~~ 2. ~.;>..t~~ ,B'ii--~~~~~~....,'I~er~~~. ,o~~m' , . :nENiION: U'<>"'.' tl e Oregoll U""'} , Electrical Contractor (' VI rLl S r~ so"'" V~(a\1 f 1101f,2P9,tunPS'Or'i~ bYse\ules are set 10rt\1 S 63.00 '9 . 00t'\I'IC20ll'Aii1P5'i8'400~s'gh OAR 9b~-U~ ,. S 75.00 \ -:l. VI IN..... on1l)\III:.lU \I ' Address ;:;l, 1 f l/,-,,\ I'\t:.- "-\ v-<. . OA[40ISAIDp;tO 600 Ampsies 01 the r\,ll"~ ~1 SI25.00 1\1 . ",,,"v obta\l' "', t' t lep"UI'~ r 0090.60IlAmps to 1OOOlAmps: the e .., ..,~" S163.00 City, (2 Cy.......,L Phone fpW-lo I r, / ca\'0veii'80o~~~~I~Uti\ity Not)I"~-- S375.00 \1urReCorinnbN'~'~800-332-2344 . S 50.00. Center ,'- .' c. ~~~~I11f!!'~" Minimum Electric Permit Inspection Fee Is S45.00 + Surcharges 4. RlSUBTOT:Ai}':'OE14BO'~'~' :.. " ti\\''''''''''''~...'''f:l!!'l;;''' ...."" .'" -',' , 9 7 8>/0 State Surcharge '17'=- 1 c:t"l0 . ' QL~=Ll.vi'~ ,10% Administrative Fee I Inspection Request: 726-3769 < .l.)SOlf TOTAL 1/4 ~ . " 0fJ',-t..;";, Permits are non-transferable and expire if work Is ;. Dot started within 180 days of issuance or if workis Suspended for 180 days. . L./o14 ) /6),)01 ~~"'Ill'-/ G ,II J () lP S';'~E II /' Owners Name 7ft a..~P.":f- S ~S Address 70 ~oX 9'1'>1:. , City J1{i~AfFA 1'0(,".. t Phone Mil OWNER INSTALLATION Supervisor License Number Expiration Date CODStr. Conll'. Number Expiration Date The installation is being made on property I own which is DOt intended for sale, lease or rent , Owners Signature: S50.00 -'1.")\ Installation, Alteration or Relocation 200 Amps or leSs S 50.00 201 Amps to 400 Amps .S69.00 401 Amps to 600 Amps SIOO.OO . Over600Am~~~~~-t'~~ ~~~\~~~~~~~~~~ p..\.l1110Rl'tt'!),ultPa'i!l1n ~~ffffl~ Y'~aneJ' 'I l("2 " ~ Mt~tgifCliit\S M3 , S 43.00 ' ;> lJ~l~ . 8\~a.s~:t-l,lItiiioOO Circuit or with / 0-... . ~ y p..", 1 Semce or Feeder Penmt (../S 3.00 ...J Pump or irrigation Sign/Outline Lighting Limited EnergylRe.sidential Limited Energy/Commercial $ 50.00 S 50.00 . $'25.00 S 45.00 Slw<d Drivc(T:YBuilding Forms/Electrical Pennil Application 1-03.doc . . LlJ i' OF SrK11~ut'lI!,LD Building/Combination Permit PERMIT NO: COM2006-0031I ISSUED: 04/03/2006 APPLIED: 03/15/2006 EXPIRES: 10/03/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2750 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Change out 19 package units J Owner: TARGET STORES #612 Address: % PROP TAX DEPT PO BOX 9456 MINNEAPOLIS MN 55440 # of Units: Primary Occupancy Group: Secondary Occupancy Group: . .Primary Construction Type ,. Secondary Construction Type: # of Bedrooms: ~ \I1'eS I/ell 'v I CONTRACTOR INFORMATION "r, ~re90n UtiliW ~ _ '," ",,,c .I~ ere set 10rt\1 Contractor ,:'Ji: ..;er.Licenseo\J r~Eb)f\a)!On)D'ate CHRISTENSON VELAGIO INC , ~ 52.00164137) t\1rougn 0\ ~7L1,4f200ii'l/ HARVEY & PRICE CO i" ):",L, rMW7.70tain COple:',n ,tQ!~JI2006 BUILDING INFORMATION-"e \I~~'Uti\iW NotihcatlOIl nurnber lVI '''-. - _~OO_332-2344). # of Stories: center IS 1 Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-688-6121 541-746-1621 , Contractor Type . Electrical , Mechanical I DEVELOPMENTINFORMATION , REQUIRED PARKING Frontyard Setback: Side 1 Setback: , Side 2 Setback: : Rearyard Setback: , Solar Setbacks: Overlay OIst: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: " 'NO\\\l.. ?,t. \f i\-\<:. ~Oi .FJi.'r~' ,'(.L' f.'i.,?\ ~,~O\.,. \.'2, I PUBLIC IMPROVEMEfii'"si ?t.I\WI~~ U~\)t.\\ i~~;Q~t.\) fQ? /I-\li~Q\\~~na1JPI1\m~ f'QWlWlt. .-, p~R\ . . v/l-~i '\ 8l?o.:.wnspdu~slDrams: Street Improvements: Storm Sewer Available: , . Special Instruction: " . Notes: . Paee 1 of3 -, . :\ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00311 ISSUED: 04/03/2006 APPLIED: 03/15/2006 EXPIRES: 10/03/2006 VALUE: 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 Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project )?pp< P~i" I . Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $9.70 $7.76 $43.00 $54.00 413/06 4/3/06 4/3/06 4/3/06 1200600000000000392 1200600000000000392 1200600000000000392 1200600000000000392 Total Amount Paid $114.46 I Plan Reviews I SUB Review 03/15/2006 03/17/2006 APP JF To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. . I Rp<nl1irp~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. , " , Paee 2 of3 . . L11l' OF SPRINGFIELD Building/Combination Permit, PERMIT NO: COM2006-00311 ISSUED: 04/03/2006 APPLIED: 03/15/2006 EXPIRES: 10/03/2006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .:. 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all u information hereon is true and correct, and I further certify that any and all work performed shall he 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 oCany 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, tbat 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 " . . .. ,~ Paee30f3 I, , . I 225 Fifth Street , Springfield, Oregon 97477 54'1-726-3759 Phone . ~a!'~RIN~=~...~. ' ; , , --,...,-.. ...,...., ) IlliiJty of Springfield Official Receipt .velopment Services Department Public Works Department .. Job/Journal Number COM2006-00311 COM2006-00311 COM2006-00311 COM2006-00311 Payments: Type of Paymeut CreditCard ,. ,'j " ,I. 4: ;. ., 'i t . ~?' :1 :4' . :. . , " " { .J,' J :, :{ 4/3/2006 RECEIPT #: 1200600000000000392 Date: 04/03/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee PaId By LARRY CHAPMAN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 003047 In Person Payment Total: Page I of I IO:12:39AM Amount Due 43.00 54.00 7.76 9.70 $ 114.46 Amount PaId , $114.46 $114.46