HomeMy WebLinkAboutPermit Electrical 2005-7-15
Og!2~!03 THU 12:57 FAX 5417263689
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CITY OF SPRINGFIELD
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225 FIFTH STREET 0 SPRlNGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689
!::LECTRICAL PERMIT APPLICATION
City Job Numbe(:ayQ rYJ::=; - ~ 9 Date ,-\ C, - A mJ 5
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LEGAL DESCRIPTION
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JOB DESCRIPTION ~'"'/)'i~' ~t-r,..!i
f ~t-o Pacd...;.'J. '"'<;;..O.;-p,.....~ c...."'tfI
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, Permilli are non-transferable and expire if wnrk is
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"I not started ..it~in 180 days of issuance or if work Is
Suspended for 180 days_
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Elec~~:C~~~ct~r .-Q~~;;I\"~L~~ \=l~l+('l~
Address l C, q (" ;:u r-::! S\. S "E
Phone 5 0 ~ ~ '5 u;, ~5"o 0
City S-c. ~a .tY\
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Supervisor License Number ':l :)'/11 .s
Expiration Date ~7-
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. Constr. Conlr. Number 1 - \od-Oc.
Expiration D.~te C> 1- 0 1- 0 (" ,
CC13'/f 'J/(;," &'" .L(,f --t~"LO-OS'"
Signature of Supervising Electrician
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Owners Name ~ S+p.u::.Jl'i'
Address ;).J C; () (. n b UXI.. ,H
City 3..p,.-.. ').r NliJ Phonc . 5 '11-141~oW 0
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OWNER INSTALLATION ,
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owne", Signature:
Inspecrion Req uest: 726-3769
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Scrvice Included
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof S 19.00
t TTENTION' Oreaon law requires you to
Each Manufncr'd Home or
Modu1"" '" D"""Uiii' -'1LJ'S'UIHfI ov the Oregan Utility.
ar we g eMce or 0 00
F~~~idllon ve"ter. I hose rulE!S..a!" rot ''JIM .
uL~".F.J.ill.::'_:.')::t;: ~.r\. 1f1lR;QA!ii&~~k .".,"~..o,.,,=u-.e<
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200,~mps-dl)lc!ise Oregon Utility ~lnt;fiCJti~rf'OO
201 AmPSCl014oorA:ml>S300-332-2'l.d.d) $ 75.00
401 Amps to 600 Amps S125.00
601 Amps to 1000 Amps $J63.00
Over 1000 Amps/Volts $375.00
Reconnect OuIy S 50.00
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, NOTICE:
lnsta,lf.\13op[~A~~r~l!~~!9.':~Io:Cati~nF THE WORK
2001\slJl~I~rr!~KD UNDER THIS PERMIT fso!6\i"
201 ~~I!?~'!99~P.slIS ABANDONED FS169.00 .
401 ~ps to,600~, s'RIOD SIOO.OO
111'll I luV VI I ' .... .
Over 600 Amps or 1000 Volts see wB" above.
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New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with J 0
Service or Feed,r Pemllt
$ 43.00
S 3.00
A-3~
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Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited EnergyiCommereial
$ 50.00
S 50.00
S 25.00,
S 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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7Z3~
S.!.f-
+~
8 s.4-J
7% State Surcharge
10% Adminismtive Fcc
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical pQ"tfl,j! Applic:ltion 1.(l3.doc
Building/Combination Permit
PERMIT NO: COM2005-00919
ISSUED: 07/15/2005
APPLIED: 07/15/2005
EXPIRES: 01115/2006
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
.
CITY OF .,n~..l1~GFIELD .
SITE ADDRESS: 2750 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: Remove existing photo processing equipment and install new. (10th circuit added per
Kristine at Cherry City Electric. 7-15-2005).
Owner: TARGET STORES #612
Address: % PROP TAX DEPT PO BOX 9456
MINNEAPOLIS MN 55440
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MORROW MEADOWS CORP
License
91668
BUILDING INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
# of Stories:
Height of Strueture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
~~t1l.t:1 DEVELOPMENT INFORMATION I
IS PERMI i ~HALL
AUTHORIZED UNDOlle~~~~~t1F THE WORK
COMMENCED OR 1~'sIi.~~t';trle~k~d:IS NOT
ANY 180 DAY PER I 1!..!%\J+t#l-wRQiI f OR
IjJ:Pof Lot Coverage:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
I PUBLIC IMPROVEMENTS'
Expiration Date
07/20/2005
Phone
503-399-7609
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oecupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Street Improvements:
, ,>,OUtO
Storm Sewer Available: alN requIreS Utili\'j
Special Instruction: _ ," UI,,:Uib\lUII \ t\,\e oregon et \ort\'\
",ni;.\'. \ ~s adopted o'>'se rules are \Z-oo'
Notes: \ollo~n~\ center. i\'\O Ug\'\ Oll-f', 9 leS 0,
,'~lllIca\\O~ ~,,~.oo,ot\'\ro_;n" 0\ t\,\e r,u _~O
, ~c':lo" - ....to\1\v-r ..~.......-
. 1'1 O"ro a'/ Ou v Vi' JI-''''''. :. 21ion I
10090. 'fOU f\'1 center. ~l'lo ~. V:ololtl1ilili'Descriotion
call1n9 t\,\e e oregon _Z34~J'
i{\Y'ii~cfrt~~ t~Cti~iieOO-:!$>1>er Sq Ft Squ~re Footage
r v'" f. or multiplier or BId Amount
Downspouts/Drains:
Description
Page I on
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00919
ISSUED: 07/15/2005
APPLIED: 07/15/2005
EXPIRES: 01115/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F..... P3\l1J
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge'
Add, Alter, Extend Clrc
Add, Alter, Extend Clre Ea Add
Amount Paid
Date Paid
$7.30
$5.11
$43.00
$30.00
7/15/05
7/15/05
7/15/05
7/15/05
Receipt Number
3200500000000000436
3200500000000000436
3200500000000000436
3200500000000000436
Total Amount Paid
$85.41
I Plan Reviews I
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.
IR"olli~
Final Electric: When all electrical work Is complete.
Rough Electric: Prior to Cover
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 eaeh address Is readahle from the
street, that the permit card Is loeated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~~r:c::;i~~~ ~~~
I ~ I ~ -2.<::DS
NI"-,
Date
Pal!e 2 of2
~Z5 Fifth Street
'Spr~field, Oregon 97477
~.~
'541-726-3759 Phone
.
a!'~I!'~m.,<ll._."
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,
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Jnb/Journal Number
COM2005-009l9
COM2005-009l9
COM2005-00919
COM2005-00919
Payments:
Type of Payment
Check
'(
7/15/2005
RECEIPT #:
3200500000000000436
DescriptIon
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By Received By
MORROW-MEADOWS CORP nJm
Check Numher
Batch Number
Page I of I
aity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
Date: 07/15/2005
Item Total:
Authorization
Number How Received
7041
In Person
Payment Total:
2:03:22PM
Amount Due
43.00
30.00
5.11
7.30
$85.41
Amount Paid
$85.41
$85.41