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Home My WebLink AboutPermit Electrical 2006-7-17 --.- ~ ,". .. .... -, . ~ 1 I . I .... .' , f ' . T, . ... . ~ .'" . , ' j J \',', . ; ': CITY OP,:",t"RINGEIELD, OREGON "'~/ ....: ,J (, .. . . :'1" t., " .:. ,. . ~~ -1' J'I, ~ I 225 FIFTH STREET ~ SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 0n~tJ7X.:, - O{) JsCi;( I. LOCATION OF.INstWrATIO'N7/.!i{':.,'0;:J ~ '."_.' . ,....u_..~....."... , . ..~_.__ d.....-_._"_~__. _.. . (H~ ffG~f8ESCRIPTION I I '-1 () ~ .::;) '::l r"\O Od..2., (,0 JOB DESCRIPTION aJJ cjrw.J h> ~_ Permits are non-transferable Ynd expire if work is not started within 180 days of issuance or if work is Suspcnded for 180 days. 2. ". .." .. . .~ . ~ ". ~I J. CONTRACTOR lNSTr1LLA TION, ONLY . ; ..: ;;'J;'; . Electrical Contractor BEACON ELECTRIC Address 2585 Q()OSEVJ:;.T,T .RJ-,Ill) Cily Rfrr:RNR Phone _S 4 1 - 4 h.l=..Q2 91 Supervisor License Number 34855 Expiration Date 10/01/07 Constr, Contr. Number 38497 Expiration Date ()1/1()/()~ SignifS7J:;m , N~ I~ ~ r,c;- ss ~~ ~~ ~( ; ^ 0~' JJ.J- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date 7 - If-oc., 1;-O~'''"'tr:,..(!":'''"l'I7't'.-,,,~-_ :'",,:",. ._..... .,..".~1r~""''''' ' 1,'_'.' 3. :'COMPLETE FEE SCHEDULE,BELOW ~.......~,-..;-;--"-:;_" '-" ......, "yo .. ~..--'to:..~..-. ~ .,.~. ..J..:.:.,' '""'~........ t -- ":"1---n- ~---""""",...~r'-"--':-'~ -.- . ~. . ' A. :'New Rlisid~~ti~i ':"Sini:le o~,'l\Iult'i:Family pcr dwelling nnit. .....I.._'-.....~."..J,~.ol..:'~,-'-..-.<_-"-" .....__~,' " . Service InCluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder .. ,,~',.- ..-::;:;::~!:;Or!lOOf) lilW ff!'llJir"ls VOl I to . B. -Scn"ccs,or.F~cdcrs;,-_Jnst.nllatlonl Alterations or: ,-<"CIocatlOn: ., "." ,Iou..' "."'-r'~u uyu e uregon Utlltty 200 AI' , '1.:J,l Center. Those rules a~$".r.30.lo'orth mps or- essf") . "o~ ~u II, V," \ '.:-:~.001-0010 thluu;!" Uf-IF.l n~2.J101_ 20 I Amps.to 400 Amps , . . $ 75.UU' U~"J. IVU l"uY obtain cUjJ"'~ vI ,hn '''I,,~ l.iy 401 Amps to 600 Amps . 5125.1111 va,nil~ III" ,;enter. (Nv;". '"'' u:jIP!'Jh,~n.e 601 Amp.s,to..I,OOO.Amps Oregon '"...,.. ., '163.10 , ... .......... IV, 1I.C .........) I_J~ tan Over 1000 Amp~~A!~r is 1-800 ~~: :8 :4$37). 8 ReconneclOnly -S 50.00 $50.00 C. TCII1)JUr4lr)o' Scn'!ccs or Fccdl'rs Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. .-'. ,~,1-: ~"'1""\.':.:S;?T;:->.~ _~-""'" '~.--: ~.." D';.!3r.?!,c\P~.~,ts..:},~;>i:' ~..:....:t. ,... 1= 1H\: WORK New Alteration orlExteitSion(p8\~.fnkM\1 IS N01 , , "tn'''' v'' S ptr .1 ~ Onec;ir~ihK\lFr) UNDtR WI L~ ~df\OO '1'3. EachA!dditional'Circuit or \with \3/1,NUVI' LU . ..-'rt,l"-Ilt:l\ v" $300 ; S.~;::;~~~~t~~~~,\2~,:,<~,_;r.':; :,;.,,~_- ',.., E, i:iM!sEe"!~'!~~~(~~W~~f~.<<1H;'~gt'i.ncl~e~f'I~Ch !~<st~,llation S 50.00 S 69.00 SIOO.OO Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidenlial $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges -l!IjV""'iiil.<IWl;'~~P-ti<lVt:t:f"-1";ii;~, i1l'!, ~"I {:~');':i ..~~ :"'l:",..; 4. .SlJ.o,...,.AEOE,W..,,,..,, .; """,".'ld . f<.-. ._ ~. " .. > - ..:. .:r ,,, '~" .,.(~-_~...l!....' ""T'o;) 8% State Surcharge 10% Administrative Fee 3. (.,0 Lj. , rn 5"3. ,.E-- TOTAL Shared Drivc(T:YBuilding'FonnsIElectrical Pennil Appliclltion 1.o6.doc . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00898 ISSUED: 07/18/2006 APPLIED: 07/18/2006 EXPIRES: 01/18/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1126 Gateway Lp Ste 110 ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: TYPE OF USE: New Commercial . ou to ATTENTION: Orego,~ la~_~e~~~~~: lItilitv tollow rUle:;.. ouu.............. -J _ .. t rj\-' GATEWA Y MALL PARTNERS .' . C nt&hor.~:N.umb'er: a54t'.f7471b294 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMINNotlflcatlo~ 0~1-Q()1O through OAR 952-001- CHICAGO IL 60606 In OAR 95 - btain copies of the rules by ,..,,..,nn Vr., I mav 0 . . _ _ . __";nn the center. \1\IOtl;:''' 1<; '~'-:r:' '.'. - I CONTRACTOR INFORMA'TION'_IDr the Oregon Utility Notification . - Center is 1_800-332-2344). License Expiration Date Phone 38497 01110/2008 541-461-0291 Roof Units - Target Area Owner: Address: Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq F,t,Basement: on I AN\./ 111'~"'1r1^\'llO~ v Range Type: Sq Ft GaragezCarport~08 Energy Path: tJO~ 03NOONs~Ft6tll~HJjJ'\dV~ Sprinkled Building:10N Sllii/a'tJ3d S04!ct\p1'riiJCo~.r:lltJOHlnlJ ...._.. ....,., "-"IlI,,"''''''UI!('I 111^IU:l...l CIUI Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sohir Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: :3~110N REQUIRED PARKING Total: Handicapped: Compact: I DEVELOPMENT INFORMATION I I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00898 ISSUED: 07/18/2006 APPLIED: 07/18/2006 EXPIRES: 01118/2007 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 L.F""s P3W Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Aller, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $4.50 7/18/06 2200600000000000993. $3.60 7/18/06 2200600000000000993 $43.00 7/18/06 2200600000000000993 $2.00 7/18/06 2200600000000000993 Total Amount Paid $53.10 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"oui~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do berehy certify that oil information hereon is trne and correct, ond I furtber certify tbot any and all work performed shall he done in accordonce witb the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will he made of any structure witbout permission of the Community Services Division, Building Safety. I further certify tbat 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. Owner or Contractors Signature Date Paee 2 of2 225 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone . ;~ ~-~ . caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00898 COM2006-00898 COM2006-00898 COM2006-00898 Payments: Type of Payment Cred itCard cReceinll RECEIPT #: 2200600000000000993 Date: 07/18/2006 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By BEACON ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm karin 041223 In Person Payment Total: Page I of 1 9:42:21AM Amount Due 43.00 2.00 3.60 4.50 $53.10 Amount Paid $53.10 $53.10 7/18/2006