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Home My WebLink AboutPermit Electrical 2008-4-1 ^ c, CITY OF SPRINGFIELD, OREGON 3. 225 FIFI1I STREET · SPRINGFIELD, OR 97477 . P8:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CrJfY72.f)7)~ r {)1J4-~~ Date Owners Name ~ l:1J~f\I\~ .1.J~ Address57Zq t'f'Yll#\ ,51 ~b~z~ City ~ ~ Phone Pump or rrngation $ 55.00 L-l' b . SIgn/Outlme Lighting $ 55,00 OWNER Ilqt~rll'.P.NoQregon law requires you.~o Limited Energy/Resldential $ 28,00 follow rures"aCiopted by the Oregon Utility The instaIWbtm~~p'n1m~JeMrrMiMlforth Limited Energy/Commercial $ 50 00 is not intelfftl\9AlR ~~1e()l)'1l@Itnrough OAR 952-001-Minimum . ~rmit Inspection Fee is $50.00 + Surcharges 0090. You may obtain copies of the rules by RK 4 '--/- cfD Owners Slgne~g the center. (Note: the telephone . ~ J number for the Oregon Utility Notification I ~ ;(% ~WjlOOgtl UNDER 'Or- ~, (~17 Center is 1-800-332-2344}. 1O%~wml~'fOWF@R IS ABANDONED FOR ,t;:j;.-o 5% TAf-llfotw 15f;W PERIOD. ?. '7e; 1. 377/ l'}\\!~~\G $.;T';~b:()e.^~ it./, '7 LEGAL DESCRlPTION, (ne~2;c JAf/'<)e.. ~~ , JOB DESCRlPTION: Te. ",,://orA r ,v pOc..-'er 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. Electncal Contractor Cfijonp ('fiE€. t:.. &kol-r'G Address fi). &Ox ~fqO() - cityf~i.J~tU\(L, (('J~. Phone 7L./~-{}:rl' 97'/0'1 Supervisor License Number SOd 5 ~ fDrf r ~o(O Expiration Date Constr. Contr Number / C, if 8, '7 G / q I ;)-009 ExprratlOn Date Signature of Supervising Electrician ...., ~ ~c-./ .' ------ Inspection Request: 726-3769 A. Service Included 1000 sq ft or less Each additional 500 sq ft, or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $117.00 $ 21.00 $55.00 B. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70,00 $ 83,00 $13 8 00 $180 00 $413,00 $ 55 00 c. Installation, Alteration or Relocation 200 Amps or less I 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. $ 55.00 $ 76,00 $110.00 .5 5_c <0 New Alteration or Extension Per Panel One CirCUIt Each AdditIOnal Crrcuit or with Service or Feeder Pennit $ 48 00 $ 4,00 E. TOTAL 60; I <ir; Shared Dnve(T )/Bulldmg Forms/Electncal Permit ApplIcatIOn 7-07 doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00433 ISSUED: 04/01/2008 APPLIED: 0410112008 EXPIRES: 10/0112008 VALUE: , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3771 Olympic St ASSESSOR'S PARCEL NO.: 1702300002105 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Temp Power Owner: BFD INVESTMENTS LLC Address: 5729 MAIN ST PMB 242 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CAMP CREEK ELECTRIC LLC License 164877 Expiration Date 06/09/2009 Phone 541-746-1471 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 Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Downspouts/Drams: Storm Sewer Available: Special In~lIINij'ION: Oregon law requires you to follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- uu~u'. YOU may ootaln caples Of th- f:.JI.:;.:; lJi calling the center. (Note: the tel ~gllUation Descri number for the Oregon Utility Not I lj Center is 1-800-3~2-2344).$ Per Sq Ft Tvpe of Construction I. I' or mu tip ler rlOTICi: tibWI PERMIT SHALL EXPIRE IF THE WORK ORIZED UNDER THIS PERMIT IS NOT Squ~W1MmgEED OR IS ~I\~~DONED bqfi Calculated or IA~;'"jI8WIDAY PERIOD. Description Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00433 ISSUED: 04/01/2008 APPLIED: 04/01/2008 EXPIRES: 10/01/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.50 $6.60 $2.75 $55.00 4/1/08 4/1/08 4/1/08 4/1/08 1200800000000000290 1200800000000000290 1200800000000000290 1200800000000000290 Total Amount Paid $69.85 I Plan Reviews I 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. I ReQuired Insnections I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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 Pae:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 5(1-726-3759 Phone Job/Journal Number COM2008-00433 COM2008-00433 COM2008-00433 COM2008-00433 Payments: Type of Payment CredltCard cRecemt] RECEIPT #: DescriptIOn Temp Power 200 amps or less + 5% Technology Fee + 10% AdmInistrative Fee + 12% State Surcharge PaId By CAMP CREEK ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000290 Date: 04/01/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved ddk 204667 In Person Payment Total: Page 1 of I 8:15:l1AM Amount Due 5500 275 550 660 $69.85 Amount PaId $69 85 $69.85 4/1/2008