The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-4-7 SPRINGFIELD ZON C ,U INITIALS N V'A-- 4M. DATE 4......-, -0')( 'rAIl SOURCEf'(\,VS~ I/J j,. -1}0 <6 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELEC11?lL"AL PERMIT APPLICA TION City Job Number CO~ ZO C) r - e> 0 47.3 Date 1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOW 900 BELTLINE ROAD LEGAL DESCRIPTION J7D3/f3> b b (000 A. New Residential- Single or Multi-Family per dwelling Unit. SHARI I S OF NORTH SPRINGFIELD Service Included JOB DESCRIPTION PIE CASE CONNECTION & ELECTRICAL FOR REMOVING BOOTHS AND REPLACING TABLES. 1000 sq ft or less Each additIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $ 21 00 Permits are non-transferable and expIre If work is not started wlthm 180 days of Issuance or if work is Suspended for 180 days. $55 00 2. CONfRACTOR INSTALLA1I0N ONLY B. Services or Feeders -Installation, Alterations or Relocation: Supervisor License Number Electrical Contractor ATLAS ELECTRICAL CONTR. A- 200 Amps or less $ 70 00 I Tf-I\ITtnt., fOflo;;2f V\mps(fu-~~Bn'-ra~ $ 83 00 4403 SE ROETHE ROAD .Not,r,cC#;3nf}..~pSfar(jt)~t;;~p,~eqU;res ~ tv $13800 ~n OAR 6Qj!?4m~~i53:1 (J{j~WPfj/~regan Utilit ' $180 00 City MILWAUKIE, OR Phone 503-659-2212 090.. YQJymYf8~.QJfMNObt~h J are Set farL $413 00 n~~/~n9F1:~~{JjH{Q caples af ~R 952-001. $ 55 00 m er far the 0 r. rNate: the tie rUles by d~elftapI#sr,ji~Pr~ftilit}O~{fII~~e -332-2(44). atlOIl InstallatIOn, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Address 5009S ExpiratIOn Date 10/1/08 ExpiratIOn Date 9/3/08 $ 55 00 $ 76 00 $110 00 Constr Contr Number 1532 Signature of SupervISIng ElectriCian Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits ~ City S~INGFIELD Phone New Alteration or Extension Per Panel N8~cult 1 $ 48 00 548.00 TH~ a ft,'kodltlOnal CIrCUit or wIth ~fVJlr!,der Permit 4 $ 400 $16.00 SPRINGFIELIlAUTHORll "HAL[ EXp C044MMVc~lJ.lJAAnfSJ!fmifffJli' pNE'WwjgpJ -Each In~tallatIOII ANY 1 Rn D OR IS A PERMIT I UffK P'iltnPA}(~m BANDONED _ ~ NOn 55 00 Sign/Outline LIgll{J,g -FG11 $ 55 00 LImited Energy/Resldentlal $ 28 00 Limited Energy/CommercIal $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Name SHARI'S OF NORTH Address 900 BELTLINE ROAD OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own which IS not Intended for sale, lease or rent Owners Signature 4. SUBTOTAL OF ABOVE Sfi4_00 12% State Surcharge 10% Admmlstratlve Fee 5% Technology Fee '7 'c:o fi_40 1.:10 InspectIOn Request: 726-3769 TOTAL _ $81.28 Shared Dnve(T )/Buildmg Forms/Electncal Permit AppiIcu"v.. . -vu vv~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00473 ISSUED: 04/07/2008 APPLIED: 04/04/2008 EXPIRES: 10/07/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 900 BEL TLINE RD ASSESSOR'S PARCEL NO.: 1703153001000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Add alter 5 circuits Owner: Address: MARIK PROPERTIES LLC 4150 SW DOSCH RD PORTLAND OR 97239 ATTENTION: Oregon law requires yoUut.tl,OtY .1 I d ted by the Oregon 11 follow rules a op ~~I _ a. r '11"1 "ro ~pt forth NotificatIon v~lll~l. \ .......v "t-~-001. iih O@~1)W\:~t~~~~ les by 009U., lOU I (Note: the telephone Contractor ca~.: f~~~~gon Ut.JHiy~icati<B\:piration Date A TLAS ELECTRICAllh~~.~~ lV~~dOi~wa344). 09/03/2009 I BUILDING INFORMATION I Phone 503-659-2212 Contractor Type Electrical # 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 M~,!,'~~: DEVELOP XPJRE IF THE \&Oll\ AUTHORIZED UNDER THIS PERMIT I~ )'fIRED PARKING Overl:{y01f1>MENCED OR IS ABANDONED Fo~otal: # Stref\NYet88<D'AY PERIOD. Handicapped: Paved Dnve Rqd: Compact: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00473 ISSUED: 04/07/2008 APPLIED: 04/04/2008 EXPIRES: 10/07/2008 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.40 $7.68 $3.20 $48.00 $16.00 4/7/08 4/7/08 4/7/08 4/7/08 4/7/08 1200800000000000317 1200800000000000317 1200800000000000317 1200800000000000317 1200800000000000317 Total Amount Paid $81.28 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. Reouired InsDections 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 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 Page 2 of2 225 Hifth Street Springfield, Oregon 97477 541-726-3759 Phone , City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00473 COM2008-00473 COM2008-00473 COM2008-00473 COM2008-00473 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000317 Date: 04/07/2008 Descnption Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmistrative Fee Paid By ATLAS ELECTRICAL CONTRACTORS Item Total: Check Number AuthonzatlOn Received By Batch Number Number How Received dJb 45170 In Person Payment Total: Page 1 of 1 9:52:31AM Amount Due 4800 1600 3.20 768 640 $81.28 Amount Paid $81 28 $81.28 4/7/2008