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Home My WebLink AboutPermit Electrical 2008-4-14 3. ZON Ct..- INITIALS t)c-\ .6!... DATE A. .l~ ~ 1liiI.JI SOURCE ~~ Vt,J8 COMPLETE FEE SCHEDULE BEWW 225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 . ELECTRICAL PERMIT APPLICATION ,.- City Job Number CCfW'Z-DO 8-00S/ S Supervi~~ \i:Nn~o" ,;t ~Q~;?b' follow rul~ adopted by t~ OTEW~ V:iJl'ui1!f ExpiraMmifb1diod.eat1t~ Those ~g'g Q:Te sell brlIl In OAR 952-001-001Q t~I~b,C~ 95iZ..{QXlDfl.. Cons~ ~JIrl1MW ob(afrt ~f e rulla$ liB' u. cafUng ffiecellll1l. ,Hu t;:; lill-: ~iepmloo~ E . tJlumbter fo~~ Oregon t)tIJHv~ii~ xprra lOnDa eCeAt:flt -1 800 ~~ Over 600 Amps or 1 000 Volts see "B" above. SIgn:p;e of superv~lsmLg E-vzA)ectricL" _--- D. Branch Circuits ~ New Alteration or Extension Per Panel . A. At. One Circuit I , ~ j' b. . V\j [( \.. Each Additional CrrcUlt or with 3 tI I)' ( Service or Feeder Permit Owners Name c4i~ ,- ( rOfGL i'l It S Address I "].r , ~ 5t:: p~,A.,;d. ~&;J. Miscellaneous (Service/feeder not included) -Each Installation CIty ~"" V A-1'.6., Phone - Pump or Irrigation $ 55 00 C; 761b Sign/Outline LIghting $ 55 00 OWNER INST ALLA TION Lumted EnergylResidential $ 28 00 The mstallation is being made on property I o.V1)~hich Limited Energy/Commercial $ 50.00 IS not intended for sale, lease orrent. ~_, liCE: Minimum Electric Permit Inspection Fee is $50.00 + Surcharges J~t6~~~~ ~t:~Ric " b 0 , (!'AMENCED OR f:B;;T~?~~ fJor ri(vY 180 DAY PER::O~ll~loA 1. LOCATION OF INSTALLATION: MAfll( ST I Lf og LEGAL DESCRIPTION: [LEJ'f"l,C l~ L- ) 7033{,3 Z JOB DESCRIPTION: ()J '10 0 ~ 'u &\T1tu1 PLu.~ -f1-tc,.~7;~vJ Permits are non-transfe~le and expire if ~rk is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor R -I (. LE.JizcrJlt Address ? 0, &x t-/ 138 ( City Ew; -evl-e.. Phone {;;00-219?- / Owners SIgnature Inspection Request: 726-3769 Date A. New Residential- Single or Multi-Family per dwelling uniL 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. Services or Feeders - Installation, Alterations or Relocation: '" ' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83,00 $138.00 $18000 $413 00 $ 55 00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110 00 $ 48.00 L{5 /2- $ 4.00 7ZO~ · n;- :s~ 76Z0 TOTAL Shared Dnve(T )/BUlldmg Forms/Electncal Permit ApphcatlOn 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00515 ISSUED: 04/14/2008 APPLIED: 04/14/2008 EXPIRES: 10/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1408 MAIN ST ASSESSOR'S PARCEL NO.: 1703363203400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Alter 4 circuits Owner: EMMITT PROPERTIES LLC Address: 13593 SE PORTLAND VIEW PL HAPPY VALLEY OR 97086 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor A-I ELECTRIC License 149937 BUILDING INFORMATION I Expiration Date 12/31/2009 Phone 541-606-2797 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure fequif0~q !F;t l~t Floor: TYP~~ON: Oregol'l 'a~he OregSq Ft,zri,d Floor: WaVtflio~ro'es adopteD by e rules a(Sq'Ft B!lsement: RamtPlon Center. T~~~OU9h OI~~SqFr9_arage/Carport En~OJt"~52-001.001 ~n COpIes ~~ tiS~I.Ift Q!h~r: Spr~ lfoUdThlgY opta INm~: tYl~ ~:~:c_c~p!,nt Load: Lt....\I:~~ .ha r:ente~"'~1 ,;, C~,,:.~'; "\~< _~_ " I DEVELOP~dlNmR~IQM~.9.?--.g8~4~. I\JCU.""", . REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: NOTICE: Downspouts/Drains: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY ~ ~O UAY t"ttulJu. I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00515 ISSUED: 04/14/2008 APPLIED: 04/14/2008 EXPIRES: 10/14/2008 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 $6.00 $7.20 $3.00 $48.00 $12.00 4/14/08 4/14/08 4/14/08 4/14/08 4/14/08 2200800000000000453 2200800000000000453 2200800000000000453 2200800000000000453 2200800000000000453 Total Amount Paid $76.20 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 , 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 Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00515 COM2008-00515 COM2008-00515 COM2008-00515 COM2008-00515 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000453 Date: 04/14/2008 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee Paid By Al ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 062563 In Person Payment Total: Page I of I 1 :55:01PM Amount Due 4800 ]200 300 720 600 $76.20 Amount Paid $76 20 $76.20 4/1 4/2008