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Home My WebLink AboutPermit Electrical 2007-1-23 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 0.') ~loq ---'''''''''''~''''''''''';''t.. .-' ....'... - "..; . .." . " ~ I.~:'" "i_ I. . LOCATION'OF iNSTALLATkJN'.'[';,':,,:f' :'<~~O:;~:.T';~ l"~~"~~'-'<' =", LEGAL DESCRIPTION' (j \ ~ f)~ '2:l-1.D' QBrY) JOB DESCRIPTION p~n~Jt:era~~ ex re if work is not started within 180 days of issuance or if work is Suspended for 180 days. .J , . City Job Number '\;coNT'n'A8H;t}NsfllLATloAtoRiLH 2. tL::.::.'tL~~"'.:;;>,-:^'....::~:'.s..~.JC~Ao-~;i.,~1;;~~.., ~..'IID'Y~~ S?f<;it.lc,FleLO . . ii~~~i~~~:.~;l!i~~ Date 3. 1iCOMPiETbiiisd;EDYJiEBEiol1;<'1'~~': f:;)~i,~';.,,:::' L: ,.-,:-, ~\'~",,,",,," ..........~;'"c....v.L"'"";'. .......'::..0 4"'~."...' .~...r..'--..,.'-~".~.~...... =;::"';:.~""....ar-.&;::.~...&-. .'''.;-'::~''-;'''':'~ '.<1" ",..~,. ,. "'1'~~''l''':.': -",' ._' -.. ,";)."",:"y;:",~""..,.,.;.:T~"'''''' ""'''',:. ~1':>.'~,' .. " '. "'"'~'~7,W''V'::o.\''' .^~, '~," A. ~'~e~ ,R~s.ide~~ia~ .:..~ ~!~gi~ 'o~'~1~lii~Familyper'.dwelling'u~it?:~?Y./.: ,.,.." ,."...._, 1....'.."',,. ,....,. ,~ ... _,,,,~ ...~."" :"';',",',:~, .........,,~. '< ~'.' .,.............. '..;\,.,,,,,""~ ,,",""'." ,w. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufacl'd Home or Modular Dwelling Service or Feeder $50.00 "!:~;:~:IT':f11;:'"{I' <"~'t.";)"I'\ft,;"'..;.\"ifI~-iln.'L. ii,~~!<::!~h-~^'}l~>ii;-:::.~%~~:~~~I~~':;it B. \~~rYlses'o.r Fe.e,!ers_-,Jn~~~U~tl~fI' A, l~er.atlo<"ns P! R.~.I,g~~~IO~~:'~'i .o!_'4-1_!.o~'~"'''''''1.-oK~A.o:~:a..~~^'.;..;t~ ~'M,~....,~>r~-:-.~~ll!.j;J__">-'",,'~-..;:r.,,, '-'_ ~ , $ 63.00 Jp~,aJ $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor '11,0 (1 ) u}z 'l flR(' f/U...tv 200 Amps or Icss. '-r: 20 I Amps to 400 Amps Address y!J {) ..;1-171, r2I :')03 401 Amps t0600 Amps I ' ) 601 Amps to 1000 Amps City" J .l..t;jt JLf.. ~ Phone SlI/iSJI,., -;;;365 Over 1000 AmpsNolts a Reconnect Only Supervisor License Number '-. q;;; /?,;l 0 IIIn'l ;0 -0 ;-O:fl, 'Cf:. Installation, Alteration or Relocation JlU'" ~ I-'fl14" 200 Amps or Icss $ 50.00 Constr. Contr. Number ~5 / 6)rJp.,1rItI>- YISI/. 201 Amps to 400 Amps $ 69.00 1J1Vr:":W,,'VC-;:u Utlt,V'l11..1.. [fOI Amps to 600 Amps $100.00 Or:.. .- d 7 tJP ~'o 'f/'J "PI/) o - r/J :; ~^ '7 IJ,Ove{600 Amps or 1000 Volts see "B" above. "IYp I /S /I '7/V',,,..,'ti''''''''l'_V~,qr,,,,,y.,,:,::,..,,,,:-;;t''.,,,.=,,,~~,,,,,,,,,~.,,,,,,".,, S. fS' EI .. CP /"faD lBranctit€ir(:uitS'~:'1i'~~t.~.i~i',:,""ifl'i(....:":lf.'''~''\'~ ...-.~~.w;P';;~"!'h:",:.i .gnatureo perv. ng eetnc 'i/OO "/~!'!(f-i'f!/f"";"'Y{)p;~'" ,'~, '":":Z_'~' ;;,j~"",~,>-"',,,&'i':,$ ~ . Ne~/Alteratio~lorlExtension Per Panel 'v 1-0 "VI ~ One Circuit~ $ 43.00 ::::.mp,~~~~'."61 'i K'- ,iii';;;~~~~l;~~~!"~ City ~ ~ Phone f)4\ 0 .~~ OWNER I~S1rLLATlON . I Limited EnergylResidential $ 25.00 ti~ENTlnN: ore~on law requtres you 0 . . . The ins!al atlon 'W6'ein~~ .on prnne"'^I.nwn~""';'H Llmlled Energy/Commerclal $ 45.00 , .f Inw.r,ueRa L u Dj ~r.";"'.J".;'"8-..:.r \."'I'>>J.1 IS not Irt~fi~~tlg~8~nfef; ~rt[5'!,te rules are set forth Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Notl h OAR 952 001 ",.'.'Q..,.'!....._.....".,..,.'v.'....."...'...., -"-- . ,. ,." "~",001 ,001 0 throug ,-, ",'" ',',' ,.. .0' '}" ""'''', '" -..., :,.~.,.:'.T':."',...,.'-:"'~!,','~..>e. _) Ownel'S "gnature:. ..' b 4., SUlrI:OTALpFABQ~,,':t\j"~8t\d~~1\:,/'''c \\n lJV 0090. You may obtain copies of the rules y ,-, """,..,". -'"'''''' ,i,"~"':~:",'".'''','''-'';A::liL:....-''<''"",l..,...1 , l, callina the center. (Note: tile tele~hone B% Slate Surcharge . ~ .'A~ n' .mber for the. Uregon UUII1Y i,u",l~atlon \'~ '~ ... 10% Administrative Fee _ Cente:ls 1800,332 2344). (l{,C'! -r'~ ' Inspection Request: 726-3769 n:rt,.d? \' . Expiration Date Expiration Date ;?-~~~;.~,tf~~-?~~t~~~.:r:n~~~\~?"~~J \~tw-'~t',~~.::--:l-;'~ C. ;rl):~lIJPora~y SerYlces,or,.F.~e~ers ')O-',.:!Y} t~"B<;:,~~,~F:;.J,~t\;~,d~i,'~..:,tfl~."'':; .", .~...___:...:.,._.....Q.f'''~"Jr~.~. <;,&.....~;J~t..:.:;.;~'" ...,...~if!J!,>,. ,..J.... ,~::b..""-,~~. ;~,~--. Pump or irrigation Sign/Outline Lighting $ 50.00 $ 50.00 EIe "caIPenn;IAPPH\I:2\~,:,q' i..J \ I:iP.Al.NGI"IBLD -Ik- . ~ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00l09 ISSUED: 01/23/2007 APPLIED: 01/23/2007 EXPIRES: 07/23/2007 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3332 Gateway St ASSESSOR'S PARCEL NO.: 1703222001900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Eleclrical Permit for Sleep Country Tenanllnfill Commercial Owner: 3346 GA TEW A Y LLC Address: 840 BEL TLlNE RD STE 202 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date Phone 06/27/2007 . 541-686-2365 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbl of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprhikled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I 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: . DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . .Lll i OF SPRU'\iuJ'lJ!,LD Building/Combination Permit PERMIT NO: COM2007-00l09 ISSUED: . 01/23/2007 APPLIED: 01/23/2007 EXPIRES: 07/23/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees ~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Snrcharge Add, Alter, Exlend Circ Ea Add Perm ServlFdr 200 amps or less Amonnt Paid Date Paid $11.70 $5.85 $9.36 $54.00 $63.00 1/23/07 1/23/07 1/23/07 1/23/07 1/23/07 Receipt Nnmher 2200700000000000093 . 2200700000000000093 2200700000000000093 2200700000000000093 . 2200700000000000093 Total Amonnt Paid $143.91 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 R"nllirerl_edionsJ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that I have carefnlly examined the completed application and do herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the Slate of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. 1 fnrther certify that only contraclors and employees who are in compliance with ORS 701.005 will he used on this project. 1 further agree to ensnre that all required inspections are requested at the proper time, that each address is readahle 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 Filth Street Springfield, Oregon 97477 541-726-3759 Phone · WiLv:c~iM"',-. j -::"'~" ; '\ ~,~ ....,' ;I"""".,,,. '- Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2007-00 I 09 COM2007-00109 COM2007-00109 COM2007-00109 COM2007-00109 Payments: Type of Payment Cred itCard cRcceintl RECEIPT #: 2200700000000000093 Date: 01/23/2007 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By NEW WAY ELECTRIC Item Total: l.:heck Number Authorization Received By Batch Number Numb'er How Received Ilh 3 J 3251 Phone Payment Total: Page I of I 1I:16:18AM Amount Due 63.00 54.00 5.85 9.36 11.70 $143.91 Amount Paid $143.91 $143.91 1/23/2007