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Home My WebLink AboutPermit Electrical 2007-6-21 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GA TEW A Y ST ASSESSOR'S PARCEL NO,: 1703153301500 Springfield PROJECT DESCRIPTION: Temp Power for Fireworks Stand Owner: GA TEW A Y HOSPITALITY LLC Address: PO BOX 2678 ALBANY OR 97321 Owner: GA TEW A Y HOSPITALITY LLC Address: PO BOX 2678 ALBANY OR 97321 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00927 ISSUED: 06/21/2007 APPLIED: 06/21/2007 EXPIRES: 12121/2007 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Applicant Electrical Contractor SAMANTHA PERRYMAN CRAFTSMAN License Expiration Date Phone 170183 05/30/2008 541-954-7589 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure: Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law requrres you i}UBLIC IMPROVEMENTS I follow rules adopted by the Oregon'Ul1l .- ~~rJMi~W.PJ~vl!.~,~R!~,: Those rules are set forth Storm,Sewer-Avail.ble? through OAR 952-001- SpeCial Instructi,oo:'Jtain copies of the rules by cal::n8 the center, (Note: the telephone NO'~~h1b~r for the Oregon Utility Notification Center is 1 800-3322344), Sidewalk Type: N OTI CE: DownspoutslDrains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Paee I of2 . . CITY OF SPRlr~t.l' IJ<-LD . Building/Combination Permit PERMIT NO: COM2007-00927 ISSUED: 06/21/2007 APPLIED: 06/21/2007 EXPIRES: 12/21/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Type of Construction . $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 6/21/07 6/21/07 6/21107 6/21/07 2200700000000001003 2200700000000001003 2200700000000001003 2200700000000001003 Total Amount Paid $61.50 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. Temporary Electric: Approval required prior to Utility Company energizing pole. By signature, 1 state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 Paee 2 of2 , ' (G _' .~iih~"~!!~"'.'i~t~et'i'~1IiIlMI lP~F1ELD, ,.., ~~~IALS t<J M , ~ _~ ~-A!. DATE (,/-:l'd.-lll 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ~~,. SOURCE en,~ ELECTRlCAL-PERMI')' APPliCATION ' , City Job Number(;~7_ ~/(1l /Y>)..fflJl .-(J()i/"h Date (0,- 2/- 0 -; ~,{""1''''''l''''' "'. :.- '~~''Io'''''~:''>'r ':,":,:..'~ t:"',"''\i,' ,,-, r '," .."~~.,,,,,,.~, --.,.'~~ . ~'~-"" .....l~ <- ,#'- ~ ~ .,." 3. r:c6MpLETE.FEEBCHEiil:.TU(BELOW/ i'<.i':;';:=:';"':': ~~,',_.o:S_l-.' ~'.,.',.- .-,' "~.........L::..1..~_!\..;::,;......._ .-....:c., ....:.. " .!._....;;:;,-.:..::....... ....- \l:Ore of Supervising Electrician /J New Alteration or Extension Per Panel 'v\ 0 :1!'-<lA ~ One Circuit , -.. E h AiI"i1' ':I,T'!i '"'" 'th .. ac thoowiS-lrcult or WI (" /! I... ~. .11.-.-1 ~ ServiceTorl~eedefJPeffilit $ 3,00 Owners Name ()() -;('fU.-JcA..{ ",~ l,tCU' I ~ -/IN I C ,Mil ~HAf.LEXP.JR&Jf:'f --r"'-'-' Address /JO ~.A oJ ~Y..:7 E. : l\1i;ceU~'(~vi~~}Jiel:t;i'mi\t iill;lude~t'~~(;\Rr.;;i;uation., r( ~U.;o.. "'" V , ~l:jMMf!rvcttrb'R ,-" "I ,....t:.tl>MffiS../VO I . . ,,_.~ city'~M))gtQfegOnPlioiH,t;lqlJlres you to Pumpl),l.ilfrigatio.9AY PER S ABANOONEO$fS.orl)O follow rules &pted by the uregon Utility Sign/Outline Lighting 100, $'50,00 OWNER:INSfMfrrATloN:ose rules are set forth Limited EnergylResidential $ 25,00 if) aiR %2.Q01-0010 through OAR 952.001- , , ' The installation is oeing made.on,propertY. Lown.which LimIted EnergylCommerclal $ 45,00 . (ll~~lJ. VO'1 rllav U.\ldlllvUI-J.t;:::. UI .(H:; IUIC~ uy IS not~~~~~~N'~& ~~~it~rs\I%~~~\he telephone ,Min~;,,!;I~~~~~_~~:~~P:~~:,;'~,~,;~~~::~urChargeS _~ 'J Owners'Signa-nIPe: the Oregon Utility Notification 4. h~}!E]g,I#Pf,:YlgKf,f,~',,{T::F;'.' '?i'" .:' S' () , u ~ Center IS 1 800-33223'14). 8% State Surcharge ' .:..;. S0 10% Administrative Fee <.; ,IJV m~~~fu s'~ 40/, So co .,~..,.~,..--- "". .~- i>f -.~." "'~~"-7 ""''''''''~':'~' T"."". '>;' ,'" ,.,.,.. '-"'"""""l:'I':-'l"';-,'1:',~" I. t;LbCATION.OF.iNSTAiIAtibN:I;";}f~i:j ~-.;t.'. -"-'~":"_~' 4.:'_->-':'_"- _-"..,--..i.....;:..,-l';..\__,~ 0530 ~,{~ LEGAL DESCRIPTION: () J / 0 3, IS.}, 30 IS ()D JOB DESCRIPTION: ~1aN1LS lR~ Permits are non-transferable and expire if work is . . not started within 180 days of issuance or if work is Suspended for 180 days. r~...\._,~r.-\'::~~:;:~.~""'7:~:rr~~-:7"''''<i,'': :r'7~~~~'7'":::7i\ , 'CONTRACTOR'INSTALIATIONONLY1. 2. b.::;;.\;;:;;;.....;/~!4. ,.':Z,,";';;':$.l\'~'.C...~.d'.~::;;;~...L' _""--"t~.'~' :.::....,~~{J.:.ii Electrical Contractor (),/J~Jr...r ~ Address IYU ()dJ~ k.. . City ~~J Phone'75"!-753-(' Supervisor License Number .] 7 S{.r ..s IO-/-fl7 Constr, Contr, Number 1 '} 0 / J!3 Expiration Date Expiration Date S -0 5? Inspection Request: 726-3769 :',~', _~-'. -; t,..;::",~ ~\,~~'.~ ~_'''; }7-';.~--:o:'~':t1)'.r;-.-:";-'7-~ --;--;Y:":" -. ~,,-:,-. ~.rc ,-;",-,,-;O-"'i~, A. ;;N~,v'R~~idential ':'Single or,I\1!,Ui-F~'mily pet dwelling'uiIit.,; '; ..'..;.:.J~d.__~.,~~-_".lt.:~...... -lO.,:';.t:.:,..::.~_.~.:l_ ""',.........._.$....._lo-__Itt_~ .... ..'-_ '. Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof. Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 ~lt~-:-c~"r,~t""Ct''''--.-r:iY.~''''''':'7:''''' ~""'-'_~-"-:--r- ;::""-'''J'-~_':r ","-:-'," -"'" B. t~~;"'i'c;s'~~-f€~4e';.~.:;.r~~~tal!~'~io~;)'lt~}'~do.~'~'tit. ~eloc"aJion:,ii'\1 b.,.:...;i:...~:s~",1~_,,-;;:' ,.. ." ,.'.' ,.~._;ll.', "....>oJ;.4.0~.~_.:..,;...:;'01",;:'...;':...44-_...~..:v_~~.~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIV olts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 , $'50,00 ~:r"'i';:,""'_...;:; ,t-:;Y"":";';:!,.<.1\';'.~.;~-:,~;r;<J~'rr:'':faFf, .;;,-.:~:~~l-r:"!T.?:';:- -..: 'j c. ~Temporary Ser.vlces"or~"Feeders_;<:.'<::J..:_'~~": '~-',~';"'<'~> .,:,' (,'.i' ""'"...;,~ . C;........L_..:-:i...~~~-.....:.';;..~.~-~~~....~~--"....~..''::....,., '.' '~-'~- Installation, A1teration.or Relocation 200 Amps or less J 201 Amps to 400 Amps , 40 I Amps to 600 Amps tP 50. ' $ 50,00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above, D. ~ff~~!LCif~~j~~~;~~H~MD~i~~~~:~'~i:':.:~S:~:~:~--".~~;;~-~::=~. $ 43,00 TOTAL Shared Drive(T:YBuilding FOIms/Electrical Permit Application S-Q6,doc 225 Fifth Street SpJ;i,ngfiefd, Oregon 97477 541-726-3759 Phone .~~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2007-00927 COM2007-00927 COM2007-00927 COM2007-00927 COM2007-00926 COM2007-00926 COM2007-00926 COM2007-00926 Payments: Type of Payment Check cReceintl >, RECEIPT #: 2200700000000001003 Date: 06/21/2007 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SAMANTHA PERRYMAN Item Total: Lheck Number Authorization Received By Batch Number Number How Received njm 1240 Fireworks In Person stand Payment Total: Page 1 of 1 3:39:42PM Amount Due 50,00 2,50 4,00 5,00 50,00 2,50 4,00 5,00 $123,00 Amount Paid $123,00 $123,00 6/21/2007