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Home My WebLink AboutPermit Electrical 2008-5-15 L~~l) INrTIALS \:1,,-- , -,' ~ DATE 5- 'r _C")'t( 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ~ SOURCE~-oc.~~ ELECTRlCALPERMITAPPLICATION /" ~.- City Job Number CO~e.oc.::>y- (S~ b 'Ib Date s//~~r 1. -'T;(jCA.TiONbF1i.fsfAiftXfrliiNil~~{;~~?~ 3. :fiilMPLEjjFEESl!imJjiJii1iJjid.tiW',"5,-.~.1 . _ . 0_ ., "-,./" ,---,'." -,0,'., ,'---, ~".." ,~"_ .>_.,. ,,'. .,...,-"._",,,'r-,,-,\,:.-_~-, ,-_~'~;'~~;"'.~;:. aPAINOFIBLI) . 1315 A9pD.... ~f- <:l'ti.....g.-r-ial.t: nl? Q7.1JJ.:L . ," _._'oo ',_ p ','7'v';F'-"::'c""''''~I'i.. """"",~_,_,,, '",,,\ "'__ ,0 LEGAL DESCRIPTION: J7D3. Z71 c...( 0 z.. ,,,r' /J~e,~~R.~~g~I~Ji~~~~J~ife~Q!,~ilW-:fa~tlp_~r-1~~I~~t~,~fh;: : Cpnt-pnni <l1 ~n 1 "Ani 1p.,. Rm _ Tlpgrade ServIce Included JOB DESCRIPTION' 1000 sq, ft, or less Each additIOnal 500 sq. ft or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $11700 B.o.i..l "".... Room TTpgnule Penn its are non-transferable and expire if work Is not started within 180 days of issuance or If work is Suspended for 180 days. -"-/joNiiMiir6AYifdtiiDr1'ioNf:J~:'~ 2. ~ ., ' ~_' ~ ~;";f' ......: -'~::. - _1', "!:"",::;_':..~v"J $ 2100 $55 00 ~....... -~---::'i:-...;',l..;:?:t.l:~~"":.-~~~- l:;""......~'""'_,~~..J.."I"I~r... I -- -<.... ~~...." .:;'J.r.l-" __ B. :.~~itv~c~l6}:~~:~d:et~;~I~~.~!I~~?~t~Ai.(er~ti~ri:<i~ R~j?C~t~o;I": '. Electncal Contractor Sc.nfi e 1 c1 Rl Pl" tric Co. Address EO........B.ny 176r; 200 Amps or less $ 70.00 A~ 'Ff,PhNNP to 400 Amps $ 83.00 I 161, Y. 1st. [.:'.0"" ~m~1m~~qcfrgQWArIQllPvreqUfr8& $13800 .NC)t:flca9.Q;~-t\..'JWA~O{~ ~fhe Ore o:ou to $18000 Phone ')4 1-686-8612 OAR [Q}.~rd~9Q;g~~I~ rules a~e se~n':l, $413 00 U090. Y~cmwrb1rrJr. through OAR 95: _0.. $ 55 00 calling the am CO jes VUJ. numtxer ftrC1~ ~i~:~i~~siPi~:;'~~;:;:~ Center is 1-~ ' 'tv NotfflCSti Installation, ~@ait3~~j.catlOiiOJt 200 Amps or less 201 Amps to 400 Amps 40] Amps to 600 Amps $ 55,00 $ 76 00 $] 10 00 City F.1I P'PT1 (> -" Supervisor License Number 42188 Expiration Date 10-1-2010 Constr. Contr Number 38702 Expiration Date 12-21-09 s;g"~S"~7t cian C;:~_/~J~I ~ . v{:~~~IQ Owners Name ~ J.> , Address t ~" 1 '\. '-/1\ ~ E. ~~;~~~'l(~l~~~~l;a;;il~tit~~~JrAil~tlli'tTh~iH~~; ~\U AJ It::J...... ~~f -:;-y,~--~::._..~w..;;p~;..r"'~~'-n=~_<..":"~",.....:;.""'..:!::""'''''-":;",,,~~_i..~..::'\'''':::''~_::.,.:;;-~ _... ""~:;~ City s;e~t\,J..~ Phone 'I \f. ~ -c. to Pump or irrigation $ 55.00 I NOTICE- Sign/Outline LIghting $ 55,00 OWNER INST ALLA TION THIS. Limited Energy/Residential $ 28,00 The installatIOn IS being made on property I own ~tH~ERMf!~f~I.,~~~ercial $ 50 00 IS not mtended for sale, lease or rent C R/~I!JIfbM ~dMJ~lM~'Jf.w~,$50.00 + Surcharges OMMENCElJcr '- - ~~. " ~fiBilMf II!Un",: ". - " Own sSi arure ANY1BO{j' T!>>lfllJi' DIiNt~~^m'--'~':Jo:'"i,:': $')6.00 "- Q.uo RD 1..L. I1\fP"fIU9Qurcharge D FOR ....$..-6 _ 7'J '\ 10% Adminhtrative Fee ot " 61) .-J 5% Technology Fee -; ~-.-i9 \ Inspjction Request: 726-3769 TOTAL 1t?1 l? "--/ Shared Dnve(T )/Bulldmg Fonns/EleClncal Penntt Application 1-08 doc Over 600 Amps or 1000 Volts see "B" above. D. -' ~~t~~b~ ~iriu{t~::~' .:'~i;~_'~~~ ~~ ~2~~: ~.:~ ~,,"~ ;,: '-; " ~;~.~~~:~~:;',: ':;;; New Alteration or Extension Per Panel One Circuit Each Additional Circuit or wIth Service or Feeder Pennit $ 4800 -1l8....O0 ? $ 400 8.00 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00696 ISSUED: 05/15/2008 APPLIED: 05/15/2008 EXPIRES: 11/1512008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1315 ASPEN ST ASSESSOR'S PARCEL NO.: 1703273402901 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Public PROJECT DESCRIPTION: Boiler room upgrade Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License Expiration Date Phone SCOFIELD ELECTRIC 38702 12/21/2009 541-686-8612 I BUlLDING;ENFORilWAl'FroNtuires you.t.o ,. Ie 'I ,I"" dl.l'..l~)ll;:lO uy lilt; eregon UtllltYh v " .. .. , tfo t \\lOLl#:OfIStOr.les(lter. Those rules are se -I-t Size: in Ourogbeo;~tr\iQrJ}~ro~gh OAR 9520 Ft 1st Floor: 009a: ({eJ~tl1lftYlP'btalO copies of the rules Ft 2nd Floor: ...l thA. ',;>nter, (Note: the telephon Ci:lYlllJGI" ry f~. n Utility NotificatiOW Ft Basement: numQijfefCfy n~. o1r~~g0-332-2344). Sq Ft Garage/Carport Ener~~~~S Sq Ft Other: Sprinkled Building. n/a Occupant Load: E # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: NOTICE: '71\:.0 rCnP.1rr €P..~L~ ~'Q1= '~THY; WORK PUBLIC I . - -- - - ER THIS PERMIT IS NOT COMMENCED OR IS A~bt~JW~9p~pR ANY 180 DAY PERIOD"J)ownspoutslDrains: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00696 ISSUED: 05/15/2008 APPLIED: 05/15/2008 EXPIRES: 11/15/2008 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' 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 $5.60 $6.72 $2.80 $48.00 $8.00 5/15/08 5/15/08 5/15/08 5/15/08 5/15/08 1200800000000000502 1200800000000000502 1200800000000000502 1200800000000000502 1200800000000000502 Total Amount Paid $71.12 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 Insoections 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 Pa2e 2 of2 225 Fifth street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number CO M2008-00696 COM2008-00696 COM2008-00696 COM2008-00696 COM2008-00696 Payments: Type of Payment Check cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000502 Date: 05/15/2008 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By SPFD PUBLIC SCHOOLS Item Total: Check Number AuthorizatIOn ReceIVed By Batch Number Number How Received dJb 64815 In Person Payment Total: Page 1 of 1 1 :35:44PM Amount Due 4800 800 280 672 560 $71.12 Amount Paid $71.12 $71.12 5/15/2008