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Home My WebLink AboutPermit Electrical 2008-5-27 1 LOCATION OF INSTALLATION: " ~,,~ ht~ C Ot:P/? tJ i;d;!! ; " , ZON C-v INITIALS N t-'\ DATE 5~~~d,( SOURCE ~p~ 5/Z7~x I / COMPLETE FEE SCHEDULE BELQW 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number Covvt 2 oog -- (:) 0 7 '3 '7 Date 3 it'll{ LEGAL DESCRIPTION 17D.:sZZOO 02-300 A. Ne~ R~identIal- Single or Multl-~amily pe; dwelling unit <<H:~~~S!~~~ "''< ! <'<;08:~ ~ JOB DESCRIPTION \ UO{ce '2:. p.t1~ 1 ServIce Included 1000 sq ft or less Each addItIonal 500 sq ft or portIOn thereof $117 00 $ 21 00 CIty w; ~ (/'//e.- Phone 1707CJ SupervIsor LIcense Number ~ ExpIratIon Date ;" I fi I J of; I Constr Contr Number I L/ 5"~Z~ ExpIratIon Date 7 - J.. ~ - / () PermIts are non-transferable and expire If work IS , ~ ~ I 15~xi~fIl1J1fact' d Home or not started wlthm 180 days of Issuance or If work IS "'. vt6 ;15 .u._'tJ~e'i~lJl~~YR-u....to >'; aCOD ~I oymeuOi'egonUtmty Suspended for 180 days. "I ., r'c' t<ee e&:hose I t f rth ' JGj er I ruesarese 0 2 ;, CONTRACT()R INStALLATION Or.,..T7(~r.';r\Ju~m-O~1 mj~tQAt '''''''-nanon, Alterai.~~s or RelocatJon~ ";'1' Eleclncm conrra::4.:~.:;-tr, i'.,~~i i~; ~g~~~i:~~~:nV ..~ ~.~ 70 00 ::> ':/ It2 Center4il1J90gs3B:a~Ps $ 83 00 Address 7 (l f;>GJC SO 0 ~ 401 Amps to 600 Amps $13800 60 I Amps to 1000 Amps $180 00 Over 1000 AmpsN olts $413 00 Reconnect Only $ 55 00 $55 00 ~L " {f ~~~~ ~,.. ~* ~ C. ~emporary ServICes or Feeders , , NOTICE- THIS PERA"rover 60~~~~ ,or 1000 Y,~~~~,s~~I:'B" above ;;;;,gn eOfSfY~lOg~ :~:~&~gl1~=~_~nel' ,> _ _ I DA/ J ANY 180 DAY m fflrltlMNDON1=n ~ S NOT $ 48 00 - (~ &BJt4WItlOnal (;rrct1itW81th /' ,.r A 1 J J S ServIce or Feeder PermIt $ 4 00 Owners Name ~ ielY I'-~. Address /10 [.I ;1 ~ ~ tt.. E. .tJ~;cellaneous (Servlc~/reeder not included) -Each Installation ~ I CI~ 'U 5 (), -'- ( Phone Pump or lITIgatIon $ 55 00 SIgnlOutlme LIghtmg $ 55 00 Ll1mted EnergylResIdentIal $ 2800 Ll1mted Energy/CommercIal V $ 50 00 S'c::> Mmlmum Electnc Permit Inspection Fee IS $50.00 + Surcharges 4 SUBTOTAL OF.ABOVE' II' ,,',f,' , " 50 ~H d ~ H .. 12% State Surcharge b 10% AdmmIstratlVe Fee 5" 5% Technology Fee ?f cJ b]~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $110 00 OWNER INST ALLA nON The mstallatIOn IS bemg made on property I own WhICh IS not mtended for sale, lease or rent Owners SIgnature Inspection Request 726-3769 TOTAL Shared Dnve(T )/BUlldmg Fonns/Electncal Perrmt ApplicatIon 1-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00739 ISSUED: OS/27/2008 APPLIED: OS/27/2008 EXPIRES: 11/27/2008 VALUE: 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme SITE ADDRESS 1144 Gateway Lp ASSESSOR'S PARCEL NO 17032200023.00 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE New CommercIal PROJECT DESCRIPTION' VOIce and data Owner GA TEW A Y MALL PARTNERS Address' 110 N WACKERDRBSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION I Contractor Tvpe Low Voltage Electncal Contractor AZIMUTH COMMUNICATIONS INC License 145828 Expiration Date 07/26/2010 Phone (503) 639-0110 BUILDING INFORMATION I # ofUmts Pnmary Occupancy Group Secondary Occupancy Group. Pnmary ConstructIOn Type Secondary Construction Type. # of Bedrooms # of Stones' Lot SIze ~lg1itio1i-StW'c~re Sq Ft 1st Floor t)!~e~of lfe~t""d regon law re Sq Ft 2nd Floor' N ,I" ...-,t"", <.< 0 t qUlr Wdtfu'lIJ(YJIil'ee t P ed by the 0 es YC8.qtl)t Basement ~'?Rka~Y:PSD1~O~ Those rUle::gon tHq/~ Garage/Carport '<illler~91P~~~r.9bt 1 0 thrOugh OA~~ setSqrfh Other, n f(f#l1tiijWlt3~m~m COPies I!JIfh 521)6dupant Load Uliib~,. ffl" .. r. (N~L e rU/A"C1 f..r I DEVELOPMml9~I.Aq7~~~ChOne "'~ _ ~. cation Overlay DIst. # Street Trees Rqd' Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Frontyard Setback SIde 1 Setback' SIde 2 Setback Rearyard Setback Solar Setbacks Total' HandIcapped Compact Notes I PUBLIC IMPROVEMENTS I NOTICE. SIdewalk Type THIS PERMIT S Downspoutsillrams AUTHOR/. HALL EXPI COMMEN ZED UNDER THIS RE IF THE WORK ANY 180 gA~ g,~!g:JA8AN:O~~~lr6~ NOT I Valuation DeSCrIption I Street Improvements Storm Sewer AvaIlable SpeCIal InstructIOn DescnptIOn Type of ConstructIon $ Per Sq Ft or multIpher Square Footage or BId Amount Value Date Calculated Pa2:e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00739 ISSUED: OS/27/2008 APPLIED: OS/27/2008 EXPIRES: 11/27/2008 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme Total Value of Project Fees Paid' Fee Description + 10% AdmmlstratIve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - CommercIal Indus Amount Paid Date Paid Receipt Number $500 $6.00 $250 $50 00 5/27/08 5/27/08 5/27/08 5/27/08 1200800000000000556 1200800000000000556 1200800000000000556 1200800000000000556 Total Amount Paid $63 50 I Plan Reviews, 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 , Low V oItage' PrIor to cover By signature, I state and agree, that I have carefully exammed the completed applIcation and do hereby certify that all mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with the Ordmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY will be made of any structure without permissIOn of the CommuDlty Services DIvIsion, BuIldmg Safety I further certify that only contractors and employees who are m complIance with ORS 701 005 Will be used on thiS proJect. I further agree to ensure that all reqUired mspectlOns 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 remam on the site at all times durmg construction Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone City of Sprmgfield OffiCial Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00739 COM2008-00739 COM2008-00739 COM2008-00739 Payments Type of Payment Cash Change Job/Journal Number COM2008-00739 COM2008-00739 COM2008-00739 COM2008-00739 Payments Type of Payment Cash Change cRecemtl RECEIPT #: 1200800000000000556 Date: OS/27/2008 DescriptIOn Low Voltage - CommercIal Indus + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratlVe Fee PaId By STEVE BARTOL STEVE BARTOL Item Total Check Number AuthorizatIOn ReceIved By Batch Number Number How Received dJb In Person dJ b In Person Payment Total DescriptIOn Low Voltage - CommercIal Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By STEVE BARTOL STEVE BARTOL Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb In Person dJb In Person Payment Total Page 1 of 1 10 11 24AM Amount Due 5000 250 600 500 $63 50 Amount Paid $64 00 ($0 50) $63 50 Amount Due 5000 250 600 500 $63 50 Amount Paid $64 00 ($0 50) $63 50 5/27/2008