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Home My WebLink AboutPermit Electrical 2004-1-27 o CITY OF SpRiNG~IELD" 'dREGON' 0 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT 'PLICATION Electrical Contracti:lvEwIRE ELECTRIC, INC. 200 Amps or less P.O. BOX 231~ 201 Amps to 400 Amps Address :~S:NC, OR 9i<<N1'/9N:O~ 401 Amps to 600 Amps Ion rUles ad eg6ll)l/tiWli-s to 1000 Amps City Phone ~r.~'~ation r."'ntOPtecCtWtIP.68CJ..!fniSl:NfYb - ,., &52 . er, TlRj onn~c~fily: to 0090, Yo ,~09,1-0010 t 'S<J7Ulas~' On Utility , ~ may 1?t2.~w;, ~rA '\1g' . 4 ~ ft1!.1!nlJ>Jhe 1'",~btai(1'~,JrlIt~viJ~r:r Feeders "Ut1rrorrhe tar, (Note: V( /he rUI v /,1 -(-Oil "'- :"'__ :~Oregorl{'11f,If!.'ti&n!O)!"'6a1itJ or Relocation , 1 Rl)n. ~tr.,"IBtifc' ~e $ 50.00 // / OJ ~~d ~tlon Constr. Contr. Number ';ll/h 7 20 I Ampstb 400 Amps $ 69,00 /' t/ 401 Ampsto 600 Amps $100.00 Expiration Date '7-/ h -{}/ N Over 600 A~ps ~r .1000 .volts see "B" above. , Signature of Supervising 1ectri ian T: Or,C~. D, lllrnnch C....CUltS<.' . , HIS 5. " ~ .J-1Jrh!:!.RMIT Sit New Alteration or Extension Per Panel / / ./!~r;:;-JffJlF'!-YN I1LL E~'F,fircuit ( $43,00 7J,OO , AN;.tVIt:NCED 0 DER r. E!t:.~al Circuil or with) 7 00 18 R IS A8 ~fTfJfricJMaJrIrit ,$ 3.00 ./' 10D 11^iDrJ.\,.- 1.8..AJ,ry-. . , E, I ~:lisfM\~l;(~erV\ce/f~eder not included} -Eac" Instllllntion 1 City Job Number Date I. I LOCATlONQFINSTALLATION .. j V2\\ ~l f\~-\n~~-k , LEGAL DESCRIPTION . 11000?f.5:?~UO ~// /Jt11;(f C;ifU;r JOB DESCRIPTION, j /J ,f) .,.--c MI 2- I3I\'M.JCcT Cflf--UV/(,? 1bJ? ;Jtfr7Tll jJ,hce>>(#C; /(Jt/lf,. Permits are non-transferable and expire if work is not started within 180 days of issnance or if work is Suspended for 180 days. 2, I cONrRAcroRINSTALLATIONONLY'l Supervisor License Number Expiration Date Owners Name Address ~'Lc:) City ~ Phone ~.1p':2)1<<) OWNER INSTALLATION The installalion is being made on property 1 own which is not intended for sale, lease or rent. Owners Signa.ture: Inspection Request: 726-3769 ~ ~A AlJ{b~ \ .~_1.D\ 3. I ,COMPLETE; FEE SCHEDULE BELOW A,.I. Now Resid~ntiai'-'Sil;gle or Multi-.Famil)' per dwelling UDI 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 B. I Se~,:ic~s or F~ed.ers-:-.lllsta'lIation, Alienition~ OJ~ R~I;Jcatjon: - $ 63.00 $ 75,00 $125.00 $163,00 $375.00 $ 50.00 ,I Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45,00 . Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4, t t;UBTo,t..iL 9.1' 1BOVE; Lf;;ctJO 5,22- 'i..L/tO tJ'5, '62-- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnslElectrical Permit Application 1-03.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 611 MAIN ST ASSESSOR'S PARCEL NO,: 1703353109200 ~ITY OF ~rK1l~vt<lJi,LD Building/Combination Permit PERMIT NO: COM2004-00055 ISSUED: 01/27/2004 APPLIED: 01/15/2004 EXPIRES: 07/27/2004 VALUE: $ 15,000.00 Springfield TYPE OF WORK: Office PROJECT DESCRIPTION: Awning and remodel . Owner: SPRINGFIELD SCHOOL DIST #19 Address: 525 MILL ST SPRINGFIELD OR 97477 TYPE OF USE: Alteration Commercial Phone Number: 541-744-6375 I CONTRACTOR INFORMATION I Contractor Type General Electrical Coutractor OWNER LIVEWIRE ELECTRIC, INC License Expiration Date Phone 56697 05/16/2004 541-344-4928 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: B VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Aren: SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlny Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: Notes: THIS PERMIT SHAll EXPIRE AUTHOR/ZED UNDER TH IF THE WORK COMMENCED OR IS A8~~tERM/T IS NOT ANY 180 DAY PERIOD. ONED FOR Page 1 of3 Total: Handicapped: Compact: Sidewalk Type: Downspoutsmrains: ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility lJotification Center, Those rules are set fort n OAR 952,00.1-0010 through OAR 952-00 0090, You may obtain copies of the rules I calling the center, (Note: the telephone number for the Ofegon Utility Nolification "'--'M;~ 1-R(1(1.11~-2344), . &-lll' 01< I.'lrKll'lllj1<mLD Status Issued Building/Combination Permit PERMIT NO: COM2004-00055 ISSUED: 01/27/2004 APPLIED: 01/15/2004 EXPIRES: 07/27/2004 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 15,000,00 Value Date Calculated Description Tvpe of Construction Total Value of Project $15,000,00 $15,000.00 01/15/2004 )?pp< tiWLI Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $95,16 $58.56 $4,60 $3,22 $43,00 $3,00 1/15/04 1/15/04 1/27/04 1/27/04 1/27/04 1/27/04 2200400000000000034 2200400000000000034 1200400000000000113 1200400000000000113 1200400000000000113 1200400000000000113 Total Amount Paid $207.54 I Plan Reviews I Fire Department Review Initial Review Plan nine Review . 01/20/2004 01/15/2004 01/22/2004 01/15/2004 01/22/2004 APP RJB APP EMM Leasee is Mckenzie Photo & Copy Center per Steve Anderson at School District Sien Review Structural Review 01/15/2004 01/20/2004 01/20/2004 WE JMP JMP called Steve Anderson. He snys he does not have an nwning but a roof structure, He will get dimensionnl datn as it relates to height, property line and curb, To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. IRp,,"~ I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. Paee 2 of3 . &-11 l' OF ~t'K11'\iuNJ!,LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00055 ISSUED: 01/27/2004 . APPLIED: 01/15/2004 EXPIRES: 07/27/2004 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2004-00055 C0M2004-00055 COM2004-00055 COM2004-00055 Payments: Type of Payment Check -' ~=~"/ ~.' .mu,'.'.u,. ",.",u.'.i. ~~.'" ...., 1 ~ '. J i '-"'-:'...~ c Receipt #: 1200400000000000113 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By llh (;heck Number Batch Number Authorization Number Paid By LIVEWIRE ELECTRlC 9501 ~'- City of Springfield Official Receipt Development Services Department Public Works Departme~t Date: 01/27/2004 11:04:43AM Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53,82 How Received By Mail Payment Total: Amount Paid $53.82 $53,82 . .