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Home My WebLink AboutPermit Electrical 2006-3-3 ce...- rajecl as SUbmilte"ijJt . ~g . . s oOU~~~fMBe~., . use log 1~" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: g;41)726-3689 ~. ELECTRICAj.- PERMIT APPLICATION . ale [., .." City Job NumbeW/J12/YJ 0 ~ ()Od./ 0 ta~~ho~~15~affj/_. 1. I LOCATION OF INSTALLATION 3. I COMPLETEFEESCHEDULEBELOW ~ (" <) ri1&'.J Sr: GA-rr:C.JAiI~j .(' . LEGAL DESCRIPTION no:)"!~ s I 101 fJ\) .IS: >((l!.&jl'> 1 G:J t, Ti AJ ,; JOB DESCRIPTION ' '~TA)H/)f) .' , .. , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONrRACTORINSTALLATIONONLY 1 Electrical Contractor 5.. S'"I\ Address 1616 If. c/ 2 ;..0 . City ",PL.;..,-tri'L.l'\ ~ Phone '7'/Y-C,.J 15 Supervisor License Number (6 7 ~ VJ ~ / I Expiration Date I r-, / t'J 7 Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~ If~ (),~, ( Own '/, ime:}-A::;/'t.,~lhf<U >Su r:oLlI. ~ ~. \.:z:s 5:1. ~ M I I 5/. . City'" p.. Phone 7 1.., ~ U_ 0.:> OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. e: /1.At\.lI .... , ~RcrDL J) 0r " A.I New Residential- Single or Multi-Family per dwelling unit. Service Included $106.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 E h M JI,TTt,r=d~HIJION: Oregon law requires you to ae anulae orne or . . Modular DW~ml!g'S~~if{\''tPted by the Oregon Utility . Feeder Notification Center. TI'>,-,oo" .!oo ~~.?Q;Q.Q forth ifl-GA~:<-Go.1--00~,{l.-through..oAa.952,Oo.1- B. 1_ ~en'icS~21J f~td!~~iao!n~l~.l!:H~o...n.; ~1.!~rl!~i9:1!* QIJReJQ~9tion: calling the center. (Note: the telephone 200 Amps 19U\~~~er for the Oregnn Ilta;;~, ~J~~,Reat;M 201 Amps to 400 Ae'eMer is 1-8nt'\-~~?-?3$,-7,J:00 401 Amps to 600 Amps $125.00 601. Amps to 1000 Amps $163.00 Over 1000 AmpsNollS $375.00 Reconnect Only $ 50.00 c. f Temp'orary Services or Feeders rNfiTII,nf:. AI . R I . nsts shon, teratlOn or e oeatloD 11-11<:: peo. . 2~ l\mps ot1.e~sSHALL E $ 50.00 ~ T~~'iI[49q,~'BIl:s XPIRE IF THE '\H?OO L.I 1\1..W-~ltoE.qgl\fml THIS PERMIT I~ $'mO\.OO AfjY.rl~~~~@u..qPJo~~tJJJ~Jf'[i~~ NU T D. fBranch Circuits ' New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit ,I? <?:?. $ 43.00 '7 J $ 3.00 E. l Miscel'laneous (SerVice/feeder noi"included) ..,Each Installation j Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial / $ 45.00 'IS \!:. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges -4. [SUBTOTALgFABOVE '6~. ()O 'f' o~ ~- 130 lOS, ~c,c 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding FonnslElectricnl Permit Application 1.06.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 665 MAIN ST ASSESSOR'S PARCEL NO.: 1703353110100 ,~ . " . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00210 ISSUED: 03/06/2006 APPLIED: 02/22/2006 EXPIRES: 09/06/2006 VALUE: $ 112,000.00 Springfield TYPE OF WORK: Commercial Miscellaneous TY^TTpE<::~OITF'()U.S'E' nreOI'I'lt l<llt" rp.quires yroC' I tn I I . : 'on era Ion om mere a . tollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth '. PROJECT DESCRIPTION: Gateways siding and glazing ., Owner: 'I' Address: .1 SCHOOL DISTRICT #19 525 MILL ST SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor OWNER OWNER '; # of Units: Primary Occupancy Group: ~. Secondary Occupancy Group: , ' '. Primary Construction Type Secondary Construction Type: . # of Bedrooms: :11 Vlhr Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .~ Street Improvements: Storm Sewer Available: , . . _ Special Instruction: Notes: ,,' ~,,,, ............ .........' ........v .."........~,. ...."". ..................., 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oreqon Utility Notification Center IS '-BOO-332-2344). I CONTRACTOR INFORMATION I License Expiration Date Phone E BUILDING INFORMA nON, # of Stories:N () TI r. . Lot Size: Height ofSt'!uctureE. Sq Ft 1st Floor: Type ofHe~t~~" fJERMIT SHALL EXP ~'J.Ft 2nd Floor: WaterTyp,~r HORIZED UNDE ISlj:I1f1fl/'~W:l Range Ty~e;;MMENCED OR IS R THI~ffl41~'''f,setv-dx.ort Energy Patli:Y 180 DAY P ABANSlVl\l:WV.pr.' i Sprinkled Building: E/)lOO. Occupant'i.~ad: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Pal!elof3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .- Description Tvpe of Construction Estimate Estimate Fee Description + 10% Administrative Fee + 8% State Surcharge Building Permit + 10% Administrative Fee :. + 8% State Surcharge ;; Add, Alter, Extend Clrc Low Voltage - Commercial Indus Total Amount Paid Structural Review . . l-lJ r OF SPRI1'l\d<1~LU Building/Combination Permit PERMIT NO: COM2006-00210 ISSUED: 03/06/2006 APPLIED: 02/22/2006 EXPIRES: 09/06/2006 VALUE: $ 112,000.00 I Valuation Descrintion I 5 Per Sq Ft or multiplier 51.00 Square Footage or Bid Amount 112,000.00 Value Date Calculated Total Value of Project 5112,000.00 5112,000.00 02/22/2006 L.Fpp< PIilU Amount Paid Date Paid Receipt Number 1200600000000000191 1200600000000000191 1200600000000000191 3200600000000000105 3200600000000000105 3200600000000000105 3200600000000000105 560.47 548.37 5604.65 58.80 57.04 $43.00 $45.00 2/23/06 2/23/06 2/23106 3/6/06 3/6/06 3/6/06 3/6/06 5817.33 I Plan Reviews I 02/22/2006 02/2212006 OK DJB deferred submittal to follow , 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. ~rlporlln:nprti'llll.l Framing Inspection: Prior to cover and after all rough In inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Low Voltage: Prior to cover. ~ - ., Paee 2 of3 . . I . CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2006-00210 ISSUED: 03/06/2006 APPLIED: 02/22/2006 EXPIRES: 09/06/2006 VALUE: $ 112,000.00 Status Issued 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 wlll be made ofany 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. ,7 ~ fl /' i'). H .. . _ikk Contra ,tors Signature Date " - . Paee 3 of3 225 Fifth Street ::'Springfield, Oregon 97477 541-726-3759 Phone i l ;( Joh/Journal Number COM2006-0021O .. COM2006-0021 0 COM2006-002 I 0 COM2006-0021O Payments: ," Type of Payment . Cash " ; :j {:" o .\ .. :C;; :r ,~. iT :1 i ~.. i\ _ , :t r .., ~ " . " i ,\ i.," <;" .. , , ,", " 3/6/2006 'r . RECEIPT #: a~~~.!!~_, _.___ .:,' U&..._~. ~ I ~"'i : lIIIIIIij;ity of Springfield Official Receipt Wevelopment Services Department Public Works Department 3200600000000000105 Date: 03/06/2006 Description Add, Alter, Extend Circ Low Voltage - Commercial Indus + 8% State Surcharge + 10% Administrative Fee Paid By SPRINGFIELD SCHOOL DISTRICT Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: Page I of I 1 10:03:57AM .1 Amount Due' 43.00 45.00 7.04 8.80 $103.84 Amount Paid $103.84 $103.84 :1 I I ..I , .1