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Home My WebLink AboutPermit Electrical 2008-6-10 I " CITY OF SPRINGFIELD, OREGON SPRINGFI'EU..D ZON ~LL.JL.tv\-r ~ INITIALS N~ ~ DATECr,-\ I-OX 'l!jip SOURCEfY\ f'::'~"".J Date L/ - ::) ~ - () ~ . 225 FIFTH STRErT . ~PRINGFIELn, OR 97477 . PH (541)726-l753 . I AX ('41)726-3689 ELECTRICAL PERMIT APPLICATION C,ty Job Number Cl:'Wr ZOO!' - 00 7bC{ 1 I LOCATIONOFINSTALLATION: l'7\lQO Lo I I va <Q-h-.fQ t LEGAL DESCRIPTION ~DJ Of) M 4,+ /703.Z7/0 JOB DESCRIPTION 0 ~ 3' 06 1000 sq ft or Ie" _ \\ - \ _ Each add,lIonal 500 'q ft or 1.\\.~-tCA... 7'Jpn II ~Lt: y rY\(1Y\~lY\CfortlOn thereof Permits are non-transferable and expire .fwork l~ ~~ach Manufact'd Home or not starled wltlnn 180 days of Issuance or If work IS Modular Dwel1l1lg ServIce or Suspended for 180 days Feeder 3 I COMPLETE FEE SCHEDULE BELOW A I New ReMdentlal- Smgle or MultI-Family per dwellmg urnt ServIce Included $11700 $ 2100 $55 00 C,ty SrYI.(\J~ Phone r41- eftS SupervIsor LICeme Number 5 J()LGfJr c I Temporary S~U'\O's or Feeders eo,\ll\es'lIj\I\I\'I Exp'ratlOn Date / h - 1- n ~ 0~J\ttllll~I19\J9\A.1r~~\t~! RelocallOn ~ Oteg a~\" _",&l}!e 52-00\ ')11 I '7c::.. /..-~\~: 'O.o.o'Y\e ~\:\P~~O~iI \eS P'f Con,tr Contr Number crY' '-1 , ) '~.\~~S e\\\e\ 2O'1!IW"fD' ~oo~y......~e \0\\0, C'O.\IO(l ~0,-00'\lO~ ~~\M(\9\jI,,9.\~";\On ~O\I 1 902- 0'0\'0.\ .lli9l~' ~o\\\(~' \(1 o-~~'1o\;o \l\e.~e(l\~;'ol\ _ _ ~~11100 Volts bee "B" above S'gnature ofSupervlsmg Electnc,an 0090~\\(l9 \,,9 \~ <rfljjo:-B~ CUlts ~ C0: e\\O\ \e' " #~ (\U\l\~ oe(l\el New AlleratIon or ExtenSIOn Per Panel /""" - - ~:"~':::,"""'G":':ocwo" "'00 Owners Name i~411c..l ~5 cJ ~, -- SerVlce~or ~eederPemi't $ 400 Addre" _ c:::>.A ~ fo r+ '\~ f E I Miscellaneous (Service/feeder 1I0lmcluded) -Each IlI,tallallon j C,t~ ~A....C.1 ~C.~ CArhone Pump or 'rngatloll $ 55 00 S'gn/Outlllle Llghtlllg $ 55 00 OWNER INSTALLATION NOT\CE1Amltedle~~tfjfanlEW~ $ 28 00 The lIlstallatlOn " belllg made on property I own wh,ch'THIS PEHMl,ltJa' ~fl.~'\iI&B\II\1 IS M"~J $ 50 00 ""'i (').00 "not lIltended for sale, lease or rent AU~i.P"~h ~1s..'/l:'1IIl!ttlJQ\liJfi~.P~oo + Surcharges Owners SIgnature coMM, ~C~QTfi\(l~F ABOVE I ANY 180-tiW~F-1:1 12% State Surcharge ....J..g 0 \J , 10% Adml1l1stratlve Fee f7 ' U \....J 5% Technology Fee Q5 0 (Q~ '5t:J 2 I CONTRACTOR INSTALLATION ONLY I B I ServIces or Feeders- InstallatIon, AlteratIOns or RelocdtlOn Electncal Contractor Or'^I' ( ~ ~ r1 ~O U\ ~ \'\20; Amp, ~r I~: $ 70 00 _ I .J 201 Amp' to 400 Amp, $ 83 00 Addre" I~I ~ Ul~ ~r~ 401 Amp, to 600 Amps $13800 601 Amps to 1000 Amps $18000 Over 1000 AmpsN olts $413 00 Reconnect Only $ 55 00 Exp'ral10n Date ,-1- n <:"'-6 $ 55 00 $ 76 00 $110 00 InspectIon Request 726-3769 TOTAL Shared Dnve(T )IDUlldmg ronns/rJectnca] Penmt Apphcatlon 1-08 dol, -n;.-:- ~ ~. Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO, COM2008-00764 ISSUED: 061]012008 APPLIED: 0610212008 EXPIRES 12/]012008 VALUE SITE ADDRESS 1860 LAURA ST ASSESSOR'S PARCEL NO' 1703271009300 SprIngfield TYPE OF WORK Electncal Work Only PROJECT DESCRIPTION Sprmkler momtormg system TYPE OF USE Owner Address NA THWICH ASSOCIATES CROCKER PLAZA ONE POST ST - TAX DEPT SAN FRANCISCO CA 94104 Contractor Type Low Voltage ElectrIcal , CONTRACTOR INF?RMA TION I Contractor OMLID & SWINNEY FIRE SPRINKLER License 62730 # ofUmts PrImary Occnpancy Gronp' Secondary Occupancy Group PrImary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms Frontyard Setback Side 1 Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available Special InstructIOn Notes DeSCrIptIOn I BUILDING INFORMATION I # of Stones B Height of StructUl e UIles 'fOU to _ rqrTyp~of\!Ie1Jlaw le6legon Utl\lW VB , ' ,[1' . ,,,,watsu\'fcype'J'f th~\es ale set 10lth ,O:'( '^ rU Ra~geerypfOSe I OI'R 952-001- Notl\lcatl05~EOyg5'lP'a~IlhIOU9h 01 the lules bY OI'R 9 ~ "~OOles """8 In 0 '(o\.Sp'-'l'K1e 11d!ggth8 telep. 1113 n09 . _ ...,.,tor 0 .. I ~~,fH..~tlon rtii\....n:,) l"."'::' : -, - ~'F \.\.'J'J~..:~ ,..EYE,Il,~~l'IrfN Q~ verlL~1 li:t Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage New Commercial ExpIratIOn Date 12/15/2008 Phone 541-741-1775 Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEM~NTS I 'NO~\(. NO,.,\;t: .,. S"r>,U. f,(?\~ts\&~J~9~; \S ?E~Mll n 1\'11S I'E~\'J\\ I 1\'1 ORIZm UNDE~ N~I\d.i)QlDrams: r>,Ul\'1 NCEO OR IS M3A CONlMEO OW PERIOO. AN'i 18 I" I ValuatIOn Descriotion I $ Per Sq Ft or multIplIer Square Footage or Bid Amount Tvpe of ConstructIon Pa~e I of 2 Value Dale Calculated _.._.~~ WIL- ' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00764 ISSUED: 06/10/2008 APPLIED 06/0212008 EXPIRES: 12/1012008 VALUE' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees Paul I Fee DescrIption + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - CommercIal Indus Amount Paid Date Paid Receipt Number $500 $600 $250 $50 00 6/1 0/08 6/10/08 6/10/08 6/10/08 2200800000000000880 2200800000000000880 2200800000000000880 2200800000000000880 Total Amount PaId $63 50 I Plan RevIews I To Request an mspectIOn call the 24 hour recordmg at 726-3769. Allmspechons requested before 7:00 a.m. wIll be made the same working day, inspectIOns requested after 7 00 a.m. WIll be made the followmg work day. I Re'l Ulred T nsnect''lnsJ Low Voltage Prior to cover By signature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby cerhfy that all mformahon hereon IS true and correct, and I further certIfy that any dnd all work performed shall be done m accordance with the Ordmances of the City of Spl mgfield and the Laws of the State of Oregon pertammg to tbe work descrIbed herem, and that NO OCCUPANCY wIll be made of any structure without permlS"on of the Commumty Services DIVIsIOn, BUlldmg 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 durmg constructIOn Owner or Contractors Signature Date Paee 2 of2 225 FIfth Street SpTlngfield, Oregon 97477 541-726-3759 Phone riE~ CIty of Sprmgfield OffiCIal Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2008-00764 COM2008-00764 COM2008-00764 COM2008-00764 Payments Type of Paymeot Check cRecemtl RECEIPT #: 2200800000000000880 Date: 06/10/2008 DeSCriptIOn + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee Low Voltage - Commercial Indus Paid By OMLJD AND SWINNEY Item Total Check Number AuthOrization Received By Batch Number Number How ReceIVed dJb 35507 In Person Payment Total Page I of 1 2 11 40PM Amount Due 250 600 500 5000 $63 50 Amount Paid $63 50 $63 50 611 0/2008