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Home My WebLink AboutPermit Electrical 2008-6-20 SPRINGFIELD ~~1! ZON Lf"'t"\ ~~~ INITIALS ~I'Y'-' 7?"~ . . .~,] DATE ~\2-~\O~ \!i~lJiI:j::l;~ ~~ SOURCE\'0.-~"'\\'-?} Date CO\), tJ \ \::l 'ZS 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (S41}726-3753 . FAX (541)7263689 ELECTRICAL PERMIT APPLICATION City Job Number COu-1 CO t::::8-- C> 0 90 () \"~~" \ ~ .1,'" ~"'~\,~ "I'~~lv:r<'V~"'J,,",('^ ,:\e..--"'''~.,' 1 'LOCATION OF INSrALLATION' .,'. >~. ~O---' --5[;~/7;';;zj-,;;'+ r LEGAL DESCEJPTION (7D.5 Z7/0 o iffOcJ JOB DESCRIPTION Add :5 Ct(LlA.-:- -h PermIts are non-tram.fel able and expIre If work IS not started Wlthm 180 days of Issuance or If work IS Suspended for 180 days ~'t'1"K'::;iilX'V~~ !~w:J8lf{Jl,,'7~;x':ffi:J!K~ ~1.b: 2 ~.CO!\'TRAeTOR L"lSTALI:!A.'FIONONL'}:;/-". ~'Wft'~-6fb-..}i~J'"~~~:'!'i.j3V"",-S''l~~:tf ElectrIcal ContIactOl :::f'6 l6 LE CTIZ-I { / k. I( Addless 4-~8S Lc:;A'Bel-LE SrRJ2€'r City E.u.6~JJfO Phoue 9f/ / fd)7-r;;T70 ExpuatlOl1 Date 3ll6ia-S Itl,lllD IOt.j-q,;;)..q 3/ ";;/a-O \ SupervIsor LIcense Number Constr Conll Number EAprratlO11 Date Owners Name 1110#"1 L~yo Cd Addless 57' l/ flit; ~ ZSP4&>\ lc- Rd City <; 1> f ~ Phone OWNER INSTALLATION The mstallatlon 1< bemg made on property I own which 15 not llltended for sale, lease 01 rent Owners SIgnature InspectIOn Request 726-3769 3 'COMPLETE FEE SCHEDULE B:ELDW . ., . .- , q , ~ .. ~ 1 ~f } l~ -..., ... ~ "' l' ,~~ : <\ NC"" Resldentlal- Sll1gle or l'vlultl-Fannh per d"c1lll1g Ulllt :.; ~I. ~ ~...,!~", - 'oJ ". .;:' ~~ .. ~ ".. Sel vlce1;Qi!i/lJ!f:tON 0 rol ow r,u'- regon la 1000IWJt 1/l1 I"s.;s adopted b w req'tlr.es $10600 Each/lI<l9 \~~P~ellter. "th Y the Ore90:ou to port~er~f2'001'0oio those rU!esllre a ~II/!)Ioo OU miOh'" rOugh OAR a forth Each....~<tfl~ Ie! lIf~F'n coplas of th 952-001_ MocM~lm:fllI' r'(J,&' (,Note: the tel: ru/8!~o Feeder Center Ie 1 &gon UtIlity No PIlone "~'r.~",.'n.-. ,~~~tltiCla''-_ ... .,-._, ~-Jl'" ~n., k-'t.J?ij>-,'l1~~~~1r y:t~~'f/~t',. . I.dJ;'-''1''e~'J^''I~!~"",!-f.t':\";t4'',,,~,, B fl~&el \rlces~or)(Feeders~clnstalld 10 , ~l atlOl1s'o);'".(.Relocatl{m i ~~ ~"f-:!!~;:;"'~~~~$~r~~4~~~"t;.~tj):.~S~~,\<&>~'\lI..~";; :1m $ 63 00 $ 75 00 $125 00 $163 00 ~375 00 $ 50 00 200 Amps or less - ~< 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Ovel 1000 Amps/V olts RecoNOTme C ~lll:!'S;,FlE,aMll;;S~EXP1REIF'~'--.;<f1W"ii!'iE:~~ ~~(fRIZ~[fUNDER TH" ~~'nl:,WOR1(IJll!!f,ij,:l:B<iL_. 11'M IS PERMIT IS NOT Ins~ 6~EM{fEQtlJa~IMNI90NED FOR 200 AniPJ iAR(\Y PERIOD. $ 50 00 I 201 Amps to 400 Amps $ 69 00 401 Amps to 600 AIhps $10000 Over 600 Amp. 01 1000 Volts see "B" above D ~~"'cc~';ls~~;I~"j'1tf'~!t~3~~:N~;;:3 ~ "'.>W'''~'!U.'"'>t#.~..~.o~a~~~~~ ~1.,.,;;ffi, I New Altel atlOn 01 EltenslOn Per Panel ( One ClfCUlt, $ 4e 00 Each Addltlonal ClrcUlt or With , Service 01 Feeder Permit I ~1;:'(&,\~~!.;~r1;J;;~~Jl11:S'~J.r"';'~~~4',1J~~f 't~:?y' ~7Pf~~~ E "Miscellaneous (Sel \lre/feedel not'llJcIudedk.-Each InstallatIOn, ~3~'\~':=~,~~!!rnu.w.,....a'lf~"'?b'1:S~i;::&~';'<""IIl.nn.I;::1J.w-'~""">'lr ''''7r.t>-~~~...tt.> Pump 01 U1IgatlOn I $ 5000 Slgn/Outltne LIghtmg $ 5000 I LImited EneIgyIResIdenllal $ 25 00 I Limited Enel gy/CommerclaI 'D $ 45 00 MllJunum Electnc perrillt InspectIOn Fee IS ~ 00 + SUI charges t;ft..:,u*, ;,.....,''a''} ..>~th~ < h..,.t~-f~I~'J.(::~~~':'..i' r- ~/ 4 ,S[JBTOTAL'OFABOVE ~"'Ii~~~~'-:" .... b ~~tf~f'~i"""" t'ifAr)1'-';':M,,^l~.;nlr.::~'P--!'ti.~J;j,);.j}','tf2,\d~:;$'1--W=,~~! -- {}!Yo State SUlcharg'e b 7 Z 10% AdmmIstratlve Fee <;'b" 5% Technology Fee Z8<.J , I Il IOTAL I 7/- Sha] ed Dnve{T )/BUlldmg Fonns/Electncal Penmt Apphca<lon 8~06 doc z. l/S g $ '00 '-Wit7ji".:~ ,'. "- " Status Issued 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line CITY OF ~rKlj~tjNJ!,LD' Bu~lding/Combination Permit PERMIT NO: COM2008-00908 ISSUED 06/20/2008 APPLIED 06/20/2008 EXPIRES: 12/20/2008 VALUE' I Springfield TYPE OF WORK ElectrICal Work Only SITE ADDRESS 360 SHELLEY ST ASSESSOR'S PARCEL NO 1703271007800 PROJECT DESCRIPTION Add 3 CirCUIts Owner MOM LAND CO Address 5794 HIGH BANKS RD SPRINGFIELD OR 97478 Contractor Type Electrical Contractor JB ELECTRIC # of UOItS Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Frontydrd Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Setback, Street Improvements Storm Sewer Available Spec..1 Instruction Notes Descllphon Type of ConstructIOn TYPE OF:USE CommercIal AddItion I I CONTRACTOR INFORMATION I I License I 104929 BUILDING INFORMATION I EXpIratIOn Date 03114/2010 Phone 541-687-5770 # of Stories Lot Size HeIght of Structure I equlres ydtqt6t 1st Floor 1ype,~f Heatl Oregon a~hre Oregon ~iJlF12nd Floor >>,a!er T.ype-,.. adopted h~~e rules are sElil\cmmasement :R!,ng~ T~~e ,en:er i 6 through OAR 95S<flIDdGarage/Carport En~rgy Path'10i O~t caples of the nSllWll'!lther Sp(lnkle<tlBulid',lfe aln(Note '!1m telepkooXlllpant LOdd _...11"",1"\ trA cenrtar _. ;. ..,_+.f....'::lohnn I DEVEL<iWMI!~fr1NfoRM~i:~~2f344). - . I REQUIRED PARKING Overlay Dlst # Street Trees Rqd Paved Drive Rqd -- 0/0 of Lot Coverage Total HandIcapped Compact I PUBLIC IMPROVEMENTS I I SIdewalk Type NOTICE: DownspoutslDralns THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR ISIABANDONED FOR '; :-W&C. I ValuatIOn DescnotIOn j $ Per Sq Ft or multlpher Square Footage or B,d Amount Value Date Calculated Pa2e I of2 -~~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00908 ISSUED: 06/20/2008 APPLIED: 06/20/2008 EXPIRES: 12/20/2008 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 I Fee DescriptIOn + 100/0 Administrative Fee + 12% Stdte Surcharge + 5% Technology Fee Add, Alter, Extend ClrC Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid Receipt Number $560 $672 $280 $48 00 $800 6/20/08 6/20/08 6/20/08 6/20/08 6/20/08 2200800000000000948 2200800000000000948 2200800000000000948 2200800000000000948 2200800000000000948 Total Amount Paid $71 12 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00 a.m Will be made the same workmg day, mspectlOns requested after 7.00 a m Will be made the followmg work day. I ReoUlred I nsnectJons I Rough ElectriC Prior to Cover Fmal ElectriC Wben all electrical work IS complete By signature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certify that all mformatlOn hereon IS true dnd correct, and I further certify that any and all work performed shall be done m accordance wltb the Ordmdnces of the CIty of Sprmgfield dnd the Laws of the State of Oregon pertdmmg to the work described herem, and that NO OCCUPANCY Will be made of any structure Without permissIOn of the Commumty Services DIVISIOn, BUlldmg Safety I further certify that only contractors and employees who are m comphance wltb ORS 701 005 Will be used on thiS project I further agree to ensure that all reqUired mspectlOns are requested dt 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 Paee 2 of2 225, F.lfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone an~q~~ ~, ~ ' CIty of Sprmgfield OfficIal Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00908 COM2008-00908 COM2008-00908 COM2008-00908 COM2008-00908 Payments Type of Payment CredltCard LRccClOtl RECEIPT #: 2200800000000000948 Date. 06/20/2008 DescriptIOn Add, Alter, Extend CIrC Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% Slate Surcharge + 10% Admmlstrat1ve Fee Paid By DANA ALONSO Item Total Check Number Authorization ReceIVed By Batch Number Number How Received dJb 031058 In Person Payment Total Page I of I 1002 49AM Amount Due 4800 800 280 672 560 $7] 12 Amount Paid $71 12 $7112 6/20/2008