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Home My WebLink AboutPermit Electrical 2008-6-20 3 SPRINGFIELD ~ ZON ~V A. ",,_,...,' ;>" INITIALS).,J)'^-. -~'.~=C~l, DATE\.cl.l~"'\C1( - ~ SOURCE'{'<\. Q~) Date lll\')~\C\ i -COMPLETE FEE SCHEDULE BELOW 'v' , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (54t)7263689 ELECTRICAL PERMIT APPLICATION City Job Number C O..-Y1 LC:>Olj-OC::. "10 '1' 1 \,"-1 ~~,' ... ~ 7 -~- ~~ ~..F;;,~",.T""'~vfJ..""" .... -v~ LOCATION OF INSTALLATION ~" , < ~.. """""'!'^_~ ....~"'.......\,...j,..>Po.-::i' ~~ -j.w~...'l~!,f~7 ll, v #lA-IAI 30 c:;> C> ST LEGAL DESCRIPTION 170z.-3(DO 0070 ( JOB DESCRIPTION ,4 JJ 7 C I rc-,-,,,-;h PermIts are non-transferable and expire If work IS not started \\'lthm 180 days of Issuance or If work IS Suspended for 180 days ~~;:1'!:(t'~~:.\'~\{~''W~ _'~~.$"'iJiI:::J~;.;;j~"Ut'R:"'>\.~Vi 'CONTRAeTOR INSTALIiAq;ION. ONLY' 2 ~~)t>::I;'l".~~~'tj~~1m:"'1r$~..lt~l'"W,p;~~ Electncal COntlactOl :r~ 16 t...E c..TR..1 ( /" I( AddI ess 1f~8 5" -r "3A 'Bf:l-LE srR..E.€T CIty ~r:=:-JJ~ Phone t;tf I / ~ 7 - t;;-no EXpllatlOn Date 3~/a~S II/I lID loy..q ,;).Cj ~ I t;;/C)..o \ 1 SuperVIsor License Number Constr Contl Number hprratlOn Date / ownersName?elL'~E:,,";1\I" ,.-....)1- Addless :5 0 z-O W, I c1 w C'O d wz.. City -AI b)IJ."",.." 1 Phone OWNER IKSTALLATlON The mstallatlOn IS bemg made on property lawn which 18 not llltended f01 sale lease or rent Owners SIgnature InspectIOn Request 726-3769 '" :~, ; , " , t..., r 1 ' . ,.-- . ~, "", ~, . A '-'New ReSldentJ'll- Smgle or J'vlultl.Fanllh per d\\cllmg ufllt "'.._u l _~.~~l!-", "> _ tJ'l;", ..., ,~... ~,t>-... SerVIce Included 1000 sq ft 01 less $10600 Each adcl1t,,)iml\5tlQ>>Q. 5rW 0 portIon tbe(~f rules adoPt~d n;aw reqUires Yb/PtSO E h J,~tl.fICi!lI~~lIlJfr Th Y lne uregon Ulility ac 'Irremtf,tJ In1 ose rules are self th Moduffi'j~cij.l8? m~~~J,O through OAR 95~>Q@ Feeder Calling the / btaln CVfJl"'~ 01 Ine rules b 1~n"'~numne~"iii-li..:t~~f\,(N9te"t~tel~'~"";h~~~":; 'Y~!\lk'l!'i'l''i~<! B I1.Sen'Ice~ll"r;, l!l' ...,,~IS9!ll'!Vml I 6\,,"....,RelocatlOu ;if,;),) ~"""'''--'<~ enter IS"*1:a6 =.: - i 0 I catlon"""~~'>."",~'i.iift1i 0-332-2344). 200 Amps or less $ 63 00 201 Amps to 400 Amp, $ 75 00 40 I Amps to 600 Amps $125 00 60 I Amps to 1000 Amps $163 00 OveI 1000 AmpslV olts $375 00 Refpnnect Only $ 50 00 NOTICE- c }:1iJ'Jjsr~:,Jf;q, "'J';ij.1~~~~t1l'l:J&,':''';J',<<ffi~.;!~~1l'j\:.J . '" _1!&!:~!'lVrrr,;smtl(lh}(PIRE IF' ~,(<h"'~ -',"M!'<~U"1 I=~IJ~~~g~~ ml~RnhlJ:iE,~Z~: 2A1IIl':400'oJAr- PERlDtBANOONED FO~ 50 00 20 I Amps to 400 Amps . $ 69 00 401 Amps to 600 Amps $100 00 Over 600 Amps 01 1000 Volts see "B" above ""- G""""''W!'''l<:''~~y~M~;:nf.&.''''1~~'''''~~"''' i!\'1;'~V. D k~d~~~~lk~~ktr~W~ ~~ )~~~.J New Alteration 01 El.tenslOn Per Panel / One CrrcUlt Each AddItIOnal CllCUlt 01 WIlh ServIce 01 Feeder Penmt $ 4c!lo 0 $'f 00 L(e z4 /, ~Ft~>~~~'t.~"'~{#--;Jt~~~r~j!ti';f~"~~7!J'f~.w E .:1l\1Iscellaneous.(Se. ",oe/feede. uot,mcluded)<~Eadj IiIStallatIOn, .f~iI~~r:a'<<.l~...n) \,.,> ..;~ ~<J)",-W"9i,....QJj' T-1iJ:.l'-"'~i:-'t\i..m.L~~~r..,"'1'l1.:.,,~~.n~~.... Pump or 1JlIgallOn $ 50 00 SIgnlOutlme LIghtmg $ 50 00 LimIted EnelgvlResldentIal $ 25 00 LImIted EneIgy/Commerclal Sl2 $ 45 00 MImmum ElectrIC Permit InspectIOn Fee 18 $A'5 00 + Surcharges ~..."y ,-, ~"-''l> ,,,,,, '~"'J;I<~'",t~~-" " 7 Z 4 ,.SUBTOTALOFABOVE:;'f~iZll, "J. "'",~" b.'~~,:: w,'!"\ A'p'l;d4....~kt~1fl ~"'~"'Pi.'rit~'t\\t ,;{\~\" ,g,'r~1 - f 120/0 State SUI charge B"; 1 0% AdmmIstratlve Fee 7 ZA:> 5% Technology Fee ~bO TOTAL 9/ l(lf Shaled Dnve(T )IBUlldlllg Fonns/Electncal Penrut Appllcal10n 8.06 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00909 ISSUED. 06/20/2008 APPLIED. 06/20/2008 EXPIRES. 12/20/2008 VALUE: -~~ Sta tus Issued 225 FIfth StI eet, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3000 MAIN ST ASSESSOR'S PARCEL NO 1702310000701 Springfield TYPE OF WORK ElectrICal Work Only PROJECT DESCRIPTION Add 7 CIrCUIts TYPE OF USE Addlllon Commerc131 Owner KONNIE M PERLENFEIN REVOC LI Address 3020 WILDWOOD DR ALBANY OR 97321 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JB ELECTRIC License 104929 I BUILDING INFORMATION I ATTENTION Oregon law requires you to # of UOItS follow rules adopted by Ih~el~!m Utility Primary Occupancy GroW'otlflcatlOn Center. ThosdWll!!I efe"S914tJ1tll Secondary Occupancy GfR'tYAR 952-001-0010thro"!i!ll\"C'AROO2-001- Primary ConstructIOn Ty~O You may obtaIn co~'llflblP,ules by Secondal y ConstructIOn fyeliAlng the center. (Not8iltlllJ ~hone # of Bedrooms number for the Oregon llhhl'g;f"NIiIil'l.lJon Center is 1-800-3ijlMllllWtoBulldmg n/a I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback S,de 2 Setback Redryard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Drive Rqd 0/0 of Lot Coverage Street Improvements Storm Sewer AvaIlable SpeCIal InstructIOn NOTICE: I PUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THI: WUKI\ AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Expiration Date 03/14/2010 Phone 541-687-5770 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING TOtdl Handicapped Compact S,dewalk Type DownspoutslDrams Notes I Valuation Descriotion , DescriptIOn $ Per Sq Ft or multiplIer Square Footage or Bid Amount Tvpe of ConstructIOn Page I of 2 Value Date Calculated CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED' EXPIRES' VALUE. COM2008-00909 06/20/2008 06/20/2008 12/20/2008 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Totd' Value of ProJect Fees Palll I Fee DeSCrIptIOn + 10% AdmIUlstratIVe Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Crrc Ea Add Amount PaId Date PaId ReceIpt Number $720 $864 $360 $48 00 $24 00 6120/08 6/20/08 6/20/08 6/20/08 6/20/08 2200800000000000949 2200800000000000949 2200800000000000949 2200800000000000949 2200800000000000949 Total Amount PaId $9144 I Plan Revtews 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 wtll be made the followmg work day I ReolJlretl' nsne~h?ns I Rough ElectrIC PrIor to Cover Fmal ElectrIC When all electrIcal work IS complete By SIgnature, I state and agree, that 1 have carefully exammed the completed apphcatIOn and do hereby cerllfy that all mformallon hereon IS true and correct, and 1 further certIfy that any and all work performed shall be done m dccorddnce 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 CommuUlty ServIces DIVISIOn, BUlldmg Safety 1 further cerllty that only contrdctors and employees who ale m comphance WIth ORS 701005 WIll be used on thIS proJect 1 further agree to ensure that all reqUIred mspectIOns are requested at the proper tIme, that each address IS readable from the street, that the permIt card IS locdted 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 Sprmgfield', Oregon 97477 541-i26-3759 Phone 8j:Q~:O ~ ~: ~.. < CIty of SprIngfield Offictal Receipt Development Servlce~ Department PublIc Works Department Job/Journal Number COM2008-00909 COM2008-00909 COM2008-00909 COM2008-00909 COM2008-00909 Payments Type of Payment CredltCard cRecemll RECEIPT #, 2200800000000000949 Date 06/20/2008 DescriptIOn Add, Alter, Extend CIlC Add, Alter, Extend CIlC Ea Add + 5% Technology Fee + 12% SIaIe Surcharge + 10% AdmmIStratlve fee PaId By DANA ALONSO Item Total l.:heck Number Authorization Received By Batch Number Number How Received dJb 098108 in Person Payment Total Page 1 of 1 10 05 04AM Amount Due 4800 2400 360 864 720 $9144 Amount Paid $9144 $9144 6/20/2008