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Home My WebLink AboutPermit Electrical 2008-6-23 r~ ~~~rA~ ~ ~'" DATE lo.?f.7 .U'O "AJI' SOURCe -j V"'cr~ - Date LQ l. '23 \ flo~ 3 I COMPLETE FEE SCHEDULE BELOW 225 FlF1H STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL P~~IT APPLICATION City Job Number ~- C\ Q/lD 1 I LOCATION OF INSTALIATION' I '7)C,CO b~--\E:..,,_{JGv\ S--'\ LEGA. L DESCR1PTl\M1 \.tJ 1).00 r:f)Jf.:fJ c.y,uGV-- f/ 'C~ JOB DESCRIPTION ~rc\.\ \..X.-O L:LO~"'Y~~ 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 CONTRACTOR INSTALLATION ONLY I Electncal Contractor F 5"' A ~ 'T . - ~J(\,"j Address R-J=f'\I~ '9 m\(\ <L \2ol h~()~ Phone<).\\.l.\CO").5'O{U -- ~ 'C\'\'-\Or City SupervISor License Number 0b -""}{ -oc.. \_'S ExplfatlOn Date '\ ~ l \ ~ Constr Contr Number \ lJi ~( fj 0 ExpiratIOn Date ";;) \ \. \...(: \ ()o \. \ SIgnature of Supervlsmg Electnclan o - . C !.! <01 Ll5 (~ Owners Name G~'~ Addr~~J:) ~~t'W~ ~~f! til Phone OWNER INSTALLATION The mSlallatlOn IS bemg made oWBtI''YOb'\'tin which ~~ tilmwal'11m'i ~\l(jfe Utility .%\W~~~:=~e~h~~hr~le~eir~~et forth m..oAR 952-001-0010 through OAR 95~-001. 0090 You may amam cU!J"'~ J, t1-.3 r::.'lS-bY ", t (Note the telephone n~a~~2r ~~~ f:~ g~~gon Utility ~~tlflcatlon lnspectll@~qM.t 1-mP~6~.23 ). A I New ReSldenlJal- Smgle or MultI-FamIly per dwelling umt 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 $]1700 $ 2100 $55 00 B I Services or Feeders - Installation, AlteratIOns or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 c I Tempor .If} Servlcc~ or Feeders Installation, Alteration or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 VoIls see "Boo above D I Branch CIrCUIts $ 55 00 $ 76 00 $110 00 New AlteratIOn or ExtenSIOn Per Panel One CircUit Each AdditIOnal CIrCUIt or With Service or Feeder Penrut $ 48 00 $ 400 E I Miscellaneous (Scn Ice/feeder not mcluded) -Each InstalldtlOn r Pump or ImgatlOn $ 55 00 SIgn/Outline Llghtmg $ 55 00 ' C:;s d) LImIted Energy/ReSldentIa] $ 28 00 LimIted Energy/CommefClal $ 50 00 MlDlmum Electnc Permit Inspection Fee IS $50 00 + Surcharges 4 1W'Fl~rALOFABOVE I ':)5Cf:) n:~=RfJf~.!eEXPIRE IF THE WORf(~ cerv1rvFERfe~d~b'ER THIS PERMIT IS NOT ;.; 'is 'rT6t~11,DAY PE~:~~BANDONED FOR < l~ Shared Dnve(T )/BuJldmg Forms/Electncal Perrnll ApphcutlOn 7-07 doc ~~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00926 ISSUED 06/25/2008 APPLIED' 06/2512008 EXPIRES ]2/25/2008 VALUE, 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3000 GA TEW A Y ST ASSESSOR'S PARCEL NO 1703220002300 SprIngfield TYPE OF WORK ElectrIcal Work Only TYPE OF USE AddItIOn Commerc131 PROJECT DESCRIPTION Instdll LED Llghtmg Owner GA TEW A Y MALL PARTNERS Address 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION' Contractor Type ElectrIcal Contractor E S & A SIGN CORP LIcense 163470 ExpiratIOn Date 03/16/2009 Phone 541-485-5546 BUILDING INFORMATION I # of UllIts PrImary Occupancy Group Secondary Occupancy GI oup PrImary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of StOrIes HeIght of Structure Type of Heat Water Type Range Type Energy Path SprInkled BUlldmg Lot S,ze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bascment Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION , Frontyard Setback S,de I Setback SIde 2 Setback Rearyard Setbaek Solal Setbacks Overlay DlSt # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS' Street Improvements SIdewalk Type Storm Sewer AvaIlable Downspouts/Drams SpecIal InstruclJon NOTICE: ATTENTION Oregon law reqUires you to TH Notes follow rules adopted by the Oregon Utility ~, IS ~ERMIT SHALL EX Notification Center Those rules are set f.rJl)'l , 'TiliJRIZrn I/Mnr:n ~"P!RE IF THE WOpK "' VrlM ~")"-UU1-UUlU tnrough p,~:-; :);~;:-;:;;:; i- - ;'~CED OR - .. "" rCnlVII/ IS NOT 0090 You may obtam copies vfVlfImitWh\l[)escnotIon' he O,W P ~s ABANDONED FOR callmg lhe center (Note the ''''''pnone ER.OD number for the Oreqon Utility $,EerISqtE:tn Square Footage DeSCrIptIOn TV""AlI,,constructlOn'32 2~' '-' It I B d A t Value Date Calculated "Vt;1 ~'t!l I" I ~U\.JV.V ~ Olll-I}U Ip ler or I moun Pal!e I of 2 Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2008-00926 ISSUED. 06/25/2008 APPLIED. 06/2512008 EXPIRES 12/25/2008 VALUE: 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees PaId I Fee Descnphon + 10% Admllllstratlve Fee + 12% St.te Surcharge . + 5% Technology Fee SIgn - Outlme Llghtmg E,lch Amount PaId Date PaId ReceIpt Number $550 $660 $275 $55 00 6/25/08 6/25/08 6/25/08 6/25/08 2200800000000000975 2200800000000000975 2200800000000000975 2200800000000000975 Total Amount P .,d $69 85 I Plan Reviews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns 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 R,eolJlrerl InsnectJons I SIgn Electncal After connectIOn IS made but pnor to energIZIng By sIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby certify that all mformahon hereon IS true and con ect, .nd llul ther certIfy that any and all work performed shall be done 10 accordance wIth the Ordmances of the CIty of Sprmgfield .nd the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permISsIOn 01 the Commumty ServIces DIVISIOn, Buddmg Safety Ilurther cerhfy th.t only contractors and employees who are 10 comphance with ORS 701 005 WIll be used on thIs project llurther agree to ensure that allleqUlred mspectlOns are requested at the proper tIme, that each address IS readable from the street, that the permIt card IS located at the front 01 the property, and the approved set of plans WIll remam on the SIte at all times dUring constructIOn Owner or Contractors SIgnature Date Pa2e 2 of2 225 FIfth Street Spnngfield, Oregon 97477 ~41-726-3759 Phone Job/Journal Number COM2008-00926 cOM2008-00926 cOM2008-00926 cOM2008-00926 Payments Type of Payment Cred nCard LRecemtl RECEIPT #. DescriptIOn SIgn - Outlme LIghting Each + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By ES&A CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department 2200800000000000975 Date. 06/25/2008 Item Total Check Number AuthoTJzatJon Received By Batch Number Number How ReceIved llh 025672 025672 In Person Payment Total . Page 1 of 1 I 01 32PM Amount Due 5500 275 660 550 $69 85 Amount Paid $69 85 $69 85 6/25/2008