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Home My WebLink AboutPermit Electrical 2008-7-1 CITY OF SPRIr~t:iJ1lJ'.LlJ . Building/Combination Permit PERMIT NO: COM2008-00957 ISSUED' 07/0112008 APPLIED. 07/0112008 EXPIRES 0110112009 VALUE' -iii..~ Status Issued 225 F,fth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspechon Lme SITE ADDRESS 303 S 5TH ST STE 400 ASSESSOR'S PARCEL NO 1703350000307 Springfield TYPE OF WORK Electrical Work Only PROJECT DESCRIPTION New 200amp servIce TYPE OF USE New Public Owner CITY OF SPRINGFIELD Address 225 N 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor THORNTON ELECTRIC INC LIcense 116329 BUILDING INFORMATION' # of Umts # 01 Stories Prlmdry Occupancy Group Height of Structure Seconddry Occupancy Group Type of Heat Primary COD,tructlOn Type VB I W r~!f~ to Secondary ConstructIOn ul1e'HION OregonbB ....I1-~~tl\"1.. IV ,I;;' dopted Y'" o.t!OIU' # of Bedrooms I \\oW rules a ...... se &\m"gjI'lPlim ~ o center I' ,0 "..~Il~;R ,. nla Not\l\ca~?~ nM -O,Q1 0 throuyw::";;:", ;\Ires \~o~~' \,;; may o~)&i.:r~EN~rri?RMA nON I calling the cen6regon LtlM f.J,,!. ber lor the "--<l~2-~4l. num center IS 1-80u."Uverlay DlSt # Street Trees Rqd. Paved Drive Rqd, % of Lot Coverage Front yard Setback S,de I Setback SIde 2 Setback Rearyard Setback Solar Setbacks I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer Available Special InstructIOn ExpIratIon Date 08/21/2008 Phone 541-686-4151 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact SIdewalk Type TRe"flaB~S/Drams N01'\CE~ ,,^Ii S\\r>.t\. ~"~~i~,,^1i IS ~Oi 1\-\IS P~~lEO \.I~OER 1~~~OO~EO fOR AU1I1 <,!:n OR IS ~ ~t:.....J~~\ l fE.III':". I Wl'u'ltm~'tlescnDtlOn , Notes DescriptIOn $ Per Sq Ft or mulhpller Square Footage or Bid Amount Type of ConstructIOn Page I of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00957 ISSUED' 07/0112008 APPLIED: 07/0112008 EXPIRES 0110112009 VALUE' 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn Lme Total Value of ProJect Fees p~ Fee DescrIptIOn + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount PaId Date PaId ReceIpt Number $700 $840 $350 $70 00 7/I/08 7/I/08 7/I/08 7/I/08 2200800000000000996 2200800000000000996 2200800000000000996 2200800000000000996 Total Amount PaId $88 90 I Plan Reviews I To Request an InspectIOn call the 24 hour recordIng at 726-3769. All InspectIOns 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. I Re/llllrerl Tnsnechons I EleLtflc ServIce Approval reqUired prior to utility company energIZIng service By SlgnatUl e, I state dud agree, that I have carefully exammed the completed applicatIOn and do hereby certdy that all mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Springfield alld the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY will be made of any structure WIthout permlSslOlI ot the Commumty Services DIvISIOn, BUlldmg Safety I further certlty that only contractors and employees who are m compliance With ORS 701 005 will be used on thIS project I further agree to ensure that all reqUired mspectlOlls dre 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 remam on the SIte at all tImes dUring constructIOn Owner or COli tractors Signature Date Paee 2 of2 ZON (s16'YI1.G INITIALS N I"- DATE '-1 -.2, -0"'1 SOURCE~.s~ 7-/-03 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH (~41)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number _LOWl7--Oc%-OO ?)7 Date ~ -~--~~-~---~--..." I LOCATION OF INSTALLATION: __ __ ~M~~~' ,3 fJ) 3 5 - s~ {',.;,I", ~{'] LEGAL DESCRIPTION 1703:t 5b 0 or:::>S'C;)A C~!! ~';;!..~;~I::- S~gle;r ~;it;-FlIIIlIIY per dw:elhng UOIt M~r::.J> // .OtZo/ dO!? &n/ /d?-J-ef JOB DESCRIPTION ZOO 4...1 3 l cgM!~jfl<~ SCHED~ BEWW _ _ 'Sl.vc PermIts are nnn-transferable and expire If work IS not started wlthm 180 days of ISsuance or If work IS Suspended for 180 days ~~ --- , 2 ,CONTRACTl!R INSTALLATION 01Yl:Y,--, ElectncaI Contractor ~/f' tJ7D ,( ) Address fl 0 ~c t;;C9 l./ V Phone 9'5'3 '--CO.) 7 j~ City &<6 SupervISor LIcense Number ~ /7 s ExpIratIOn Date / Ii) - 1-/{9 Constr Contr Number II &7 '5;J;7 ExprratlOn Date /fJ7~ (- /0 OWNER INSTALLATION Owners SIgnature InspectIOn Request 126-3769 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 $11700 $ 2100 $5500 B . Services or Feeders - Installation, Alterations or Relocation- . - 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only ATTENTION Oregon law requires you to foll~ r~~r.l:~A!t~ O1~lJlillty Nollflcatlon Center. 1!iosefUfe's are sef forth In OAR~~?:1l01.001.QJhro\l.9h OAR 952-001. 0090. 'I'llUlWiji&'btilll\rclla~'Hl\kflUl\lll'b, calhrqp~terle~ote: tha telephone numbel) fOlJlt)e Gf4lUPAd.l!Ylly Nolificatlon 4tl:ie_J\b~.2344). Over 600 Amps or 1000 VollS see "BOO above D I Branch CIrCUIts __ _ _ __ New Alteration or ExtenSIOn Per Panel One CIrCUIt Each AddItIOnal CrrcUlt or WIth ServIce or Feeder PeIlDlt TOTAL I -?m ,- $ 70 00 /LY $ 83 00 $13800 $18000 $413 00 $ 55 00 SIgnature of SupervlSlng Electnclan qUj~ Owners Name C. ~ u.f 5 f -hi Address z:z. r S~ ~ t- E MlScellaneons (Servlce/feeder not mcluded)-Each InstallatIOn '" __~ &-J~_"'~~ ~~ ~ _~_ ~ ~ ~ CIty <::.PP~ Pholle 72-f.-37f3 Pump or lITIgatIOn $5500 NOTl~Outlme LIghtmg $ 55 00 THIS IifiliIMlTtSHM:.tREilRIRiIIF THE WORI( $ 28 00 The mstallatlOn IS bemg made on property I own which AUTHQ.5JliIHJbJ.l~~<IhII&i$RMIT IS NOT $ 50 00 IS not mtended for sale, lease or rent GQMMJiJlIj:;iQcO& 1S,~IiQRIS $50 00 + Surcharges AN11~QRiABO_~ . . (7(5) ~ 12% State Surcharge 5Yf 0 10% AdmmlstratlVe Fee 700 5% Technology Fee ~.50 g t!3 10 $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 Shared Dnve(T )/BUlldmg Forms/ElectncaJ PermIt Appllcatron 1-08 doc 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~ City of SprIngfield Official Receipt Development Services Department PublIc Works Department Job/Journal Number COM2008-00957 COM2008-00957 COM2008-00957 COM2008-00957 Payments Type of Payment CrcdItCard cRccemtl RECEIPT #. 2200800000000000996 Date' 07/0112008 DescnptlOn Penn Serv/F dr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Admllllstralive Fee Paid By THORNTON ELECTRIC Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 411091 In Person Payment Total Page 1 of I 12 17 14PM Amount Due 7000 350 840 700 $88 9U Amount Paid $88 90 $88 9U 7/1/2008