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Home My WebLink AboutPermit Electrical 2007-01-12LD Status: Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541 -7 26-37 69 InsPection Line SITE ADDRESS: 200 S32nd St ASSESSOR'SPARCELNO.: 1702310000502 PROJECTDESCRIPTION:CCTVaddtobasketballexpansion Building/C ombination Permit PERMIT NO: COM2007-00061 ISSUED: 0111212007 APPLIEDT 0l/1212007 EXPIRESz 0711212007 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Ou'ner: Address: ROY CLARENCE GRAY JR REVOCABLE LIVI PO BOX 117 WALTERVILLE OR 97489 Contractor Type Low Yoltage Electrical Expiration Date 02tt612008 Phone 503-245-9988 License 6434L # of Units: Primary Occupancy GrouP: Secondary Occupancy GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load:nJa Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Valuation Description Description TYPe of Construction Pase 1 of 2 Value Date Calculated Contractor SELECTRON INC ;Hrs prnrtllT ls N01 BANDONED FOR )s al OAF rat' trtor {lrlot€: the telePhot )regon UtititY Notitica e iinn-QQ4-Da,iA\ ntr ll Status: Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2007-00061ISSUED: 0111212007 APPLIEDT 0111212007 EXPIRESz 0711212007 VALUE: Fee Description + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Total Value of Project Date PaidAmount Paid $4.50 $2.2s $3.60 $4s.00 $ss.3s Receipt Number 2200700000000000049 2200700000000000049 2200700000000000049 2200700000000000049 Ut2l07 ut2t07 u12107 ut2t07 tr'ees Pait Plan By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that No oCCUpANcy will bL madi of any structure without permission of the Community Services Division, Building 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 "nrui" 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 during construction. To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Low Voltage: Prior to cover. Owner or Contractors Signature Pase2 of 2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir' of Springfield Official Receipt L ,lopment Services Department Public Works Department RECEIPT #: 2200700000000000049 Date: 0111212007 2:50:l0PM Job/Journal Number coM2007-00061 coM2007-00061 coM2007-00061 coM2007-0006r Description Low Voltage - Commercial Indus + 5olo Technology Fee + 8% State Surcharge + 10oh Administrative Fee Amount Due 45.00 2.25 3.60 4.50 Item Total $ss.3s Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check Check SELECTRON SELECTRON njm njm 59934 59970 In Person In Person Payment Total: $s3.10 $2.25 $5s.3s Job/Journal Number coM2007-00061 coM2007-00061 coM2007-00061 coM2007-00061 Description Low Voltage - Commercial Indus + 5oZ Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 45.00 2.25 3.60 4.50 Item Total:$55.3s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check Check SELECTRON SELECTRON njm nJm s9934 59970 In Person In Person Payment Total:$5s.3s $53.10 $2.2s cReceint I Page I of I U1212007 EP}.FtrLE ,:.r...r.'--.. ,O* P\" . .:t.:'&'INITIALS 1. DATE SOURCE r 225 FIFTH STREET . SPRINGtrIELD,OR97477 r PH:(541)726-3753 r FAX: (541)126-3689 flrEC?trfcr{t, Fgnwn? City Job 0 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 davs. l. f,OCi.flOIrGFInrSZl{LLATTOIV: 3. }r> 32'^d Sl Sor,*F"ll q-:,418 LEGAL DESCRIPTION' I TO JSI COCDSO }A.Nc'rv Residcntial - Singte or iltultlFamily per dwelling unir. 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 JOB DESCRIPTION ) $s0.00 l- t) -oaDate 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsiVolts Reconnect Only $106.00 $ 19.00 City , COI{TRACTO]RIAIS?H.LIAruON ONLYA. Electrical Conffactor )alqdfCo.n,, lfr <-, B. Sct'viccs or F'ecder* - Installation, Aiterstions or R*loca6iolr: $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 s s0.00 C. 'Ie:nporary Serviers or F'eeclers Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps Address ,f Phone 5D3 43q4W Supervisor License Number q-)q LgA Expiration Date rol rJ6g Constr. Contr. Number bq3q \ Expiration Date ^lJf lrp/oX Signature of Supervising Electrician Owners UL Qt4raOWNER INSTALLATION' The installafion is being made on property I own which is not intended for sale, lease or rent. Owners Signature: s 69.00 4O I Amns ln 6OO Amns $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or w'ith Service or Feeder Permit $ 3 '00 E Limited Energy/Residential $ 25.00 Limited Energy/Commercial I $ 45.00 r-6 , OD Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Pump or irrigation SigniOutline Lighting $ s0.00 $ 50.00 4. SIJBTATALAFABO.Vru 3ao4'5o2.)< * 1i-b>,c;>Inspection Request: 726-37 69 TOTAL Shared Drive(T:/Building Forms/Electrical Permit Application 8-06.doc cwanu*nBELow'CAMPLETE FEE S &,fl uaa qo b^oUr+hrll orr.-, al- t15,t:>