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HomeMy WebLinkAboutPermit Electrical 2007-05-17l-il Building/Combination Permit PERMIT NO: COM2007-00716ISSUED: 0511712007APPLIEDz 0511712007 EXPIREST llll712007 VALUE: 1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line rn SITE ADDRESS: 2492 5TH ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703262102801 TYPE OF USE: New Public PROJECT DESCRIPTION: Traffic signal service (Installation address: 2499 sth Street) Owner: Address: Contractor Type Electrical ANN C & IAN FULLER 1991 TRUST 4839 OLD DILLARD RD EUGENE OR 97405 Contractor MORROW MEADOWS CORP License 91668 Expiration Date 07t20t2007 Phone 503-399-7609 CONTRACTOR INFORMATION BUILDING INFORN # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: F!01lct E i,iJMl\,,lI_i{fiED OR IS ABANDO DAY PERIOD REQUIRED PARKING Total: Handicapped: Compact: Downspouts/Drains: l$[FtrHuq]'.' $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Paee I of2 Value Date Calculated Valuation Description I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -007 16ISSUED: 0517712007APPLIED: 0511712007EXPIRES: tlll712007 VALUE: Fee Description + l$oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid 5n7t07 5t17/07 5n7t07 sn1t07 5n7t07 Receipt Number 3200700000000000279 3200700000000000279 3200700000000000279 3200700000000000279 3200700000000000279 $6.90 $3.4s $5.52 $6.00 $63.00 $84.87 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. AII 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reou 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 be made 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 ensure 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. Owner or Contractors Signature Page 2 of 2 Date City of Springfield Supervising electrician's name: KENNETH W HAMILTON Upon review and approval by your local Jurisdiction, your permit will be e-mailod or faxed wlthln one business day, with instructlons on how to schedule your inspectlon. NOTE: This Authorlzation To Bogln Work expircs wlthln 180 days if a permlt is not obtained. The local building department may determine that an Authorization To Begln Work ls null and void lf lt dooE not meet applicable land use laws and local ordinances. l,tectrical Authorization To Begin Work E-mailed To : khamilton@cherrycityelectric.com Check on status of permit By Phone : (541)7 26-37 53 or Em ail : permitcenter@ci.springfi eld.or.us + City Of t0%A Receipt # EC511494 511712007 l0:48:28 AM Fee lxl New construction l-l Rddition/alteration/replacement I t or z family dwelilng f-l uulti-family [Il Commercial / Industrial Job no.: 876004 Job address: 2492 5TH ST City/StateZIP: SPRINGFIELD, OR 97 477 -2206 Suite/bldg./apt,no.: Project name: 5th & Hayden Bridge Rd Cross streeUdirections tojob site: Installation address: 2499 5th St Lot no.:Subdivision: Tax map/parcel ao; 1703262102801 F WORKDESCRIPT Tralfic Signal Service Name: Ken Hamilton Fax: (503) 362-2468Phone: (503) 566-5600 Email: khamilton@cherrycityelectric.com I El. lic, no.: 37-620C CCB lic. no.: 91668 ACTOR Business Name: MORROW MEADOWS CORP Contact: Ken Hamilton Address: l59622NDSTSE City/State/ZIP: SALEM OR 97302 Fax: (503)3622468Phone: (503)5665600 Email: khamilton@cherrycityelectric.com City lic. no,:Metro lic, no.: Supewising electrician's lic. no,: 1388S Description Qty.Ea.Total 1,000 sq. ft. or less Ea. addl 500 sq. ft. or portion - Limited energy, residential (with above so. ft.) 200 amps or less - Limited energy, multifamily residential above alleration, A I $63 $63 00 !tion 201 amps to 400 amps 401 amps to 599 amps 200 amps or less 201 amps to 400 amps 401 amps to 599 amps Branch circuils - NEW, Blteratio A. Fee for branch circuits rvith above service or feeder fee, each branch circuit. l, OR extens 2 $3.00 s6.00 I B. Fee for branch circuits without service or feeder fee, first branch circuit: each addl branch circuit Service reconnect only Each manufactured or modular dwelling, service and/or feeder Pump or irrigation circle Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. not offered online at this jurisdiction s69 00Subtotal $s 52State $r 0.3sfees * ,ERMIT FEE $84 87TOTAL COM: RCPT tY-of DATE PROCESSED This Authorization To Begin Work must be posted at the job site until pl a Permit TYPE OF IITIORK CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION SITE CONTACT FEE SC}IEOULE Residential SINGLE- OR multi-family dwelling unit. Includes attached garage TEMPORARY services OR fecders installation, alteration, AND/OR relocation N{iscellaneous Ciw Ols N 1-"I 225'Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit- of Springfield Official Receipt D .lopment Services Department Public Works Department RECEIPT #: 3200700000000000279 Date: 0511712007 1l:56:55AM Job/Journal Number coM2007-00716 coM2007-00716 coM200'7-00'716 coM2007-00716 coM2007-00716 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + lUYo Administrative Fee Amount Due 63.00 6.00 3.45 5.52 6.90 Item Total:s84.87 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS njm ONLINEcherrycity/m OITOW Online Payment Total: $84.87 s84.87 cReceint'l Page 1 of I 5fi712007