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Home My WebLink AboutPermit Electrical 2008-7-18 ZON tnu.-ILm~ rNITIAhS.-/A-J DA TE '1'~:";9a -{'K' , SOURCE ~?' .J Date '7 - Ie;;; -OX ~~.",,+ ~"t-~... "l,...' " ',' ,'~ . : ,f,,' .,.' ',;. ..., Xk(.Fi:';CITY,OF SPRINGFIELD 'OREGON ;:',,;": .,...:..,:!,n:. " < ~, I,' '.", ' _, ,. ~ ~.1 ~" j , If 2" FIFTH STREET. SPRINGFIELD, OR 91471 . PH (541)726-3153 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION Cm Job 'lumber (('),"'-" '700X-~ 0\09 J 200 Amps or less I $ 70 00 '{ 0 "-0 201 Amps 10 400 Amps $ 83 00 40] Ampsto 600 Amps $13800 601 Amps to 1000 Amps $180 00 Phone ...5...4 1 - 14 1-16 81 Over 1000 Amp,sNBl1s $413 00 ATTENTION Oregon I~J&\l1\!lI'Aljri{~lhty $ 55 00 I 5 adopted by the Oregon 1011 ow ru e TM ..:!';~esare .set~~'lI"" W "IiT!>':'1f" ", -," , , --"'-~ " ., ' 13 Q'2 "'lcaIIOn Center ,C'S~T maor",r"..!ri>\Mi.o>',or Fee(jers\.~,Jl;- ,'1ot <,*""-",,,',\,, r{1, ", ~ - ...., 0010 throtlQ v""n ~O"C'U~_ J. """'>'\..... .... "l->C ~ (L..:;..,;;.w;:~f" ~ " ~\'~ ~ , , - In OAR 9b<<-UU ,- c p)e~~the rules by 10 -1-1 0 0090 You may ObtalllN~ft)~ It\!IetJ"~on or Relocation calling lll\:l ...",,1.... ..o."'lIi"""NQtu\lQa\10R ""'r-fot-!.l1ll. Orego"",o .W Constr Contr '<umber C 408 / 1I9'll~~"^-'\tefl11-8OOlG3i~rij400 Amps ~~,:"~';;:/;:k fY\d ,"-. " CII~\ '~A Phone ~ Pump or liTIgatIOn ~ \ THIS PERMIT SHAt~IPlE~F>lJtIiE WORK 0\\ ....ER I~STALLATION AUTHORIZED UNoBr'1'l'lIS'Pif{WTdl8tOOT $ 28 00 The mSlallall'op IS bemg made on property bcm1mCED OR 18np.!jl~liID()Nm~lal $ 50 00 IS not Intended for sale, lease or rent ANY 180 DAV'PE~eJP~E~:~t~~~~ ~~~:~;t I_~r~~~~t~~,~~~e,e ;~";~~~~J:,~urChargeS~ Owners Sl!!nature 4 ","SUBTOTAL OF ABOVE~;vy:~\':ft, ;klt~i:i14f"':} Jl I '-' .,.,,-},]<Y";" ~ ~/l10-..~ '''-"r.L,#J:~ ',I"~'\';"'"f~~~-\ ."l!~ -r Q, Wo State Surcharge l? '/('11 10% AdmmlStrallve Fee 'J I.{O 5% Technology Fee ;;\ '?o It, ..~ =l~r /<' r , _ ~~ ..., '" {'i~ ...... l~1'\r~: LOCA{!ON SH::,~~!.4f1)1n"<1{'t.;:~b.,;f-Gk!< La L.( w 9 <::'-r-: LEG "L DESCRIPTION, 170:s.Z7/0 03bOO JOB DESCRIPTION " ~ 1'\ R"';' ~('J-(lm.d Permits are non-transferable and e\81re If"-'ork IS not started Within 180 days of Issuance or If work IS Suspended for 180 days 2 1 ~ 'l'~",..~ ,~"~\" IV~ !'>'^',<_::;!j"'''' ,. J'i"'-"''''''~~~~'''j''''''''t~ ;CONTRA'CTOR.rNSTAi;UTION ONLY,' ~ ~..,;:.' ..~",.: ~,.;;:;.~ h'V7,-0J~~~~'~",.'t.n:t!.& A.fL:;hJA !4if- Electrical ConlraOafGnili FI riTRI'. ~~ PO BOx 22n ~ddress E:'~:tJ~, OR 97492 CIty SUDer'> lsor LIcense Number E xplratlOn Date EXDlrallon Date 7-1 -II / .:5-q - tD Stgnaturrof SupervIsing ElectrIcian ~..Q~(9JL , InspectIOn Request 726-3769 "'.t:> \t"~"0 M",~1'"" ';rPY'...., 1,<ny4"',_V,Il<S\,,1: "''''", ,,\ "f 'l""l ..l)~;:: (' 3 ! COMPLETE FEE SCHEDUL'E BELO%;, ;.,;, & "') ~<'i "< J ~~ ..,~Yli;"'_1>1lt..;, 11"'0:' _.>h".k'!\,,*,~~'1.I,, V,Q-HI"'" 'd~~ - " <" ~- ' " ' x^"~':.lltiYh1\'>i'-'1'f~:; tl~-L..~~4M"CIP'.~'''ww. \.l\ \." "'~ 1, ""r _~.... 1 '1 A tr!S~-.jI}~~~d~~~~~ltk<~~g!:~~~}~-~a"!~~r ~e~ ?,!el!mg Jnlt -.. ServIce Included 1000 sq f\ or less Each addItIOnal 500 sq f\ or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $ 21 00 $55 00 "1V'>"';1' ~t'>t':;~lYUi.:r" ~f;1Z" W1.V~' .J]f.?:,"f...,""'< '~>''''''j>..::t\t:.. ~ -.i B ;:;Se'rvlces-oi.Feeders'- InsbiUatlOn, AlteratlODS 'Or RelocatIOn "",""'-h,,-,J...1,~~L'I;.., w'.,.>;;",t~,t;J.<.>tiklt!:tf':i, ,t... _;..,:S~s,;j"<. - ~... - t~.... $ 55 00 $ 76 00 $110 00 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above t "I 'l,Af" ";< "*~ "-jij''''l'<.,1 \~< r~~:1f4 .J!~'" "-::';'1;,\'15,""""'11" .:, D "':,Braiich 61rcults I ,"t?;"i!~" "';... ~r~? t, 1...~ 1;2,.., ,'" '" h..~", :b.w~f_""'.......r"" ..." '.cw~W;""'_I."" ~:W 'i~,,'~~ New AlteratIOn or ExtenSIOn Per Panel One CircUit Each AddItlOnal CircUIt or WIth Service or Feeder Permit $ 48 00 $ 400 L{~ I ~/)~,i$'~r,~l"'J",'Pit~ ^"'!~ -:'ltL~"[ ii>j?~1"T1&::\.... ~~~"'~,~~~t.;,.~'" ~ E "MIscellaneous (ServIce/feeder not \Deluded) -Each Inslallatlon "'-::" ..~ ",,,,- ,~~ ~ w '~~~1o ,4~, "..., ,""r"'~1 '" '" ~I ~'" $ 55 00 $ 55 00 TOTAL ~~~ Shared Dnve(T )/BUlldrng Fonns/Elecmcal PermIt Applicatlon 7 07 doc -~~ Status Issued CITY VI' I'H'KlNGFIELD Building/Combination Permit PERMIT NO, COM2008-01093 ISSUED 07/18/2008 APPLIED' 07/18/2008 EXPIRES: 01118/2009 VALUE: 225 FIfth StI eet, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 64 W Q ST ASSESSOR'S PARCEL NO 1703271003600 Spnngfield TYPE OF WORK ElectrICal Work Only TYPE OF USE PROJECT DESCRIPTION Add servIce and CirCUIt for new eqUIpment New Commercial Owner Address LBB PROPERTIES LLC 131 DEADMOND FERRY RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electncdl Contractor OREGON ELECTRIC SERVICE License 161518 ExpIratIOn Date 09/28/2008 Phone 541-343-1681 BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupdncy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # 01 Bedrooms # of Stones HeIght of Structure Type of Heat Wdter~w\O Ra&le'Ol1'i\s'(~\\1 ,e.~ ~~~{cn\qq....t;.:\o~. eQ,of\ \~r~~':~~- 1 ;:"" O~_:~~~~f 'U\ a'Q, ~':';'"\fl ....~~~~ ,,\'3S e.o",\~\rnIl.'ti.MJt;M'r.~- t.MATION I r >l'l~v c,e,' I'~' IL~ \0\\0, ca.\,O\l OO\- ~'\I CU~e \~ ~o\\~ ~O\I~~ \)"'1.: ..na.'l 0'0 ~ ~I~~' Or ~ ,.' \1\13 . . 1\1 \)0 ~O \~e ce Ole ~ rees Rqd' r::F! Ca.\\I\lQ, t \0\ \\\~ \S \- dved Dnve Rqd {I~l\\'Oe c,e{lW % of Lot Coverage Lot SIZe Sq Ft 1st FloOl Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Garage/Cdrport Sq Ft Other Occupant Load nla Front yard Setback S,de I Selback SIde 2 Setback Rearyard Setback Solar Setbacks REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS' Street Improvements Storm Sewer AvaIlable SpeCial 'mtructlOn Descnptlon Tvpe 01 ConstructIOn SIdewalk Type ,,\\\~\\uts/Drams ~,?"- '~\\~'" ,S ~ ...\()l,\C~.. ~~ ~"fo.~~\\ \"'~~~~t.~ i~? \' . ,.. OtV' _~ \\~~ ~Q,~'" l~k\~~~~ ~~it I I."l}', . 'v e \JU~'''. ~ r" $ ~'6~'iit Square Footdge or multiplIer or BId Amount Value Date Calculated Notes Pa2e I of2 Status Issued U 1 l' OF SPRIN(Jl'lELD . Building/Combination Permit PERMIT NO, COM2008-01093 ISSUED' 07/18/2008 APPLIED, 07/18/2008 EXPIRES' 01/18/2009 VALUE' 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 InspectIOn Lme Totd' Valne of PI oJect Fees Paid I Fee DescnptlOn + 10% AdmmlstratIve Fee + 12% State Surchdrge + 5% Techuology Fee Add, Alter, Extend Orc Ea Add Perm ServlFdr 200 amps or less Amount Paid Date PaId Receipt Number $740 $888 $370 $400 $70 00 7/18/08 7/18/08 7/18/08 7/18/08 7/18/08 1200800000000000794 1200800000000000794 1200800000000000794 1200800000000000794 1200800000000000794 Total Amount Paid $93 98 I Plan Reviews , To Request an inspection 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. wIll be made the followmg work day, I, ReOl~,!re~ T "s"echo"s I Rough Electnc Pnor to Cover Electnc Service, Approval reqUIred pnor to utIlIty compauy energIZIng serVice Fmal Electnc, When all electncal WOI k IS complete By signature, I state aud dgree, that [ have carefully exammed the completed dpplI<atlOn and do hereby certify that all mformatlOn hereon IS true and correct, and I further certIiy that any and dll work performed shall he done 10 accordance With the Ordmances of the City 01 Spnngfield and the Laws of the State 01 Oregon pertammg to the work descnbed herem, and thdt NO OCCUPANCY Will be made of any structure Without permiSSIOn of the Commumty Services DIVISIOn, BUIld 109 Sdfety I further certIfy that only contractors and employees who are 10 complIance With ORS 701 005 WIll be used on thiS project I further agree to ensure that all reqUIred mspectlOns dre requested at the proper tIme, that each addl ess 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 durmg constl uctlOn Owner or Contractors Signature Date Paee 2 of2 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone / City of Sprmgfield Official ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-0 1 093 COM2008-0 1 093 COM2008-0 1 093 COM2008-0 1 093 COM2008-0 1 093 Payments Type of Payment CredllCard cRecuntl RECEIPT #: 1200800000000000794 Date: 07/1812008 Description Penn Serv/Fdr 200 amps or less Add, Aller, Extend CIfC Ea Add + 5% Technology Fee + 12% Slale Surcharge + 10% AdmmlSlrallve Fee PaId By JEFF BROOKS Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 018569 In Person Payment Total " Page 1 of 1 2 48 I2PM Amount Due 7000 400 370 888 740 $93 98 Amount Paid $93 98 $93 98 7/18/2008