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Home My WebLink AboutPermit Electrical 2008-8-7 ZON ~ INITIALS ~ DATE ~.~ - /OURCE ~V g- /7 { r r - -- -- - -_ - L~___ COMPLETE FEE SCHEDULE BELOW 225 FlFfH STREE r . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number L.Ow( z..o<::> g- - cx:::>f? 7 7 1 LOCATION OF INSTALLATION: I ? 30 yJ/lOt-fAw\C 170JzS-Z-'-( O~~O 1936 1/II"hc.wk LEGAL DESCRIPTION .L 2-Z-/J ) JOB DESCRIPTION /~5-/c, 1/ e; I~c.+, L ~" Mew I-l ,,,,d 'v,{~ PermIts are non-transferable and expire If work IS not started wlthlD 180 days of Issuance or If work IS Suspended for 180 days 2 ,CONTRACTORINSTALLATIONONLY \ - -~~-- Electncal Contractor 1\""r /f/("", r;~11 t7kc I-r 'c. LI-C / Date 3 A New Resldenhal- SlDgle or MultI-Family per dwellmg umt. "- ~_.i_~j. -k__ _~_ _~_ _ _ ~~_ ~__ %_~ -"~ ~ ~_ ,j ServIce Included 1000 sq ft or less Each addItIonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $2100 $55 00 B ServIces or Feeders - Installation, AlteratIons or Relocation 200 Amps or less 20] ~\Ot0400Amps Address p,O, BoX'" L16( {eqU\ftiI,Il~(\ff600AmpS l~OIl \e.~Ule O{C19'~~t;i\1\1ooo Amps CIty Wr-VQ / Ii s P'}.,"t'\'r$?\~~~o\eQ?~se {\1\e~SNolts \ lIo\IJ {u celllel' ~OUg" ~ ;O}I\ICal\OIl O\-OO\~~ C09\esO' ~er$lone Supervisor LIcense Number \iQ}.~~e.':/ O'o~ IIlt.\ole~1~ ~~servl~es or Fc!ders OOllU \\119 1M ce"~iego" \}II .~). ExpIratIOn Date 10 1/;) cal l>8{ 'Of I"e ... \~nstallatIOn, AlteratIon or RelocatIOn "..;;\ cellle{ I 200 Amps or less Constr Contr Number C I (J 1.. / I (., '7 0 Z S 20 I Amps to 400 Amps 40 I Amps to 600 Amps ExpIratIOn Date I Z. /(6 SIgnature of Supervlsmg ElectncIan Over 6~O Amps or 1000 Volts see "B" above D , Branch CIrcUIts $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 $ 55 00 $ 76 00 $11000 New AlteratIon or ExtenSIOn Per Panel d One CIrCUIt I $ 48 00 Lj 16 Each AddItIonal CIrCUIt or WIth .of J/J;1",h~ L L1C.- ServIce or Feeder Penmt \t- ~~ 'l-lO~ $ 4 00 I z.. ,rf: ct.\lM..k,~\?t~;\-\~N ---~ -- - Address (2') F b+t-.;4 V l\O'tV't!.~'::;-",i\\~S r~ncluded)-Each Installatmn L 1 1\,\\$ ~~ f.tl \)~tlV; Bt-.~t)()~ " -- - CIty T........ _-- ~~ Phone t-.\)1\'\0i.\~~~~t\Snr-; $ 55 00 OL cOWl~'if'P~~~ $ 55 00 OWNER INST ALLA .JON ~~'(all&~ Energy/ResldentIal $ 28 00 The mSlallatlOn IS belOg made on property I own whIch LImIted Energy/CommercIal $ 50 00 IS not IOteoded for salc, lease or rent M EI t P tIt F $50 00 S b 1D~~um ec flC ~erml ~nspe~ IOn ee IS . + ure arges /2..~ /' /' Owners Name / '1.>0 Owners SIgnature InspectIOn Request 726-3769 - ~o 7-1.0 lor - ~ 1..0 TOTAL 7 t, .......- Shared Dnve(T )/BUlldmg FormslElectncal Permit ApplIcation 1-08 doc 4 'SUBTOTAL OF ABOVE 12% Slate Surcharge 10% Admmlstratlve Fee 5% Technology Fee v-- Status Iss u ed 225 FIUh Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2008-00877 ISSUED, 07125/2008 APPLIED, 06/16/2008 EXPIRES: 02/07/2009 VALUE, $ 1,000,00 SITE ADDRESS 1930 MOHA WK BLVD ASSESSOR'S PARCEL NO 1703252405500 Spnngfield TYPE OF WORK MechamcalOnly TYPE OF USE AddItIon Commercial PROJECT DESCRIPTION Hood System for Izzy's PIZZa Owner Address 1950 MOHAWK LLC 125 E 6TH AVE JUNCTION CITY OR 97448 Contractor !-.Ifense DOUG MANSFIE~p EN.I);,j:;;\'~MWIte(\.\llre~~~~.iW25 Al \ t:1~ ,,~d ni" ~~.~ Q":c:-1.-; . j lo\low rule~ ~!!/'1. T f~t NO~~~~~~_~~1-QPJPSr8$~~ ~t the rules by ~09<P You may q!f~R!I~ItREtr.e\llP=:n calling the ce~I~& ~Al\Y Notlti n\)fuber tor th ll(! Q\)):Da2-i344). Center nge Type Energy Path Spllnkled Bmldmg Contractor Type Electncal # ofUmts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary Construchon Type # of Bedrooms Front yard Setback SIde I Setbdck SIde 2 Setback Rearyard Setback Soldr Setbdcks Street Improvements Storm Sewer AvaIlable Specl3llnstructlOn Notes Description I CONTRACTOR INFORMATION I ExptratlOn Date 10/26;2009 Phone 503-990-3173 nla Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage;Carport Sq Ft Othel Occupant LOdd I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage t 'NO~~ ~l'},.,r.l:.~, 7;,r~-' ~,~~~~~,.\S"O"{ I PUBLW-)JJ'W~'W~~\-\I~;O~tt) fO~ f>,\}l\-1.~~\~~ci~'Of>i SIdewalk Type COM"'"'' \I OE~\Ou. f>,.~'l18Q t)f>,'o r DownspoutsiDrams Total Hdndlcapped Compdct I ValuatIon DescrIptIOn I $ Per Sq Ft or multIplier Square Footdge or BId Amount Tvpe of ConstructIOn Value Date Calculated Paee I ot 3 Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle Fee DescriptIOn .....MechaDlcal Issuance Fee- + 100/0 Admmlstrahve Fee + 12% State Surcharge + 5% Technology Fee Exhaust Hoods InspectIOns - Hrly BnIldlllg MUllmum/AdJustment Mechamcal + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Orc Ea Add Total Amount PaId 1mllal RevIew 06;16;2008 Structural RevIew 06/1612008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00877 ISSUED 07/25/2008 APPLIED: 0611612008 EXPIRES' 02/0712009 VALUE' $ 1,00000 Total Value of Project Fp.p~. P'lirl I Amount PaId Date PaId ReceIpt Number $20 00 $1500 $1800 $750 $10 00 $100 00 $40 00 $600 $720 $300 $48 00 $1200 7;25/08 7/25/08 7;25/08 7;25/08 7;25/08 7 ;25i08 7/25/08 817i08 817i08 817i08 817i08 817i08 1200800000000000814 1200800000000000814 1200800000000000814 1200800000000000814 1200800000000000814 1200800000000000814 1200800000000000814 1200800000000000850 1200800000000000850 1200800000000000850 1200800000000000850 1200800000000000850 $286 70 I Plan Reviews I 06/16/2008 APP LLH Forwarded to Robert CastIle for review 07/08/2008 APP RWC 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, mspections requested after 7'00 a m WIll be made the followmg work day L..J~~lIrprl T nsnectJons I Framlllg InspectIOn Pnor to cover and dfter all rough IIIl11spectlOns have been approved Filial Blllldlllg After dll requIred IIIspectlOns have been requested and dpproved dnd the buddlllg IS complete Rough Mechdmcdl Pnor to Cover Filial Mechamcal When dll mechalllcal work IS complete Rongh Electnc Pnor to Cover Filial Electnc When all electncal work IS complete Pa2e 2 of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00877 ISSUED: 07/25/2008 APPLIED: 06116/2008 EXPIRES' 02/07/2009 VALUE, $ 1,00000 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By sIgnature, I state and agree, that I have cdrefully exammed the completed applicatIOn dnd do hereby cerllfy that all mformatlOn hereon IS true and correct, and I turther cerllfy that any and all work performed shall be done 10 accorddnce with the Ordmances of the City ot Sprmgfield and the Laws ot the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permiSSIOn ofthe Commumty ServIces DIVIsIOn, BUlldmg Safety I further cerllfy 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 dll reqUIred mspectlOns are requested at the proper lime, that each address IS readable from the street, thdt the perm.t card IS located at the front of the property, and the approved set of plans will remam on the sIte at all times dunng constructIOn Owner or Contractors Signature Date Pa2e 3 of 3 225 FIfth s.treet , Spnngfield, Oregon 97477 541-726-3759 Phone "...~~jI -,- , r 3 JIl.:~. CIty of Sprmgfield OfficIal ReceIpt Dcvelopment ServIces Department PublIc Works Department Job/Journal Number COM2008-00877 COM2008-00877 COM2008-00877 COM2008-00877 COM2008-00877 Payments Type of Payment Cred ItCard cRccemtl RECEIPT #: 1200800000000000850 Date 08/07/2008 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By JON SIMONSON Item Total Check Number AuthoTJzatJon Received By Batch Number Number How ReceIved dJb 254668 In Person Payment Total Page 1 of 1 103227AM Amount Due 4800 1200 300 720 600 $7620 Amount Paid $7620 $7620 8/7/2008