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Home My WebLink AboutPermit Electrical 2008-8-12 ._'_~ ill' W \l\l ~ INITIA~~ DATE . ~ SOURCE '^ . _ ___ 225 FlFI'H STREET. SPRINGFIELD, OR 97477 . PH (541)726~3753 . FAA (541)726~J689 ELECTRICAL PERMIT APPLICATION CIty Job Number C OW\ ZOO 8' - C::> I '-' 0 I Date 1 LOCATIONOFINSTALLATION' 3 COMPLETEFEESCHEDULEBELOW :so'3 c:5'- ^ S-i-lA s+ sk /IS- LEGAL DESCRIPTION J 7033.S00 C)OS07 A Ncn Re~u]cnhal- Sm~lc or I\luhl-Famll) per d"clh~ uOIt SCn'ICC Included JOB DESCRIPTION L ]000 sq ft or less II / I Each addll10nal 500 sq ft or ~oJ-.~~ve- /SA ~-r l/ Llrc..-;;"JIporuonthereof Penmts are non-transferable and xplre uwork IS Each Manufact'd Homc or not started wlthm 180 days of ISsuance or If work IS Modular Dwellmg ServIce or Suspe~ded for 180 days. Feeder --< -~ -~~ '7'"" tfW~ :o.-~----I'1"'~ - .,.." 2. 'CONTRACTORINSTALLATlONONLY > f,,"'" ~" \ L $11700 $2100 $55 00 B ';cn lU,\ QI Fc{'dcrs - In~tdllduon, Altcnktion~ or Relocation ~ ~, Owners Name C..4.., of ~~d Address Z'Z-S""' S'f--I..... ft- tIOIICt: Mlscdl.m<ou\ (Son Ic,/fecdLl not IIlcluded) -Each InslaIlatlOn CIty S.~F\ Phone 721.- '3';lbii~PERMliti~l:Mblgl1XlilIREIFTHEWORK $5500 " ,: I ,AUTHORIZ&~lifiiji~ERMIT IS NOT $ 55 00 OWNER INSTALLATION COMMEN06BI@IllIt&:~NIiD FOR $ 28 00 The mstallal10n IS bemg made on p'~r";f I own whANY 180 Ol(IMlti~/Commerc1a1 $ 5000 IS not mten~ed for sale. lease or rent MInImum Electric Permit inspection Fcc IS $50 00 + Surcharges bO Electncal Contractor , ) K (-? C-I !-CC ,,' u I:FflJIONll:l1)r~llIdaw~qulres you to TOI,"W rilles WjJJ1llil~tw 4oo..Gfilleon Utility Address 7 I :", I \)(>'1'1 <;~ VP r ~(~If!ca~on C~meAm W!l<WWmil:l'e selforth - .. --, ,R v52-00f-001 throH,9,1l 0.81,\952-001- (1 0090 You m#Ml\1\I'i'C'OprEl'S' 51'Wl I I- CIty SpDA1~-.t1 P J('[ Phone '54 l-i4Ioa,!tlll1Whe ceMlIO~'llYEl'IllI:;~:~e ( J number for tRece>l~fil~lrty Notlflcallon Center IS l'~OO-332'2J44). SUpervISor License Number ~ 1\ l ~ S C TCUl,pm AI") Scn'1l.C'i Ur" Fcc.den Exp1Tlll1on Date IO-i-li) Installation, Alteratton or RelocatIon 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D Branch CircUIts Constr Contr Number .q :') I 2 CJ Expual10n Date .zt ,2-:+-/0 SIgnature of SupefVlSmg E1ectnclan New Alteration or ExtenSion Per Panel I One Clfcwt Each Addtuonal CrrcUlt or Wlth ServIce or Feeder Pemut Owners Signature 4 SUBTOTAL OF ABOVE 12% State Surcharge 10% Admtnlstratlve fFee 5% Technology Fee Inspechon Request, 726-3769 TOTAL I Shared Dnve(f )'Buddmg FormslElectncal Penntl Apphcal10n 1-08 doc $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 l, $ 55 00 $ 76 00 $110 00 $ 48 00 l/~ /2 :> $ 400 7'Z- b '(: 7bZ:- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-01001 ISSUED: 08/1112008 APPLIED' 07/07/2008 EXPIRES 02/1112009 VALUE' 225 Filth Street, Spnngfield, OR 541,726,3753 Phone 541,726-3676 Fa< 541,726,3769 InspectlOll Lme SITE ADDRESS 303 S 5TH ST ASSESSOR'S PARCEL NO 1703350000307 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE AddItIOn Commercldl PROJECT DESCRIPTION Add 4 CircuIts Owner CITY OF SPRINGFIELD Address 225 N 5TH ST SPRINGFIELD OR 97477 .1 CONTRACTOR INFORMATION I Contractor Type Electncal Contractor J K GUCKENBERGER ELECTRIC INC License 45129 ExpiratIOn Date 04/24/2010 Phone 541,746,4656 BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupancy Group PrImar" ConstructIOn Type Secondary Construcllon Type # of Bedrooms B # of Stones \0 Lot SIZe Height of Structure \leS ~o\l \\\\\~ Sq Ft 1st Floor Type of Heat . 'eC~} e"OIl \) \01\'11 Sq Ft 2nd Floor '?' 01 '" \ Water ;rype \"e '0 ale se ~J;JJ\' Sq Ft Basement . Range Type ' ~~"e \\l\e Op..'?> go \l\eS 'o'lsq Ft GaragelCarport . EnergY'Pdth ','.....o\l\j'\l o~\'\Iel ....olle Sq FtOther J c.' ,..\", '0 ",...fl" "" \ Spnnkled J!iillihn&;O~\e '\Ie \IImI';, ca\\O"-'ccupant Load '" \ IG \ ._\'A.\f\ _..O~ ~ "'\,\\\\\! I DEYELOPNIENT,1NFO\ii."i~~""). \1. ~I,. -, \)....~;.\\\II\j ~\;I \'\113 ~\.\)O\r- l\o.~at.ili.\~ # Street Trees Rqd Paved Dnve Rqd % of Lol Coverage REQUIRED PARKING VB Frontyard Setback S.de I Setback Side 2 Selback Rearyard Setback Solar Setbacks Total Handicapped Compdct I PUBLIC IMPROVEMENTS I DescnptlOn Tvpe of ConstructIOn Sidewalk Type ~O?-~ D~W-~ib~~,\'b ~OI \\01\t~:. ~~ S~fl..~i?- \~\S ,,~~~~ iO~ \~\~~~~\t:~~~~ \S ~~t>.~~ 1,.1 '" ,..d. o\o~,'e. I ~'N\\'W di~ ~ \0" ValuatIOn Deft! \Dl'Illa 1 t\ ,t $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Cdlculated Street Impl ovements Storm Se"er Available Specldl InstructIOn Notes Paee 1 of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2008-01001 ISSUED. 08/11/2008 APPLIED: 07/07/2008 EXPIRES: 02/11/2009 VALUE: 225 FIfth Street, Spnngfield, OR 541,726,3753 Phone 541,726,3676 Fax 541,726,3769 InspectIOn Lme Total Value of ProJect Fee. Palll I Fee DescnptlOn + 10% AdmmlstratIve Fee + 12% Stdte Surchalge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount PaId Date Paid ReceIpt Numher $600 $720 $300 $48 00 $12 00 8/11108 8/11/08 8/11108 8/11108 8/11/08 2200800000000001224 2200800000000001224 2200800000000001224 2200800000000001224 2200800000000001224 Total Amount Paid $7620 I Plan Reviews I / To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00 a,m Will be made the same workmg day, inspectIons requested after 7:00 a.m. Will be made the followmg work day I Relluired In.ne~hon'l Rough Electnc Pnor to Cover Fmdl Electnc When all electncal work IS complete By slgndture, 1 state and agree, thdt 1 have carefully exammed the completed dpplIcatlOlI alld do hereby ccrtIly that dll mlormdtIon hereoll .. true dnd correct, and Ilurther certIfy that allY and all work performed shall be dOlle 10 accorddnce WIth the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn of the Commumty Services DIVISiOn, BUIld 109 Safety 1 further certIly thdt only contrdctors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIS project 1 further dgree to ensure that all reqUIred mspectlOns 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, dnd the approved set of plans Will remam 011 the sIte dt all hOles dunng constructIOn Owner or Contractors Signature Date P d~e 2 of 2 225 FIfth Street Sprmgfleld, Oregon 97477 541-726-375~ Phone .PAlN_"'Fl~ ~ . it. ~T , ~. . CIty of Sprmgfield Official ReceIpt Development ServIces Department Public Works Department Job/Journal Number COM2008-0 I 00] COM2008,O 1 00] COM2008-0 I 00 I COM2008,O I 00 I COM2008-0 I 00 I Payments Type of Payment CredltCard cRecelOtl RECEIPT #, 2200800000000001224 Date 08/1112008 Description Add, Alter, Extend ClrC Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + ]0% AdmInistratIve Fee PaId By JEFFREY GUCKENBERGER Item Total Check Number AuthOrizatIOn Received By Batch Number Number How ReceIVed dJb 035950 In Person Payment Total Page I of I 2 38 57PM Amount Due 4800 1200 300 720 600 $7620 Amount P,ud $7620 $7620 8/1112008