HomeMy WebLinkAboutPermit Electrical 2008-8-12
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22'::; FIFTH ~I REET . SPRINGFIELD, OR 97477 . PH (541)726-37':;3 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number .J 7~14 ("_0-' ee-ol!;-O 10e:5:' ,,-Date t/30/0"
LOCAlioN OF INSTAl,LAWN :' 3 r COMPU,TF l'EI, SCHFDUU, BELOW --~' --
_~ _ _____'---~""'--'"_ _ ~_ ________~ ...l !__ ., ~__"- ,_____l.._ ~_..______ ~
1807 Ploneer Prky, ~as~, Sprlngfleld
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LEGAL DESCRIPTION 1703 Z l:.Z'J A I ,,~, _Re,,.,<!.entt.d! -::.?mg!': nr,~l'.".!,-Fan~l~pe~h~~lllpn:~ '
Sharl 's Restaurant 0 z..lfO'l.. ServIce Included
JOB DESCRIPTION 1000 sq ft or less $11700
Connect ple case and remove booths Each additIonal 500 sq ft or
and replace wlth tables, port,on thereof $ 2100
Each Manufac!' d Home or
Modular Dwelling Semce or
Feeder
ContractorS:loo Amps or less $ 70 00
20 I Amps to 400 Amps $ 83 00
401 Amps 10 600 Amps $13800
60 I Amps to 1000 Amps $18000
Over 1000 AmpsNolts $41300
Reconnect Only $ 55 00
-- -~ ,,\I0U-IO- -, -
C ' I empararv Ser\lces,'\'elJi'\\[fiiT'~ \JII\I\'-I' I
. --:~,\'.oiB90~~~~~e()(e;~'~el\O{\h '--
.~N1lratlan~A'lier~llan\9rJU'ja%ahflB2-00~ .
" t\l\"~ ~ (\ IlU~ OJ>,I''' '0>/
\01\<;1'{)0 il/Ppf6n\,'lerIO 1\'IIOU9\'1 O\\pe luleS ~ '$ 55 00
NOI~~~lPs "t';l~~<bt\~J11P"O\lle~\'Ie lele\lIlU~'~tY 76 00
IIlOQ!}1 ~()lpS"r&'6oo,b\TI~~IO\e\J'\\I\" NOlIn""" $ I 10 00 ,
o \ill). \\,e ce" 011' '~l'
D ~'~~~i\~O-~,J1l'gl~. :___~\J.~v.e.....-,_
L__~~ . ___,_ ,____
Permits are non-transferable and expire .fwork IS
not st.trted withIn 180 days of Issuance or If WOI k IS
Suspended far 180 days
1;:< -~+.. --" -y-'-- ..-...,
2 CON1RACIORINS1'AUAlIONONLY i
_ - _ __ ___ ___ ___ _ _u----'
Electrical Contractor Atlas Electrlca1
Address 4403 SE Roethe Rd,t'
Mllwaukle, OR 97267
City Phone
,)/lO/OR
Supel visor License Number
5009S
EXpiration Date
10/1/1:0
Constr Cootr Number
1532
Expll atlon Date
9/3/09
SIgnature ofSupervlsmg ElectriCian
dA~
ow~sNall1e 'ff Siu: LLC-
Address 3333 N'~" fJ,de f1kt-k:..
c,tyNti"wH..Jt' /Mt4:>hone
OWNeR INS~ALLA-:Yt '
The lIlstallatlOn IS being made on property I own which
]$ not mtended for sale, lease or lent
Owners SlgnatUl e
InspectIOn Request 726,3769
$55 00
B I S~rvlce'" 01 Feed~r' - Inst.1l1atlOn, AIt~;r'l~l~n~ or Rclo~at~~~--
L_' ' ___________~______
New Alteration or ExtenSIOn Per Panel
One ClfCUlt
Each Add,tIOnal Circuit or wIth
Service or Feeder Pennlt A
$ 48 00 ~LlA nn
$ 400
16 00
, ' --..... ~-, --.". ---- ---
E ! ~~lIan~ou~Ser\~~_:.(fee~_e~_n~t!~(lu~_e~d~ ~E~~~~ ~n~t~lIa~lOn_
Pump or JWl,atlon ,',-r ~~~
SI~\Ii~i' ~'~r>.\.\. EY,1'",c. 'R~"\i ~WW't
LI~\ll\$rPni s~R 1\-\\8 l'\io ~ 00
LInfl,\9'd'd "Gff'1@1r>.13r>.NUO $ 50 00
Mm~mu~~~~~ ~rA'V~~[~u.,n Fee ~"s;~.Il...o~ + SUI charges
4 I SU~~~8FABOVE " , ' 64.00
..___ ~W__.......~ _ '-_ ~_~_ ____--'"-___ __ \
12% State Surcharge 7 68
] 0% Administrative Fee
5% Technology Fee
-= ^"
::".-.c...v
TOTAL
Q1 ')Q
Sharcd Dnve{T )/BUlldmg rorms/blcLtncal Permit Appl1catlOn 1 08 doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01005
ISSUED: 08/11/2008
APPLIED. 07/0712008
EXPIRES: 02/1112009
VALUE'
225 F,fth Street, Sprmgfield, OR
541,726-3753 Phone
541-726,3676 Fax
541-726,3769 InspectIOn Lme
SITE ADDRESS 1807 PIONEER PARKWAY EAST
ASSESSOR'S PARCEL NO 1703262302402
Sprmgl1eld TYPE OF WORK Electncal Work Only
TYPE OF USE AddItIon
Commercial
PROJECT DESCRIPTION Add 5 CIrCUIts
Owner PK SALE LLC
Address 3333 NEW HYDE PARK RD #100
NEW HYDE PARK NY 11042
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor License
ATLAS ELECTRICAL CONTRACTORS INC 1532
BUILDING INFORMATION I
Expiration Date
09/03/2009
Phone
503-659-2212
Frontyard Sethack
S,de I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbacks
# of Stones Lot Size
HeIght of Structure Sq Ft 1st Floor
AT-,Ty~e 01 Heat Sq Ft 2nd Floor
, r'lJ In.
fOlloJ"',a er 'FYPfrsgon I Sq Ft Basement
Notlflcm,8~e'>F~ted b:~reqUlres you t Sq Ft GaragelCarport
m OARFi,'b'2.bvlf'a'tlr. Those r e OregOo Utll1lyO Sq Ft Other
O~~~, fu15IIhVfjtl,,~Ibu.q~q.<la:,~~ttOrthoccupant Load
I m~NrpI\N~ri~~ie-;'b~
Ceoter is -11obn"fJi:itty N~tK~on8 REQUIRED PARKING
Overlay Dlst 0-332'2344). cation Total
# Street Trees Rqd HandIcapped
Paved Dnve Rqd Compact
% of Lot Coverage
# of Umls
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms
I PUBLIC IMPROV~MENTS I
Street Improvements
Storm Sewer Av.Ilable
SpecIal InstructIOn
.Sldewalk Type
NOTICE: DownspoutslDrams
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
':'j~-l I Il'J 101....1 f"tRI~::.
I ValuatIOn DeSCrIDtlOn I
Notes
DescllPtIon
Type of ConstructIon
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
D.te C.lcul.ted
Page I of2
-ri: jiI
Status
Issued
CITY OF ~rKlNlJl'IELD '
Building/Combination Permit
PERMIT NO: COM2008-01005
ISSUED 08/11/2008
APPLIED. 07/0712008
EXPIRES: 02/1112009
VALUE:
225 Filth Street, Spnngfield, OR
541,726-3753 Phone
541,726,3676 FJX
541,726,3769 InspectIOn Lllle
Total Value of Project
Fees Paid I
Fee DeSCriptIOn
+ 10% AdmInistratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Amount PaId
Date PaId
ReceIpt Number
$640
$768
$320
$48 00
$16 00
8/11/08
8/11/08
8/11/08
8/11/08
8/11/08
2200800000000001225
2200800000000001225
2200800000000001225
2200800000000001225
2200800000000001225
Total Amount PaId
$8128
I Plan ReViews I
To Request an inspectIOn call the 24 hour recording at 726-3769. All 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.
I ReoUlred T nSllectJons I
Rough Electnc Pnor to Cover
FlOal Electnc When all electncal work IS complete
By SIgnature, I state and Jgl ee, thJt I have carefully examlOed the completed applIcatIOn and do hereby certIfy that all
IOformatlOn bereon IS true and correct, and I further certlly that any and all work performed shall be done 10 accordance WIth
the OrdlOances of the CIty 01 Spnnglield and the Laws of the State 01 Oregon pertJlOlOg to the work descnbed berelO, and
thJt NO OCCUPANCY WIll be made of any strncture wllhout permISsIOn of the Community ServIces DIVISIOn, BUlldmg Safety
I lurthe. certIfy that only contrJctors Jnd employees who are 10 complIance WIth ORS 701005 wIll be used on thIS project
I lurther agree to ensul e that all requIred mspectlOns are requested Jt the proper tIme, that each address IS I eadable from the
;treet, IhJt the permIt card IS located at the tront ot the property, and the approved set of plans wIll remalO on the SIte at ,Ill
times durmg constructIOn
Owner or Contractors SIgnature
Date
Paee 2 of 2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
.. P _gR.~
' ... '
,'- 1511
~.'
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1 005
COM2008,O 1 005
COM2008-0 1 005
COM2008,O 1 005
COM2008-0 1 005
Payments
Type of Payment
Check
cRecemtl
RECEIPT #
2200800000000001225
Date' 08/11/2008
De~crlptlOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
PaId By
ATLAS
Item Total
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
dJb
45328
In Person
Payment Tot.1
Page 1 of 1
2 45 30PM
Amount Due
4800
1600
320
768
640
$HI2H
Amount Paid
$8128
$HI2H
811 \12008