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Home My WebLink AboutPermit Electrical 2008-8-28 ZON QLD INITIALS \,,~ DATE ??-'l1t:rU'fJ SOURCE ~~V 225 FIFfH STREET. SPRINGFIELD"OR 97417 . PH:(541)726-3753 . .FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (\ ~ - ~ \ 'Lll:/);- ~: "-'<" ~_'~, :', ",;' ";'-F, -:'!__ 'O,,--';:c'TJ''j7~>C~._S- -.-;t~~r'-'-'" ','-- 1. .'WOCArrON.OF;lNSTALUArrON:~:''.~,''-;'',' :?; 3 S" ". 5S'h".' ~T'o"", J LEf~O~343L. C;O\cO J~l~ Gr Gat~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180.days. < <. - -",','<"""" ;~.. "" ,.-.""c - -"'''''''''--.',l'P'=~': ~:'''''''''''"'-':C::,":,-,:i'_~ , ";icONTRACTOR.,mSTAiiiArroJli;ioNty 2. ''" '_;'." ;.", .~ ';_"'-". ~'" ._',_."::-'. ,~'v -q ,,,,'. ...._~'S; ~'~',;;0"" 'i{',,~..':'~_::- ',",. ~'- '.' Electrical Contractor s.r:n'FTRT.n RT:F.CTRTC CO.. Address PO BOX 2765 City EUGENE. 97402 Phone 686-8612 Supervisor License Numb~ 4218-5 Expiration Date 10-1-10 Constr. Contr. Number 38702 Expiration Date 12/21/09 SiT?eofJ?Z7iID A:~. _ () / Owners Name ~rDri S ~1lY) L Address ,o,.~ ~ \ .~ 'I-t\. S \" City,~I~~ Phone\44 1031~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. A~~el'Y~on law requires you to follo'.'( rules adopted by the Qr'i'2nn 11t;r1t~'_ Notification Center_ Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090tnXOU ffil!YJlbtaln COl;ljes of the rules by calnnij'tti'lloMltllr."'tNa~-f~@ltelephone number for the Oregon Utility Notification . Center Is 1-800'332-2344). Date 3. ~fff?l~1JjLf~lF:~EJ.~s.ij"&ifk!;?Jj#i/tjlfT:~tr}:;~~}~~:}t::~:~~~:i:: ~~:;"!: e~:r ~'<i:::~_~',~ ~ :"";'- i; ;:':'_ ::~",'=,,'7; .-:;;-,~-::!:'Z~,\.~. ~ ::-__--: ~ A:':"'; . .~ -. "', ~- '~E[ '~~; - ~. <~:..":~" ';" A. _iNc,,~Re'si(Iential:;;Singlc'6 rjMtiltgFamih~!rer ;:"dll"Clling'unit.:.: ....~ . ."0'"'''' _'., ~, '~,Ii\'<~''''">-'' --__..,~d,_" ..,.".,.,."...."'., .~;"' ,"...i'",'~. ;;", -'_~,,_~,-".. .__,. ,"_' "."..:,'" .~.,' -' '-0 >'''''''''" . Service Included 1000 sq. 11 or less Each additional 500 sq. ft. or portion thereof Each,Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 2LOO $55.00 l/i';;?;-c'rJ''';;-:-:;--{f\,,;;"~,,,,\.-~.,!-.;.t':''., ..r'- "t'j:;;' .''i-':';';;-C' ;s~", ~~j':... n__,.-:= ~,,,,~,,,-,-. . ", ....,.,,"'- ~- -~<:;-:t'f. ~. B. ;~Se~i~csJ; I;'F'cddcrs'.::!;Iii stalHitioff; ~Altcraiions,o r~Relo'cfition:~,) ,~; , "'''>;'..\':';''-' )'h"'-' .7' d'._ ..__ ,,' :.... "---' . ....'lr,;'""-",,.) ," ,,'.' "".~;. ... " ," ~:,. . "... ...,0 -,5;< ''';'.~" ',.;. " 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts RecOlmect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. ~,1l~~~~~~DJ~~:'ii~F~;:;if,_~~~'f's':"~.,~_;~;:-:i~?~:.~~~ }f':r.,:/:~.t':, In~tanation. Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. ~~!~~sF~01~,~if~!t~~t~~~~;.;it,t:::?:~~1','~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $~ ~D(P $ 4.00 _':"':::"; ,\:'_. .r,:/g, ".' >~r ~:,:.p.;~'i<""( .~,.~'r;_;';',:c ,"";,if' ,":,~,::.!,.. .,' ,;. .... . ." .~ "'. . '''',<~'~ E. '~Mi:tcclla'ncousi(ScrYice/fe~de'r':n~o~iin cH{ded)~"7E'aa(. In'stalhltion" .. " ,.,"i' '''.'_ .,''''f~..",'''';; '.lot',., \>;'1"~ ,,:_'. ".{,"'.-:-,,r" j,"\i-I;""....'c. . "'.""", ~",,~,_..' ,t~",ti''':;r..-' ~.. _'. . .,,~.,,;i. ,--- -,' Pump or irrigation $ 55.00 Sign/Outline Lighting $ 5500 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $~ + Surcharges "7",-' . 'OT'C, "'''v''~ "T~," --c'>".q.,.t::/l:(/IJ'" ,... ~ Ill'\.i\ (,t) 4. :S.03.T,.!!??-;1!i~9!t~,9c~'~:;~S~~~",,;;;, ~ ~L- ' 12% Slate Surcharge IP -!A 10% Administrative Fee . "") . 'l-6 5% Technology Fee ,}. .I.d) To~qTICE: \at 0.0'\ THI$hp.fijfilM~9H~~&flrl iT~.wMKn 1-08doc AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued CITY OF ~rtuNGFIELD Building/Combination Permit PERMIT NO: COM2008-01282 ISSUED: 08/27/2008 APPLIED: 08/25/2008 EXPIRES: 02/27/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 333 58TH ST ASSESSOR'S PARCEL NO,: 1702343200100 Springfield TYPE OF WORK: School TYPE OF USE: Addition Puhlic PROJECT DESCRIPTION: Install rolling' gate Owner: Address: SPRINGFIELD SCHOOL DISTRICT 19 525 MILL ST ' SPRINGFIELD OR 9.7477 L CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SCOFIELD ELECTRIC License 38702 Expiration Date t 2/21/2009 Phone 541-686-8612 L BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING . Front yard Setback: Side t Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ". Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: . Compact: Street Improvements: I PUBLIC IMPROV.EMENTS'IN: Oregon law reqLilres"you'to .<-:'.. j,'_3 adol?ted bv lbe Oregon Utility ~otlflcatlon Cent~\?eM'?J~e'rtlles are set forth In OAR 952-001-~~plill'tSIDilii~952-001_ 0090" You may obtain copies ollhe rules by calling the center, (Note: the telephone NOTICE: number for the Oregon Utility Notification THIS ,PERMIT SHAll ~. Center.isll-800-332.2344). , "YDlnr-~r~' ~ . . IiU I HUHIZED UNDER TH'-',' , . '~-. COMMENCED OR IS ABA~ P FWdltk'til/lJDescrioti~,n , ANY 180 DAY . lJUI,cu rUK , , PERIOD,. $ Per Sq Ft Square Footage DescnntlOn Type of ConstructIOn I ' " B'd A '" ' or mu tIp lef or I. mount Value Date Calculated Storm Sewer Available: Special Instruction: Notes: Paee 1 012 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee -+- 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $5,20 $6.24, $2.60 $50.00 $2.00 Total Amount Paid $66.04 Total Value of Project Fees Pair! I ., Date Paid 8127/08 8/27/08 8127108 8127/08 8127/08 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I282 ISSUED: 08/27/2008 APPLIED: 08/25/2008 EXPIRES: 02/27/200~ VALUE: Receipt Number 1200800000000000918 t2008000000000009t8 1200800000000000918 1200800000000000918 1200800000000000918 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. Reo~~re~ I~~p~~tj~ns I Underground Electric: Prior to cover Final Electric: When all electrical work is complete. . , By signature, !.state and agree, that I have carefully examined the completed application and do hereby certify tliat 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 ellsure that all required illspections are reqllested 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 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone Job/Journal Number< COM2008-0 1282 COM2008-0 1282 COM2008-0 1282 COM2008-01282 COM2008-01282 Payments: Type of Paymeot Check Check Job/Journal Number COM2008-0 1282 COM2008-0 1282 COM2008_01282 COM2008-01282 COM2008-0 1282 Payments: Type of Payment Check Check cReceintl RECEIPT #: Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5%Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By SPRINGFIELD SCHOOL DISTRICT SPRINGFIELD SCHOOL DISTRICT Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By SPRINGFIELD SCHOOL DISTRICT SPRINGFIELD SCHOOL DISTRICT City of Springfield Official Receipt Development Services Department Public Works Department ]2008000000000009]8 Date: 08/27/2008 Item Total: t:heck Number Authorization Received By Batch Number Number How Received njm 67366 In Person njm 67367 In Person Payment Total: Item Total: t.:heck Number Authorization Received By Batch Number Number How Received njm 67366 In Person nJm . 67367 In Person Payment Total: Page I of 1 2:38:52PM Amount Due 50.00 2.00 2.60 6.24 5.20 $66.U4 Amount Paid $60.96 $5.08 $66.U4 Amount Due 50.00 2.00 2.60 . 6.24 5.20 $66.04 Amount Paid $60.96 $5.08 $66.04 8/2712008