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Home My WebLink AboutPermit Electrical 2008-11-21 _Sg~I.~G.!!I~~_~ , ". ~~ - '.' I. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01694 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: OS/21/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS, 5701 MAIN ST ASSESSOR'S PARCEL NO., 1702334103101 Springfield TYPE OF WORK, Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION, Temp power pole for Beau's Christmas Tree lot Commercial Owner, Address: MCDONALD'S CORP 36-113 2896 CRESCENT AVE STE 105 EUGENE OR 97408 Contractor Type Applicant Contractor BEAU LEACH I CONTRACTOR INFORMATION' License.. Expiration Date Phone 541-767-9999 BUILDING IN.FOR~ATION 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 I st Floor, Sq Ft 2nd Floor, Sq Ft Basement, Sq Ft GaragelCarport Sq Ft Other, Occupant Load: nla REQUIRED PARKING Frontyard Setback, Overlay Dist' Total, Side 1 Setback, # Street Trees Rqd, Handicapped, Side 2 Setback, . Paved Drive Rqd, Compact' Rearyard Set~tl'd 03NOON OOlH3d ^VO De ~ o!i11lti'Lot Coverage, ATTENTION: Oregon law requires you to Solar Seti'tj/q'Slll1^,~:j V8\f SI HO 03:JN31NfI1/0:J ,follow rules adopted by the Oregon Utility )f~OM 3Hl :II ~H~~~ ~~;~i ],a;fa~Ck:~PROVEME~t~si~-~52-~~i ~~~.16't~r~:u~:~ :~X~: 9~~-~~~ .' - .. .r u(ka. YOl,!ml!Y..QPtllin copies of the rules by Street Improvements: .331l0N calling tffllece'Hfuf.Y~~Dte: the telephone Storm Sewer Available, r-..f:- 9 & numbermr~\1~MDi1a\H~I!ty Notification Special Instruction, ~~o/ . Center IS 1-800-332-2344). Notes: '\ .... :; ~ I DEVELOPMENT INFORMATION I I Valuation Descriution I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page] of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01694 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: 0512112009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.70 $6.84 $2.85 $57.00 11/21/08 11/21/08 11/21/08 11/21/08 1200800000000001163 1200800000000001163 1200800000000001163 1200800000000001163 Total Amount Paid. $72.39 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. Reouired Insnections I Temporary Electric, Approval required prior to Utility Company energizing pole. Final Electric, When all electrical work is complete. Owner or By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is trne and correct, and I fnrther certify th~t any and all work performed sball he done in accordance with the Ordinances of the City of Springficld and the Laws of the State of Oregon pcrtaining to thc work described herein, and that NO OCCUPANCY will be made of any strncture 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 IIsed on this project. 1 fnrther agree to ensnre th a I required illspecti s arc requested at the proper time, that each address is readable from the street, that the permit car is I cated at the front f the property, and the approved set of plans will remain Ojthe siie at all times during con ucti . r /./ 01 / 68 I ( Date Paee 2 of 2 225. Fifth Street Springfield, Oregon 97477 541~ 726-3759 Phone \ G. P,..~~~~,._F.l.EI.D . ...tij...... "".' i......... ~A i.6.~ ' . , . A!;. , -~. . _~.."........__ __J ""'. ," -- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000001163 Date: 1l/2i!2008 S,27,09AM Paid By BO'S FIREWORKS/TREES Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 57.00 2.85 6.84 5.70 $72.39 Job/Journal Number COM2008-0 1694 COM2008-0 1694 COM2008-0 1694 COM2008-0 1694 Description Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments, Type of Payment Check Amount Paid KR 2603 In Person Payment Total, $72.39 $72.39 cReccint1 Page I of I 11/21/2008 ""A--:.:ij ~,~ . ~ _ - . DAT!, tl:-~~ .l./V ~ SOURCE ~'~ . Date 11/~1!(JB 3. I COMPLETE FEE SCHEDULE BELOW \ CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET'. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ~ FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (\D~~()()B - 'D lloq L\ I. I LOCATION OF INS'[ALLAll_T!:- (91D\ WIH\ S! LEGAL DESCRIPTIcr:1t1'J -:2.,"24 u..r,g\D , q 7 () I V'L1q''(tit''~ '71 '-;' . JO~:Sr:pN'P~wer De! f_ Permits are non-transferable and expir! if work is not-started within 180 days ofissuance or if work is Suspended for 180 days. 2. I CONTRACTOR INSTALLATION ONLy I Electrical Contractor Address City Phone Supervisor License Number A. I New Residential- Single or Multi-Family per dweUing unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or F ceder $121.00 $ 22.00 $57.00 J:J. , Services or Feeders"';" Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpslYolts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c. I Temporary Services or Feeders ! Installation, Alteration or Relocation 200 Amps or l~ss X $ 57.00 Constr. Contr. Number , 201 Amps to 400 Amps $ 79.00 . 401 Amps to 600 Amps $114.00 Expiration Date . " Over 600 AmpW~ Qr~n m,w requires you, ~u . ... 0001113 .. gjr~wrules-ad(ipled.tl'ttRllOregon.Ulthty~ SIgnature of supeUQi:h&1fil\"!l9"~elt SI d AltO Del A~ I Branch C.~ol~cationCenter._Those.rUle.s are ~et.fort~ ION S11/VtJ113d S/H 110 03:JN3VtJVtJO:J New Alteratijnt@AB~~1rQPWdtlfOugh OAR 952-001- >It/OM 3Hl:/1 3).JI"'/v"i-~{~~n 03Z/110Hlnlt One Circuit 0090. You may obtai(l~ofi~~~~I~~I~~~Y . . L- ::; J./t3d SfHl Each Additiona1Gallililg &\l,,~ntelo 0 ~t.lihI htr.tification ~' . e Service or Feedlltlmbertfor the Oregon I~,..VU- Owners Name (/,Q C{ q (' :JUON CAnter is HlU~,-2344). AddressJ(') - ok - .7 ( h.!? S E. I Miscellaneous (Service/feeder not included) -Each Installation J City t:-.Uj Phone "7 h7 - c;-c; 7" 'i Expiration Date OWNER INSTALLATION The installation is being made on property 1 own which is not intended r ale, lease or rent. II'€{ (091 Inspection Request' 726-3769 Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is' $52.00 + Surcharges 4.1 SUB1Vl'ALOFABOVE I~<l 00 -g,~b 'l..Bs 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 'ld. .39 . Shared D~ive(T:)/Bui]ding Fonns/Electrical Pennit Application 7-08.doc