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HomeMy WebLinkAboutPermit Electrical 2008-12-3 ',': CITY OF SPRINGFIELD, OREGON Q.,U .~ ~~~At~_~~! ~ SOURCE\Y\.D-:5pl?} . ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (ClVV\ <....OC)?'- (") j 77( 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps , 60 I Amps 10 1000 Amps Phone4? OtrZ 797 Over 1000 AmpsNolts '~ f 1~1::\'T'nl Reconnect Only fO:/O\l' .' ~ v: Ore , 1 I Q tPir!t:CfU/c;s ad 9.QlJ..lal>; ''-1, U ~0;'!?>t'on Ce' tC?ts, If<im!l.Ja'lt;\t8l\PsiCCSuor Feeders , n er r-"'Y- ne:Gr=Y,UI - 099..Q'" tlb2-00t_00' hOSe rUle e90n Utilit Expiration Date l () - 0 l - 2..0 K.J:r. YOu_may Obt;fnSil.\Il!.tt,91'~fle:r~'l'ld}fnRelocation \, I q q 7numbe~ ;~e center'I~.'niPs'(j"~l 952-001_' $ 57.00 Con sir, Contr. Number """\ 3 f't; r,the Ore OJ..ffurih8>tWl!l~~ by $ 79.00 - ...ens t-8d~ I f.JiJEi,~~'ff/i itly~ $114.00 E . . D 1'2 -7..- 0 - -z.. 0\0 -~2!234dl I at/on xplratIon ate , Over 60'0 Atrtp'! or WOO-Volts see "8" above. D. I Branch Circuits ,Sig~atur ...-wzvz.f supervisi1ng El-leljJctrician /1 ' New Alteration or Exte":sion Per~Panel I " One Circuit $ 50.00 I ~ '1 Each Additional Circuit or with :) ( I' Service or Feeder Permit Owners Name (;"M "^ ~ H- I: n:>1t?V-'rie-s LLC , Address I) 5"" '7..5 . 'S"f:-- t O>'"\.--NortCt:'- s.v, ~.I Miscella~eous (S~rvicelreeder not incl~ded) -Each Installation I City f/t1 f;?y V-.A.-!lt:r Phone THi,c; ~/T S Pump or irrigation $ 57.00 AUTHORIZE HA/j;~f\iI:'''1pim~1.v $ 5700 OWNER INSTALLATION COMMENCEg UNDEBiJiItH~FJnffl/iJtffsi~epl1K $ 29.00 The installation is being made on prope~lIJllwP8t'J1B~Y pOR ISuYliftN/J&rm!fflWl'ftrQ-tIl $ 52.00 IS not mtended for sale, lease or rent. WJOiLm Electric Perm'i{1nspection Fee is $52.00 + Surcharges Owners Signature:' 4, I SUBTOTAL OF ABOVE I b;- 12% State Surcharge 780 10% Administralive Fee 1,,0 5% Technology Fee ,~. yzr gz..iE-. 1. I LOCATION OF INSTALLATION: _l'-t I Lf M 4 n,) ST LEGAL DESCRIPTION: /7033b3Z T-t'flJ4T T;J,Ltl JOB DESCRIPTION: 0::>400 AD\> t{ LW.flll.lb CI'gCULTs. Permits are non-transferable and expire'ifwork is not started'within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRACTORINSTALLATIONONLY I PI -~ bLccTlLtC- Address '? 0,'6'0)( L{BBcr. Electrical Contractor City c: u...c '-'t-c.J '<--- / Supervisor License Number Inspection Request: 726-3769 /2 -J -02 Date 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential,- Single or Multi-Family per dwelling unit. Service lncluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or , Modular Dwelling Service or Feeder $121.00 $ 22.00 $57.00 Bo I Services or _Feeders-Installation, Alterations or Relocation: $ 73.00 $ 86.00 $143,00 $186.00 $426.00 $ 57,00 <::;0 :?: /') $ 5.00 TOTAL S.haied Drive(T:)/Building Forms/Electrical Permit Application 7-08.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01727 ISSUED: 12/03/2008 APPLIED: 12/03/2008 EXPIRES: 06/0312009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1414 MAIN ST ASSESSOR'S PARCEL NO,: 1.703363203400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: 'Add 4 circuits Owner: Address: EMMITT PROPERTIES LLC 13593 SE PORTLAND VIEW.PL HAPPY VALLEY OR 97086 '1 CONTRACTORINFOR~ATION I Contractor Type Electrical Contractor A-I ELECTRIC License 149937 BUILDIN? INFORMATION' Expiration Date 12/31/2009 Phone 541-606"2797 # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type WateLType: Secondary Construction Type: I~effl~:t~ . # of Bedrooms: ""'TION'. oregon \a~h~l!ll"ll)OP,,'t!ll~~ 'I f>JT c." dopted bY S rYtkJe&lJid 1 n . n/a ldlo\N rll\eS~~_.~, Those I~R:.- 'p Q,,2- , .g. \~o\i t~~19'52._00 j -001' 1iEyji't~:fMBN'l"iffll8RMA TION . 'nO,.,,. b' , ". . , I \.. may 0 ,- t . In" lo'~" . 0090,' . 'IO~\18 centel. (No ~Ji.i\'it'i N, otilicatiOn , calling jar t\18 Olegon .:Y.~~r~*ist: nUllioelc nter is j-800-irStreet Trees Rqd: e Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: 'Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: D~outs/Drains, : . HEwun.. fu~:~~i~ t~~: :~;~~~ci'f~:Ol . ., ~~~~~~;~I~r~~tio~ , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ,Pa!!e 1 of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01727 ISSUED: 12/03/2008 APPLIED: 12i0312008 , EXPIRES: 06/03/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'Total Value of Project 'F~e~ Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid ' Receipt Number $6,50 12/3/08 3200800000000000773 $7,80 12/3/08 3200800000000000773 $3,25 12/3/08 3200800000000000773 $50,00 12/3108 3200800000000000773 $15,00 ' 12/3108 3200800000000000773 Total Amount Paid $82,55 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 ~~9~iredTn~\1ectio!,s I Rough Electric: Prior to Cover Final Electric: When all elect:ical work is complete. By signature, I state and agree, that I have carefully examined'the completed application and do hereby certify that 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 ofthe City of Springfield and the Laws oftheState 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 ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ofthe property, and the approved set of plans will reinain on the site at all times during construction. . J 9wner or Contractors.Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541'-726-3759 Phone Job/Journal Number COM2008-0 1727 COM2008-0 1727 COM2008-0 1727 COM2008-0 1727 COM2008-0 1727 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By BRYAN HURLEY . . City of Springfield Official Receipt Development Services Department Publ~c Works Department 3200800000000000773 , Date: '12/03/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 083771 In Person Payment Total: , Page 1 of 1 IO:27:15AM' Amount Due 50.00 15.00 3.25 7.80 6.50 $82.55 Amount Paid $82.55 $82.55 12/3/2008